Randomized placebo-controlled trial of metronidazole 1% cream with sunscreen SPF 15 in treatment of rosacea |
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Authors: | Tan J K L Girard C Krol A Murray H E Papp K A Poulin Y Chin D A Jeandupeux D |
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Institution: | (1) , Windsor, Ontario, Canada, CA;(2) , Montreal, Quebec, Canada, CA;(3) University of Alberta, Edmonton, Alberta, Canada, CA;(4) Winnipeg Clinic, Winnipeg, Manitoba, Canada, CA;(5) Probity Medical Research, Waterloo, Ontario, Canada, CA;(6) Sainte-Foy, Quebec, Canada, CA;(7) Stiefel Canada Inc., Montreal, Quebec, Canada, CA |
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Abstract: | Background: Rosacea is a photoaggravated dermatosis responsive to treatment with topical and oral antibiotics. A formulation
combining metronidazole 1% cream with sunscreen SPF 15 was developed for the treatment of rosacea. Objective: The objective
of this study was to determine the safety and efficacy of a formulation combining metronidazole 1% cream with sunscreen SPF
15 in the treatment of moderate to severe rosacea. Methods: One hundred and twenty patients with moderate to severe rosacea
were enrolled for a randomized, placebo-controlled (vehicle containing sunscreen with SPF 15), double-blind study. Study cream
was applied twice daily to the entire face over a 12-week period. Results: Treatment with metronidazole 1% cream with sunscreen
SPF 15 resulted in significant improvement (p <0.05) in inflammatory lesion count, erythema and telangiectasiae scores, and
investigator and patient global assessment scores compared with baseline and placebo. Adverse reactions related to study medication
were typically mild, occurred at the site of application, and were reversible. There was no difference between the safety
profiles of metronidazole 1% cream with sunscreen SPF 15 and placebo. Conclusions: The combined topical formulation of metronidazole
1% cream with sunscreen SPF 15 was an effective, well-tolerated topical agent for the treatment of moderate to severe rosacea. |
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