Could a stronger acne drug be better for darker skin? new trial aims to find out
NCT ID NCT06447480
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares giving oral isotretinoin (a strong acne medication) right away versus the usual antibiotics for moderate acne in people with darker skin (Fitzpatrick types IV-VI). The goal is to see if early use of isotretinoin reduces acne-related dark spots better than standard care. About 420 participants aged 13-30 will be followed for 6 months.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 420 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2025
- Expected to finish
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Sep 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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13 to 30 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Women and men between 13 and 30-year-old * Skin type IV, V and VI according to Fitzpatrick skin types * Moderate acne as defined by the French Society of Dermatology recommendations based on ECLA grading https://document.sfdermato.org/groupe/centre-de-preuves/label-recommandations-acne-post-college.pdf) * Patients must have a cell phone able to take selfies pictures with a minimum definition of 5Mb. * Signed informed consent * Affiliation to French social coverage. Exclusion Criteria: * Mild and severe acne (ECLA grading : French recommendations) (https://document.sfdermato.org/groupe/centre-de-preuves/label-recommandations-acne-post-college.pdf) * Past cure of oral isotretinoin * Past cure of systemic antibiotics for acne in the last 6 months * Phototype I-III patients * Abnormal hemogram, liver enzyme, cholesterol, triglycerides at baseline * Pregnancy: female patient of childbearing potential will undergo a pregnancy test (plasmatic β-hCG) * Breast-feeding patients * Refusal of effective contraception for women * Contra-indications to oral isotretinoin, doxycycline, lymecycline, topical adapalene/tretinoin * Vulnerable people: adult under guardianship or deprived of freedom
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
19 sites in 2 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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APHP
RECRUITINGParis, Île-de-France Region, 75000, France
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Ambroise paré
RECRUITINGParis, France
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CH Avicenne - APHP
RECRUITINGParis, France
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CH D'argenteuil
RECRUITINGArgenteuil, France
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CH de Cayenne 3 Avenue Alexis Blaise, BP6006
RECRUITINGCayenne, 97306, French Guiana
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CHU de Bordeaux
RECRUITINGBordeaux, Aquitaine, 33000, France
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CHU de Nantes
RECRUITINGNantes, Loire-Atlantique, 44 000, France
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CHU de Nice - Hôpital de l'Archet
RECRUITINGNice, Alpes-Maritimes, 06200, France
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CHU de Poitiers
RECRUITINGPoitiers, France
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CHU de la réunion
RECRUITINGLa Réunion, France
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Cabinet Dermatologique Brest 1
RECRUITINGBrest, France
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Cabinet Dermatologique Brest 2
RECRUITINGBrest, France
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Cabinet de dermatologie DERMACLINIC 972
RECRUITINGFort-de France, French Guiana
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Cabinet de dermatologie St Maxime
RECRUITINGSainte-Maxime, Var, 83000, France
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Cabinet dermatologique
RECRUITINGParis, France
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Cabinet dermatologique Cenon
NOT_YET_RECRUITINGCenon, France
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Cabinet dermatologique gradignan
RECRUITINGGradignan, France
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Cabinet dermatologique privé
NOT_YET_RECRUITINGParis, France
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chu de Rouen
RECRUITINGRouen, Seine-maritime, 76000, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Hormone tests may reveal who benefits most from acne drug
- Blood pressure drug takes on antibiotics for Women's acne
- Can radiofrequency waves outperform acne gels?
- Can adding a chemical peel to microneedling erase acne scars better?
- Can a beam of light boost acne treatment?