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CTRI Number  CTRI/2026/01/102574 [Registered on: 30/01/2026] Trial Registered Prospectively
Last Modified On: 29/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparison of oral spironolactone and oral bicalutamide for the treatment of adult female acne 
Scientific Title of Study   A comparative study to evaluate the efficacy and safety of oral spironolactone versus oral bicalutamide for the treatment of adult female acne-a randomised control 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 Bhavya Kaliki 
Designation  Postgraduate resident , Department of Dermatology, BMCRI,Bangalore 
Affiliation  Bangalore Medical College and Research Institute 
Address  Department of Dermatology, Bangalore Medical College and Research Institute, K.R. Road, Fort, Bengaluru

Bangalore
KARNATAKA
560002
India 
Phone  7348850799  
Fax    
Email  bhavyakaliki@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shilpa K 
Designation  Head of Department , Department of Dermatology, BMCRI,Bangalore 
Affiliation  Bangalore Medical College and Research Institute 
Address  Department of Dermatology, Bangalore Medical College and Research Institute, K.R. Road, Fort, Bengaluru

Bangalore
KARNATAKA
560002
India 
Phone  9886553646  
Fax    
Email  shilpakvinod1980@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Bhavya Kaliki 
Designation  Postgraduate resident , Department of Dermatology, BMCRI,Bangalore 
Affiliation  Bangalore Medical College and Research Institute 
Address  Department of Dermatology, Bangalore Medical College and Research Institute, K.R. Road, Fort, Bengaluru

Bangalore
KARNATAKA
560002
India 
Phone  7348850799  
Fax    
Email  bhavyakaliki@gmail.com  
 
Source of Monetary or Material Support  
Bangalore Medical College and Research Institute, Fort, Kalasipalya, Bangalore, Karnataka, India-560002 
 
Primary Sponsor  
Name  Bangalore Medical College and Research Institute 
Address  Bangalore Medical College and Research Institute, Fort, Kalasipalya, Bangalore, Karnataka, India-560002 
Type of Sponsor  Government medical college 
 
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 Bhavya Kaliki  Bangalore Medical College and Research Institute  Department of Dermatology Bangalore Medical College and Research Institute, K.R. Road, Fort, Bangalore
Bangalore
KARNATAKA 
7348850799

bhavyakaliki@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee , Bangalore Medical College and Research Institute  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  Bicalutamide   Oral Bicalutamide 25 mg once daily administered for a duration of 12 weeks 
Comparator Agent  Spironolactone  Oral Spironolactone 100mg once daily administered for a duration of 12 weeks 
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  Adult female patients aged more than 25 years with clinically diagnosed moderate to severe acne vulgaris as assessed by the Clinician Global Assessment score, willing to provide written informed consent and comply with follow-up visits 
 
ExclusionCriteria 
Details  Pregnant or lactating women; patients aged less than 25 years; patients unwilling to provide informed consent or comply with follow-up; patients with renal impairment, hyperkalemia, liver dysfunction or known hypersensitivity to spironolactone or bicalutamide; patients who have received systemic antiandrogens, oral isotretinoin or systemic antibiotics for acne in the preceding 3 months; patients who have received topical acne therapy in the preceding 1 month; and patients planning pregnancy within the next 6 months. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Change in Clinician Global Assessment (CGA) score for acne severity  From baseline to week 16 
 
Secondary Outcome  
Outcome  TimePoints 
Incidence of adverse drug reactions and changes in laboratory parameters( serum potassium , renal function tests and liver function tests ) during the study period  Baseline and every 4 weeks till 16 weeks  
 
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)   02/03/2026 
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="4"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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   This is a prospective, open-label, randomized controlled trial conducted to compare the efficacy and safety of oral spironolactone and oral bicalutamide in adult female patients with moderate to severe acne. A total of 60 eligible participants will be randomized in a 1:1 ratio to receive either oral spironolactone 100 mg once daily or oral bicalutamide 25 mg once daily for 12 weeks. Patients will be followed up at regular intervals up to 16 weeks. Efficacy will be assessed using the Clinician Global Assessment (CGA) score for acne, and safety will be evaluated by monitoring adverse drug reactions and relevant laboratory parameters. The study aims to generate evidence to guide optimal hormonal therapy for adult female acne. 
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