PMID- 32468355 OWN - NLM STAT- MEDLINE DCOM- 20210329 LR - 20210329 IS - 1179-1888 (Electronic) IS - 1175-0561 (Linking) VI - 21 IP - 3 DP - 2020 Jun TI - Topical Minocycline Foam 4%: A Review in Acne Vulgaris. PG - 449-456 LID - 10.1007/s40257-020-00523-1 [doi] AB - Topical minocycline foam 4% (Amzeeq) is approved in the USA for the treatment of inflammatory lesions of non-nodular, moderate to severe acne vulgaris (acne) in patients aged >/= 9 years. It was developed to minimize systemic minocycline absorption and toxicity, and its high lipid content allows efficient drug movement through sebum and into affected sites. The favorable in vitro resistance profile of oral minocycline seen in Cutibacterium acnes (C. acnes) isolates was maintained with topical minocycline foam 4%. In 12-week, phase III clinical trials, once-daily topical minocycline foam 4% significantly improved both inflammatory and noninflammatory lesions relative to foam vehicle in patients aged >/= 9 years with moderate to severe acne and was reported by most patients to be satisfactory or highly satisfactory to use. Extension trial data indicated that topical minocycline foam 4% continued to be effective for up to 52 weeks' therapy. Topical minocycline foam 4% was generally well tolerated in these patients, with most adverse events (AEs) and all serious AEs considered to be unrelated to treatment. Cutaneous AEs were uncommon, and findings from a dermal safety study showed that topical minocycline foam 4% did not have any effects related to phototoxicity, photoallergy, skin sensitization and skin irritation. Topical minocycline foam 4% is thus a useful addition to available treatment options for the management of inflammatory lesions of non-nodular, moderate to severe acne in adult and pediatric patients aged >/= 9 years. FAU - Paik, Julia AU - Paik J AD - Springer Nature, Private Bag 65901, Mairangi Bay, Auckland, 0754, New Zealand. demail@springer.com. LA - eng PT - Journal Article PT - Review PL - New Zealand TA - Am J Clin Dermatol JT - American journal of clinical dermatology JID - 100895290 RN - 0 (Anti-Bacterial Agents) RN - FYY3R43WGO (Minocycline) SB - IM MH - Acne Vulgaris/diagnosis/*drug therapy/microbiology MH - Administration, Cutaneous MH - Adolescent MH - Adult MH - Age Factors MH - Anti-Bacterial Agents/*administration & dosage/adverse effects MH - Child MH - Clinical Trials, Phase III as Topic MH - Dose-Response Relationship, Drug MH - Drug Resistance, Bacterial MH - Humans MH - Minocycline/*administration & dosage/adverse effects MH - Propionibacterium acnes/*drug effects/isolation & purification MH - Severity of Illness Index MH - Skin/microbiology MH - Treatment Outcome MH - Young Adult EDAT- 2020/05/30 06:00 MHDA- 2021/03/30 06:00 CRDT- 2020/05/30 06:00 PHST- 2020/05/30 06:00 [pubmed] PHST- 2021/03/30 06:00 [medline] PHST- 2020/05/30 06:00 [entrez] AID - 10.1007/s40257-020-00523-1 [pii] AID - 10.1007/s40257-020-00523-1 [doi] PST - ppublish SO - Am J Clin Dermatol. 2020 Jun;21(3):449-456. doi: 10.1007/s40257-020-00523-1.