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CompletedNCT07244887Updated May 22, 2026

Randomized, Triple-Blind, Vehicle-Controlled Trial of Topical Dapsone Gel 7.5% in Patients With Acne Vulgaris

A Phase 4 interventional study of Dapsone 7.5% gel and Vehicle gel in Acne Vulgaris, sponsored by Oya Helin Dundar. Completed at 1 site in Turkey (Türkiye). Open to participants aged 18 Years to 50 Years. Per ClinicalTrials.gov, last updated 2026-05-22.

Sponsored by Oya Helin Dundar · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
All
01

Study summary

The goal of this randomized, triple-blind, vehicle-controlled clinical trial is to evaluate whether topical 7.5% dapsone gel is effective for treating mild-to-moderate acne vulgaris in adults.

The main questions are:

  • Does dapsone gel improve global acne severity compared with a matched vehicle gel?
  • Does dapsone gel improve comedonal and papulopustular acne severity?
  • Does dapsone gel reduce erythema and melanin indices measured with a Mexameter, and sebum index measured with a Sebumeter?
  • Does treatment with dapsone gel improve patients' acne-related quality of life?

Researchers compared once-daily dapsone gel with a matched vehicle gel without the active ingredient.

Participants:

  • Applied either dapsone gel or vehicle gel once daily for 8 weeks
  • Attended clinic visits at baseline, week 4, week 8, and week 12
  • Had acne severity assessed using the Global Acne Grading System and Plewig and Kligman comedonal and papulopustular stages
  • Had erythema and melanin measured with a Mexameter, and sebum measured with a Sebumeter at predefined facial sites
  • Completed an acne quality-of-life questionnaire at baseline and week 8
  • Had standardized photographs taken at each visit

Treatment was continued for 8 weeks, followed by a 4-week treatment-free follow-up through week 12.

Read the detailed description

This is a prospective, randomized, triple-blind, vehicle-controlled clinical trial designed to evaluate the clinical efficacy of topical 7.5% dapsone gel in adults with mild-to-moderate acne vulgaris. The study also investigates the effects of topical dapsone on skin biophysical parameters using standardized instruments: erythema and melanin indices measured with a Mexameter, and sebum index measured with a Sebumeter.

Two parallel arms were included: one group applied topical 7.5% dapsone gel once daily, and the other applied a matched vehicle gel identical in base, tube, and packaging but without the active ingredient. Randomization was performed using a pre-generated computer-based randomization sequence. Participants, dispensing investigators, outcome assessors, and data analysts were blinded to treatment allocation.

Participants attended clinic visits at baseline, week 4, week 8, and week 12. Treatment was applied for 8 weeks, followed by a 4-week treatment-free follow-up period through week 12. At each visit, standardized digital photographs were taken, and acne severity was assessed using the Global Acne Grading System (GAGS), lesion counts used to assign Plewig and Kligman comedonal and papulopustular stages, and standardized clinical evaluation. At each visit, Mexameter readings for erythema and melanin and Sebumeter readings for sebum were obtained at three predefined facial sites: right cheek, left cheek, and forehead. Triplicate measurements were obtained at each site after a standardized acclimatization period. The Turkish-validated Gupta Acne Quality of Life Scale was administered at baseline and week 8.

The primary objective was to determine whether topical 7.5% dapsone gel reduces inflammatory lesion burden compared with matched vehicle at week 8. Secondary evaluations included changes in Global Acne Grading System (GAGS) total score, comedonal acne stage, sebum index, erythema index, melanin index, acne-related quality of life, and local cutaneous adverse events. By combining standardized clinical assessments, patient-reported outcomes, and objective biophysical measurements, this trial aimed to evaluate the clinical and biophysical effects of topical 7.5% dapsone gel in acne vulgaris.

02

Conditions studied

  • Acne Vulgaris

Keywords

  • Dapsone gel
  • Topical dapsone 7.5%
  • Vehicle gel
  • Mexameter
  • Erythema
  • Sebum
  • Sebumeter
  • Melanin
  • Global Acne Grading System (GAGS)
  • Acne Lesion Count
  • Papulopustular acne
  • Comedonal acne
  • Acne Quality of Life Scale (AQOL)
03

In context

Acne Vulgaris

790 studies on the registry are indexed under Acne Vulgaris; 93 are open to participants now.

This study's enrollment of 100 is above the median of 70 across 672 interventional studies indexed under Acne Vulgaris.

Browse Acne Vulgaris studies →

Lead sponsor

This is the only study on the registry with Oya Helin Dundar as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adults aged 18 to 50 years with a clinical diagnosis of mild-to-moderate acne vulgaris.
  • No systemic or topical acne treatment within the past 1 month (30 days).
  • Able and willing to provide written .

Exclusion criteria

Exclusion Criteria:

  • Pregnancy or breastfeeding.
  • Systemic retinoid or systemic antibiotic use within the past 6 months.
  • Active dermatologic or systemic disease that could interfere with study participation or outcome assessments.
  • Known to dapsone or any component of the study product.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
100 participants (actual)

Study arms

  • Experimental
    Dapsone 7.5% Gel

    Topical dapsone 7.5% gel applied once daily to the entire face for 8 weeks, followed by a 4-week treatment-free follow-up.

    Drug: Dapsone 7.5% gel

  • Placebo comparator
    Vehicle Gel

    Vehicle gel without dapsone, identical in base, tube, and packaging to the active product; applied once daily to the entire face for 8 weeks, followed by a 4-week treatment-free follow-up.

    Drug: Vehicle gel

Interventions

  • Topical dapsone 7.5% gel applied once daily to the entire face for 8 weeks; route: topical. The study product was supplied in an identical-appearing tube to maintain masking. Participants were followed for 4 weeks after treatment discontinuation.

    Also known as: topical dapsone 7.5% gel, Vulgarex (country-specific brand)

  • DrugVehicle gel

    Vehicle gel without dapsone, identical in base, tube, and packaging to the active product; applied once daily to the entire face for 8 weeks; route: topical. Participants were followed for 4 weeks after treatment discontinuation.

    Also known as: placebo gel

06

What researchers measure

Primary outcomes

  1. Change in Inflammatory Lesion Count (Papules/Pustules)

    Mean change from baseline in the number of inflammatory facial acne lesions (papules and pustules) per Plewig \& Kligman. Blinded dermatologist, standardized facial mapping. Between-group comparison: topical 7.5% dapsone gel vs vehicle/placebo gel.

    Time frame: Baseline to Week 8 (with interim assessment at Week 4)

Secondary outcomes

  1. Change in Global Acne Grading System (GAGS) Total Score

    Change from baseline in Global Acne Grading System (GAGS; Doshi et al.) total score. Higher scores indicate more severe acne; a decrease reflects improvement. Between-group comparisons were performed at the end of treatment (week 8) and after the 4-week treatment-free follow-up (week 12).

    Time frame: Baseline to Week 12, with interim assessments at Week 4 and Week 8

  2. Change in Plewig and Kligman Comedonal Acne Stage

    Change from baseline in comedonal acne stage assigned according to Plewig and Kligman grading. Lower stages indicate less severe comedonal acne; a decrease reflects improvement. Between-group comparisons were performed at the end of treatment (week 8) and after the 4-week treatment-free follow-up (week 12).

    Time frame: Baseline to Week 12, with interim assessments at Week 4 and Week 8

  3. Change in Erythema Index (Mexameter)

    Change from baseline in facial erythema index measured with a Mexameter at three predefined facial sites: right cheek, left cheek, and forehead. Triplicate readings were obtained at each site after a standardized acclimatization period and averaged per visit. Between-group comparisons were performed at the end of treatment (week 8) and after the 4-week treatment-free follow-up (week 12).

    Time frame: Baseline to Week 12, with interim assessments at Week 4 and Week 8

  4. Change in Melanin Index (Mexameter)

    Change from baseline in facial melanin index measured with a Mexameter at three predefined facial sites: right cheek, left cheek, and forehead. Triplicate readings were obtained at each site after a standardized acclimatization period and averaged per visit. Between-group comparisons were performed at the end of treatment (week 8) and after the 4-week treatment-free follow-up (week 12).

    Time frame: Baseline to Week 12, with interim assessments at Week 4 and Week 8

  5. Change in Sebum Index (Sebumeter)

    Change from baseline in facial sebum index measured with a Sebumeter at three predefined facial sites: right cheek, left cheek, and forehead. Triplicate readings were obtained at each site and averaged per visit. Between-group comparisons were performed at the end of treatment (week 8) and after the 4-week treatment-free follow-up (week 12).

    Time frame: Baseline to Week 12, with interim assessments at Week 4 and Week 8

  6. Change in Acne Quality of Life Scale (AQOL) Score

    Change from baseline in Turkish-validated Acne Quality of Life Scale (AQOL) score (Gupta et al). Lower scores indicate better quality of life; a decrease reflects improvement. Between-group comparison.

    Time frame: Baseline to Week 8

  7. Incidence and Severity of Local Cutaneous Adverse Events

    Number and proportion of participants with treatment-emergent local cutaneous adverse events, including erythema, desquamation, scaling, burning, and tingling, graded for severity and relatedness.

    Time frame: Baseline to Week 12, with interim assessments at Week 4 and Week 8

07

Study locations

1 site
  • Istanbul Training and Research Hospital
    Istanbul, 34000, Turkey (Türkiye)
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jun 2025 to primary completion in Feb 2026, 7 months.

Of 44 phase 4 interventional studies under Acne Vulgaris, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 16. This study's 7 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 10, 2025
First posted
Nov 24, 2025
StartActual
Jun 17, 2025
Primary completionActual
Feb 1, 2026
CompletionActual
Mar 1, 2026
Last update
May 22, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07244887
Lead sponsor
Oya Helin Dundar
Collaborators
Istanbul Training and Research Hospital
Responsible party
Oya Helin Dundar (Dermatology Resident Physician, Istanbul Training and Research Hospital) — Sponsor-investigator
First posted
Nov 24, 2025
Start date
Jun 17, 2025
Primary completion
Feb 1, 2026
Completion
Mar 1, 2026
Last update
May 22, 2026

Study contacts

Oya Helin Dundar, MD
principal investigator · Istanbul Training and Research Hospital, Dept. of Dermatology
Vildan Manav, MD, Assoc. Prof.
study director · Istanbul Training and Research Hospital, Dept. of Dermatology
Ayse Esra Koku Aksu, MD, Prof.
study chair · Istanbul Training and Research Hospital, Dept. of Dermatology

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Dapsone

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