Teledermatology and Modulation of Antibiotic Dose in Acne Vulgaris

June 28, 2018 updated by: University of California, Davis
To see if teledermatology can be used to reduce antibiotic burden in patients on doxycycline or minocycline for acne vulgaris

Study Overview

Status

Completed

Conditions

Detailed Description

The investigators are going to ascertain if antibiotic burden can be reduced with tele dermatology use.

There are two arms of the study:

  1. Feedback group
  2. Non feedback group

All subjects will be randomised to either group, all subjects will take photos of their face and answer questions at baseline, visit 2 (1 month), visit 3 (2 months), visit 4 (3 months).

The investigators will then use measurements of acne grading (patient grading, investigator global assessment, lesion counting, global acne grading) to reduce/taper antibiotics in the feedback group.

Study Type

Interventional

Enrollment (Actual)

4

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • California
      • Sacramento, California, United States, 95816
        • UC Davis Department of Dermatology, Clinical Trials Unit

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

15 years and older (Child, Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Subjects aged 15 years and older
  • Subjects who have been prescribed doxycycline or minocycline by their physician for acne vulgaris but have not initiated treatment yet.

Exclusion Criteria:

  • Subjects who have used isotretinoin in the last 6 weeks
  • Those who have used oral antibiotics within the last 4 weeks
  • Those who have been initiated or changed brand of oral contraceptive pill within the last one month.
  • Those subjects who cannot engage with the teledermatology platform
  • Prisoners
  • Adults unable to consent

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Placebo Comparator: Non Feedback
No feedback given to this group regarding their antibiotic use Subjects take images and answer questions during the study like the feedback group, but in this group no feedback re dosing is given.
To use as control to see if antibiotic burden has been reduced in the active feedback group
Active Comparator: Feedback group

Feedback given to this group regarding their antibiotic use after baseline.

If the subject is in the feedback group, after this visit, a dermatologist will review all images and the survey results and give the patient information about whether they should:

  1. Continue current dose
  2. Reduce dose if there is at least a one point improvement in both the investigator acne global assessment AND the patient acne global assessment scores: A dose reduction will be such that the dose is halved from the previous dose. For example if the subject is on minocycline or doxycycline 100 mg twice daily, they will be reduced to minocycline or doxycycline 100 mg daily.
  3. Increase dose if had been previously reduced, dose will not be increased beyond the initial starting dose.
Monitoring ability to use teledermatology to modify antibiotic burden

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Reduced antibiotic use
Time Frame: Assessed at 4, 8, 12 weeks
The difference in antibiotic exposure in the physician feedback group compared to those not receiving feedback
Assessed at 4, 8, 12 weeks

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in acne grading (change in patient grading)
Time Frame: Assessed at 4, 8, 12 weeks
Change in Patient Grading
Assessed at 4, 8, 12 weeks
Change in acne grading (investigator global assessment)
Time Frame: Assessed at 4, 8, 12 weeks
Change in Investigator Global Assessment
Assessed at 4, 8, 12 weeks
Change in acne grading (lesion counting)
Time Frame: Assessed at 4, 8, 12 weeks
Change in Lesion Counting
Assessed at 4, 8, 12 weeks
Change in acne grading using the global acne grading
Time Frame: Assessed at 4, 8, 12 weeks
Change in Global Acne Grading
Assessed at 4, 8, 12 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Raja Sivamani, MD, UC Davis

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

May 1, 2016

Primary Completion (Actual)

May 1, 2018

Study Completion (Actual)

May 1, 2018

Study Registration Dates

First Submitted

June 9, 2016

First Submitted That Met QC Criteria

September 13, 2016

First Posted (Estimate)

September 19, 2016

Study Record Updates

Last Update Posted (Actual)

July 2, 2018

Last Update Submitted That Met QC Criteria

June 28, 2018

Last Verified

June 1, 2018

More Information

Terms related to this study

Other Study ID Numbers

  • 869597

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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