Publications by authors named "Rosso J"

Tapinarof cream 1% once daily (QD) demonstrated significant efficacy in patients down to age 2 years with atopic dermatitis (AD) in the ADORING 1 and 2 phase 3 trials. We report local tolerability outcomes. Patients received Tapinarof or vehicle cream QD for 8 weeks.

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  • Topical clindamycin phosphate/adapalene/benzoyl peroxide (CAB) gel is approved for treating acne in patients 12 and older, and post hoc analyses examined its effectiveness in younger patients with acne.
  • Data from two studies showed that CAB significantly improved treatment success and reduced acne lesions in adolescents compared to a vehicle gel, with 51.5% of treated adolescents achieving success versus 24.9% with the vehicle.
  • The CAB gel was generally well tolerated, with most adverse events being mild to moderate, and it was effective for younger children as well, with significant lesion reductions observed in all treated children.
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  • The FORWARD Psoriasis Registry aims to gather real-world evidence on psoriasis by collecting patient-reported data independent of clinicians.
  • The study compares characteristics and treatment outcomes of two groups: those enrolling through a clinician and those self-enrolling online.
  • Results showed significant differences between the two groups in disease burden and treatment satisfaction, indicating the importance of diverse data collection methods for understanding psoriasis.
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  • Clindamycin phosphate/adapalene/benzoyl peroxide gel (CAB) is the only approved triple-combination treatment for acne, and a post hoc analysis evaluated its efficacy and safety based on sex.
  • In two phase 3 clinical studies, participants aged 9 and older with moderate-to-severe acne were treated with CAB or a placebo for 12 weeks, and outcomes were analyzed by sex regarding treatment success, lesion counts, quality of life, and side effects.
  • Results showed that CAB was significantly more effective than the vehicle for both sexes in reducing acne severity and improving quality of life, with no notable differences in safety or efficacy between male and female participants.
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Background: Mild-to-moderate acne vulgaris (AV) is common among adults, and benzoyl peroxide (BPO) has a long history of efficacy in reducing AV lesions. The efficacy of BPO is comparable for concentrations from 2.5% to 10% used as leave-on therapy, but tolerability is usually best at lower concentrations formulated in well-designed vehicles and with newer formulation methods such as micronization.

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  • * It can be applied topically or taken orally, with topical use being more prevalent due to concerns about antibiotic resistance and treatment efficacy.
  • * The text reviews clindamycin's anti-inflammatory and antibiotic actions, pharmacokinetics, safety, and various applications beyond dermatology, emphasizing its therapeutic value.
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  • - Lebrikizumab is a new monoclonal antibody that has shown effectiveness in treating moderate-to-severe atopic dermatitis (AD) in Phase 3 clinical trials, with a goal of providing stable disease control for patients.
  • - In the studies (ADvocate1 and ADvocate2), patients who responded to lebrikizumab after 16 weeks were re-randomized to receive different treatment frequencies (every 2 weeks, every 4 weeks, or placebo) for an additional 36 weeks, assessing the maintenance of treatment effects.
  • - Results showed that a significant percentage of patients maintained improvement in their skin condition and itching, with 70.8% and 71.2% of those
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Background: Current assessments on topical treatment attributes in actinic keratosis (AK) do not evaluate safety, effectiveness, and satisfaction from both clinician and patient perspectives, creating an unmet need for more comprehensive AK-specific measures that fully capture the patient experience.

Objective: To develop an actinic keratosis-specific expert panel questionnaire (AK-EPQ) of patient-reported outcomes and clinician-reported outcomes for use in research studies.

Methods: Using interviews of patients with AK and targeted literature reviews, a 9-person consensus panel of dermatologists with expertise in AK treatment was convened to develop the AK-EPQ to assess AK-specific patient-reported outcomes and clinician-reported outcomes.

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Xerosis is experienced by almost everyone at some time in their lives and the foundation of management of dry skin (both consumer- and healthcare professional--directed) rests on the use of moisturizers. Given the wide range of available moisturizers, counseling patients about selecting the optimum moisturizer for their individual situation relies on knowledge of ingredients and formulations. Traditionally, the main focus for many moisturizers centered on the core functional and structural role of ceramides within the epidermal barrier.

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  • * The article reviews its topical application, focusing on modes of action, anti-inflammatory effects, safety, and recommendations to prevent antibiotic resistance.
  • * It also discusses a newly FDA-approved triple-combination formulation for enhanced acne treatment.
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  • Oral isotretinoin is a key treatment for severe nodular acne, with newer formulations like lidose and micronized isotretinoin developed to improve effectiveness.
  • A group of expert dermatologists created five consensus statements on these novel formulations, focusing on their efficacy, tolerability, and side effects, all of which received strong agreement.
  • Micronized isotretinoin is noted for its increased bioavailability, potentially requiring lower doses and no need for cumulative dosing calculations, making it a flexible option in acne treatment.
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Introduction: Micronized isotretinoin 0.4 to 0.8 mg/kg/day administered in 2 divided doses with or without meals is approved for the treatment of severe nodular acne in patients aged 12 years or older.

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Objective: We sought to review published literature on antibiotic and antiseptic use and resistance, and explore the utility of benzoyl peroxide in this capacity for dermatologic surgery.

Methods: A literature review was performed to investigate the skin microbiome, guidelines on antibiotic and antiseptic use in dermatologic surgery, and the utility of benzoyl peroxide as an antiseptic.

Results: Antiseptics are commonly used in dermatologic surgery to prepare surgical sites, and antibiotics are also employed by some physicians to prevent post-operative infection despite the potential for antibiotic resistance.

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  • * In a 12-week double-blind study involving over 360 participants aged 9 and older, CAB led to a 50% success rate in achieving clear skin, significantly outperforming a placebo gel, with over 70% reduction in both inflammatory and non-inflammatory acne lesions.
  • * The treatment showed a good safety profile, with only mild to moderate side effects and a low discontinuation rate due to adverse events, indicating CAB could be a promising option for those suffering from moderate
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Background: The Patient-Reported Outcomes in Actinic Keratosis (PROAK) study evaluated patient- and clinician-reported outcomes (PRO; ClinRO) during 24 weeks of follow-up among adult patients with actinic keratosis (AK) on the face or scalp who were administered tirbanibulin 1% ointment in real-world community practices in the United States.  Methods: Quality of life (QoL) was assessed by Skindex-16 at week (W) 8. Additionally, effectiveness (Investigator Global Assessment [IGA]), PRO and ClinRO (Treatment Satisfaction Questionnaire for Medication and Expert Panel Questionnaire), safety, and tolerability were assessed at W8 and W24.

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  • The study investigated the effects of trifarotene, a medication with skin-lightening properties, on acne-induced hyperpigmentation (AIH) in patients aged 13-35 suffering from moderate acne vulgaris (AV), alongside a skincare regimen for a duration of 24 weeks.
  • Results showed that trifarotene significantly improved overall disease severity (ODS) and hyperpigmentation reduction compared to a control vehicle, particularly noticeable by Week 24.
  • Patients reported increased satisfaction with treatment adherence due to a skincare routine that minimized irritation, and trifarotene exhibited a better safety profile than the vehicle.
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  • Inconsistent reporting of outcomes in rosacea clinical trials is hindering accurate data analysis and meta-analyses, highlighting the need for standardized outcome measures.
  • A core outcome set (COS) was developed through systematic literature reviews and a Delphi process, involving feedback from physicians and patients to identify essential outcomes in rosacea trials.
  • The final COS includes 8 key domains, such as skin symptoms and patient satisfaction, which aim to enhance the comparability and relevance of future rosacea research and interventions.
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  • * A review of various safety data sources found that the incidence of GI-related adverse reactions from topical clindamycin is extremely low, only 0.000045%.
  • * In clinical trials, only 1.4% of participants experienced gastrointestinal AEs, suggesting that concerns about colitis are minimal, although there are limitations in the data's accuracy and generalizability.
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  • - COVID-19, originally seen mainly as a respiratory illness, can also affect other organs and cause skin issues like rashes and "COVID Toes," due to direct viral effects.
  • - Increased handwashing and prolonged use of masks to prevent virus spread have led to secondary skin conditions, including "maskne" and handwashing dermatitis, particularly among healthcare workers.
  • - Managing these skin problems involves repairing the skin barrier through preventive measures, appropriate skincare products, reducing irritants, and avoiding certain medications that could worsen skin conditions.
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  • Clindamycin is a powerful antibiotic used for treating skin and soft tissue infections, with a prominent role in managing acne vulgaris through fixed-combination topical treatments.
  • * It effectively targets various skin conditions, including folliculitis, rosacea, and hidradenitis suppurativa, showcasing its versatility in dermatological therapy.
  • * The review also explores its unique mechanism of action, risks of antibiotic resistance, and compares its use to other antibiotics like tetracyclines in clinical practice.
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While corticosteroids and a limited number of nonsteroidal agents have formed the basis for United States Food and Drug Administration (FDA)-approved topical treatments of plaque psoriasis, there remains a need for efficacious nonsteroidal topical therapies in patients with psoriasis who cannot tolerate, do not respond well to, or wish to avoid topical corticosteroid therapy. Aryl hydrocarbon receptor (AhR) modulation has been shown to be an effective mechanism of action in the topical treatment of psoriasis. Currently there is only one FDA-approved, nonsteroidal, topical AhR modulating agent for the treatment of psoriasis.

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Background: We aimed to investigate the effects of 2 ceramide plus natural moisturizing factor-enriched formulations compared to a ceramide-based cream on skin moisturization.

Methods: Two double-blinded comparative studies were conducted, which enrolled 35 (n=29 females, n=6 males) and 33 (n=21 females, n=12 males) participants, respectively. Participants applied ceramide plus natural moisturizer cream or ceramide-based cream (study 1) or applied ceramide plus natural moisturizing factor lotion or ceramide-based cream (study 2) to each of their lower legs for 10 days with a 5-day regression period (no moisturizer applied).

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