Acne Vulgaris
Conditions
Keywords
microbiome, nutrition
Brief summary
This study will assess the effect of almond supplementation on acne and on gut health.
Interventions
60g of whole almonds will be consumed daily.
A non-nut snack will be consumed daily.
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects 15 years of age until 45 years of age. * The presence of mild to moderate acne based on investigator global assessment. * Individuals who have remained stable on their topical or oral acne regimen for at least 4 weeks, except if the medication is a noted exclusion.
Exclusion criteria
* The presence of severe acne as noted by the investigator global assessment. * Those with a nut allergy. * Those who are unwilling to discontinue oral probiotic-based supplementation to meet the washout criteria prior to enrolling. * Those who are unwilling to discontinue topical antibiotics and topical benzoyl peroxide to meet the washout criteria prior to enrolling. * Individuals who are unwilling to discontinue vitamin E containing supplements during the washout and intervention. * Individuals who have been on an oral antibiotic for acne within the previous 1 month. * Individuals who are pregnant or breastfeeding. * Individuals who have changed any of their hormonal based contraception within 3 months prior to joining the study. * Oral supplementation that has nuts in it. * Use of isotretinoin within the three months prior to joining the study. * Current tobacco smoker or a tobacco smoking history of greater than 10 pack-years.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total lesion count | 20 weeks | Number of of inflammatory lesions, and open and closed comedones |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Non-inflammatory lesion count | 12 weeks | Number of open and closed comedones |
| Investigator global assessment (IGA) of acne | 12 weeks | Validated scale for global assessment of acne. Scale of 0-4, 4 indicating greater severity. |
| Quality of Life Survey | 12 weeks | Dermatology quality of life index survey assessment (DQLI). Scale is 0 to 30, the higher the score the greater impairments to quality of life. |
| Inflammatory lesion count | 12 weeks | Number of inflammatory lesions |
| Gut microbiome assessment | 12 weeks | Gut microbiome shift for short-chain fatty acid producing bacteria via stool sample |
| Skin microbiome diversity | 12 weeks | Shift in the Shannon diversity of the skin microbiome through adhesive strip and swab collection. |
| Sebum excretion | 12 weeks | Measure of skin sebum via sebumeter. |
Countries
United States