<clinical_study>
  <!-- This xml conforms to an XML Schema at:
    https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
  <required_header>
    <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
    <link_text>Link to the current ClinicalTrials.gov record.</link_text>
    <url>https://clinicaltrials.gov/ct2/show/NCT04490967</url>
  </required_header>
  <id_info>
    <org_study_id>SMVSA</org_study_id>
    <nct_id>NCT04490967</nct_id>
  </id_info>
  <brief_title>Silymarin Cream Versus Salicylic Acid in Treatment of Acne Vulgaris</brief_title>
  <official_title>Topical Silymarin Cream Versus Salicylic Acid Peeling in Treatment of Acne Vulgaris: Split Face Study</official_title>
  <sponsors>
    <lead_sponsor>
      <agency>Assiut University</agency>
      <agency_class>Other</agency_class>
    </lead_sponsor>
  </sponsors>
  <source>Assiut University</source>
  <oversight_info>
    <is_fda_regulated_drug>No</is_fda_regulated_drug>
    <is_fda_regulated_device>No</is_fda_regulated_device>
  </oversight_info>
  <brief_summary>
    <textblock>
      Acne vulgaris is a disease of the pilosebaceous unit that causes noninflammatory lesions&#xD;
      (open and closed comedones), inflammatory lesions (papules, pustules, and nodules), and&#xD;
      varying degrees of scarring. Acne vulgaris is an extremely common condition with a lifetime&#xD;
      prevalence of approximately 85% and occurs mostly during adolescence.&#xD;
&#xD;
      Acne vulgaris leads to significant morbidity that is associated with residual scarring and&#xD;
      psychological disturbances such as poor self-image, depression, and anxiety, which leads to a&#xD;
      negative impact on quality of life.&#xD;
&#xD;
      The treatment of acne vulgaris is challenging and often chronic, with high rates of failure&#xD;
      and numerous choices. Frequent evaluations (i.e., every 8-12 weeks) are important to enable&#xD;
      appropriate monitoring, manage adverse effects, and evaluate for medication compliance.&#xD;
&#xD;
      Topical therapies are considered one of the mainstay treatments for patients with&#xD;
      mild-to-moderate acne.&#xD;
    </textblock>
  </brief_summary>
  <detailed_description>
    <textblock>
      Chemical peeling is one of the most common cosmetic procedures in medical practice and has&#xD;
      been used for decades. It is defined as the application of chemical agents, of variable&#xD;
      strength, on the skin that results in controlled destruction of the epidermis and dermis. The&#xD;
      induced exfoliation is followed by dermal and epidermal regeneration from adjacent epithelium&#xD;
      and skin adnexa, which results in improved surface texture and appearance of the skin. This&#xD;
      is a simple and cost-effective procedure with several dermatological applications.&#xD;
&#xD;
      Salicylic acid is a 2-hydroxybenzoic acid used for superficial peeling due to its strong&#xD;
      keratolytic and comedolytic properties. It promotes shedding of epidermal cells and due to&#xD;
      its lipophilic properties can penetrate comedones and pores to prevent clogging and&#xD;
      neutralize bacteria. It promotes desquamation of the upper lipophilic layers of the stratum&#xD;
      corneum. These chemical properties explain its popularity and success in acne patients. Also,&#xD;
      it has well-documented anti-inflammatory properties.&#xD;
&#xD;
      Silymarin is a standardized extract from S. marianum seeds, is traditionally used as a&#xD;
      hepatoprotective agent for its potent regenerative properties. Lately, Silymarin is utilized&#xD;
      in dermatological and cosmetic preparations for its antioxidant effect anti-inflammatory and&#xD;
      immunomodulatory properties.&#xD;
&#xD;
      Various studies have been created to evaluate the efficacy of Silymarin in UV protection,&#xD;
      prevention against skin cancer and against actinic keratosis.&#xD;
&#xD;
      Silymarin showed efficacy the treatment of Rosacea, Melasma, Vitiligo, Psoriasis, atopic&#xD;
      dermatitis and contact dermatitis . Other studies showed that Silymarin has anti aging&#xD;
      properties and potential action for wound healing .&#xD;
    </textblock>
  </detailed_description>
  <overall_status>Unknown status</overall_status>
  <last_known_status>Not yet recruiting</last_known_status>
  <start_date type="Anticipated">April 2021</start_date>
  <completion_date type="Anticipated">December 2021</completion_date>
  <primary_completion_date type="Anticipated">December 2021</primary_completion_date>
  <phase>Phase 4</phase>
  <study_type>Interventional</study_type>
  <has_expanded_access>No</has_expanded_access>
  <study_design_info>
    <allocation>N/A</allocation>
    <intervention_model>Single Group Assignment</intervention_model>
    <intervention_model_description>Patients will use salicylic acid 30% peeling on the right side of the face and topical Silymarin 1.4% cream on the left side.</intervention_model_description>
    <primary_purpose>Treatment</primary_purpose>
    <masking>None (Open Label)</masking>
  </study_design_info>
  <primary_outcome>
    <measure>Efficacy of the medication: number of inflammatory, non-inflammatory and total lesions</measure>
    <time_frame>12 weeks</time_frame>
    <description>counting the number of inflammatory, non-inflammatory and total lesions at baseline and every 4 weeks during the treatment</description>
  </primary_outcome>
  <primary_outcome>
    <measure>assessment of tolerability: interviewing the patients</measure>
    <time_frame>12 weeks</time_frame>
    <description>interviewing the patients about any sign/symptom of adverse reactions (erythema, peeling, burning sensation, dryness and pruritus)</description>
  </primary_outcome>
  <number_of_arms>1</number_of_arms>
  <enrollment type="Anticipated">30</enrollment>
  <condition>Acne Vulgaris</condition>
  <arm_group>
    <arm_group_label>Silymarin and salicylic acid</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>There will be one group of patients, that will use salicylic acid peeling on the right side of the face and topical Silymarin cream on the left side</description>
  </arm_group>
  <intervention>
    <intervention_type>Combination Product</intervention_type>
    <intervention_name>Silymarin</intervention_name>
    <description>Silymarin 1.4% cream will be used on the left side of the face twice daily (home use).</description>
    <arm_group_label>Silymarin and salicylic acid</arm_group_label>
    <other_name>Silybin, Silybum, Marian thistle.</other_name>
  </intervention>
  <intervention>
    <intervention_type>Procedure</intervention_type>
    <intervention_name>Salicylic acid</intervention_name>
    <description>Patients will have salicylic acid 30% peeling on the right side of the face as a peeling session every two weeks. Sessions will be done by well trained physician.</description>
    <arm_group_label>Silymarin and salicylic acid</arm_group_label>
    <other_name>2-hydroxybenzoic acid</other_name>
  </intervention>
  <eligibility>
    <criteria>
      <textblock>
        Inclusion Criteria:&#xD;
&#xD;
          -  Patients older than 18 years of age.&#xD;
&#xD;
          -  Patients with mild and moderate acne vulgaris.&#xD;
&#xD;
          -  Patients with Fitzpatrick skin type III, IV and V.&#xD;
&#xD;
        Exclusion Criteria:&#xD;
&#xD;
          -  Severe acne.&#xD;
&#xD;
          -  Patients under treatment with contraceptive pills or any kind of systemic or topic&#xD;
             acne medication (isotretinoin, antibiotics, topical products).&#xD;
&#xD;
          -  History of hypertrophic/keloid scar formation.&#xD;
&#xD;
          -  Pregnancy.&#xD;
&#xD;
          -  Recurrent herpes infection.&#xD;
      </textblock>
    </criteria>
    <gender>All</gender>
    <minimum_age>18 Years</minimum_age>
    <maximum_age>N/A</maximum_age>
    <healthy_volunteers>No</healthy_volunteers>
  </eligibility>
  <overall_contact>
    <last_name>D A Ahmed, Professor</last_name>
    <phone>+20 100 567 7229</phone>
    <email>daliaattallah@yahoo.com</email>
  </overall_contact>
  <overall_contact_backup>
    <last_name>A Y Badran, PHD</last_name>
    <phone>+20 101 324 4819</phone>
    <email>aya_badran@yahoo.com</email>
  </overall_contact_backup>
  <reference>
    <citation>Bhate K, Williams HC. Epidemiology of acne vulgaris. Br J Dermatol. 2013 Mar;168(3):474-85. doi: 10.1111/bjd.12149.</citation>
    <PMID>23210645</PMID>
  </reference>
  <reference>
    <citation>Ramos-e-Silva M, Ramos-e-Silva S, Carneiro S. Acne in women. Br J Dermatol. 2015 Jul;172 Suppl 1:20-6. doi: 10.1111/bjd.13638.</citation>
    <PMID>25597414</PMID>
  </reference>
  <reference>
    <citation>Kamangar F, Shinkai K. Acne in the adult female patient: a practical approach. Int J Dermatol. 2012 Oct;51(10):1162-74. doi: 10.1111/j.1365-4632.2012.05519.x.</citation>
    <PMID>22994662</PMID>
  </reference>
  <reference>
    <citation>Nast A, Dreno B, Bettoli V, Degitz K, Erdmann R, Finlay AY, Ganceviciene R, Haedersdal M, Layton A, Lopez-Estebaranz JL, Ochsendorf F, Oprica C, Rosumeck S, Rzany B, Sammain A, Simonart T, Veien NK, Zivkovic MV, Zouboulis CC, Gollnick H; European Dermatology Forum. European evidence-based (S3) guidelines for the treatment of acne. J Eur Acad Dermatol Venereol. 2012 Feb;26 Suppl 1:1-29. doi: 10.1111/j.1468-3083.2011.04374.x. No abstract available.</citation>
    <PMID>22356611</PMID>
  </reference>
  <reference>
    <citation>Al-Talib H, Al-Khateeb A, Hameed A, Murugaiah C. Efficacy and safety of superficial chemical peeling in treatment of active acne vulgaris. An Bras Dermatol. 2017 Mar-Apr;92(2):212-216. doi: 10.1590/abd1806-4841.20175273.</citation>
    <PMID>28538881</PMID>
  </reference>
  <reference>
    <citation>Rendon MI, Berson DS, Cohen JL, Roberts WE, Starker I, Wang B. Evidence and considerations in the application of chemical peels in skin disorders and aesthetic resurfacing. J Clin Aesthet Dermatol. 2010 Jul;3(7):32-43.</citation>
    <PMID>20725555</PMID>
  </reference>
  <reference>
    <citation>Clark E, Scerri L. Superficial and medium-depth chemical peels. Clin Dermatol. 2008 Mar-Apr;26(2):209-18. doi: 10.1016/j.clindermatol.2007.09.015.</citation>
    <PMID>18472062</PMID>
  </reference>
  <reference>
    <citation>Arif T. Salicylic acid as a peeling agent: a comprehensive review. Clin Cosmet Investig Dermatol. 2015 Aug 26;8:455-61. doi: 10.2147/CCID.S84765. eCollection 2015.</citation>
    <PMID>26347269</PMID>
  </reference>
  <reference>
    <citation>Lee HS, Kim IH. Salicylic acid peels for the treatment of acne vulgaris in Asian patients. Dermatol Surg. 2003 Dec;29(12):1196-9; discussion 1199. doi: 10.1111/j.1524-4725.2003.29384.x.</citation>
    <PMID>14725662</PMID>
  </reference>
  <reference>
    <citation>Handog EB, Datuin MS, Singzon IA. Chemical peels for acne and acne scars in asians: evidence based review. J Cutan Aesthet Surg. 2012 Oct;5(4):239-46. doi: 10.4103/0974-2077.104911.</citation>
    <PMID>23378705</PMID>
  </reference>
  <reference>
    <citation>Vaid M, Katiyar SK. Molecular mechanisms of inhibition of photocarcinogenesis by silymarin, a phytochemical from milk thistle (Silybum marianum L. Gaertn.) (Review). Int J Oncol. 2010 May;36(5):1053-60. doi: 10.3892/ijo_00000586.</citation>
    <PMID>20372777</PMID>
  </reference>
  <reference>
    <citation>Surai PF. Silymarin as a Natural Antioxidant: An Overview of the Current Evidence and Perspectives. Antioxidants (Basel). 2015 Mar 20;4(1):204-47. doi: 10.3390/antiox4010204.</citation>
    <PMID>26785346</PMID>
  </reference>
  <reference>
    <citation>Katiyar SK, Mantena SK, Meeran SM. Silymarin protects epidermal keratinocytes from ultraviolet radiation-induced apoptosis and DNA damage by nucleotide excision repair mechanism. PLoS One. 2011;6(6):e21410. doi: 10.1371/journal.pone.0021410. Epub 2011 Jun 22.</citation>
    <PMID>21731736</PMID>
  </reference>
  <reference>
    <citation>Meeran SM, Katiyar S, Elmets CA, Katiyar SK. Silymarin inhibits UV radiation-induced immunosuppression through augmentation of interleukin-12 in mice. Mol Cancer Ther. 2006 Jul;5(7):1660-8. doi: 10.1158/1535-7163.MCT-06-0095.</citation>
    <PMID>16891451</PMID>
  </reference>
  <reference>
    <citation>Katiyar SK, Meleth S, Sharma SD. Silymarin, a flavonoid from milk thistle (Silybum marianum L.), inhibits UV-induced oxidative stress through targeting infiltrating CD11b+ cells in mouse skin. Photochem Photobiol. 2008 Mar-Apr;84(2):266-71. doi: 10.1111/j.1751-1097.2007.00241.x. Epub 2007 Nov 28.</citation>
    <PMID>18221354</PMID>
  </reference>
  <reference>
    <citation>Katiyar SK. Treatment of silymarin, a plant flavonoid, prevents ultraviolet light-induced immune suppression and oxidative stress in mouse skin. Int J Oncol. 2002 Dec;21(6):1213-22.</citation>
    <PMID>12429970</PMID>
  </reference>
  <reference>
    <citation>Vaid M, Prasad R, Singh T, Elmets CA, Xu H, Katiyar SK. Silymarin inhibits ultraviolet radiation-induced immune suppression through DNA repair-dependent activation of dendritic cells and stimulation of effector T cells. Biochem Pharmacol. 2013 Apr 15;85(8):1066-76. doi: 10.1016/j.bcp.2013.01.026. Epub 2013 Feb 5.</citation>
    <PMID>23395695</PMID>
  </reference>
  <reference>
    <citation>Vaid M, Prasad R, Sun Q, Katiyar SK. Silymarin targets beta-catenin signaling in blocking migration/invasion of human melanoma cells. PLoS One. 2011;6(7):e23000. doi: 10.1371/journal.pone.0023000. Epub 2011 Jul 28.</citation>
    <PMID>21829575</PMID>
  </reference>
  <reference>
    <citation>Chatterjee ML, Agarwal R, Mukhtar H. Ultraviolet B radiation-induced DNA lesions in mouse epidermis: an assessment using a novel 32P-postlabelling technique. Biochem Biophys Res Commun. 1996 Dec 13;229(2):590-5. doi: 10.1006/bbrc.1996.1848.</citation>
    <PMID>8954942</PMID>
  </reference>
  <reference>
    <citation>Berman B, Amini S. Pharmacotherapy of actinic keratosis: an update. Expert Opin Pharmacother. 2012 Sep;13(13):1847-71. doi: 10.1517/14656566.2012.716039.</citation>
    <PMID>22888917</PMID>
  </reference>
  <reference>
    <citation>Berardesca E, Cameli N, Cavallotti C, Levy JL, Pierard GE, de Paoli Ambrosi G. Combined effects of silymarin and methylsulfonylmethane in the management of rosacea: clinical and instrumental evaluation. J Cosmet Dermatol. 2008 Mar;7(1):8-14. doi: 10.1111/j.1473-2165.2008.00355.x.</citation>
    <PMID>18254805</PMID>
  </reference>
  <reference>
    <citation>Svobodova A, Zdarilova A, Walterova D, Vostalova J. Flavonolignans from Silybum marianum moderate UVA-induced oxidative damage to HaCaT keratinocytes. J Dermatol Sci. 2007 Dec;48(3):213-24. doi: 10.1016/j.jdermsci.2007.06.008. Epub 2007 Aug 3.</citation>
    <PMID>17689055</PMID>
  </reference>
  <reference>
    <citation>Altaei T. The treatment of melasma by silymarin cream. BMC Dermatol. 2012 Oct 2;12:18. doi: 10.1186/1471-5945-12-18.</citation>
    <PMID>23031632</PMID>
  </reference>
  <reference>
    <citation>Sehgal VN. Role of tacrolimus (FK506) 0.1% ointment WW in vitiligo in children and imperatives of combine therapy with Trioxsalen and Silymarin suspension in progressive vitiligo. J Eur Acad Dermatol Venereol. 2009 Oct;23(10):1218-9. doi: 10.1111/j.1468-3083.2009.03128.x. Epub 2009 Mar 3. No abstract available.</citation>
    <PMID>19192018</PMID>
  </reference>
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    <citation>Fiebrich F, Koch H. Silymarin, an inhibitor of lipoxygenase. Experientia. 1979 Dec 15;35(12):1548-60. doi: 10.1007/BF01953184.</citation>
    <PMID>118048</PMID>
  </reference>
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    <citation>Koch HP, Bachner J, Loffler E. Silymarin: potent inhibitor of cyclic AMP phosphodiesterase. Methods Find Exp Clin Pharmacol. 1985 Aug;7(8):409-13.</citation>
    <PMID>3001454</PMID>
  </reference>
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    <citation>Kang JS, Yoon WK, Han MH, Lee H, Lee CW, Lee KH, Han SB, Lee K, Yang KH, Park SK, Kim HM. Inhibition of atopic dermatitis by topical application of silymarin in NC/Nga mice. Int Immunopharmacol. 2008 Oct;8(10):1475-80. doi: 10.1016/j.intimp.2008.06.004. Epub 2008 Jun 30.</citation>
    <PMID>18593606</PMID>
  </reference>
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    <citation>Mady FM, Essa H, El-Ammawi T, Abdelkader H, Hussein AK. Formulation and clinical evaluation of silymarin pluronic-lecithin organogels for treatment of atopic dermatitis. Drug Des Devel Ther. 2016 Mar 10;10:1101-10. doi: 10.2147/DDDT.S103423. eCollection 2016.</citation>
    <PMID>27022248</PMID>
  </reference>
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    <citation>Han MH, Yoon WK, Lee H, Han SB, Lee K, Park SK, Yang KH, Kim HM, Kang JS. Topical application of silymarin reduces chemical-induced irritant contact dermatitis in BALB/c mice. Int Immunopharmacol. 2007 Dec 15;7(13):1651-8. doi: 10.1016/j.intimp.2007.08.019. Epub 2007 Sep 14.</citation>
    <PMID>17996674</PMID>
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    <citation>Pientaweeratch S, Panapisal V, Tansirikongkol A. Antioxidant, anti-collagenase and anti-elastase activities of Phyllanthus emblica, Manilkara zapota and silymarin: an in vitro comparative study for anti-aging applications. Pharm Biol. 2016 Sep;54(9):1865-72. doi: 10.3109/13880209.2015.1133658. Epub 2016 Feb 24.</citation>
    <PMID>26912420</PMID>
  </reference>
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    <citation>Sharifi R, Rastegar H, Kamalinejad M, Dehpour AR, Tavangar SM, Paknejad M, Mehrabani Natanzi M, Ghannadian N, Akbari M, Pasalar P. Effect of topical application of silymarin (Silybum marianum) on excision wound healing in albino rats. Acta Med Iran. 2012;50(9):583-8.</citation>
    <PMID>23165806</PMID>
  </reference>
  <verification_date>March 2021</verification_date>
  <study_first_submitted>July 20, 2020</study_first_submitted>
  <study_first_submitted_qc>July 27, 2020</study_first_submitted_qc>
  <study_first_posted type="Actual">July 29, 2020</study_first_posted>
  <last_update_submitted>March 10, 2021</last_update_submitted>
  <last_update_submitted_qc>March 10, 2021</last_update_submitted_qc>
  <last_update_posted type="Actual">March 12, 2021</last_update_posted>
  <responsible_party>
    <responsible_party_type>Principal Investigator</responsible_party_type>
    <investigator_affiliation>Assiut University</investigator_affiliation>
    <investigator_full_name>Alaa Gamal Ahmed Makhlouf</investigator_full_name>
    <investigator_title>Principal investigator</investigator_title>
  </responsible_party>
  <condition_browse>
    <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm            -->
    <mesh_term>Acne Vulgaris</mesh_term>
  </condition_browse>
  <intervention_browse>
    <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm            -->
    <mesh_term>Salicylic Acid</mesh_term>
    <mesh_term>Salicylates</mesh_term>
    <mesh_term>Silybin</mesh_term>
    <mesh_term>Silymarin</mesh_term>
  </intervention_browse>
  <patient_data>
    <sharing_ipd>Yes</sharing_ipd>
  </patient_data>
  <!-- Results have not yet been posted for this study                                          -->
</clinical_study>


download date: ClinicalTrials.gov processed this data on September 20, 2023
link text: Link to the current ClinicalTrials.gov record.
url: https://clinicaltrials.gov/ct2/show/NCT04490967
org study id: SMVSA
nct id: NCT04490967
lead sponsor: 
is fda regulated drug: No
is fda regulated device: No
Acne vulgaris is a disease of the pilosebaceous unit that causes noninflammatory lesions
      (open and closed comedones), inflammatory lesions (papules, pustules, and nodules), and
      varying degrees of scarring. Acne vulgaris is an extremely common condition with a lifetime
      prevalence of approximately 85% and occurs mostly during adolescence.

      Acne vulgaris leads to significant morbidity that is associated with residual scarring and
      psychological disturbances such as poor self-image, depression, and anxiety, which leads to a
      negative impact on quality of life.

      The treatment of acne vulgaris is challenging and often chronic, with high rates of failure
      and numerous choices. Frequent evaluations (i.e., every 8-12 weeks) are important to enable
      appropriate monitoring, manage adverse effects, and evaluate for medication compliance.

      Topical therapies are considered one of the mainstay treatments for patients with
      mild-to-moderate acne.
Chemical peeling is one of the most common cosmetic procedures in medical practice and has
      been used for decades. It is defined as the application of chemical agents, of variable
      strength, on the skin that results in controlled destruction of the epidermis and dermis. The
      induced exfoliation is followed by dermal and epidermal regeneration from adjacent epithelium
      and skin adnexa, which results in improved surface texture and appearance of the skin. This
      is a simple and cost-effective procedure with several dermatological applications.

      Salicylic acid is a 2-hydroxybenzoic acid used for superficial peeling due to its strong
      keratolytic and comedolytic properties. It promotes shedding of epidermal cells and due to
      its lipophilic properties can penetrate comedones and pores to prevent clogging and
      neutralize bacteria. It promotes desquamation of the upper lipophilic layers of the stratum
      corneum. These chemical properties explain its popularity and success in acne patients. Also,
      it has well-documented anti-inflammatory properties.

      Silymarin is a standardized extract from S. marianum seeds, is traditionally used as a
      hepatoprotective agent for its potent regenerative properties. Lately, Silymarin is utilized
      in dermatological and cosmetic preparations for its antioxidant effect anti-inflammatory and
      immunomodulatory properties.

      Various studies have been created to evaluate the efficacy of Silymarin in UV protection,
      prevention against skin cancer and against actinic keratosis.

      Silymarin showed efficacy the treatment of Rosacea, Melasma, Vitiligo, Psoriasis, atopic
      dermatitis and contact dermatitis . Other studies showed that Silymarin has anti aging
      properties and potential action for wound healing .
allocation: N/A
intervention model: Single Group Assignment
intervention model description: Patients will use salicylic acid 30% peeling on the right side of the face and topical Silymarin 1.4% cream on the left side.
primary purpose: Treatment
masking: None (Open Label)
measure: Efficacy of the medication: number of inflammatory, non-inflammatory and total lesions
time frame: 12 weeks
description: counting the number of inflammatory, non-inflammatory and total lesions at baseline and every 4 weeks during the treatment
measure: assessment of tolerability: interviewing the patients
time frame: 12 weeks
description: interviewing the patients about any sign/symptom of adverse reactions (erythema, peeling, burning sensation, dryness and pruritus)
arm group label: Silymarin and salicylic acid
arm group type: Experimental
description: There will be one group of patients, that will use salicylic acid peeling on the right side of the face and topical Silymarin cream on the left side
intervention type: Combination Product
intervention name: Silymarin
description: Silymarin 1.4% cream will be used on the left side of the face twice daily (home use).
arm group label: Silymarin and salicylic acid
other name: Silybin, Silybum, Marian thistle.
intervention type: Procedure
intervention name: Salicylic acid
description: Patients will have salicylic acid 30% peeling on the right side of the face as a peeling session every two weeks. Sessions will be done by well trained physician.
arm group label: Silymarin and salicylic acid
other name: 2-hydroxybenzoic acid
criteria: 
gender: All
minimum age: 18 Years
maximum age: N/A
healthy volunteers: No
last name: D A Ahmed, Professor
phone: +20 100 567 7229
email: daliaattallah@yahoo.com
last name: A Y Badran, PHD
phone: +20 101 324 4819
email: aya_badran@yahoo.com
citation: Bhate K, Williams HC. Epidemiology of acne vulgaris. Br J Dermatol. 2013 Mar;168(3):474-85. doi: 10.1111/bjd.12149.
PMID: 23210645
citation: Ramos-e-Silva M, Ramos-e-Silva S, Carneiro S. Acne in women. Br J Dermatol. 2015 Jul;172 Suppl 1:20-6. doi: 10.1111/bjd.13638.
PMID: 25597414
citation: Kamangar F, Shinkai K. Acne in the adult female patient: a practical approach. Int J Dermatol. 2012 Oct;51(10):1162-74. doi: 10.1111/j.1365-4632.2012.05519.x.
PMID: 22994662
citation: Nast A, Dreno B, Bettoli V, Degitz K, Erdmann R, Finlay AY, Ganceviciene R, Haedersdal M, Layton A, Lopez-Estebaranz JL, Ochsendorf F, Oprica C, Rosumeck S, Rzany B, Sammain A, Simonart T, Veien NK, Zivkovic MV, Zouboulis CC, Gollnick H; European Dermatology Forum. European evidence-based (S3) guidelines for the treatment of acne. J Eur Acad Dermatol Venereol. 2012 Feb;26 Suppl 1:1-29. doi: 10.1111/j.1468-3083.2011.04374.x. No abstract available.
PMID: 22356611
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responsible party type: Principal Investigator
investigator affiliation: Assiut University
investigator full name: Alaa Gamal Ahmed Makhlouf
investigator title: Principal investigator
mesh term: Acne Vulgaris
mesh term: Salicylic Acid
mesh term: Salicylates
mesh term: Silybin
mesh term: Silymarin
sharing ipd: Yes