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

Shalita 1989.

Study characteristics
Methods Aim of study: to compare the efficacy of a widely used BPO wash with a product incorporating 2% SA in a detergent‐based vehicle system
Design: cross‐over
Unit of allocation: individuals
Allocation: randomisation; no details
Blinding: not described
Duration of trial (from recruitment to last follow‐up): not described
Dropouts: none
Participants Population description: mild to moderate acne
Setting: not mentioned
Randomised number: 30
Age: 13 to 31 years
Sex (M/F): 15/15
Severity of illness: mild to moderate
Interventions Name of treatment group: SA; n = 15
Description: SA 2%
Treatment period: 2 weeks
Timing: once or twice daily
Name of treatment group: BPO; n = 15
Description: 10% BPO wash
Treatment period: 2 weeks
Timing: once or twice daily
Outcomes Primary outcomes
  • Participants' global self‐assessment of acne improvement (e.g. measured by a 4‐point scale: excellent, good, fair, and poor). Authors did not report this outcome

  • Withdrawal for any reason. No withdrawals


Secondary outcomes
  • Change in lesion counts (total or inflamed and non‐inflamed separately). Reduction of non‐inflamed and inflamed lesion counts, week 2

  • Physicians' global evaluation of acne improvement. Authors did not report this outcome

  • Minor adverse events (assessed as total number of participants who experienced at least one minor adverse event). Authors did not report this outcome

  • Quality of life. Authors did not report this outcome

Notes Funding: this research was supported by a grant from GenDerm Corporation, Northbrook, Illinois
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk No details of random sequence generation were described
Allocation concealment (selection bias) Unclear risk No details of allocation concealment were described
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk Not mentioned
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Not mentioned
Incomplete outcome data (attrition bias)
All outcomes Low risk All participants completed study, no missing outcome data
Selective reporting (reporting bias) Unclear risk Insufficient reporting data regarding change in inflammatory lesions
Other bias High risk No washout period between the first and second phases of the study