Comparative Effectiveness of Clindamycin-Retinoid, Clindamycin-Retinoid-Dexamethasone, and 10% SM-hUCMSC Secretome Gel in the Improvement of Mild-to-Moderate Acne Vulgaris
Acne Vulgaris
1 other identifier
interventional
189
1 country
1
Brief Summary
The goal of this clinical trial is to etermine and compare the effectiveness of three therapeutic regimens for mild to moderate acne vulgaris, such as, clindamycin-retinoid combination, clindamycin-retinoid-dexamethasone combination, and sekretome SM-hUCMSC 10% gel. The main questions it aims to answer are :
- Is there a change in the number of inflammatory lesions (papules, pustules, nodules) and non-inflammatory lesions (open and closed comedones) before and after treatment in each treatment group?
- Is there a difference in the reduction of acne vulgaris severity scores among the three treatment groups?
- Are there differences in the rate of clinical improvement (time required to achieve a certain reduction in lesion count or severity score) among the treatment groups?
- What are the incidence and characteristics of local adverse effects (erythema, burning sensation, skin dryness, irritation, hypo-/hyperpigmentation, and others) in each treatment group?
- Are there differences in the impact of each therapeutic regimen on the risk of acne scar formation and improvement in skin quality (texture, elasticity, and color homogeneity)?
- Does secretome gel demonstrate sufficient clinical potential and urgency as a safer and more prospective topical therapeutic alternative for acne vulgaris compared with retinol-clindamycin and retinol-clindamycin-dexamethasone 0.1% combinations? Participants will be allocated into three groups using simple block randomization.
- Group A will receive a combination of clindamycin and a retinoid, applied thinly to the entire facial area once daily at night.
- Group B will receive a combination of clindamycin, a retinoid, and dexamethasone, with the same method of application as Group A.
- Group C will receive 10% SM-hUCMSC secretome gel, applied thinly to acne-affected areas twice daily (morning and night).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Apr 2026
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 13, 2026
CompletedFirst Posted
Study publicly available on registry
April 1, 2026
CompletedStudy Start
First participant enrolled
April 18, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 18, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
January 18, 2028
April 1, 2026
March 1, 2026
11 months
March 13, 2026
March 28, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Percentage reduction in total acne lesions (inflammatory and non-inflammatory) from baseline to week 8.
Percentage reduction in inflammatory and non-inflammatory lesions analyzed separately.
8 weeks
Change in acne severity grade (ISGA) between baseline and week 8.
Changes in AI-based Face/Skin Analyzer parameters (Spot, Pore, Wrinkle, UV Moisture, UV Damage, Roughness, Porphyrin, Pigmentation, and Hydration) from baseline to weeks 4 and 8, with reference to previous combination cream and secretome studies. Change in CADI scores from baseline to week 8.
week 8
Study Arms (3)
A
EXPERIMENTALUse Mediklin TR
B
EXPERIMENTALGroup B received Solanum Night Cream
C
EXPERIMENTALGroup C received 10% SM-hUCMSC secretome gel.
Interventions
The secretome was derived from human umbilical cord mesenchymal stem cells (SM-hUCMSC) cultured up to passage 6 in MEM-α medium without growth supplements, incubated under hypoxic conditions (5% O₂) for 72 hours, and the conditioned medium was stored at -80°C before being formulated into a 10% gel.
Eligibility Criteria
You may qualify if:
- Age 15-40 years.
- Clinical diagnosis of mild to moderate acne vulgaris on the facial area.
- Primary lesion location on the face, with a total lesion count meeting the above criteria.
- Not currently using topical or systemic acne therapy within: the past 2 weeks for topical therapy; the past 4 weeks for systemic therapy (oral antibiotics, isotretinoin, or systemic steroids).
- Willing to use only the treatment regimen provided by the investigators on the facial area throughout the study period.
- Willing to adhere to the scheduled follow-up visits (weeks 0, 2, 4, and 8) and to sign informed consent.
You may not qualify if:
- Presence of other facial skin diseases that may interfere with acne assessment (e.g., rosacea, contact dermatitis, impetigo, fungal infections, herpes, etc.).
- History of hypersensitivity or allergy to clindamycin, retinoids, topical corticosteroids, or any components of the secretome gel.
- Use of oral isotretinoin within the past 6 months.
- Pregnancy or breastfeeding.
- History of severe immunological disorders or uncontrolled systemic diseases (e.g., uncontrolled diabetes mellitus, severe liver or kidney disease).
- Presence of extensive open wounds or active infections on the face.
- Undergoing aggressive facial cosmetic procedures within the past 3 months (e.g., ablative laser, deep chemical peeling, dermabrasion).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Yohanes Firmansyah, dr, MH, MMlead
- Universitas Tarumanagaracollaborator
Study Sites (1)
Klinik Precious Me
Tangerang, Indonesia
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Clinical Officer
Study Record Dates
First Submitted
March 13, 2026
First Posted
April 1, 2026
Study Start
April 18, 2026
Primary Completion (Estimated)
March 18, 2027
Study Completion (Estimated)
January 18, 2028
Last Updated
April 1, 2026
Record last verified: 2026-03