PMID- 32574011 OWN - NLM STAT- MEDLINE DCOM- 20210413 LR - 20210413 IS - 1545-9616 (Print) IS - 1545-9616 (Linking) VI - 19 IP - 6 DP - 2020 Jun 1 TI - New Polymeric Once-Daily Tazarotene 0.045% Lotion Formulation for Moderate-to-Severe Acne: Pooled Phase 3 Pediatric Analysis. PG - 602-610 LID - 10.36849/JDD.2020.10.36849/JDD.2020.4959 [doi] AB - BACKGROUND: Acne vulgaris affects approximately 85% of adolescents. Topical tazarotene is efficacious and safe for acne treatment but irritation limits its use. The objective was to evaluate efficacy, safety, and tolerability of a new tazarotene 0.045% lotion formulation in patients aged 10-13 and 14-17 years with moderate-to-severe acne. METHODS: In two phase 3, double-blind, vehicle-controlled 12-week studies, patients with moderate-to-severe acne (N=1,614) were randomized (1:1) to receive tazarotene 0.045% lotion or vehicle once-daily. Efficacy assessments included changes from baseline in inflammatory/noninflammatory lesions and treatment success (≥2-grade reduction in Evaluator's Global Severity Score [EGSS] and a clear/almost clear score). Quality of life (QoL) and adverse events (AEs) were also assessed. RESULTS: Patients aged 10-13 years (n=136) and 14-17 years (n=548) were pooled. At week 12, mean percent reductions in inflammatory and noninflammatory lesion counts were significantly greater with tazarotene versus vehicle in both age groups (least-squares mean inflammatory 10-13 years: -55.6 vs -37.0%; 14-17 years: -53.3 vs -41.2%; noninflammatory 10-13 years: -47.7 vs -28.2%; 14-17 years: -52.7 vs -32.9%; P<0.01 all). More patients achieved treatment success with tazarotene versus vehicle in both age groups (P<0.05, both). There were no significant differences between tazarotene-treated age groups in lesion counts or treatment success. Acne-QoL scores at week 12 in both age groups were numerically improved in most domains with tazarotene 0.045% lotion versus vehicle. Most treatment-emergent AEs with tazarotene or vehicle were of mild or moderate severity in both age groups. CONCLUSIONS: Tazarotene 0.045% lotion was efficacious and well tolerated in pediatric patients with moderate-to-severe acne. J Drugs Dermatol. 2020;19(6): doi:10.36849/JDD.2020.4959. FAU - Eichenfield, Lawrence F AU - Eichenfield LF FAU - Tanghetti, Emil A AU - Tanghetti EA FAU - Guenin, Eric AU - Guenin E FAU - Martin, Gina AU - Martin G FAU - Pillai, Radhakrishnan AU - Pillai R LA - eng PT - Clinical Trial, Phase III PT - Journal Article PT - Randomized Controlled Trial PL - United States TA - J Drugs Dermatol JT - Journal of drugs in dermatology : JDD JID - 101160020 RN - 0 (Keratolytic Agents) RN - 0 (Nicotinic Acids) RN - 81BDR9Y8PS (tazarotene) SB - IM MH - Acne Vulgaris/*drug therapy/pathology MH - Administration, Cutaneous MH - Adolescent MH - Child MH - Drug Administration Schedule MH - Female MH - Humans MH - Keratolytic Agents/administration & dosage/*therapeutic use MH - Male MH - Nicotinic Acids/administration & dosage/*therapeutic use MH - Severity of Illness Index MH - Surveys and Questionnaires MH - Treatment Outcome EDAT- 2020/06/24 06:00 MHDA- 2021/04/14 06:00 CRDT- 2020/06/24 06:00 PHST- 2020/06/24 06:00 [entrez] PHST- 2020/06/24 06:00 [pubmed] PHST- 2021/04/14 06:00 [medline] AID - S1545961620P0602X [pii] AID - 10.36849/JDD.2020.10.36849/JDD.2020.4959 [doi] PST - ppublish SO - J Drugs Dermatol. 2020 Jun 1;19(6):602-610. doi: 10.36849/JDD.2020.10.36849/JDD.2020.4959.