PMID- 24648685 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20140320 LR - 20211021 IS - 1013-9087 (Print) IS - 2005-3894 (Electronic) IS - 1013-9087 (Linking) VI - 26 IP - 1 DP - 2014 Feb TI - Effects of adapalene-benzoyl peroxide combination gel in treatment or maintenance therapy of moderate or severe acne vulgaris: a meta-analysis. PG - 43-52 LID - 10.5021/ad.2014.26.1.43 [doi] AB - BACKGROUND: An antibiotic-free, fixed-dose combination gel with adapalene (A) 0.1% and benzoyl peroxide (BPO) 2.5% has been developed for treatment of acne vulgaris. OBJECTIVE: To compare the clinical outcomes of A-BPO combination gel with vehicle gel for treatment or maintenance therapy of patients with acne vulgaris. METHODS: An electronic search of the database PubMed (1966 to September 2012), Embase (1984 to September 2012), and Cochrane Controlled Trials Register (CENTRAL; 3rd Quarter, 2012) was undertaken to identify relevant studies. Main clinical outcomes were success rate, treatment-related adverse events (AEs), AEs leading to discontinuation, satisfaction with the effectiveness, and overall satisfaction. RESULTS: Six studies were finally included in this meta-analysis. The A-BPO group yielded better clinical outcomes regarding the success rate (p<0.00001), satisfaction with the effectiveness of treatment (p=0.005), and overall satisfaction (p=0.005) compared to the vehicle group. The incidence of treatment-related AEs in the A-BPO group was comparable with that of vehicle group (p=0.09), while the A-BPO group was associated with a slightly increase in the incidence of AEs leading to discontinuation when compared with the vehicle group (p=0.02). CONCLUSION: A-BPO combination gel yields better clinical outcomes including success rate, satisfaction with the effectiveness, and overall satisfaction compared to vehicle gel, despite an increased incidence of AEs leading to discontinuation. The A-BPO combination agent most likely contributes to the treatment of moderate acne vulgaris rather than severe acne vulgaris, but it may be useful in maintenance therapy of patients with severe acne vulgaris. FAU - Zhou, Rongying AU - Zhou R AD - Department of Dermatology, West China Hospital, Sichuan University, Chengdu, China. FAU - Jiang, Xian AU - Jiang X AD - Department of Dermatology, West China Hospital, Sichuan University, Chengdu, China. LA - eng PT - Journal Article DEP - 20140217 PL - Korea (South) TA - Ann Dermatol JT - Annals of dermatology JID - 8916577 PMC - PMC3956794 OTO - NOTNLM OT - Acne vulgaris OT - Adapalene OT - Benzoyl peroxide OT - Meta-analysis EDAT- 2014/03/22 06:00 MHDA- 2014/03/22 06:01 PMCR- 2014/02/01 CRDT- 2014/03/21 06:00 PHST- 2012/09/12 00:00 [received] PHST- 2013/01/04 00:00 [revised] PHST- 2013/01/05 00:00 [accepted] PHST- 2014/03/21 06:00 [entrez] PHST- 2014/03/22 06:00 [pubmed] PHST- 2014/03/22 06:01 [medline] PHST- 2014/02/01 00:00 [pmc-release] AID - 10.5021/ad.2014.26.1.43 [doi] PST - ppublish SO - Ann Dermatol. 2014 Feb;26(1):43-52. doi: 10.5021/ad.2014.26.1.43. Epub 2014 Feb 17.