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Comparative efficacy of acne treatments

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Key learning points

  • Acne is a common disease with significant effects on quality of life.

  • A network meta-analysis found that oral isotretinoin was the most effective treatment, followed by combination treatments that included benzoyl peroxide, a topical retinoid with an oral or topical antibiotic.

  • Combination therapies were more effective than monotherapies and combined oral contraceptives had variable efficacy.

A comparative efficacy network meta-analysis suggests that oral isotretinoin or combination treatments that included a topical retinoid are the most effective options for treating acne.1

Overview

This network meta-analysis included randomised controlled trials comparing the efficacy of pharmacological treatments for acne with a treatment duration >2 weeks.1 Studies were included if they reported the percentage or absolute decrease in total inflammatory or non-inflammatory lesions, or the proportion of participants achieving treatment success defined by the Investigator’s Global Assessment. The primary outcomes were mean percentage reduction in total, inflammatory and non-inflammatory lesions.

A total of 221 trials (65 601 participants) covering 37 interventions were …

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Footnotes

  • Contributors DTB Team.

  • Provenance and peer review Commissioned; internally peer reviewed.