Systemic and Topical Metformin Versus Glycolic Acid Peel for the Treatment of Acanthosis Nigricans
NCT07751549 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 54
Last updated 2026-08-07
Summary
Acanthosis nigricans (AN) is a common dermatologic condition associated with insulin resistance and obesity. Existing treatment options often provide inconsistent results. This randomized, single-blinded, parallel-group clinical trial was conducted to evaluate and compare the efficacy and safety of systemic metformin, topical metformin 30%, and 70% glycolic acid chemical peel in the treatment of patients with acanthosis nigricans.
Fifty-four patients with clinically diagnosed acanthosis nigricans were randomly assigned to receive oral metformin, topical metformin 30%, or glycolic acid 70% chemical peel. Clinical efficacy was assessed using the Acanthosis Nigricans Area and Severity Index (ANASI), Global Aesthetic Improvement Scale (GAIS), dermoscopic evaluation, patient satisfaction, and safety outcomes. The study aimed to determine whether topical metformin provides efficacy comparable to systemic metformin while reducing treatment-related adverse effects.
Conditions
- Acanthosis Nigricans
Interventions
- DRUG
-
systemic metformin
systemic metformin
- DRUG
-
topical intervention
topical metformin cream
- PROCEDURE
-
glycolic acid 70% peeling
glycolic acid 70% peeling
Sponsors & Collaborators
-
Tanta University
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 11 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-06-03
- Primary Completion
- 2025-07-13
- Completion
- 2026-05-25
Countries
- Egypt
Study Locations
More Related Trials
-
The Efficacy Tretinoin Cream in the Treatment of Axillary Hyperpigmentation Associated With Acanthosis Nigricans
NCT06213987 ·Status: COMPLETED ·Phase: PHASE3
-
Assessment of the Cosmetic Benefit of a Skin Cream in Healthy Females With Mild to Advanced Photo-damaged Facial Skin Who Have Undergone a Glycolic Acid Facial Peel Procedure
NCT03197883 ·Status: COMPLETED ·Phase: NA
-
Treatment of Patients With Periorbital Hyperpigmentation
NCT04389788 ·Status: COMPLETED ·Phase: NA
-
USE THE SYSTEMIC METFORMIN IN MELASMA
NCT03475524 ·Status: UNKNOWN ·Phase: PHASE4
-
Evaluation of Efficacy and Tolerabilty of MelaB3 Serum in Combination of 35% Glycolic Acid Peeling Compared to 35% Glycolic Acid Peeling Alone in Various Hyperpigmentation Conditions
NCT07429786 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Comparison Of Outcome Of Treatment OF Topical 15%TCA VS Topical 0.05% Tretinoin In Treatment Of Acanthosis Nigricans
NCT06008327 ·Status: COMPLETED ·Phase: NA
-
A Pilot Study Testing 1064nm Q-switch Laser Versus Glycolic Acid Peels for the Treatment of Melasma
NCT01976273 ·Status: COMPLETED ·Phase: NA
-
Comparative Evaluation of Topical 30% Metformin and Kligman's Regimen in Women With Melasma
NCT07485777 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
TCA 15% Chemical Peel for Improvement in Hand Lentigines
NCT05471947 ·Status: COMPLETED ·Phase: PHASE4
-
Comparison of Efficacy of Metformin Gel 30% vs Triple Combination Cream (Hydroquinone 4%, Flucinolone Acetonide 0.01%, Tretinoin 0.025%) in Treatment of Melasma in Tertiary Care Hospital Karachi
NCT07345507 ·Status: COMPLETED ·Phase: NA
-
Clinical Insights Into Dextrose Phonophoresis on Mild to Moderate Acne Vulgaris
NCT07169890 ·Status: COMPLETED ·Phase: NA
-
Treatment of Melasma With Glycolic Acid-Salicylic Acid Peel Versus Glycolic Acid Peel
NCT02812719 ·Status: WITHDRAWN ·Phase: EARLY_PHASE1
-
Comparison of Nicotinamide Treatments for Actinic Keratosis
NCT07049068 ·Status: COMPLETED ·Phase: PHASE1
-
Combined Q-switched Nd:YAG Laser and Platelet Rich Plasma Versus Q- Switched Nd:YAG Laser Alone in Melasma
NCT04765930 ·Status: UNKNOWN ·Phase: NA
-
Methotrexate Iontophoresis Versus Methotrexate 1% Gel on Depigmentation in Vitiligo Patients
NCT07208890 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
A Pre-market Study to Evaluate the Performance and Safety of a Skin Preparation Device for Removal of Dry Crusty Skin
NCT05356572 ·Status: COMPLETED ·Phase: NA
-
Evaluating the Safety and Efficacy of Topical Sirolimus 0.2% to Treat Acanthosis Nigricans
NCT06940895 ·Status: COMPLETED ·Phase: PHASE2
-
Safety and Efficacy of Ingenol Mebutate Once Daily for 2 or 3 Consecutive Days in Subjects With Actinic Keratosis
NCT01820260 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
A Pilot Study Testing Salicylic Acid Peels Versus Glycolic Acid Peels for the Treatment of Melasma
NCT01976286 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Comparative Evaluation of Topical Metformin and Topical Tranexamic Acid in Melasma
NCT07495748 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Evaluate RLS-1496 Topical Cream for Actinic Keratosis
NCT07340697 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1/PHASE2
-
PDT vs Peels for Treatment of Actinic Keratoses
NCT04429308 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Comparison of Chemical Peeling Agent With Transamine for Treatment of Melasma
NCT05362500 ·Status: COMPLETED ·Phase: PHASE1
-
A Study of Equivalence of Generic Ingenol Mebutate Gel 0.05% and Picato Gel 0.05% in Subjects With Actinic Keratosis
NCT02654769 ·Status: COMPLETED ·Phase: PHASE3
-
Microneedling for Acquired Hypomelanosis
NCT04419350 ·Status: COMPLETED ·Phase: NA