Efficacy and Safety of 1% Clascoterone Cream in Patients Aged > 12 Years With Acne Vulgaris

February 2023 | Volume 22 | Issue 2 | 174 | Copyright © February 2023


Published online March 1, 2023

Adelaide A. Hebert MDa, Lawrence F. Eichenfield MDb, Diane Thiboutot MDc, Linda Stein Gold MDd, Snejina Vassileva MD PhDe, Yanita Mihaylova MDf, Martina Cartwright PhDg*h, Luigi Moro PhDi, Enrico Fragasso MSi*, Jenny Han MSj, Nicholas Squittieri MDk, Alessandro Mazzetti MDi

aThe UTHealth McGovern Medical School, Houston, TX
bUniversity of California, San Diego and Rady Children's Hospital, San Diego, CA
cDepartment of Dermatology, The Pennsylvania State University College of Medicine, Hershey, PA
dDepartment of Dermatology, Henry Ford Medical Center, Detroit, MI
eDepartment of Dermatology and Venereology, Medical University-Sofia, Sofia, Bulgaria
fAesthetic Club-Laser and Dermatological Clinic, Varna, Bulgaria
gCassiopea, Inc., San Diego, CA
hNovan Inc. Durham, NC
iCassiopea S.p.A., Lainate, Italy
jPharmapace Inc., San Diego, CA
kSun Pharmaceutical Industries, Inc., Princeton, NJ
*Employee at the time the work was conducted



Safety
Topical 1% clascoterone cream maintained a favorable safety profile in patients 12 years of age and older. The incidence of TEAEs was similar between treatment arms. Most TEAEs were mild or moderate in severity; there were no serious TEAEs in patients treated with clascoterone, but 2 (0.3%) vehicletreated patients experienced serious TEAEs. The most frequent TEAEs in clascoterone-treated vs vehicle-treated patients were nasopharyngitis (1.4% vs 2.8%), headache (0.8% vs 0.6%), and oropharyngeal pain (0.8% vs 0.7%), respectively (Table 2). The majority of patients in each treatment group remained free of LSRs through week 12 (Table 3). The majority of LSRs observed were minimal or mild in severity, and the most frequent were erythema, scaling/dryness, and skin atrophy. The most frequent LSRs considered moderate in severity were pruritus and erythema, in 1.7% and 1.5% of vehicle-treated patients and in 1.1% and 0.8% clascoterone-treated patients, respectively. Pruritus was considered severe in only 0.4% of vehicle-treated and 0.3% of clascoterone-treated patients (Table 3).