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  1. Article: Is There a Clinically Relevant Risk of Hyperkalemia with Topical Clascoterone Treatment?

    Del Rosso, James / Stein Gold, Linda / Squittieri, Nicholas / Thiboutot, Diane

    The Journal of clinical and aesthetic dermatology

    2023  Volume 16, Issue 6, Page(s) 20–24

    Abstract: Clascoterone cream 1% is an androgen receptor inhibitor approved for the treatment of acne vulgaris in patients aged 12 years or older with clinical studies completed in subjects aged nine years or older. Blood potassium levels above the upper limit of ... ...

    Abstract Clascoterone cream 1% is an androgen receptor inhibitor approved for the treatment of acne vulgaris in patients aged 12 years or older with clinical studies completed in subjects aged nine years or older. Blood potassium levels above the upper limit of normal (i.e., hyperkalemia) were reported in both clascoterone-treated and vehicle-treated patients; reported rates of hyperkalemia were approximately five percent and four percent, respectively. None of the cases of hyperkalemia were reported as adverse events and none led to study discontinuation or adverse clinical sequelae. An exposure-response analysis showed no correlation between plasma concentrations of clascoterone or its metabolite cortexolone and cases of hyperkalemia. Based on the laboratory safety profile of clascoterone demonstrated in the Phase I and Phase II studies, baseline or subsequent laboratory monitoring was not required in the Phase III studies or recommended in the FDA-approved prescribing information. The frequency of shifts to elevated potassium levels was highest in patients younger than 12 years of age treated with clascoterone, for whom clascoterone 1% is not FDA approved.
    Language English
    Publishing date 2023-06-01
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2571623-2
    ISSN 1941-2789
    ISSN 1941-2789
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Capping or Suctioning for Tracheostomy Decannulation.

    Thiboutot, Jeffrey / Feller-Kopman, David

    The New England journal of medicine

    2020  Volume 383, Issue 25, Page(s) 2480–2481

    MeSH term(s) Oxygen ; Time Factors ; Tracheostomy
    Chemical Substances Oxygen (S88TT14065)
    Language English
    Publishing date 2020-12-16
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMc2031385
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Letter to the Editor From Singh et al: "Female Adult Acne and Androgen Excess: A Report from the Multidisciplinary Androgen Excess and PCOS Committee".

    Singh, Pritika / Barbieri, John S / James, William D / Thiboutot, Diane

    Journal of the Endocrine Society

    2022  Volume 6, Issue 12, Page(s) bvac156

    Language English
    Publishing date 2022-10-14
    Publishing country United States
    Document type Journal Article
    ISSN 2472-1972
    ISSN (online) 2472-1972
    DOI 10.1210/jendso/bvac156
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Evaluation of the measurement properties and validation of the Skindex-16 among patients with acne.

    Shields, Ali / Chen, Suephy C / Kaur, Manraj N / Rowen, Donna / Layton, Alison / Thiboutot, Diane / Tan, Jerry / Barbieri, John S

    Journal of the American Academy of Dermatology

    2024  

    Language English
    Publishing date 2024-03-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603641-7
    ISSN 1097-6787 ; 0190-9622
    ISSN (online) 1097-6787
    ISSN 0190-9622
    DOI 10.1016/j.jaad.2024.02.057
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: What Matters the Most to Adult Women With Acne?

    Thiboutot, Diane / Zaenglein, Andrea / Layton, Alison M

    JAMA dermatology

    2021  Volume 157, Issue 9, Page(s) 1035–1037

    MeSH term(s) Acne Vulgaris/diagnosis ; Adult ; Female ; Humans
    Language English
    Publishing date 2021-08-12
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 2701761-8
    ISSN 2168-6084 ; 2168-6068
    ISSN (online) 2168-6084
    ISSN 2168-6068
    DOI 10.1001/jamadermatol.2021.2184
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Integrated Short-Term and Long-Term Efficacy of Topical Clascoterone Cream 1% in Patients Aged 12 Years or Older With Acne Vulgaris.

    Eichenfield, Lawrence F / Gold, Linda Stein / Han, Jenny / Hebert, Adelaide A / Mazzetti, Alessandro / Moro, Luigi / Squittieri, Nicholas / Thiboutot, Diane

    Journal of drugs in dermatology : JDD

    2024  Volume 23, Issue 1, Page(s) 1278–1283

    Abstract: Background: Clascoterone cream 1% is approved for the treatment of acne vulgaris in patients aged 12 years or older based on results from two identical pivotal Phase 3 trials. Integrated efficacy of clascoterone in patients aged 12 years or older with ... ...

    Abstract Background: Clascoterone cream 1% is approved for the treatment of acne vulgaris in patients aged 12 years or older based on results from two identical pivotal Phase 3 trials. Integrated efficacy of clascoterone in patients aged 12 years or older with acne vulgaris from the pivotal trials (NCT02608450 and NCT02608476) and long-term extension (LTE) study (NCT02682264) is reported.
    Methods: In the pivotal trials, patients with moderate-to-severe acne vulgaris were randomized 1:1 to twice-daily application of clascoterone cream 1% or vehicle for 12 weeks; they could then enter the LTE study, where all patients applied clascoterone to the face and, if desired, trunk for up to 9 additional months. Efficacy was assessed from treatment success based on Investigator's Global Assessment scores (IGA 0/1) in patients aged 12 years or older in the intention-to-treat population; lesion counts were assessed through week 12. Missing data were handled using multiple imputation in the pivotal studies and were not imputed in the LTE study.
    Results: Of 1421 patients enrolled, 1143 (clascoterone, 576; vehicle, 567) completed week 12; 600 entered and 343 completed the LTE study. The treatment success rate and most lesion count reductions following clascoterone vs placebo treatment reached statistical significance at week 12; the overall treatment success rate increased to 30.2% for facial acne after 12 months and 31.7% for truncal acne after 9 months of treatment.
    Conclusions: The efficacy of clascoterone cream 1% for the treatment of acne vulgaris continued to increase over time for up to 12 months in patients aged 12 years or older with acne vulgaris.   J Drugs Dermatol. 2024;23(1):1278-1283.     doi:10.36849/JDD.7719.
    MeSH term(s) Humans ; Acne Vulgaris/diagnosis ; Acne Vulgaris/drug therapy ; Cortodoxone ; Emollients ; Plastic Surgery Procedures ; Propionates
    Chemical Substances Clascoterone (XN7MM8XG2M) ; Cortodoxone (WDT5SLP0HQ) ; Emollients ; Propionates
    Language English
    Publishing date 2024-01-11
    Publishing country United States
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 2145090-0
    ISSN 1545-9616
    ISSN 1545-9616
    DOI 10.36849/JDD.7719
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Incidence and time to development of malignancies arising on the scalp of patients with erosive pustular dermatosis based on sex: A retrospective analysis.

    Shamloul, Norhan / Kamrani, Payvand / Shamloul, Gelan / Kunselman, Allen / Thiboutot, Diane / Billingsley, Elizabeth / Lam, Charlene

    Journal of the American Academy of Dermatology

    2023  Volume 89, Issue 5, Page(s) 1038–1039

    MeSH term(s) Humans ; Scalp/pathology ; Incidence ; Retrospective Studies ; Scalp Dermatoses/pathology ; Neoplasms/complications
    Language English
    Publishing date 2023-06-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603641-7
    ISSN 1097-6787 ; 0190-9622
    ISSN (online) 1097-6787
    ISSN 0190-9622
    DOI 10.1016/j.jaad.2023.05.087
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Reviewing the global burden of acne: how could we improve care to reduce the burden?

    Layton, A M / Thiboutot, D / Tan, J

    The British journal of dermatology

    2020  Volume 184, Issue 2, Page(s) 219–225

    Abstract: Acne (also known as acne vulgaris) remains the most common inflammatory dermatosis treated worldwide, as estimated by global skin disease prevalence studies. Latest reports suggest that the prevalence may be increasing in adolescents and adults, ... ...

    Abstract Acne (also known as acne vulgaris) remains the most common inflammatory dermatosis treated worldwide, as estimated by global skin disease prevalence studies. Latest reports suggest that the prevalence may be increasing in adolescents and adults, particularly female adults. The concept of 'burden of skin disease' is multidimensional and can be difficult to quantify in light of different healthcare systems across the globe. In acne, the resulting burden may vary according to patient demographics, access to treatments and duration of the disease. The visible nature of acne, symptoms and sequelae all contribute physically and psychosocially to the overall burden of disease, as do the costs required for management. Acne typically presents in adolescence at a time of significant transition. Profound effects on functional status have been demonstrated, along with a strong impact on interpersonal relationships, social functioning and mental health. The high prevalence of acne also presents an economic burden for society. The widespread and prolonged use of antibiotics introduces a potential added burden through resulting antimicrobial resistance. A James Lind Alliance Acne Priority Setting Partnership has identified numerous areas to inform future research, which would help to improve acne management and reduce the burden. The lack of standardized assessments is a major issue in acne trials and challenges the ability to compare treatments and perform meta-analyses. This paper reviews the current literature on burden of acne, identifies areas of treatment uncertainties and summarizes the work of the Acne Core Outcome Research Network as a means of supporting a reduction in the burden of disease.
    MeSH term(s) Acne Vulgaris/drug therapy ; Acne Vulgaris/epidemiology ; Adolescent ; Adult ; Anti-Bacterial Agents/therapeutic use ; Female ; Humans ; Mental Health ; Uncertainty
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2020-09-24
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 80076-4
    ISSN 1365-2133 ; 0007-0963
    ISSN (online) 1365-2133
    ISSN 0007-0963
    DOI 10.1111/bjd.19477
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Parametric Acne Severity (PAS) Score and Lesion Counts From Multi-Modality Facial Image Analysis Correlates Strongly with Investigator Assessment.

    Thiboutot, Diane / Longenecker, Amy / Canfield, Douglas / Patwardhan, Sachin V

    Journal of drugs in dermatology : JDD

    2021  Volume 20, Issue 6, Page(s) 642–647

    Abstract: Variability in acne lesion counting and assessing global severity necessitates large sample sizes that increase trial costs. Lack of standardized measures for these outcomes precludes the conduct of meta-analyses needed to compare efficacy of acne ... ...

    Abstract Variability in acne lesion counting and assessing global severity necessitates large sample sizes that increase trial costs. Lack of standardized measures for these outcomes precludes the conduct of meta-analyses needed to compare efficacy of acne treatments. The goal of this study was to evaluate objective measures of lesion counts and global severity using analysis of multimodal photography. An algorithm for counting lesions was trained and validated in 30 acne subjects and compared to parallel assessments by 2 expert raters. A composite of photographic data representative of acne lesion topography, erythema, and C Acnes fluorescence was used to generate a Parametric Acne Severity (PAS) score. No relationship was identified between lesion counts and IGA. The correlation coefficients between raters and the algorithm when compared per view for the inflammatory and non-inflammatory lesion counts were 0.77 (P=0.001) and 0.85 (P=0.001), respectively. The correlation coefficient between the raters’ IGA grades and the PAS score was 0.82 (P<0.05). These data demonstrate that the lesion counting, and PAS are objective measures that strongly correlate with investigator assessments. Inclusion of these measure in clinical trials may reduce variability, standardize outcomes, and provide insights into treatment effects on photographic parameters associated with acne. J Drugs Dermatol. 2021;20(6):642-647. doi:10.36849/JDD.6165.
    MeSH term(s) Acne Vulgaris/diagnosis ; Acne Vulgaris/drug therapy ; Face ; Humans ; Photography ; Severity of Illness Index ; Treatment Outcome
    Language English
    Publishing date 2021-06-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2145090-0
    ISSN 1545-9616
    ISSN 1545-9616
    DOI 10.36849/JDD.2021.6165
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Potential Role for Topical Antiandrogens in the Management of Acne Among Patients Receiving Masculinizing Hormone Therapy-Reply.

    Thiboutot, Diane / Cartwright, Martina / Mazzetti, Alessandro

    JAMA dermatology

    2020  Volume 156, Issue 12, Page(s) 1381

    MeSH term(s) Acne Vulgaris/drug therapy ; Androgen Antagonists ; Cortodoxone/analogs & derivatives ; Humans ; Propionates ; Randomized Controlled Trials as Topic
    Chemical Substances Androgen Antagonists ; Propionates ; Cortodoxone (WDT5SLP0HQ) ; Clascoterone (XN7MM8XG2M)
    Language English
    Publishing date 2020-11-04
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 2701761-8
    ISSN 2168-6084 ; 2168-6068
    ISSN (online) 2168-6084
    ISSN 2168-6068
    DOI 10.1001/jamadermatol.2020.3341
    Database MEDical Literature Analysis and Retrieval System OnLINE

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