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CompletedNCT05399290Updated Apr 3, 2023Results posted

Subantimicrobial Doxycycline in Acne

A Phase 4 interventional study of Doxycycline Hyclate in Acne Vulgaris and Pediatrics, sponsored by Michigan State University. Completed at 1 site in United States. Open to participants aged 13 Years to 17 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-04-03.

Sponsored by Michigan State University · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 6 months after the study started (first participant enrolled Nov 2020, registered May 2022).
Phase
Phase 4
Study type
Interventional
Enrollment
22
Allocation
Randomized
Ages
13 Years to 17 Years
Sex
All
01

Study summary

Antibiotic resistance is a public health problem that worsens the more physicians prescribe standard dose antibiotics for acne. Regardless of race, acne vulgaris is one of the most common dermatologic conditions among pediatric populations. As such, clinicians can make a large impact by practicing good antibiotic stewardship while still addressing the impact of acne on adolescents' self-esteem. Subantimicrobial doxycycline maintains its anti-inflammatory effects while eliminating antimicrobial properties and associated risks of drug resistance. Few studies, focused primarily on adults, have shown that subantimicrobial doxycycline is efficacious in treating acne from a physician standpoint. The investigators aim to investigate the patient experience of acne treatment with subantimicrobial dose doxycycline in the pediatric population.

02

Conditions studied

  • Acne Vulgaris
  • Pediatrics

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Keywords

  • Acne Vulgaris
  • Doxycycline
  • Sub-Antimicrobial
  • Pediatrics
03

In context

Acne Vulgaris

730 studies on the registry are indexed under Acne Vulgaris; 86 are open to participants now.

This study's enrollment of 22 is below the median of 69 across 628 interventional studies indexed under Acne Vulgaris.

Browse Acne Vulgaris studies →

Lead sponsor

Michigan State University is the lead sponsor of 139 studies on the registry; 26 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
13 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Documented moderate to severe facial acne

Exclusion criteria

Exclusion Criteria:

  • Other skin conditions on the face
  • Previous antibiotic treatment for acne
  • Use of antibiotics for any reason within the past month
  • Use of new prescription regiment for acne within the last 3 months
  • Positive pregnancy test in the clinic
  • Cognitive impairments
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
22 participants (actual)

Study arms

  • Active comparator
    100 mg standard dose doxycycline BID

    Oral, 12 weeks

    Drug: Doxycycline Hyclate

  • Experimental
    20 mg sub-antimicrobial dose doxycycline BID

    Oral, 12 weeks

    Drug: Doxycycline Hyclate

Interventions

  • DrugDoxycycline Hyclate

    100 mg vs 20 mg doxycycline hyclate BID for 12 weeks

06

What researchers measure

Primary outcomes

  1. Patient Perceptions of Their Acne Treatment

    Biweekly Qualtrics surveys were administered to identify changes in the self-reported severity of facial acne lesions using a 10-point ordinal Likert-type scale at 7 post-prescription time point (week 0, week 2, week 4, week 6, week 8, week 10, week 12). The minimum value is 1 and the maximum value is 10, with increasing acne severity (i.e. 10 is most severe acne). * In the table below, participants are labelled by a letter (A, B, etc.) to differentiate the different time points (rows) but participants in each treatment group (100 mg vs 20 mg) are different and not related. * Data is missing for timepoints when surveys were not submitted

    Time frame: 12 weeks

Other outcomes

  1. Changes in Medication, Open Comments in the Qualtrics Survey Regarding Acne Treatment

    Participants are invited to report any medication changes and submit open-ended comments concerning their use of doxycycline or their acne experiences.

    Time frame: 12 weeks

  2. Side Effects

    Any side effects associated with taking doxycycline for acne is encouraged to be discussed with the clinician

    Time frame: 12 weeks

07

Results

Posted Apr 3, 2023

Participant flow

Participant flow — Overall Study
Milestone100 mg Standard Dose Doxycycline BID20 mg Sub-antimicrobial Dose Doxycycline BID
Started1111
Completed1010
Not completed11

Outcome measures

PrimaryPatient Perceptions of Their Acne Treatment

Biweekly Qualtrics surveys were administered to identify changes in the self-reported severity of facial acne lesions using a 10-point ordinal Likert-type scale at 7 post-prescription time point (week 0, week 2, week 4, week 6, week 8, week 10, week 12). The minimum value is 1 and the maximum value is 10, with increasing acne severity (i.e. 10 is most severe acne). * In the table below, participants are labelled by a letter (A, B, etc.) to differentiate the different time points (rows) but participants in each treatment group (100 mg vs 20 mg) are different and not related. * Data is missing for timepoints when surveys were not submitted

Time frame:
12 weeks
Reported as:
Number · score on a scale
Patient Perceptions of Their Acne Treatment
score on a scale100 mg Standard Dose Doxycycline BID20 mg Sub-antimicrobial Dose Doxycycline BID
Week 0 (A)88
Week 2 (A)77
Week 4 (A)87
Week 6 (A)96
Week 8 (A)87
Week 10 (A)—4
Week 12 (A)—4
Week 0 (B)86
Week 2 (B)87
Week 4 (B)66
Week 6 (B)55
Week 8 (B)56
Week 10 (B)3—
Week 12 (B)2—
Week 0 (C)76
Week 2 (C)66
Week 4 (C)5—
Week 6 (C)34
Week 8 (C)34
Week 10 (C)33
Week 12 (C)—4
Week 0 (D)87
Week 2 (D)87
Week 4 (D)88
Week 6 (D)7—
Week 8 (D)7—
Week 12 (D)6—
Week 0 (E)86
Week 2 (E)66
Week 4 (E)4—
Week 6 (E)06
Week 8 (E)85
Week 10 (E)—5
Week 12 (E)—5
Week 0 (F)67
Week 2 (F)5—
Week 4 (F)57
Week 6 (F)56
Week 8 (F)57
Week 10 (F)44
Week 12 (F)5—
Week 0 (G)56
Week 2 (G)36
Week 4 (G)36
Week 6 (G)47
Week 8 (G)57
Week 10 (G)36
Week 12 (G)25
Week 0 (H)87
Week 2 (H)76
Week 4 (H)85
Week 6 (H)74
Week 8 (H)73
Week 10 (H)62
Week 12 (H)72
Week 0 (I)—6
Week 2 (I)54
Week 4 (I)36
Week 6 (I)34
Week 8 (I)25
Week 10 (I)24
Week 12 (I)23
Week 0 (J)89
Week 2 (J)710
Week 4 (J)68
Week 6 (J)7—
Week 8 (J)6—
Week 12 (J)5—
Statistical analysis
  • 100 mg Standard Dose Doxycycline BID vs 20 mg Sub-antimicrobial Dose Doxycycline BID · Chi-squared · p = 0.677
  • 100 mg Standard Dose Doxycycline BID · Friedman's test · p = 0.002
  • 20 mg Sub-antimicrobial Dose Doxycycline BID · Fried · p = 0.018
Other pre-specifiedChanges in Medication, Open Comments in the Qualtrics Survey Regarding Acne Treatment

Participants are invited to report any medication changes and submit open-ended comments concerning their use of doxycycline or their acne experiences.

Time frame:
12 weeks

Results for this outcome have not been posted.

Other pre-specifiedSide Effects

Any side effects associated with taking doxycycline for acne is encouraged to be discussed with the clinician

Time frame:
12 weeks

Results for this outcome have not been posted.

Adverse events

Collected over 12 weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
100 mg Standard Dose Doxycycline BID0/11 (0%)0/11 (0%)1/11 (9.1%)
20 mg Sub-antimicrobial Dose Doxycycline BID0/11 (0%)0/11 (0%)1/11 (9.1%)
Most frequent other events
Most frequent other events
Event100 mg Standard Dose Doxycycline BID20 mg Sub-antimicrobial Dose Doxycycline BID
Photoallergic reactionSkin and subcutaneous tissue disorders1/110/11
No ImprovementSkin and subcutaneous tissue disorders0/111/11

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)100 mg Standard Dose Doxycycline BID20 mg Sub-antimicrobial Dose Doxycycline BIDTotal
<=18 years111122
Between 18 and 65 years000
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)100 mg Standard Dose Doxycycline BID20 mg Sub-antimicrobial Dose Doxycycline BIDTotal
Female7411
Male4711
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)100 mg Standard Dose Doxycycline BID20 mg Sub-antimicrobial Dose Doxycycline BIDTotal
Count of participants——0
Region of Enrollment
Region of Enrollment(participants)100 mg Standard Dose Doxycycline BID20 mg Sub-antimicrobial Dose Doxycycline BIDTotal
United States111122
08

Study locations

1 site
  • Messenger Dermatology Clinic
    Lansing, Michigan 48912, United States
09

References and documents

Study documents

  • Protocol, analysis plan and consent form · Oct 8, 2022

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 3, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05399290
Lead sponsor
Michigan State University
Responsible party
Michelle Gallagher (Assistant Professor, Michigan State University) — Principal investigator
First posted
Jun 1, 2022
Start date
Nov 19, 2020
Primary completion
Nov 8, 2021
Completion
Nov 8, 2021
Results posted
Apr 3, 2023
Last update
Apr 3, 2023

Study contacts

Michelle Gallagher, DO
principal investigator · Michigan State University

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.

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