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Sarecycline Review.

Wasim Haidari1, Raquel Bruinsma1, Jesus Alberto Cardenas-de la Garza1

  • 1Center for Dermatology Research, Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, NC, USA.

The Annals of Pharmacotherapy
|August 30, 2019
PubMed
Summary
This summary is machine-generated.

Sarecycline, a new oral tetracycline antibiotic, effectively reduces inflammatory acne lesions. This well-tolerated medication offers targeted antimicrobial activity, potentially lowering antibiotic resistance risks for moderate to severe acne patients.

Keywords:
acneadverse drug reactionsantibioticantibiotic resistancemicrobiological profilepregnancy/drug effectstetracyclines

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Area of Science:

  • Dermatology
  • Pharmacology
  • Microbiology

Background:

  • Sarecycline is a novel oral tetracycline antibiotic recently approved by the US FDA.
  • Acne vulgaris is a common skin condition with various treatment options, including antibiotics.

Purpose of the Study:

  • To evaluate clinical trial data for sarecycline in acne treatment.
  • To review sarecycline's pharmacology and its clinical application.
  • To assess sarecycline's efficacy and safety profile.

Main Methods:

  • Systematic literature review of MEDLINE, EMBASE, and ClinicalTrials.gov.
  • Inclusion of English articles from January 2000 to April 2019.
  • Evaluation of clinical trials, pharmacology, safety, and microbiological data.

Main Results:

  • Phase 3 trials (SC1401, SC1402) showed significant reduction in facial inflammatory lesions with sarecycline compared to placebo (P < 0.01).
  • Mean percentage change in lesion count was significantly higher in the sarecycline group.
  • Sarecycline demonstrated good tolerability and targeted antimicrobial activity.

Conclusions:

  • Sarecycline (1.5-mg/kg dose) is effective in reducing inflammatory acne lesions.
  • The drug is well-tolerated and may help mitigate antibiotic resistance.
  • Sarecycline represents a potentially valuable new treatment for moderate to severe acne.