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. 2024 Feb 29;84(3):275–284. doi: 10.1007/s40265-024-02003-w

Table 1.

Baseline and end-of-study characteristics of study participants receiving active therapy for inflammatory papules and pustules

Therapy Study (Original Investigation) Size Duration (weeks) Race, White (%) Rosacea severity in treated groups End-of-study efficacy
Moderate/Severe disease (%) Baseline lesions (mean) End-of-study lesions (mean) IGA success (clear, almost clear, or 2-point IGA score improvement) (%)
Metronidazole Nielsen [10] 81 8 NS NS 24.4 8.9 62.5a
Dahl [13]
Metronidazole 0.75% 72 12 100 All rated as moderate or severe 19 9 57a
Metronidazole 1% 25 10 37a
Azelaic acid Thiboutot et al. [16]
Study 1 329 12 97 76/10 17.5 6.8 51
Study 2 335 87 76/11 17.8 8.9 46
Draelos et al. [18]
2 parallel groups 961 12 95.9 86.6/13.4 21.7 8.5 32
Doxycycline 40 mg Del Rosso et al. [23]
Study 301 251 16 91 52.8/40.9 19.5 7.7 45.7
Study 302 286 54.2/33.8 20.5 11 22.5
Ivermectin 1% Stein Gold et al. [27]
Study 1 683 12 96.2 82/18 30.9 7.4 38.4
Study 2 688 95.3 75.9/24.1 32.9 8.2 40.1
Minocycline 1.5% Stein Gold et al. [29]
Study 1 751 12 95.8 88.7/11.3 28.5 10.93 52.1b
Study 2 771 97.3 85.1/14.9 30.0 11.46 49.1c
E-BPO 5% Bhatia et al. [33]
Study 1 361 12 95.9 86.4/13.6 25.7 8.3 43.5
Study 2 372 88 90.8/9.2 29.8 9.5 50.1

All studies included in this table were from properly powered and conducted individual randomized clinical trials and defined treatment success as being rating of clear, almost clear, or 2-point IGA score improvement, unless otherwise noted

E-BPO encapsulated benzoyl peroxide, IGA Investigator Global Assessment, NS not specified

aPercentages indicate “improved” or “much improved,” or “clear to mild rosacea.” “Clear” or “almost clear” terminology was not used

b,cThe IGA scale used in the studies only assessed the papulopustular component of rosacea and did not incorporate evaluation of facial erythema as part of the investigator’s static global assessment; this is an important distinction compared with IGA scales used in pivotal trials with other therapies