Comparison of clindamycin/benzoyl peroxide, tretinoin plus clindamycin, and the combination of clindamycin/benzoyl peroxide and tretinoin plus clindamycin in the treatment of acne vulgaris: a randomized, blinded study

Journal of Drugs in Dermatology, Sept-Oct, 2005 by Steven Bowman, Michael Gold, Adnan Nasir, George Vamvakias

In conclusion, results of this randomized, evaluator-blind, multicenter trial indicate that once-daily treatment with clindamycin 1%/benzoyl peroxide 5% gel provides efficacy similar to that of the more complicated regimen of clindamycin 1%/benzoyl peroxide 5% gel tretinoin 0.025% gel clindamycin 1% gel, with better tolerability.

Conflict of Interest/Financial Disclosures: Dr. Gold has received honoraria for speaking on behalf of Dermik Laboratories. Dr. Bowman and Dr. Nasir have nothing to disclose. Mr. Vamvakias is an employee of Dermik Laboratories. This study was supported by Dermik Laboratories.

References

1. Leyden JJ. Therapy for acne vulgaris. N Engl J Med. 1997;336:1156-1162.

2. Swinyer LJ, Swinyer TA, Britt MR. Topical agents alone in acne. A blind assessment study. JAMA. 1980;243:1640-1643.

3. Berson DS, Shalita AR. The treatment of acne: The role of combination therapies. J Am Acad Dermatol. 1995;32:S31-S41.

4. Krautheim A, Gollnick HPM. Acne: topical treatment. Clin Dermatol. 2004;22:398-407.

5. Gollnick H, Schramm M. Topical drug treatment in acne. Dermatology. 1998;196:119-125.

6. Cunliffe WJ, Holland KT, Bojar R, Levy SF. A randomized, double-blind comparison of a clindamycin phosphate/benzoyl peroxide gel formulation and a matching clindamycin gel with respect to microbiologic activity and clinical efficacy in the topical treatment of acne vulgaris. Clin Ther. 2002;24:1117-1133.

7. Leyden JJ, Berger RS, Dunlap FE, Ellis CN, Connolly MA, Levy SF. Comparison of the efficacy and safety of a combination topical gel formulation of benzoyl peroxide and clindamycin with benzoyl peroxide, clindamycin and vehicle gel in the treatment of acne vulgaris. Am J Clin Dermatol. 2001;2:33-39.

8. Leyden JJ, Kaidbey K, Levy SF. The combination formulation of clindamycin 1% plus benzoyl peroxide 5% versus 3 different formulations of topical clindamycin alone in the reduction of Propionibacterium acnes. An in vivo comparative study. Am J Clin Dermatol. 2001;2:263-266.

9. Leyden JJ. Effect of topical benzoyl peroxide/clindamycin versus topical clindamycin and vehicle in the reduction of Propionibacterium acnes. Cutis. 2002;69:475-480.

10. Tschen EH, Katz HI, Jones TM, et al. A combination benzoyl peroxide and clindamycin topical gel compared with benzoyl peroxide, clindamycin phosphate, and vehicle in the treatment of acne vulgaris. Cutis. 2001;67:165-169.

11. Burke BM, Cunliffe WJ. The assessment of acne vulgaris--the Leeds technique. Br J Dermatol. 1984;111:83-92.

12. BenzaClin (clindamycin 1%/benzoyl peroxide 5% gel) prescribing information. Berwyn, PA: Dermik Laboratories;2005.

Address for Correspondence

Steven Bowman, MD

Tampa Bay Medical Research, Inc.

3251 McMullen Booth Rd, #301

Clearwater, FL 33761

Phone: 727-724-3316

Fax: 727-725-5562

e-mail: sbowman11@aol.com

Steven Bowman MD, (a) Michael Gold MD, (b) Adnan Nasir MD PhD, (c) George Vamvakias (d)

a. Tampa Bay Medical Research, Inc., Clearwater, FL

b. Tennessee Clinical Research Center, Nashville, TN

c. Department of Dermatology, University of North Carolina Chapel Hill, Chapel Hill, NC


 

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