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. 2020 May 1;2020(5):CD011368. doi: 10.1002/14651858.CD011368.pub2

2.6. Analysis.

Comparison 2: Topical azelaic acid versus placebo, Outcome 6: Change in lesion counts (percentage reduction from baseline)

Change in lesion counts (percentage reduction from baseline)
Study Subgroup Topical azelaic acid Placebo P value
medium term
Iraji 2007 Papules number 51.2% 19.3% 0.003
Iraji 2007 Total lesion counts 60.6% 19.9% 0.002
Iraji 2007 Acne severity index 65.2% 21.3% 0.001
Iraji 2007 Comedones numbers 87.3% 23.2% 0.001
Iraji 2007 Pustules number 42.1% 17.8% 0.08
long term
Katsambas 1989a Long term: three months after start of treatment, comedones numbers 55.6% 0% significant difference
long term (split‐face trials)
Hayashi 2012 Long term: 12 weeks after start of treatment, total lesion counts 59.6% 45.6% <0.001