Trial Outcomes & Findings for Blue Light Therapy of C. Acnes (NCT NCT04300010)

NCT ID: NCT04300010

Last Updated: 2022-05-10

Results Overview

Swab will be taken from skin and cultured for approximately 7 days to determine bacteria growth. This result is for the null condition following treatment with either blue light, blue light plus benzoyl peroxide or just benzoyl peroxide but before additional preparation with chlorhexidine.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

60 participants

Primary outcome timeframe

up to 2 days

Results posted on

2022-05-10

Participant Flow

Volunteers were recruited through fliers around the study institution's facilities, through Clinicaltrials.gov, and informational emails to clinical staff listservs at the study University of Wisconsin - Madison. Participants were enrolled from 10/5/20 through 1/22/21.

Unit of analysis: shoulders

Participant milestones

Participant milestones
Measure
Blue Light Therapy
The blue light therapy device will be centered over the deltopectoral interval according to device standardized use instructions and a 23-minute treatment will be administered to dry skin. Following treatment, a skin swab culture of the treatment shoulder will be taken, then both the treatment shoulder and control shoulder will be sterilely prepped with 2% chlorhexidine gluconate solution with 70% isopropyl alcohol and allowed to dry for 3 minutes. Following chlorhexidine preparation, a single set of cultures will be obtained from each shoulder.
5% Topical Benzoyl Peroxide Gel
A pea-sized amount, \~0.5 grams, will be applied to a 10cm strip over the deltopectoral interval beginning the morning 48 hours prior to schedule research visit to obtain cultures. The benzoyl peroxide will be applied on dry skin after a shower. The gel will be applied once in the morning and once in the evening for two consecutive days as well as the morning of the scheduled research visit. Following treatment, a skin swab culture of the treatment shoulder will be taken, both the treatment shoulder and control shoulder will be sterilely prepped with 2% chlorhexidine gluconate solution with 70% isopropyl alcohol and allowed to dry for 3 minutes. Following chlorhexidine preparation, a single set of cultures will be obtained from each shoulder.
Light and Gel
Prior to treatment, a skin swab culture will be taken, 5% topical benzoyl peroxide treatment will be performed on dry skin immediately after a shower as described in the above paragraph. Again, five total treatments will be performed prior to research visit. On the day of the research visit, the blue light therapy protocol described above will be performed exactly the same followed by culture obtainment.
Control Shoulder
All participants will have their contralateral shoulder serve as the control (2% chlorhexidine gluconate with 70% isopropyl alcohol only)
Overall Study
STARTED
20 20
20 20
20 20
60 60
Overall Study
COMPLETED
20 20
20 20
20 20
60 60
Overall Study
NOT COMPLETED
0 0
0 0
0 0
0 0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Blue Light Therapy of C. Acnes

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Blue Light Therapy
n=20 Participants
Blue Light Therapy: Blue light therapy treatment for acne
5% Topical Benzoyl Peroxide Gel
n=20 Participants
5% Topical Benzoyl Peroxide Gel: Gel treatment used to treat acne
Light and Gel
n=20 Participants
5% Topical Benzoyl Peroxide Gel: Gel treatment used to treat acne Blue Light Therapy: Blue light therapy treatment for acne
Total
n=60 Participants
Total of all reporting groups
Age, Continuous
26.70 years
STANDARD_DEVIATION 2.99 • n=99 Participants
26.80 years
STANDARD_DEVIATION 3.62 • n=107 Participants
25.90 years
STANDARD_DEVIATION 2.97 • n=206 Participants
26.47 years
STANDARD_DEVIATION 2.97 • n=7 Participants
Sex: Female, Male
Female
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Sex: Female, Male
Male
20 Participants
n=99 Participants
20 Participants
n=107 Participants
20 Participants
n=206 Participants
60 Participants
n=7 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
4 Participants
n=7 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
19 Participants
n=99 Participants
19 Participants
n=107 Participants
18 Participants
n=206 Participants
56 Participants
n=7 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
1 Participants
n=107 Participants
0 Participants
n=206 Participants
1 Participants
n=7 Participants
Race (NIH/OMB)
Asian
4 Participants
n=99 Participants
3 Participants
n=107 Participants
3 Participants
n=206 Participants
10 Participants
n=7 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
1 Participants
n=7 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=99 Participants
1 Participants
n=107 Participants
0 Participants
n=206 Participants
2 Participants
n=7 Participants
Race (NIH/OMB)
White
13 Participants
n=99 Participants
14 Participants
n=107 Participants
15 Participants
n=206 Participants
42 Participants
n=7 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
4 Participants
n=7 Participants
Region of Enrollment
United States
20 participants
n=99 Participants
20 participants
n=107 Participants
20 participants
n=206 Participants
60 participants
n=7 Participants
Body Mass Index (BMI)
24.60 kg/m^2
STANDARD_DEVIATION 3.49 • n=99 Participants
24.56 kg/m^2
STANDARD_DEVIATION 2.30 • n=107 Participants
24.63 kg/m^2
STANDARD_DEVIATION 3.92 • n=206 Participants
24.60 kg/m^2
STANDARD_DEVIATION 3.67 • n=7 Participants
Occupation
Student
15 Participants
n=99 Participants
13 Participants
n=107 Participants
16 Participants
n=206 Participants
44 Participants
n=7 Participants
Occupation
Resident
5 Participants
n=99 Participants
7 Participants
n=107 Participants
3 Participants
n=206 Participants
15 Participants
n=7 Participants
Occupation
Other Healthcare Professional
0 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
1 Participants
n=7 Participants
Asthma
2 Participants
n=99 Participants
3 Participants
n=107 Participants
0 Participants
n=206 Participants
5 Participants
n=7 Participants
Autoimmune Condition
0 Participants
n=99 Participants
0 Participants
n=107 Participants
2 Participants
n=206 Participants
2 Participants
n=7 Participants
Infection Requiring Intravenous Antibiotics
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
2 Participants
n=7 Participants
Consume Alcohol
18 Participants
n=99 Participants
16 Participants
n=107 Participants
19 Participants
n=206 Participants
53 Participants
n=7 Participants
Number of Alcohol Drinks per Week
2.05 drinks per week
STANDARD_DEVIATION 1.78 • n=99 Participants
2.15 drinks per week
STANDARD_DEVIATION 1.91 • n=107 Participants
2.58 drinks per week
STANDARD_DEVIATION 2.01 • n=206 Participants
2.26 drinks per week
STANDARD_DEVIATION 1.89 • n=7 Participants

PRIMARY outcome

Timeframe: up to 2 days

Swab will be taken from skin and cultured for approximately 7 days to determine bacteria growth. This result is for the null condition following treatment with either blue light, blue light plus benzoyl peroxide or just benzoyl peroxide but before additional preparation with chlorhexidine.

Outcome measures

Outcome measures
Measure
Blue Light Therapy
n=20 Participants
Blue Light Therapy: Blue light therapy treatment for acne
5% Topical Benzoyl Peroxide Gel
n=20 Participants
5% Topical Benzoyl Peroxide Gel: Gel treatment used to treat acne
Light and Gel
n=20 Participants
5% Topical Benzoyl Peroxide Gel: Gel treatment used to treat acne Blue Light Therapy: Blue light therapy treatment for acne
Number of Participants With C. Acnes Bacterium Culture After Treatment
20 Participants
20 Participants
16 Participants

PRIMARY outcome

Timeframe: up to 2 days

Quantitative culture analysis between treatment groups after treatment to the shoulder but before chlorhexidine preparation (null condition).

Outcome measures

Outcome measures
Measure
Blue Light Therapy
n=20 Participants
Blue Light Therapy: Blue light therapy treatment for acne
5% Topical Benzoyl Peroxide Gel
n=20 Participants
5% Topical Benzoyl Peroxide Gel: Gel treatment used to treat acne
Light and Gel
n=20 Participants
5% Topical Benzoyl Peroxide Gel: Gel treatment used to treat acne Blue Light Therapy: Blue light therapy treatment for acne
Median Colony Forming Units (CFU) After Treatment
304000 CFU/mL
Interval 77800.0 to 915000.0
28500 CFU/mL
Interval 10300.0 to 89000.0
12100 CFU/mL
Interval 300.0 to 143000.0

PRIMARY outcome

Timeframe: up to 2 days

Comparison of positive Cutibacterium acnes cultures as a binary (yes/no) outcome between treatment arm and control arm following chlorhexidine (CHX) prep. Reported is the percentage of people in each group that had Cutibacterium acnes growth.

Outcome measures

Outcome measures
Measure
Blue Light Therapy
n=20 Participants
Blue Light Therapy: Blue light therapy treatment for acne
5% Topical Benzoyl Peroxide Gel
n=20 Participants
5% Topical Benzoyl Peroxide Gel: Gel treatment used to treat acne
Light and Gel
n=20 Participants
5% Topical Benzoyl Peroxide Gel: Gel treatment used to treat acne Blue Light Therapy: Blue light therapy treatment for acne
Percentage of Participants in Each Group With Positive C. Acnes Cultures
Treatment plus CHX Arm
90.0 percent
Interval 67.6 to 97.5
15.0 percent
Interval 4.9 to 37.6
40.0 percent
Interval 21.4 to 62.0
Percentage of Participants in Each Group With Positive C. Acnes Cultures
Control Arm after CHX
80.0 percent
Interval 57.2 to 92.3
85.0 percent
Interval 62.4 to 95.1
70.0 percent
Interval 47.3 to 85.9

PRIMARY outcome

Timeframe: up to 2 days

Samples taken from treatment arm and control arm after chlorhexidine (CHX) preparation on both sides.

Outcome measures

Outcome measures
Measure
Blue Light Therapy
n=20 Participants
Blue Light Therapy: Blue light therapy treatment for acne
5% Topical Benzoyl Peroxide Gel
n=20 Participants
5% Topical Benzoyl Peroxide Gel: Gel treatment used to treat acne
Light and Gel
n=20 Participants
5% Topical Benzoyl Peroxide Gel: Gel treatment used to treat acne Blue Light Therapy: Blue light therapy treatment for acne
Median Colony Forming Units Per mL Treatment vs Control
Treatment plus CHX Arm
50000 CFU/mL
Interval 17000.0 to 247000.0
2000 CFU/mL
Interval 2000.0 to 2000.0
2000 CFU/mL
Interval 2000.0 to 11300.0
Median Colony Forming Units Per mL Treatment vs Control
Control Arm after CHX
108000 CFU/mL
Interval 4000.0 to 254000.0
41500 CFU/mL
Interval 2000.0 to 96000.0
20000 CFU/mL
Interval 2000.0 to 258000.0

Adverse Events

Blue Light Therapy

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

5% Topical Benzoyl Peroxide Gel

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Light and Gel

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Control Shoulder

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Blue Light Therapy
n=20 participants at risk
Blue Light Therapy: Blue light therapy treatment for acne
5% Topical Benzoyl Peroxide Gel
n=20 participants at risk
5% Topical Benzoyl Peroxide Gel: Gel treatment used to treat acne
Light and Gel
n=20 participants at risk
5% Topical Benzoyl Peroxide Gel: Gel treatment used to treat acne Blue Light Therapy: Blue light therapy treatment for acne
Control Shoulder
n=60 participants at risk
All participants will have their contralateral shoulder serve as the control (2% chlorhexidine gluconate with 70% isopropyl alcohol only)
Injury, poisoning and procedural complications
Itching or Burning
0.00%
0/20 • Participants were contacted at least 1 week following the final research visit to ask for any delayed side effects of treatments, up to 2 weeks on study
15.0%
3/20 • Participants were contacted at least 1 week following the final research visit to ask for any delayed side effects of treatments, up to 2 weeks on study
0.00%
0/20 • Participants were contacted at least 1 week following the final research visit to ask for any delayed side effects of treatments, up to 2 weeks on study
0.00%
0/60 • Participants were contacted at least 1 week following the final research visit to ask for any delayed side effects of treatments, up to 2 weeks on study
Injury, poisoning and procedural complications
Skin Dryness, Peeling, or Flaking
0.00%
0/20 • Participants were contacted at least 1 week following the final research visit to ask for any delayed side effects of treatments, up to 2 weeks on study
10.0%
2/20 • Participants were contacted at least 1 week following the final research visit to ask for any delayed side effects of treatments, up to 2 weeks on study
10.0%
2/20 • Participants were contacted at least 1 week following the final research visit to ask for any delayed side effects of treatments, up to 2 weeks on study
1.7%
1/60 • Participants were contacted at least 1 week following the final research visit to ask for any delayed side effects of treatments, up to 2 weeks on study
Product Issues
bleaching of clothing
0.00%
0/20 • Participants were contacted at least 1 week following the final research visit to ask for any delayed side effects of treatments, up to 2 weeks on study
10.0%
2/20 • Participants were contacted at least 1 week following the final research visit to ask for any delayed side effects of treatments, up to 2 weeks on study
0.00%
0/20 • Participants were contacted at least 1 week following the final research visit to ask for any delayed side effects of treatments, up to 2 weeks on study
0.00%
0/60 • Participants were contacted at least 1 week following the final research visit to ask for any delayed side effects of treatments, up to 2 weeks on study
Injury, poisoning and procedural complications
Erythema
15.0%
3/20 • Participants were contacted at least 1 week following the final research visit to ask for any delayed side effects of treatments, up to 2 weeks on study
10.0%
2/20 • Participants were contacted at least 1 week following the final research visit to ask for any delayed side effects of treatments, up to 2 weeks on study
20.0%
4/20 • Participants were contacted at least 1 week following the final research visit to ask for any delayed side effects of treatments, up to 2 weeks on study
1.7%
1/60 • Participants were contacted at least 1 week following the final research visit to ask for any delayed side effects of treatments, up to 2 weeks on study
Injury, poisoning and procedural complications
Hyperpigmentation
10.0%
2/20 • Participants were contacted at least 1 week following the final research visit to ask for any delayed side effects of treatments, up to 2 weeks on study
0.00%
0/20 • Participants were contacted at least 1 week following the final research visit to ask for any delayed side effects of treatments, up to 2 weeks on study
0.00%
0/20 • Participants were contacted at least 1 week following the final research visit to ask for any delayed side effects of treatments, up to 2 weeks on study
0.00%
0/60 • Participants were contacted at least 1 week following the final research visit to ask for any delayed side effects of treatments, up to 2 weeks on study
Injury, poisoning and procedural complications
Warmth at Treatment Site
5.0%
1/20 • Participants were contacted at least 1 week following the final research visit to ask for any delayed side effects of treatments, up to 2 weeks on study
0.00%
0/20 • Participants were contacted at least 1 week following the final research visit to ask for any delayed side effects of treatments, up to 2 weeks on study
5.0%
1/20 • Participants were contacted at least 1 week following the final research visit to ask for any delayed side effects of treatments, up to 2 weeks on study
0.00%
0/60 • Participants were contacted at least 1 week following the final research visit to ask for any delayed side effects of treatments, up to 2 weeks on study

Additional Information

Eric Cotter, MD

UW School of Medicine and Public Health

Phone: 920.362.9221

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place