Weekly Isotretinoin vs. Tetracycline for Moderate Acne

This study is looking for people aged 12 and older with moderate acne (Acne Vulgaris) to compare two treatments: weekly isotretinoin and daily tetracycline. Isotretinoin is a vitamin A-based medication, and tetracycline is an antibiotic. The goal is to see if weekly isotretinoin is as effective as, or better than, the standard daily tetracycline, with fewer side effects. Researchers will measure how well the treatments work using a Comprehensive Acne Severity Scale after 10 months. You cannot join if you've recently taken isotretinoin or are currently on certain long-term antibiotics.

Study design
This is an interventional study planning to enroll 50 participants. It compares two different drug treatments for moderate acne.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
The primary outcome, acne severity, will be measured at 10 months.

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NCT06225570

Weekly Isotretinoin vs Tetracycline for Moderate Acne

Recruiting
EARLY_PHASE1Ages 12+InterventionalTreatment
Medical University of South Carolina
~50 participants
Updated 2026-05-18 on ClinicalTrials.gov
What's tested:IsotretinoinTetracycline

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Efficacy using Comprehensive Acne Severity Scale
Measured over 10 months
Acne Vulgaris
1 sites across 1 states
South Carolina1
  • Alex Richmond, MD, MSCR · PRINCIPAL_INVESTIGATOR · Medical University of South Carolina

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Eligibility criteria

Exclusion

Patients who are at baseline on long-term Tetracycline antibiotics, long-term Trimethoprim-Sulfamethoxazole, or on Spironolactone for any reason
Patients who have taken Isotretinoin in the past 6 months
Patients with hypersensitivity to Isotretinoin or to any of its components
Females who are pregnant, likely to become pregnant, or will be breast-feeding during the study period
Patients with a history of major depression, mania, or psychosis with an active episode during the past year including current psychotic symptoms and/or current suicidal ideation
Adult patients with cognitive impairment
Patients with baseline kidney or liver disease
Patients with baseline hypertriglyceridemia
Patients with history of or current pseudotumor cerebri
Patients with any clinically significant unstable medical condition which could pose a risk to the safety of the patient
Inability or unwillingness of subject or legal guardian/representative to give informed consent
  • Efficacy using Comprehensive Acne Severity Scale10 months

    Determine the efficacy of weekly isotretinoin therapy for the treatment of moderate acne vulgaris compared to the current SOC therapy, systemic tetracyclines.