Acne vulgaris is a multifactorial disorder of the pilosebaceous unit involving increased sebum production, inflammation, and hyperproliferation/hyperkeratinization of the follicular infundibulum. It is also associated with Cutibacterium acnes (also known as Propionibacterium acnes). Adapalene is a third-generation topical retinoid used for the treatment of acne vulgaris. Adapalene has similar efficacy but a superior safety profile compared to tretinoin. Tazarotene is more efficacious than adapalene but is designated as pregnancy category X and hence is contraindicated in pregnant women. Adapalene can also be combined with benzoyl peroxide (BPO), which possesses bactericidal properties, and either adapalene alone, or adapalene BPO combination products, are commonly used to treat mild-to-severe acne.
Differin®, produced by Galderma Labs, was first granted FDA approval on May 31st, 1996, as a 0.1% adapalene topical solution. Differin was later made available as 0.1% gel, cream, or lotion, or 0.3% gel products. On December 8th, 2008, Galderma Labs gained FDA approval for Epiduo®, a 0.1% adapalene, 2.5% BPO combination gel.
Adapalene is indicated for the topical treatment of acne vulgaris in patients aged 12 and over. It is also indicated for acne vulgaris in combination with benzoyl peroxide and in a triple combination therapy with benzoyl peroxide and clindamycin.
Foamix Institution #126, Baton Rouge, Louisiana, United States
Foamix Institution #107, Hialeah, Florida, United States
Foamix Institution #132, San Diego, California, United States
FXM Research Miramar, Miramar, Florida, United States
Moore Clinical Research Institute, Inc., Tampa, Florida, United States
Unison Center for Clinical Trials, Sherman Oaks, California, United States
Institute of Dermatology and Hospital for Skin Diseases, Chinese Academy of Medical Sciences, Nanjing, Jiangsu, China
Yardley Dermatology Associates, PC, Yardley, Pennsylvania, United States
Dermatology Consultants, High Point, North Carolina, United States
Dermresearch, Austin, Texas, United States
CIDP, Singapore, Singapore
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