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CTRI Number  CTRI/2024/12/077823 [Registered on: 09/12/2024] Trial Registered Prospectively
Last Modified On: 06/12/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A clinical trial to study the effects and safety of two creams, calcitriol and adapalene, in patients with mild and moderate acne. 
Scientific Title of Study   Comparative Efficacy of Topical Calcitriol versus Topical Adapalene in the Treatment of Mild and Moderate Acne: A Randomized controlled trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Aditi Shende 
Designation  Assistant Professor 
Affiliation  Symbiosis Medical College for Women and SUHRC 
Address  Dept of dermatology Symbiosis Medical College for Women and SUHRC Lavale
Lavale, Pune
Pune
MAHARASHTRA
412115
India 
Phone    
Fax    
Email  draditishende@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Neeta Gokhale 
Designation  Head of Department  
Affiliation  Symbiosis Medical College for Women and SUHRC 
Address  Dept of dermatology Symbiosis Medical College for Women and SUHRC Lavale

Pune
MAHARASHTRA
412115
India 
Phone  9823154022  
Fax    
Email  hod.dermatology@smcw.siu.edu.in  
 
Details of Contact Person
Public Query
 
Name  Aditi Shende 
Designation  Assistant Professor 
Affiliation  Symbiosis Medical College for Women and SUHRC 
Address  Dept of dermatology Symbiosis Medical College for Women and SUHRC Lavale

Pune
MAHARASHTRA
412115
India 
Phone  7020966077  
Fax    
Email  draditishende@gmail.com  
 
Source of Monetary or Material Support  
Symbiosis Medical College for Women & Symbiosis University Hospital and Research Centre, Symbiosis International (Deemed University), Mulshi road, Lavale, Pune, Maharashtra India 412115 
 
Primary Sponsor  
Name  Dr Aditi Shende 
Address  Department of Dermatology Symbiosis Medical College for Women & Symbiosis University Hospital and Research Centre, Mulshi road, Lavale, Pune India Maharashtra 412115 
Type of Sponsor  Other [] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Aditi Shende  Symbiosis Medical College for Women   Department of Dermatology, Room no 2820 OPD 16 Basement floor, Lavale
Pune
MAHARASHTRA 
7020966077

draditishende@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Independent Ethics Committee of Symbiosis International University  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: L700||Acne vulgaris,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  0.0003% Calcitriol ointment   Once daily application for 3 months 
Comparator Agent  0.1% Adapalene gel  Once daily application for 3 months 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  1. Age 18 years or older, of either gender and any racial/ethnic group with mild (GAGS score 1-18) and moderate acne (GAGS score 19-30) according to Global Acne Grading System (GAGS)
2. Subjects must understand and sign the informed consent before participation
 
 
ExclusionCriteria 
Details  1. Severe acne (GAGS score more than 30)
2. Pregnancy or breastfeeding
3. History of hypersensitivity or allergic reaction to study medications
4. On topical treatment (4 weeks before participation) or systemic treatment (3 months before enrolment) for acne
5. Any concomitant dermatological or systemic illness
6. Patients who are unable to follow up
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1. Reduction in total lesion count (Total, Inflammatory and Non-inflammatory)
2. Reduction in acne severity
and global acne grading score 
0, 4 weeks, 8 weeks and 12 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Safety profile of both the topicals graded on 4 point scale  0, 4 weeks, 8 weeks and 12 weeks 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   17/12/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Acne vulgaris is one of the most common dermatological conditions characterized by comedones, papules, pustules, nodules, and cysts in severe cases. Multiple options for managing mild and moderate acne include topical retinoids, benzoyl peroxide, minocycline, topical clindamycin, and oral antibiotics. However these are associated with multiple adverse effects like increasing antibiotic resistance and retinoid dermatitis. Hence, there is a need to evaluate newer therapeutic options for acne. With the increasing role of Vitamin D in the pathophysiology of acne, there is a need for a study comparing the efficacy of topical vitamin D analogs like calcitriol with adapalene in the treatment of mild and moderate acne. The objective of this study is to compare the efficacy and safety profile of topical calcitriol versus topical adapalene in the treatment of mild and moderate acne.
A Randomized controlled trial will be conducted to assess the efficacy and safety profile of two treatment options in patients with mild and moderate acne vulgaris: topical 0.0003% calcitriol ointment and topical 0.1% adapalene gel. This study will be conducted after approval from the institutional ethics committee. The patients fulfilling the inclusion criteria will be enrolled in the study. Written informed consent will be taken from each patient. A detailed history including demographic details (age, sex), family history, signs of polycystic ovary syndrome (PCOS), and history of acne vulgaris (age of onset, duration, any prior treatment history) will be recorded. Clinical examination will be done for acne type, site of involvement, lesion count (inflammatory and non-inflammatory), and severity of acne using Global acne grading system score. Patients will be randomly divided into two groups. Group 1 patients will receive topical calcitriol and group 2 patients will receive topical adapalene. Patients will be asked to apply the creams daily at night for 12 weeks. Patients will be asked to follow up at 4, 8 and 12 weeks. At each follow-up visit patients will be assessed for the primary outcome (reduction in total lesion count and acne severity using global acne grading system score) and the secondary outcome (safety profile). A photographic record will be maintained. At every follow-up visit, patients will be assessed for adverse effects like erythema, itching, scaling, and burning sensation on a 4-point scale.
 
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