Skip to content

Adapalene 0.3% - Benzoyl Peroxide 2.5% Gel and Risk of Formation of Atrophic Acne Scars

Effect of Adapalene 0.3% - Benzoyl Peroxide 2.5% Gel Versus Vehicle Gel on the Risk of Formation of Atrophic Acne Scars in Moderate to Severe Acne Subjects

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02735421
Acronym
OSCAR
Enrollment
67
Registered
2016-04-12
Start date
2016-05-13
Completion date
2017-11-23
Last updated
2022-09-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Acne Vulgaris, Atrophic Acne Scars

Keywords

acne, scars

Brief summary

This was a multi-centre, randomized, investigator blinded, vehicle controlled trial using intra-individual comparison (right half-face versus left half-face). Participants with each half-face randomized to one of the two following treatments: * Adapalene 0.3 percent (%) - benzoyl peroxide (BPO) 2.5% gel (TactuPump® Forte). * Vehicle gel The main objective of this trial was to evaluate the effect of Adapalene 0.3% - BPO 2.5% (ABPO Forte) gel versus vehicle gel on the risk of formation of atrophic acne scars in moderate to severe acne participants.

Interventions

DRUGABPO Forte Gel

Participants applied Adapalene 0.3% - Benzoyl peroxide (BPO) 2.5% gel (ABPO Forte) topically to the affected areas once daily for 24 weeks in Part 1 and for 48 weeks in Part 2.

DRUGVehicle gel

Participants applied placebo matched to ABPO Forte gel topically to the affected areas once daily for 24 weeks in Part 1 and 48 weeks in Part 2.

Sponsors

Galderma R&D
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
SINGLE (Investigator)

Eligibility

Sex/Gender
ALL
Age
16 Years to 35 Years
Healthy volunteers
No

Inclusion criteria

Main Inclusion Criteria: * Participants with clinical diagnosis of moderate to severe acne vulgaris on the face defined by: 1. Investigator's Global Assessment score of 3 or 4, with same score on both sides; and 2. A minimum of 25 inflammatory lesions (papules and pustules) in total, with at least 10 on each side (excluding the nose); and 3. No more than two acne nodules (less than or equal to \[\>=\] 1 centimeter \[cm\]); and 4. A minimum of 10 atrophic acne scars in total (upper than 2 millimeters \[mm\]) (excluding the nose) * Participants with a symmetric number of both inflammatory and non-inflammatory lesions on the whole face, and atrophic acne scars on the whole face. * Participants with skin phototype of I to IV on Fitzpatrick's scale. Main

Exclusion criteria

* Participants with acne conglobata, acne fulminans, secondary acne (chloracne, drug-induced acne, etc.), nodulo cystic acne, acne requiring systemic treatment. * Prior failure to treatment with TactuPump® Forte (Adapalene 0.3% - BPO 2.5%). * Participants with more than 3 excoriated acne lesions. * Participants with skin abraded on the treated area or affected by eczema, seborrhoeic dermatitis, cuts or sunburn. * Female participant who is pregnant, nursing or planning a pregnancy during the trial or within one month after the last trial treatment application. * Male participant with a beard or facial hair, which would interfere with the clinical trial evaluations or clinical trial procedures. * Participants having received at least one of the following topical treatments on the treated area: Corticosteroids, antibiotics, benzoyl peroxide, azelaic acid, hydroxyacids, Zinc containing treatments, antibacterials, antiseptics, other anti-inflammatory drugs or other acne treatments (2 weeks); Retinoids (4 weeks); Cosmetic/aesthetic procedures on the face (1 week); Photodynamic therapy, laser therapy, microdermabrasion for acne (3 months). * Participants having received at least one of the following systemic treatments: Corticosteroids (except locally acting corticosteroids such as inhaled or intrathecal or dermal application at distance from the face), antibiotics (except penicillin) (1 month); Spironolactone (3 months) / Drospirenone (3 months, unless dose is stable since at least 3 months); Oral retinoids (6 months); Cyproterone acetate / Chlormadinone acetate (6 months); Immunomodulators (3 months).

Design outcomes

Primary

MeasureTime frameDescription
Part 1: Total Atrophic Acne Scar Count Per Half-faceWeek 24The scars were counted according to their size defined in two categories using 2-millimeter (mm) and 4-mm punch biopsy tools for size classification: 1) atrophic scars 2 to 4 mm: included boxcar (sheer edges), rolling (irregular surface), and undetermined types; 2) atrophic scars greater than (\>) 4 mm: included boxcar (sheer edges), rolling (irregular surface), and undetermined types. Each type of atrophic acne scar was counted separately for each half-face by the evaluator for following regions: right forehead, right cheek, right side of the chin, left forehead, left cheek and left side of the chin. To obtain the total number of atrophic scars per half-face, atrophic acne scar counts for each half-face was added.

Secondary

MeasureTime frameDescription
Part 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitPart 1: Weeks 1, 4, 8, 12, 16, 20 and 24; Part 2: Weeks 1, 4, 8, 12, 16, 20, 24, 36 and 48The scars were counted according to their size defined in two categories using 2 mm and 4 mm punch biopsy tools for size classification: 1) atrophic scars 2 to 4 mm: included boxcar (sheer edges), rolling (irregular surface), and undetermined types; 2) atrophic scars \> 4 mm: included boxcar (sheer edges), rolling (irregular surface), and undetermined types. Each type of atrophic acne scar was counted separately for each half-face by the evaluator for following regions: right forehead, right cheek, right side of the chin, left forehead, left cheek and left side of the chin.
Part 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScorePart 1: Weeks 1, 4, 8, 12, 16, 20 and 24; Part 2: Weeks 1, 4, 8, 12, 16, 20, 24, 36 and 48ISGA was an assessment scale used to evaluate facial acne severity. ISGA was recorded using a 5-point scale ranges from 0 to 4, where (0 = clear \[No visible scars from acne); 1 = almost clear \[Hardly visible scars from 50 cm away\]; 2 = mild \[Easily recognizable; less than half the affected face area\]; 3 = moderate \[More than half and less than 75% of the affected face area\]; 4 = severe \[More than 75% of the affected face area\]) based on inflammation, pustules and papulation/infiltration. Higher score indicated severe acne.
Part 1: Percentage of Participants With Investigator's Preference on Overall Scar SeverityAt Week 12 and Week 24The investigator rated their preference on a scale ranging from -2 (left side a lot better than right) to 2 (right side a lot better than left). Overall scar severity was assessed using a 5-point scale where (-2 = Left a lot better than right; -1 = Left a little bit better than right; 0 = No preference; 1 = Right a little bit better than left; 2 = Right a lot better than left. ABPO forte was applied on left side and vehicle gel was applied on right side.
Part 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitPart 1: Weeks 1, 4, 8, 12, 16 and 20; Part 2: Weeks 1, 4, 8, 12, 16, 20, 36 and 48The scars were counted according to their size defined in two categories using 2 mm and 4 mm punch biopsy tools for size classification: 1) atrophic scars 2 to 4 mm: included boxcar (sheer edges), rolling (irregular surface), and undetermined types; 2) atrophic scars \> 4 mm: included boxcar (sheer edges), rolling (irregular surface), and undetermined types. Each type of atrophic acne scar was counted separately for each half-face by the evaluator for following regions: right forehead, right cheek, right side of the chin, left forehead, left cheek and left side of the chin. To obtain the total number of atrophic scars per half-face, atrophic acne scar counts for each half-face was added.
Part 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitPart 1: Weeks 1, 4, 8, 12, 16, 20 and 24; Part 2: Weeks 1, 4, 8, 12, 16, 20, 24, 36 and 48Inflammatory lesions included papules and pustules. Papule is a small, solid elevation less than one centimeter in diameter. Most of the lesion is above the surface of the skin. Pustule is a small, circumscribed elevation of the skin which contains yellow-white exudates.
Part 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitPart 1: Weeks 1, 4, 8, 12, 16, 20 and 24; Part 2: Weeks 1, 4, 8, 12, 16, 20, 24, 36 and 48Non-inflammatory lesions included open comedone and closed comedone. Open comedone is a mass of sebaceous material that is impacted behind an open follicular orifice (blackhead). Closed comedone is a mass of sebaceous material that is impacted behind a closed follicular orifice (white head).
Part 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitPart 1: Weeks 1, 4, 8, 12, 16, 20 and 24; Part 2: Weeks 1, 4, 8, 12, 16, 20, 24, 36 and 48IGA is an assessment scale used to determine severity of acne and clinical response to treatment on a 5-point scale (0 = clear \[Clear skin with no inflammatory or non inflammatory lesions\]; 1= almost clear \[A few scattered comedones and a few small papules\]; 2= mild \[Easily recognizable; less than half the face is involved. Some comedones and some papules and pustules\]; 3= moderate \[More than half of the face is involved. Many comedones, papules and pustules. One small nodule may be present\] and 4= severe \[Entire face is involved. Covered with comedones, numerous papules and pustules. Few nodules may or may not be present\]) based on erythema and papulation/ infiltration. Therapeutic response is an IGA score of 0 (clear) or 1 (almost clear).
Part 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitPart 1: Weeks 1, 4, 8, 12, 16 and 20; Part 2: Weeks 1, 4, 8, 12, 16, 20, 36 and 48Total lesion counts corresponded to the sum of inflammatory and non-inflammatory lesions, and other lesions. The investigator counted all inflammatory lesions (papules and pustules), non-inflammatory lesions (open and closed comedone) and other lesions (nodules) for each half-face.

Countries

Canada, France

Participant flow

Recruitment details

The study was conducted at 6 centers in Canada and France between 13 May 2016 and 23 November 2017. This study was conducted in 2 parts: Part 1 (Randomized) and Part 2 (Open Label).

Pre-assignment details

A total of 67 participants were randomized. All eligible participants had each half-face randomized to one of the two following treatments (with the other treatment applied to the other side of the face): ABPO forte gel and ABPO forte vehicle gel.

Participants by arm

ArmCount
All Participants
Participants applied once-daily adapalene 0.3% - benzoyl peroxide (BPO) 2.5% (ABPO Forte) gel on half-face and ABPO Forte vehicle gel on the other side of the face based on randomization (right or left side of the face) at night for 24 weeks were enrolled in Part 1 of the study. Thereafter, at the decision of the investigator, based on participant's medical assessment of efficacy during Part I, the participants who agreed to continue treatment with ABPO Forte gel for up to 24 additional weeks on the whole face were enrolled in Part 2 of the study.
67
Total67

Withdrawals & dropouts

PeriodReasonFG000
Part 2 (Open Label): up to 48 WeeksLost to Follow-up3
Part 2 (Open Label): up to 48 WeeksWithdrawal by Subject1
Part A (Randomized): up to 24 WeeksAdverse Event2
Part A (Randomized): up to 24 WeeksInadequate compliance to treatment1
Part A (Randomized): up to 24 WeeksLost to Follow-up3
Part A (Randomized): up to 24 WeeksPregnancy1
Part A (Randomized): up to 24 WeeksWithdrawal by Subject6

Baseline characteristics

CharacteristicAll Participants
Acne Duration6.8 years
STANDARD_DEVIATION 4.2
Age, Categorical
<=18 years
19 Participants
Age, Categorical
>=65 years
0 Participants
Age, Categorical
Between 18 and 65 years
48 Participants
Age, Continuous21.5 years
STANDARD_DEVIATION 4.2
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
9 Participants
Race (NIH/OMB)
Black or African American
0 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
58 Participants
Region of Enrollment
Canada
48 Participants
Region of Enrollment
France
19 Participants
Sex: Female, Male
Female
44 Participants
Sex: Female, Male
Male
23 Participants
Skin Phototype
Phototype I
3 Participants
Skin Phototype
Phototype II
32 Participants
Skin Phototype
Phototype III
23 Participants
Skin Phototype
Phototype IV
9 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 670 / 670 / 450 / 45
other
Total, other adverse events
11 / 675 / 6714 / 450 / 45
serious
Total, serious adverse events
0 / 670 / 670 / 450 / 45

Outcome results

Primary

Part 1: Total Atrophic Acne Scar Count Per Half-face

The scars were counted according to their size defined in two categories using 2-millimeter (mm) and 4-mm punch biopsy tools for size classification: 1) atrophic scars 2 to 4 mm: included boxcar (sheer edges), rolling (irregular surface), and undetermined types; 2) atrophic scars greater than (\>) 4 mm: included boxcar (sheer edges), rolling (irregular surface), and undetermined types. Each type of atrophic acne scar was counted separately for each half-face by the evaluator for following regions: right forehead, right cheek, right side of the chin, left forehead, left cheek and left side of the chin. To obtain the total number of atrophic scars per half-face, atrophic acne scar counts for each half-face was added.

Time frame: Week 24

Population: The Intent-to-Treat efficacy population (ITT) included entire population enrolled and randomized.

ArmMeasureValue (MEAN)Dispersion
Part 1: ABPO Forte GelPart 1: Total Atrophic Acne Scar Count Per Half-face9.5 atrophic acne scarsStandard Deviation 5.5
Part 1: ABPO Forte Vehicle GelPart 1: Total Atrophic Acne Scar Count Per Half-face13.3 atrophic acne scarsStandard Deviation 7.4
p-value: <0.0001Wilcoxon (Mann-Whitney)
Secondary

Part 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline Visit

IGA is an assessment scale used to determine severity of acne and clinical response to treatment on a 5-point scale (0 = clear \[Clear skin with no inflammatory or non inflammatory lesions\]; 1= almost clear \[A few scattered comedones and a few small papules\]; 2= mild \[Easily recognizable; less than half the face is involved. Some comedones and some papules and pustules\]; 3= moderate \[More than half of the face is involved. Many comedones, papules and pustules. One small nodule may be present\] and 4= severe \[Entire face is involved. Covered with comedones, numerous papules and pustules. Few nodules may or may not be present\]) based on erythema and papulation/ infiltration. Therapeutic response is an IGA score of 0 (clear) or 1 (almost clear).

Time frame: Part 1: Weeks 1, 4, 8, 12, 16, 20 and 24; Part 2: Weeks 1, 4, 8, 12, 16, 20, 24, 36 and 48

Population: ITT population included entire population enrolled and randomized. Here, Number Analyzed signifies those participants who were evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1: ABPO Forte GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 121.9 score on a scaleStandard Deviation 0.8
Part 1: ABPO Forte GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 42.5 score on a scaleStandard Deviation 0.7
Part 1: ABPO Forte GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 161.6 score on a scaleStandard Deviation 0.8
Part 1: ABPO Forte GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 82.3 score on a scaleStandard Deviation 0.7
Part 1: ABPO Forte GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 201.5 score on a scaleStandard Deviation 0.9
Part 1: ABPO Forte GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 241.4 score on a scaleStandard Deviation 0.9
Part 1: ABPO Forte GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 12.7 score on a scaleStandard Deviation 0.6
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 122.4 score on a scaleStandard Deviation 0.7
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 242.2 score on a scaleStandard Deviation 0.8
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 202.1 score on a scaleStandard Deviation 0.8
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 13.0 score on a scaleStandard Deviation 0.4
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 162.2 score on a scaleStandard Deviation 0.8
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 42.8 score on a scaleStandard Deviation 0.6
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 82.7 score on a scaleStandard Deviation 0.6
Part 2: ABPO Forte GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 82.1 score on a scaleStandard Deviation 0.8
Part 2: ABPO Forte GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 241.0 score on a scaleStandard Deviation 0.5
Part 2: ABPO Forte GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 361.2 score on a scaleStandard Deviation 0.6
Part 2: ABPO Forte GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 481.2 score on a scaleStandard Deviation 0.7
Part 2: ABPO Forte GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 12.7 score on a scaleStandard Deviation 0.6
Part 2: ABPO Forte GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 201.1 score on a scaleStandard Deviation 0.6
Part 2: ABPO Forte GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 42.5 score on a scaleStandard Deviation 0.7
Part 2: ABPO Forte GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 121.7 score on a scaleStandard Deviation 0.7
Part 2: ABPO Forte GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 161.2 score on a scaleStandard Deviation 0.5
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 481.3 score on a scaleStandard Deviation 0.7
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 13.0 score on a scaleStandard Deviation 0.4
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 42.8 score on a scaleStandard Deviation 0.6
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 241.9 score on a scaleStandard Deviation 0.8
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 82.6 score on a scaleStandard Deviation 0.6
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 122.2 score on a scaleStandard Deviation 0.7
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 162.0 score on a scaleStandard Deviation 0.9
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 201.9 score on a scaleStandard Deviation 0.8
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Global Assessment (IGA) Score Per Half-face at Each Post-baseline VisitWeek 361.4 score on a scaleStandard Deviation 0.7
Secondary

Part 1 and Part 2: Investigator's Scar Global Assessment (ISGA) Score

ISGA was an assessment scale used to evaluate facial acne severity. ISGA was recorded using a 5-point scale ranges from 0 to 4, where (0 = clear \[No visible scars from acne); 1 = almost clear \[Hardly visible scars from 50 cm away\]; 2 = mild \[Easily recognizable; less than half the affected face area\]; 3 = moderate \[More than half and less than 75% of the affected face area\]; 4 = severe \[More than 75% of the affected face area\]) based on inflammation, pustules and papulation/infiltration. Higher score indicated severe acne.

Time frame: Part 1: Weeks 1, 4, 8, 12, 16, 20 and 24; Part 2: Weeks 1, 4, 8, 12, 16, 20, 24, 36 and 48

Population: ITT population included entire population enrolled and randomized. Here, Number Analyzed signifies those participants who were evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1: ABPO Forte GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 12.3 score on a scaleStandard Deviation 0.6
Part 1: ABPO Forte GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 42.2 score on a scaleStandard Deviation 0.6
Part 1: ABPO Forte GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 82.2 score on a scaleStandard Deviation 0.6
Part 1: ABPO Forte GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 122.0 score on a scaleStandard Deviation 0.7
Part 1: ABPO Forte GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 162.0 score on a scaleStandard Deviation 0.7
Part 1: ABPO Forte GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 201.9 score on a scaleStandard Deviation 0.7
Part 1: ABPO Forte GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 241.8 score on a scaleStandard Deviation 0.8
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 82.3 score on a scaleStandard Deviation 0.7
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 162.2 score on a scaleStandard Deviation 0.6
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 242.1 score on a scaleStandard Deviation 0.7
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 42.3 score on a scaleStandard Deviation 0.7
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 12.3 score on a scaleStandard Deviation 0.6
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 202.1 score on a scaleStandard Deviation 0.7
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 122.2 score on a scaleStandard Deviation 0.6
Part 2: ABPO Forte GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 361.5 score on a scaleStandard Deviation 0.7
Part 2: ABPO Forte GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 481.4 score on a scaleStandard Deviation 0.8
Part 2: ABPO Forte GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 201.8 score on a scaleStandard Deviation 0.8
Part 2: ABPO Forte GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 121.9 score on a scaleStandard Deviation 0.7
Part 2: ABPO Forte GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 12.3 score on a scaleStandard Deviation 0.7
Part 2: ABPO Forte GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 82.2 score on a scaleStandard Deviation 0.7
Part 2: ABPO Forte GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 241.6 score on a scaleStandard Deviation 0.8
Part 2: ABPO Forte GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 42.2 score on a scaleStandard Deviation 0.7
Part 2: ABPO Forte GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 161.9 score on a scaleStandard Deviation 0.7
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 162.1 score on a scaleStandard Deviation 0.6
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 242.0 score on a scaleStandard Deviation 0.8
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 82.3 score on a scaleStandard Deviation 0.7
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 122.2 score on a scaleStandard Deviation 0.6
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 361.8 score on a scaleStandard Deviation 0.6
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 42.2 score on a scaleStandard Deviation 0.8
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 202.0 score on a scaleStandard Deviation 0.8
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 481.5 score on a scaleStandard Deviation 0.7
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Investigator's Scar Global Assessment (ISGA) ScoreWeek 12.3 score on a scaleStandard Deviation 0.7
Secondary

Part 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline Visit

Inflammatory lesions included papules and pustules. Papule is a small, solid elevation less than one centimeter in diameter. Most of the lesion is above the surface of the skin. Pustule is a small, circumscribed elevation of the skin which contains yellow-white exudates.

Time frame: Part 1: Weeks 1, 4, 8, 12, 16, 20 and 24; Part 2: Weeks 1, 4, 8, 12, 16, 20, 24, 36 and 48

Population: ITT population included entire population enrolled and randomized. Here, Number Analyzed signifies those participants who were evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 1-28.0 percent changeStandard Deviation 33
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 4-43.5 percent changeStandard Deviation 30.8
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 8-55.1 percent changeStandard Deviation 35
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 12-63.6 percent changeStandard Deviation 33
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 16-70.1 percent changeStandard Deviation 29.6
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 20-72.6 percent changeStandard Deviation 30.7
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 24-75.4 percent changeStandard Deviation 29.8
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 8-31.2 percent changeStandard Deviation 34.7
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 16-39.4 percent changeStandard Deviation 39.6
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 24-50.2 percent changeStandard Deviation 36.3
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 4-19.8 percent changeStandard Deviation 36.7
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 1-10.4 percent changeStandard Deviation 24.8
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 20-47.5 percent changeStandard Deviation 37.5
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 12-39.1 percent changeStandard Deviation 37.9
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 36-81.3 percent changeStandard Deviation 20.5
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 48-77.2 percent changeStandard Deviation 27.1
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 20-84.6 percent changeStandard Deviation 17.4
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 12-74.9 percent changeStandard Deviation 21.2
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 1-29.2 percent changeStandard Deviation 34.4
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 8-67.9 percent changeStandard Deviation 17.4
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 24-88.5 percent changeStandard Deviation 11.1
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 4-50.1 percent changeStandard Deviation 24.4
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 16-82.6 percent changeStandard Deviation 14.6
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 16-51.3 percent changeStandard Deviation 35.6
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 24-64.0 percent changeStandard Deviation 23.2
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 8-36.7 percent changeStandard Deviation 32.5
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 12-47.8 percent changeStandard Deviation 32.4
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 36-75.5 percent changeStandard Deviation 25.5
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 4-19.6 percent changeStandard Deviation 39.2
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 20-60.2 percent changeStandard Deviation 27.5
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 48-73.3 percent changeStandard Deviation 25.7
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 1-11.9 percent changeStandard Deviation 26.7
Secondary

Part 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline Visit

Non-inflammatory lesions included open comedone and closed comedone. Open comedone is a mass of sebaceous material that is impacted behind an open follicular orifice (blackhead). Closed comedone is a mass of sebaceous material that is impacted behind a closed follicular orifice (white head).

Time frame: Part 1: Weeks 1, 4, 8, 12, 16, 20 and 24; Part 2: Weeks 1, 4, 8, 12, 16, 20, 24, 36 and 48

Population: ITT population included entire population enrolled and randomized. Here, Number Analyzed signifies those participants who were evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 1-9.2 percent changeStandard Deviation 29.2
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 12-40.8 percent changeStandard Deviation 31.3
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 8-32.4 percent changeStandard Deviation 34.7
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 24-55.4 percent changeStandard Deviation 34.7
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 20-51.4 percent changeStandard Deviation 33.1
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 16-47.7 percent changeStandard Deviation 34.1
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 4-20.1 percent changeStandard Deviation 36.1
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 8-16.0 percent changeStandard Deviation 42.7
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 10.3 percent changeStandard Deviation 30.8
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 4-1.5 percent changeStandard Deviation 36.8
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 12-21.1 percent changeStandard Deviation 37.9
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 16-24.7 percent changeStandard Deviation 40.8
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 20-33.3 percent changeStandard Deviation 39.9
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 24-35.6 percent changeStandard Deviation 40.5
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 12-47.8 percent changeStandard Deviation 29.9
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 16-58.9 percent changeStandard Deviation 30.1
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 1-10.7 percent changeStandard Deviation 33.1
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 48-64.9 percent changeStandard Deviation 27.6
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 20-62.4 percent changeStandard Deviation 27.6
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 8-36.5 percent changeStandard Deviation 36.4
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 24-67.9 percent changeStandard Deviation 28.2
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 4-22.8 percent changeStandard Deviation 39.4
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 36-64.5 percent changeStandard Deviation 28.6
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 20-41.7 percent changeStandard Deviation 39.9
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 12-24.4 percent changeStandard Deviation 40.7
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 1-2.7 percent changeStandard Deviation 33.6
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 36-59.6 percent changeStandard Deviation 30.8
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 4-4.7 percent changeStandard Deviation 39.1
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 16-29.7 percent changeStandard Deviation 43.8
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 48-62.5 percent changeStandard Deviation 28.4
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 8-21.7 percent changeStandard Deviation 44.8
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Non-inflammatory Lesion Count Per Half-face at Each Post-baseline VisitWeek 24-44.6 percent changeStandard Deviation 41
Secondary

Part 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline Visit

The scars were counted according to their size defined in two categories using 2 mm and 4 mm punch biopsy tools for size classification: 1) atrophic scars 2 to 4 mm: included boxcar (sheer edges), rolling (irregular surface), and undetermined types; 2) atrophic scars \> 4 mm: included boxcar (sheer edges), rolling (irregular surface), and undetermined types. Each type of atrophic acne scar was counted separately for each half-face by the evaluator for following regions: right forehead, right cheek, right side of the chin, left forehead, left cheek and left side of the chin.

Time frame: Part 1: Weeks 1, 4, 8, 12, 16, 20 and 24; Part 2: Weeks 1, 4, 8, 12, 16, 20, 24, 36 and 48

Population: ITT population included entire population enrolled and randomized. Here, Number Analyzed signifies those participants who were evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 1-2.5 percent changeStandard Deviation 12.5
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 4-1.0 percent changeStandard Deviation 21.9
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 8-4.5 percent changeStandard Deviation 27.4
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 12-7.3 percent changeStandard Deviation 32.9
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 16-7.0 percent changeStandard Deviation 35.9
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 20-8.7 percent changeStandard Deviation 39.2
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 24-15.5 percent changeStandard Deviation 38.9
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 812.3 percent changeStandard Deviation 32.5
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 1617.1 percent changeStandard Deviation 45.6
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 2414.4 percent changeStandard Deviation 53
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 49.8 percent changeStandard Deviation 28.1
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 15.8 percent changeStandard Deviation 19.5
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 2015.2 percent changeStandard Deviation 51.7
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 1216.2 percent changeStandard Deviation 40.7
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 36-25.0 percent changeStandard Deviation 37.1
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 48-26.9 percent changeStandard Deviation 39.7
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 20-11.7 percent changeStandard Deviation 44.9
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 12-7.1 percent changeStandard Deviation 37.3
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 1-2.6 percent changeStandard Deviation 14.2
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 8-3.6 percent changeStandard Deviation 32
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 24-21.7 percent changeStandard Deviation 42.8
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 4-0.3 percent changeStandard Deviation 25.6
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 16-8.4 percent changeStandard Deviation 40.7
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 1618.3 percent changeStandard Deviation 52.2
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 2416.7 percent changeStandard Deviation 62.7
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 813.0 percent changeStandard Deviation 35.8
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 1218.1 percent changeStandard Deviation 46.4
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 36-1.8 percent changeStandard Deviation 52.4
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 412.5 percent changeStandard Deviation 31.1
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 2014.6 percent changeStandard Deviation 58.5
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 48-15.2 percent changeStandard Deviation 49.6
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 16.6 percent changeStandard Deviation 22.3
Secondary

Part 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline Visit

Total lesion counts corresponded to the sum of inflammatory and non-inflammatory lesions, and other lesions. The investigator counted all inflammatory lesions (papules and pustules), non-inflammatory lesions (open and closed comedone) and other lesions (nodules) for each half-face.

Time frame: Part 1: Weeks 1, 4, 8, 12, 16 and 20; Part 2: Weeks 1, 4, 8, 12, 16, 20, 36 and 48

Population: ITT population included entire population enrolled and randomized. Here, Number Analyzed signifies those participants who were evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 1-20.9 percent changeStandard Deviation 22.1
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 4-34.1 percent changeStandard Deviation 27.4
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 8-45.7 percent changeStandard Deviation 29.3
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 12-54.5 percent changeStandard Deviation 27.9
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 16-60.4 percent changeStandard Deviation 28.5
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 20-63.7 percent changeStandard Deviation 28
Part 1: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 24-66.7 percent changeStandard Deviation 29.1
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 8-25.3 percent changeStandard Deviation 31.4
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 16-35.4 percent changeStandard Deviation 35.9
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 24-45.8 percent changeStandard Deviation 33.6
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 4-13.1 percent changeStandard Deviation 29.1
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 1-5.7 percent changeStandard Deviation 19.9
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 20-43.2 percent changeStandard Deviation 33.5
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 12-32.9 percent changeStandard Deviation 32.7
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 36-74.0 percent changeStandard Deviation 19.2
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 48-72.7 percent changeStandard Deviation 22.8
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 20-75.0 percent changeStandard Deviation 16.4
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 12-63.3 percent changeStandard Deviation 21.6
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 1-23.4 percent changeStandard Deviation 22.4
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 8-53.6 percent changeStandard Deviation 23.2
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 24-79.4 percent changeStandard Deviation 16.1
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 4-38.6 percent changeStandard Deviation 24.4
Part 2: ABPO Forte GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 16-71.9 percent changeStandard Deviation 19.2
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 16-43.3 percent changeStandard Deviation 36.2
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 24-56.4 percent changeStandard Deviation 29.4
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 8-30.4 percent changeStandard Deviation 28.9
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 12-38.7 percent changeStandard Deviation 31.7
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 36-69.9 percent changeStandard Deviation 23.8
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 4-15.2 percent changeStandard Deviation 29.3
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 20-53.2 percent changeStandard Deviation 29
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 48-70.4 percent changeStandard Deviation 23.1
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Percent Change From Baseline in Total Lesion Count Per Half-face at Each Post-baseline VisitWeek 1-7.6 percent changeStandard Deviation 19.7
Secondary

Part 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline Visit

The scars were counted according to their size defined in two categories using 2 mm and 4 mm punch biopsy tools for size classification: 1) atrophic scars 2 to 4 mm: included boxcar (sheer edges), rolling (irregular surface), and undetermined types; 2) atrophic scars \> 4 mm: included boxcar (sheer edges), rolling (irregular surface), and undetermined types. Each type of atrophic acne scar was counted separately for each half-face by the evaluator for following regions: right forehead, right cheek, right side of the chin, left forehead, left cheek and left side of the chin. To obtain the total number of atrophic scars per half-face, atrophic acne scar counts for each half-face was added.

Time frame: Part 1: Weeks 1, 4, 8, 12, 16 and 20; Part 2: Weeks 1, 4, 8, 12, 16, 20, 36 and 48

Population: ITT population included entire population enrolled and randomized. Here, Number Analyzed signifies those participants who were evaluable for this outcome measure at specified time points.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1: ABPO Forte GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 2010.3 atrophic acne scarsStandard Deviation 5.9
Part 1: ABPO Forte GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 111.7 atrophic acne scarsStandard Deviation 6.5
Part 1: ABPO Forte GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 1210.7 atrophic acne scarsStandard Deviation 6.1
Part 1: ABPO Forte GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 1610.7 atrophic acne scarsStandard Deviation 6.2
Part 1: ABPO Forte GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 411.9 atrophic acne scarsStandard Deviation 6.8
Part 1: ABPO Forte GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 811.3 atrophic acne scarsStandard Deviation 6.7
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 1213.8 atrophic acne scarsStandard Deviation 7.7
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 112.8 atrophic acne scarsStandard Deviation 6.8
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 413.6 atrophic acne scarsStandard Deviation 8
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 2013.4 atrophic acne scarsStandard Deviation 7.5
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 1613.7 atrophic acne scarsStandard Deviation 7.2
Part 1: ABPO Forte Vehicle GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 813.5 atrophic acne scarsStandard Deviation 7.6
Part 2: ABPO Forte GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 1211.3 atrophic acne scarsStandard Deviation 6.8
Part 2: ABPO Forte GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 1611.0 atrophic acne scarsStandard Deviation 6.8
Part 2: ABPO Forte GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 2010.4 atrophic acne scarsStandard Deviation 6.5
Part 2: ABPO Forte GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 368.8 atrophic acne scarsStandard Deviation 5.3
Part 2: ABPO Forte GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 488.4 atrophic acne scarsStandard Deviation 5.4
Part 2: ABPO Forte GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 112.2 atrophic acne scarsStandard Deviation 6.6
Part 2: ABPO Forte GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 412.2 atrophic acne scarsStandard Deviation 6.8
Part 2: ABPO Forte GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 811.8 atrophic acne scarsStandard Deviation 7.3
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 414.2 atrophic acne scarsStandard Deviation 8.1
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 489.9 atrophic acne scarsStandard Deviation 6.3
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 3611.7 atrophic acne scarsStandard Deviation 7
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 1214.4 atrophic acne scarsStandard Deviation 8.1
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 814.0 atrophic acne scarsStandard Deviation 7.8
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 2013.9 atrophic acne scarsStandard Deviation 8.1
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 113.1 atrophic acne scarsStandard Deviation 6.5
Part 2: ABPO Forte Vehicle GelPart 1 and Part 2: Total Atrophic Acne Scar Count Per Half-face at Each Post-baseline VisitWeek 1614.2 atrophic acne scarsStandard Deviation 7.6
Secondary

Part 1: Percentage of Participants With Investigator's Preference on Overall Scar Severity

The investigator rated their preference on a scale ranging from -2 (left side a lot better than right) to 2 (right side a lot better than left). Overall scar severity was assessed using a 5-point scale where (-2 = Left a lot better than right; -1 = Left a little bit better than right; 0 = No preference; 1 = Right a little bit better than left; 2 = Right a lot better than left. ABPO forte was applied on left side and vehicle gel was applied on right side.

Time frame: At Week 12 and Week 24

Population: ITT population included entire population enrolled and randomized. Here, Overall Number of Participants Analyzed signifies those participants who were evaluable for this outcome measure and Number analyzed signifies those participants who were evaluable for this outcome measure at the specified time point.

ArmMeasureGroupValue (NUMBER)
Part 1: ABPO Forte GelPart 1: Percentage of Participants With Investigator's Preference on Overall Scar SeverityWeek 12: ABPO Forte a lot better than Vehicle5.1 percentage of participants
Part 1: ABPO Forte GelPart 1: Percentage of Participants With Investigator's Preference on Overall Scar SeverityWeek 12: ABPO Forte a little bit better than Vehicle33.9 percentage of participants
Part 1: ABPO Forte GelPart 1: Percentage of Participants With Investigator's Preference on Overall Scar SeverityWeek 24: ABPO Forte a lot better than Vehicle17.5 percentage of participants
Part 1: ABPO Forte GelPart 1: Percentage of Participants With Investigator's Preference on Overall Scar SeverityWeek 24: ABPO Forte a little bit better than Vehicle36.5 percentage of participants

Source: ClinicalTrials.gov · Data processed: Mar 1, 2026