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Acne VulgarisNCT05903716

The Effects of Systemic Isotretinoin Treatment on Adrenal Steroid and Sex Hormones Level in Severe Acne Vulgaris

An observational study of Acne Vulgaris, run by Marmara University at 1 site in Turkey (Türkiye).

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Acne vulgaris is a chronic inflammatory skin disease involving the pilosebaceous unit, affecting approximately 95% of adolescents and young adults. Follicular hyperkeratinization, increased sebum production, androgen hormones and inflammation play a role in the pathogenesis of acne. Read more about this study

Who is it for?
Ages 14 to 20 years, women onlyHealthy volunteers can take part
Conditions the study is for
Acne Vulgaris
What is being tested?
Hormone and Isotretinoin
How many people
40 participants
Where
1 siteTurkey (Türkiye)
Study dates
15 Sep 2022to 30 Jun 2023
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 14 to 20 years
  • Women only
  • Healthy volunteers accepted
  • Child, Adult

Study population: Patients who applied to the Dermatology Outpatient Clinic with the diagnosis of severe acne vulgaris and will receive systemic isotrethionine treatment will be evaluated according to the inclusion/exclusion criteria.

Who may be able to join

  • Severe to moderate acne vulgaris
  • 14 - 20 Years old
  • Female patients

Who cannot join

  • Male patients
  • Patients who received vitamin A or hormone therapy in the last 3 months
  • Those with adrenal, thyroid, pituitary gland disease
  • Those with psychiatric disorders
  • History of drug use that causes acneiform eruption (eg, corticosteroids…)
  • Acne conglobata and acne fulminans

Trial locations and contacts

1 site in 1 country.

Baha Zaben, DR contact

+905459112899

zabenbaha@gmail.com

Ayse Deniz Yucelten, Prof contact

Turkey (Türkiye)1 site, 1 recruiting
  • Marmara University School of Medicine,Department of Dermatology.

    Istanbul

    Baha Zaben, DR, zabenbaha@gmail.com

    Recruiting

Other trials in Turkey (Türkiye)

About this study

Acne vulgaris is a chronic inflammatory skin disease involving the pilosebaceous unit, affecting approximately 95% of adolescents and young adults.

Follicular hyperkeratinization, increased sebum production, androgen hormones and inflammation play a role in the pathogenesis of acne. Androgens (Testosterone, DHEA-S and DHT) play a role in the development of acne, hypertrophy of the sebaceous glands and increased sebum production. Androgen receptors are located in the basal layer of the sebaceous glands keratinocytes and they are located in the outer sheath of the hair follicle. These receptors are responsible for the proliferative action of keratinocytes.

Read more

The relationship between androgen hormones and acne in women and prepubertal children is well known. Many studies have shown a strong association between acne and hyperandrogenism in women.

Systemic isotretinoin therapy can be used in patients with severe acne vulgaris who do not respond to topical and oral antibiotic treatments.

In recent studies, it has been shown that systemic isotretinoin used in acne treatment changes many hormones such as GnRH, FSH, LH, Estrogen, Progesterone, Testosterone, TSH, T4 and Prolactin and causes side effects such as menstrual irregularity and hirsutism.

However, data on the effect of oral isotretinoin on adrenal and sex hormones are contradictory.

In this study, it was aimed to evaluate the effect of oral isotretinoin on adrenal steroid and sex hormone levels and to compare it with a healthy control.

Isotretinoin treatment is started in acne vulgaris patients at a dose of 0.5-0.8mg/kg/day. The total cumulative dose is 120 mg/kg.

At baseline and at the 3rd month of isotretinoin treatment, 17-OH Progesterone, DHEA, DHEAS, Androstenedione, Aldosterone, Testosterone, Dihydrotestosterone, Estradiol, 17-OH Pregnenolone, Androsterone, Cortisol, Corticosterone, 11-Degesterone, 21, -Deoxycortisol, Pregnenolone, 11-Deoxycorticostreone hormones will be evaluated with LCMS/MS technique.

In addition, the FSH, LH, Prolactin, Estrogen, Testosterone, free testosterone, DHEA-s, SHBG, TSH, T4 hormone levels of the patients will be evaluated by ELISA method.

In the baseline 2nd, 3rd, 4th and 6th months of the treatment and 3 months after the treatment, the patients' height, weight, body mass index measurements, VAS scoring of patient treatment satisfaction, Global Acne Severity Score, Acne Quality of Life Score, and Modified Ferriman Gallwey Score for hirsutism will be recorded.

The side effects of isotretinoin such as menstrual irregularity, increased hair growth, and cheilitis, dryness of the oral mucosa, skin dryness, dermatitis seen in patients during treatment will be recorded.

*Hormone tests were performed on 2th and 3rd days of menstruation

Conditions
Acne Vulgaris
Being tested
Hormone, Isotretinoin
Keywords
Isotretinoin, Adrenal steroid hormones, Sex hormones
Medical subject headings
Acne Vulgaris

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • HormoneDiagnostic test

    At baseline 17-OH Progesterone, DHEA, DHEAS, Androstenedione, Aldosterone, Testosterone, Dihydrotestosterone, Estradiol, 17-OH Pregnenolone, Androsterone, Cortisol, Corticosterone, 11-Degesterone, 21, -Deoxycortisol, Pregnenolone, 11-Deoxycorticostreone hormones will be evaluated.In addition, the FSH, LH, Prolactin, Estrogen, Testosterone, free testosterone, DHEA-s, SHBG, TSH, T4 hormone levels of the patients will be evaluated from all patients

  • IsotretinoinDrug

    İn the 3rd month of isotretinoin treatment, 17-OH Progesterone, DHEA, DHEAS, Androstenedione, Aldosterone, Testosterone, Dihydrotestosterone, Estradiol, 17-OH Pregnenolone, Androsterone, Cortisol, Corticosterone, 11-Degesterone, 21, -Deoxycortisol, Pregnenolone, 11-Deoxycorticostreone hormones will be evaluated.In addition, the FSH, LH, Prolactin, Estrogen, Testosterone, free testosterone, DHEA-s, SHBG, TSH, T4 hormone levels of the patients will be evaluated by ELISA method

Study groups in NCT05903716
Study groupRoleWhat they receive
Severe acne vulgaris40 female patients aged 14-20 years, who were diagnosed with severe to moderate acne bulgaris and will be treated with isotretinoin.
Receives: Diagnostic Test: Hormone; Drug: Isotretinoin
Healthy control40 female patients aged 14-20 years
Receives: Diagnostic Test: Hormone

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. FSH Level

    Evaluation FSH levels in Severe Acne Vulgaris patient Before isotretinoin treatment

    Measured: Baseline (Before isotretinoin treatment)

  2. FSH Level

    Evaluation FSH levels in after 3 month of isotretinoin treatment

    Measured: 3rd month of isotretinoin treatment

  3. LH Level

    Evaluation LH levels in Severe Acne Vulgaris patient Before isotretinoin treatment

    Measured: Baseline (Before isotretinoin treatment)

  4. LH Level

    Evaluation LH levels after 3 month of isotretinoin treatment

    Measured: 3rd month of isotretinoin treatment

  5. Prolactin Level

    Evaluation Prolactin levels in Severe Acne Vulgaris patient Before isotretinoin treatment

    Measured: Baseline (Before isotretinoin treatment)

  6. Prolactin Level

    Evaluation Prolactin levels after 3 month of isotretinoin treatment

    Measured: 3rd month of isotretinoin treatment

  7. Estrogen Level

    Evaluation Estrogen levels in Severe Acne Vulgaris patient Before isotretinoin treatment

    Measured: Baseline (Before isotretinoin treatment)

  8. Estrogen Level

    Evaluation Estrogen levels after 3 month of isotretinoin treatment

    Measured: 3rd month of isotretinoin treatment

  9. Testosterone Level

    Evaluation Testosterone levels in Severe Acne Vulgaris patient Before isotretinoin treatment

    Measured: Baseline (Before isotretinoin treatment)

  10. Testosterone Level

    Evaluation Testosterone levels after 3 month of isotretinoin treatment

    Measured: 3rd month of isotretinoin treatment

  11. Free-Testosterone Level

    Evaluation Free-Testosterone levels in Severe Acne Vulgaris patient Before isotretinoin treatment

    Measured: Baseline (Before isotretinoin treatment)

  12. Free-Testosterone Level

    Evaluation Free-Testosterone levels after 3 month of isotretinoin treatment

    Measured: 3rd month of isotretinoin treatment

  13. DHEA-s Level

    Evaluation DHEA-s levels in Severe Acne Vulgaris patient Before isotretinoin treatment

    Measured: Baseline (Before isotretinoin treatment)

  14. DHEA-s Level

    Evaluation DHEA-s levels after 3 month of isotretinoin treatment

    Measured: 3rd month of isotretinoin treatment

  15. SHBG Level

    Evaluation SHBG levels in Severe Acne Vulgaris patient Before isotretinoin treatment

    Measured: Baseline (Before isotretinoin treatment)

  16. SHBG Level

    Evaluation SHBG levels after 3 month of isotretinoin treatment

    Measured: 3rd month of isotretinoin treatment

  17. TSH Level

    Evaluation TSH levels in Severe Acne Vulgaris patient Before isotretinoin treatment

    Measured: Baseline (Before isotretinoin treatment)

  18. TSH Level

    Evaluation TSH levels iafter 3 month of isotretinoin treatment

    Measured: 3rd month of isotretinoin treatment

  19. T4 Level

    Evaluation T4 levels in Severe Acne Vulgaris patient Before isotretinoin treatment

    Measured: Baseline (Before isotretinoin treatment)

  20. T4 Level

    Evaluation T4 levels after 3 month of isotretinoin treatment

    Measured: 3rd month of isotretinoin treatment

  21. 17-OH Progesteroone Level

    Evaluation 17-OH Progesteroone levels in Severe Acne Vulgaris patient Before isotretinoin treatment

    Measured: Baseline (Before isotretinoin treatment)

  22. 17-OH Progesteroone Level

    Evaluation 17-OH Progesteroone after 3 month of isotretinoin treatment

    Measured: 3rd month of isotretinoin treatment

  23. DHEA(LCMS) Level

    Evaluation DHEA(LCMS) levels in Severe Acne Vulgaris patient Before isotretinoin treatment

    Measured: Baseline (Before isotretinoin treatment)

  24. DHEA(LCMS) Level

    Evaluation DHEA(LCMS) levels after 3 month of isotretinoin treatment

    Measured: 3rd month of isotretinoin treatment

  25. DHEA-S(LCMS) Level

    Evaluation DHEAS(LCMS) levels in Severe Acne Vulgaris patient Before isotretinoin treatmen

    Measured: Baseline (Before isotretinoin treatment)

  26. DHEA-S(LCMS) Level

    Evaluation DHEAS(LCMS) levels after 3 month of isotretinoin treatment

    Measured: 3rd month of isotretinoin treatment

  27. Androstenedione Level

    Evaluation Androstenedione levels in Severe Acne Vulgaris patient Before isotretinoin treatment

    Measured: Baseline (Before isotretinoin treatment)

  28. Androstenedione Level

    Evaluation Androstenedione levels after 3 month of isotretinoin treatment

    Measured: 3rd month of isotretinoin treatment

  29. Aldosterone Level

    Evaluation Aldosterone levels in Severe Acne Vulgaris patient Before isotretinoin treatment

    Measured: Baseline (Before isotretinoin treatment)

  30. Aldosterone Level

    Evaluation Aldosterone levels after 3 month of isotretinoin treatment

    Measured: 3rd month of isotretinoin treatment

  31. Testosterone(LCMS) Level

    Evaluation Testosterone(LCMS) levels in Severe Acne Vulgaris patient Before isotretinoin treatment

    Measured: Baseline (Before isotretinoin treatment)

  32. Testosterone(LCMS) Level

    Evaluation Testosterone(LCMS) levels after 3 month of isotretinoin treatment

    Measured: 3rd month of isotretinoin treatment

  33. Dihydrotestosterone Level

    Evaluation Dihydrotestosterone levels in Severe Acne Vulgaris patient Before isotretinoin treatment

    Measured: Baseline (Before isotretinoin treatment)

  34. Dihydrotestosterone Level

    Evaluation Dihydrotestosterone levels after 3 month of isotretinoin treatment

    Measured: 3rd month of isotretinoin treatment

  35. Estradiol Level

    Evaluation Estradiol levels in Severe Acne Vulgaris patient Before isotretinoin treatment

    Measured: Baseline (Before isotretinoin treatment)

  36. Estradiol Level

    Evaluation Estradiol levels after 3 month of isotretinoin treatment

    Measured: 3rd month of isotretinoin treatment

  37. 17-OH Pregnenolone Level

    Evaluation 17-OH Pregnenolone levels in Severe Acne Vulgaris patient Before isotretinoin treatment

    Measured: Baseline (Before isotretinoin treatment)

  38. 17-OH Pregnenolone Level

    Evaluation 17-OH Pregnenolone levels after 3 month of isotretinoin treatment

    Measured: 3rd month of isotretinoin treatment

  39. Androsterone Level

    Evaluation Androsterone levels in Severe Acne Vulgaris patient Before isotretinoin treatment

    Measured: Baseline (Before isotretinoin treatment)

  40. Androsterone Level

    Evaluation Androsterone levels after 3 month of isotretinoin treatment

    Measured: 3rd month of isotretinoin treatment

  41. Cortisol Level

    Evaluation Cortisol levels in Severe Acne Vulgaris patient Before isotretinoin treatment

    Measured: Baseline (Before isotretinoin treatment)

  42. Cortisol Level

    Evaluation Cortisol levels after 3 month of isotretinoin treatment

    Measured: 3rd month of isotretinoin treatment

  43. Corticosterone Level

    Evaluation Corticosterone levels in Severe Acne Vulgaris patient Before isotretinoin treatment

    Measured: Baseline (Before isotretinoin treatment)

  44. Corticosterone Level

    Evaluation Corticosterone after 3 month of isotretinoin treatment

    Measured: 3rd month of isotretinoin treatment

  45. 11-Deoxycortisol Level

    Evaluation 11-Deoxycortisol levels in Severe Acne Vulgaris patient Before isotretinoin treatment

    Measured: Baseline (Before isotretinoin treatment)

  46. 11-Deoxycortisol Level

    Evaluation 11-Deoxycortisol levels after 3 month of isotretinoin treatment

    Measured: 3rd month of isotretinoin treatment

  47. Progesterone(LCMS) Level

    Evaluation Progesterone(LCMS) levels in Severe Acne Vulgaris patient Before isotretinoin treatment

    Measured: Baseline (Before isotretinoin treatment)

  48. Progesterone(LCMS) Level

    Evaluation Progesterone(LCMS) levels after 3 month of isotretinoin treatment

    Measured: 3rd month of isotretinoin treatment

  49. 21-Deoxycortisololone Level

    Evaluation 21-Deoxycortisololone levels in Severe Acne Vulgaris patient Before isotretinoin treatment

    Measured: Baseline (Before isotretinoin treatment)

  50. 21-Deoxycortisololone Level

    Evaluation 21-Deoxycortisololone levels after 3 month of isotretinoin treatment

    Measured: 3rd month of isotretinoin treatment

  51. 11-Deoxycortisolone Level

    Evaluation 11-Deoxycortisolone levels in Severe Acne Vulgaris patient Before isotretinoin treatmen

    Measured: Baseline (Before isotretinoin treatment)

  52. 11-Deoxycortisolone Level

    Evaluation 11-Deoxycortisolone levels after 3 month of isotretinoin treatment

    Measured: 3rd month of isotretinoin treatment

  53. Pregnenolone Level

    Evaluation Pregnenolone levels in Severe Acne Vulgaris patient Before isotretinoin treatmen

    Measured: Baseline (Before isotretinoin treatment)

  54. Pregnenolone Level

    Evaluation Pregnenolone levels after 3 month of isotretinoin treatment

    Measured: 3rd month of isotretinoin treatment

Secondary outcomes (3)
  1. Comparison of hormone levels in acne vulgaris patients and healthy group

    Comparison of all hormone levels in acne vulgaris patients and healthy group

    Measured: Baseline

  2. Menstrual İrregularity

    Evaluation of side effects such as menstrual irregularity that can be seen due to isotretinoin

    Measured: 2. 4. 6. months and 3 month after treatment

  3. Relationship between Menstrual irregularity and hormone levels

    Evaluation of the relationship between menstrual irregularity and changes in hormone levels

    Measured: 3rd month of isotretinoin treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Jun 2023
  2. Study start15 Sep 2022
  3. Primary completion30 Jun 2023 (estimated)
  4. Study completion30 Jun 2023 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Prospective
Enrolment
40 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05903716
Sponsor's protocol ID
09.2022.464
Status last verified
Jun 2023
First submitted
26 Mar 2023
Last updated
15 Jun 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

An observational study of Acne Vulgaris, run by Marmara University at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 15 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Baha Zaben, DR (+905459112899, zabenbaha@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

FSH Level (time frame: Baseline (Before isotretinoin treatment)). The study lists 54 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Jun 2023.

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