Evaluation of efficacy of niosomal clindamycin phosphate 1% solution in comparison to conventional clindamycin phosphate 1% solution in the treatment of acne vulgaris: A randomized controlled trial

Saman Mohammadi, Hoda Badakhsh, Hoda Badakhsh, Abbas Pardakhti, Abbas Pardakhti, Maryam Khalili, Maryam Khalili, Saeedeh Farajzadeh, Saeedeh Farajzadeh, Rezvan Amiri, Rezvan Amiri, Azadeh Mohebbi, Azadeh Mohebbi, Mahin Aflatoonian, Mahin Aflatoonian


Background Adverse effects including pruritus and erythema as well as increased bacterial resistance have been reported with topical clindamycin. Niosomal structures can lead to improved drug efficacy and decreased side effects because of selective effect on target organ. In this study, we decided to evaluate efficacy of niosomal clindamycin in comparison with conventional form.


Methods This study is a double-blinded clinical trial on 100 acne patients divided into 2 groups (50 patients in each group) that has been done from 2014 to 2017 in Kerman, Iran. The efficacy of niosomal clindamycin 1% in comparison with conventional form was evaluated by counting acne lesions and grading acne with Global Acne Grading System. The Chi-square test and student t test were used to determine drug efficacy and side effects. The data were analyzed using SPSS 16 (SPSS Statistics, IBM, Armonk, NY, USA). P value <0.05 was considered significant.


Results There was a significant difference between 2 treatment groups in reduction of acne lesions at the end of the study (P<0.05). The mean score of acne according to Global Acne Grading System at the end of the study was 6.64± 3.26 and 8.21±3.42 in niosomal and control group, respectively and this difference was statistically significant(P=0.023).


Conclusion Niosomal clindamycin has higher efficacy without increased adverse effects than conventional type. So, we can use niosomal form in treatment of inflammatory acne lesions, particularly in patients with low adherence to treatment and high expectations from treatment.



Niosomes, clindamycin, acne

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