Efficacy and safety of a 12-month treatment with a combination of hydroxypinacolone retinoate and retinol glycospheres as maintenance therapy in acne patients after oral isotretinoin
Abstract
BACKGROUND: A correct therapeutic management of acne should include a maintenance therapy to prevent recurrences after discontinuing a successful treatment. The aim of this study is to investigate efficacy and safety of a 12-month maintenance treatment with a product, based on Retinsphere technology that combines retinol encapsulated in glycospheres and hydroxypinacolone retinoate (Biretix gel®), to control acne relapse after a treatment with oral isotretinoin (O.I.). METHODS: The study consisted of 2 phases: active treatment phase (AP) and maintenance phase (MP). In the AP, 40 consecutive patients with moderate facial acne were treated with O.I. until acne remission. Then, the patients entered in the MP and were treated with Biretix gel® once-daily for 12 months. The efficacy parameter was the relapse rate during MP. RESULTS: Thirty-nine patients completed the study. Relapse appeared in 6 patients (15.38%). The new product with Retinsphere technology was well tolerated and none of the subjects complained of adverse events. CONCLUSIONS: Our findings seems to provide favorable evidence of the efficacy and the safety of this new product in the maintenance treatment after O.I. in patient with moderate acne. The efficacy is maintain for a period as long as a year after O.I. suspension.
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In an uncontrolled open-label study, 12 months of dermocosmetics after oral isotretinoin therapy sustained clearance in 84.6% of subjects.
“In the uncontrolled open‐label study which used dermocosmetics after oral isotretinoin therapy, 12 months of dermocosmetics sustained clearance in the majority (84.6%) of subject. 42”
From International expert consensus recommendations for the use of dermocosmetics in acne. (2025) · cites this paper as [42]
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International expert consensus recommendations for the use of dermocosmetics in acne.
Thiboutot, D., Layton, A. M., Traore, I., Gontijo, G., Troielli, P., Ju, Q., Kurokawa, I., & Dreno, B. (2025) · Journal of the European Academy of Dermatology and Venereology · doi:10.1111/jdv.20145 · Cited by 32 · see citing works
“42”
Villani, A., Annunziata, M. C., Cinelli, E., Donnarumma, M., Milani, M., & Fabbrocini, G. (2020) · Giornale Italiano di Dermatologia e Venereologia · doi:10.23736/s0392-0488.20.06581-5 · Cited by 13 · see citing works
- Authors
- Bettoli, V., Zauli, S., Borghi, A., Toni, G., Ricci, M., Bertoldi, A. M., & Virgili, A.
- Affiliations
- University of Ferrara (IT)
- Venue
- Italian Journal of Dermatology and Venereology
- Publisher
- Edizioni Minerva Medica
- Published
- 2016-12
- Volume
- 152
- Issue
- 1
- Pages
- 13-17
- ISSN
- 2784-8450 (ISSN-L)
- 2784-8671
- OpenAlex
- W2279590686
- Cited by
- 11
- References
- 0
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 2 · 2018: 1
- FWCI
- 0.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Italian Journal of Dermatology and Venereology (publishedVersion)
- PubMed (publishedVersion)
- Institutional Research Information System University of Ferrara (University of Ferrara) (submittedVersion)
- Topics
- Health Sciences › Medicine › Dermatology › Acne and Rosacea Treatments and Effects
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Health Sciences › Medicine › Dermatology › Dermatologic Treatments and Research
- Keywords
- acne, maintenance therapy, oral isotretinoin, acne relapse, topical retinoids, treatment efficacy, drug safety
- MeSH terms
- Acne Vulgaris, Administration, Oral, Adolescent, Adult, Butanones, Dermatologic Agents, Drug Combinations, Female, Humans, Male, Prospective Studies, Recurrence, Tretinoin, Vitamin A, Cohort Studies, Isotretinoin, Treatment Outcome, Young Adult, Maintenance Chemotherapy
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