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CTRI Number  CTRI/2024/06/069015 [Registered on: 18/06/2024] Trial Registered Prospectively
Last Modified On: 17/06/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Other (Specify) [Chemical peeling]  
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Comparative study between efficacy of two combination peels in acne vulgaris grade II and III 
Scientific Title of Study   Comparative study between efficacy of 18 percent Salicylic acid and 15 percent Azelaic acid combination peel vs 20 percent Salicylic acid and 10 percent Mandelic acid combination peel in Acne vulgaris grade II & III - 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  Dr Bhakti Sarda  
Designation  Junior resident 
Affiliation  Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research 
Address  Room no 114, Block E, 1st floor, Dept of Dermatology, Acharya Vinoba Bhave Rural Hospital, Sawangi Meghe, Wardha

Wardha
MAHARASHTRA
442004
India 
Phone  9130022888  
Fax    
Email  bhaktis0108@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Bhushan Madke  
Designation  Professor & Head, Dept of Dermatology, AVBRH, Sawangi 
Affiliation  Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research 
Address  Room no 114, Block E, 1st floor, Dept of Dermatology, Acharya Vinoba Bhave Rural Hospital, Sawangi Meghe, Wardha

Wardha
MAHARASHTRA
442004
India 
Phone  7066887353  
Fax    
Email  drbhushan81@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Bhushan Madke  
Designation  Professor & Head, Dept of Dermatology, AVBRH, Sawangi 
Affiliation  Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research 
Address  Room no 114, Block E, 1st floor, Dept of Dermatology, Acharya Vinoba Bhave Rural Hospital, Sawangi Meghe, Wardha

Wardha
MAHARASHTRA
442004
India 
Phone  7066887353  
Fax    
Email  drbhushan81@gmail.com  
 
Source of Monetary or Material Support  
Jawaharlal Nehru medical college, Datta Meghe Institute of Higher Education and Research, Sawangi Meghe Wardha, Pin code 442004 
 
Primary Sponsor  
Name  Jawaharlal Nehru medical college, DMIHER, Sawangi Meghe Wardha 
Address  Jawaharlal Nehru medical college, Datta Meghe Institute of Higher Education and Research, Sawangi Meghe Wardha, Pin code 442004 
Type of Sponsor  Other [Deemed University] 
 
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 Bhakti Sarda  Acharya Vinoba Bhave Rural Hospital  Room no 114, Block E, Acharya Vinoba Bhave Rural Hospital, Sawangi Meghe, Wardha, 442004
Wardha
MAHARASHTRA 
9130022888

bhaktis0108@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  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  18% Salicylic acid and 15% Azelaic acid combination peel   Intervention group will be treated with 18% salicylic acid + 15% azelaic acid combination peel for Acne vulgaris grade II & III. The participants will be graded according to IAA (Indian Acne Alliance) grading in the very first visit which will be considered as baseline. They will be then followed up after every 2 weeks for maximum 6 sittings or till achievement of grade I whichever is earlier with grading done in every visit. 
Comparator Agent  20% Salicylic acid and 10% Mandelic acid combination peel  Comparator group will be treated with 20% salicylic acid + 10% mandelic acid combination peel for Acne vulgaris grade II & III. The participants will be graded according to IAA (Indian Acne Alliance) grading in the very first visit which will be considered as baseline. They will be then followed up after every 2 weeks for maximum 6 sittings or till achievement of grade I whichever is earlier with grading done in every visit. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  1. Patients above 18 years of age.
2. Patients who have given written consent before any treatment is commenced.
3. Clinically Diagnosed cases of acne vulgaris grade II & grade III. 
 
ExclusionCriteria 
Details  1. Patients with active herpes simplex infection, viral warts, molluscum contagiosum or any other local site infection.
2. Patients who are on systemic medication for acne vulgaris for the past 3 months or topical medication for the past 1 month.
3. Patient on photosensitive drugs like tetracyclines.
4. Patients with history of hypertrophic scars and keloid.
5. Patients with unrealistic expectations.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Alternation 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Reduction in lesions of acne vulgaris with both Salicylic Acid + Mandelic Acid and Salicylic Acid + Azelaic Acid combination peels using IAA (Indian Acne Alliance) grading of acne.   Will be assessed at baseline, then every 2 weeks till maximum 6 sittings 
 
Secondary Outcome  
Outcome  TimePoints 
Time required to achieve grade I in case of both the peels  Will be assessed at baseline, then every 2 weeks till maximum 6 sittings 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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   N/A 
Date of First Enrollment (India)   30/06/2024 
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="1"
Months="6"
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   One of the most common illnesses affecting adolescents is acne vulgaris. It causes discomfort on a physical and psychological level and is typified by the development of lesions with or without pigmentation and scarring, usually over the face but occasionally over the trunk. Different oral and topical drugs, as well as techniques including chemical peeling and microneedling, are used to treat it. One safe and efficient way to treat this issue is chemical peeling.
In this randomised controlled experiment, the effectiveness of two different peeling techniques—Group 1 using a combination of 18% salicylic acid and 15% azelaic acid and Group 2 using a combination of 20% salicylic acid and 10% mandelic acid—in treating Acne vulgaris grades II and III is being compared. On the initial visit, which will serve as the baseline, the participants will be rated in accordance with the Indian Acne Alliance (IAA) grading system. Following then, they will be checked on every two weeks for a maximum of six sittings, or until they attain grade I, whichever comes first, with each visit involving grading. The significance difference for comparison groups at the 5% level (P<=0.05) will be determined using the T-test. The active control group consisted of salicylic acid plus azelaic acid combination peel, while the experimental group consisted of salicylic acid plus mandelic acid combination peel. The IAA grade of acne, which is a categorical variable, will be evaluated using the Fisher exact test to determine the significance of the correlation at various risk variables. Multivariate analysis will be used to examine all confounding variables.
The Scientific Scrutiny/Institutional Research Committee and the Institutional Ethics Committee (IEC) have both approved. Every participant will be required to provide written, informed consent, and both during and after the study, the privacy of their personal data will be guaranteed. 

 
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