Reduction in the appearance of facial hyperpigmentation after use of moisturizers with a combination of topical niacinamide and N-acetyl glucosamine: results of a randomized, double-blind, vehicle-controlled trial

Summary Background  Topical niacinamide and N‐acetyl glucosamine (NAG) each individually inhibit epidermal pigmentation in cell culture. In small clinical studies, niacinamide‐containing and NAG‐containing formulations reduced the appearance of hyperpigmentation. Objectives  To assess the effect of...

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Veröffentlicht in:British journal of dermatology (1951) 2010-02, Vol.162 (2), p.435-441
Hauptverfasser: Kimball, A.B., Kaczvinsky, J.R., Li, J., Robinson, L.R., Matts, P.J., Berge, C.A., Miyamoto, K., Bissett, D.L.
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container_end_page 441
container_issue 2
container_start_page 435
container_title British journal of dermatology (1951)
container_volume 162
creator Kimball, A.B.
Kaczvinsky, J.R.
Li, J.
Robinson, L.R.
Matts, P.J.
Berge, C.A.
Miyamoto, K.
Bissett, D.L.
description Summary Background  Topical niacinamide and N‐acetyl glucosamine (NAG) each individually inhibit epidermal pigmentation in cell culture. In small clinical studies, niacinamide‐containing and NAG‐containing formulations reduced the appearance of hyperpigmentation. Objectives  To assess the effect of a combination of niacinamide and NAG in a topical moisturizing formulation on irregular facial pigmentation, including specific detection of changes in colour features associated with melanin. Methods  This was a 10‐week, double‐blind, vehicle‐controlled, full‐face, parallel‐group clinical study conducted in women aged 40–60 years. After a 2‐week washout period, subjects used a daily regimen of either a morning sun protection factor (SPF) 15 sunscreen moisturizing lotion and evening moisturizing cream each containing 4% niacinamide + 2% NAG (test formulation; n = 101) or the SPF 15 lotion and cream vehicles (vehicle control; n = 101). Product‐induced changes in apparent pigmentation were assessed by capturing digital photographic images of the women after 0, 4, 6 and 8 weeks of product use and evaluating the images by algorithm‐based computer image analysis for coloured spot area fraction, by expert visual grading, and by chromophore‐specific image analysis based on noncontact SIAscopy™ for melanin spot area fraction and melanin chromophore evenness. Results  By all four measures, the niacinamide + NAG formulation regimen was significantly (P 
doi_str_mv 10.1111/j.1365-2133.2009.09477.x
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In small clinical studies, niacinamide‐containing and NAG‐containing formulations reduced the appearance of hyperpigmentation. Objectives  To assess the effect of a combination of niacinamide and NAG in a topical moisturizing formulation on irregular facial pigmentation, including specific detection of changes in colour features associated with melanin. Methods  This was a 10‐week, double‐blind, vehicle‐controlled, full‐face, parallel‐group clinical study conducted in women aged 40–60 years. After a 2‐week washout period, subjects used a daily regimen of either a morning sun protection factor (SPF) 15 sunscreen moisturizing lotion and evening moisturizing cream each containing 4% niacinamide + 2% NAG (test formulation; n = 101) or the SPF 15 lotion and cream vehicles (vehicle control; n = 101). Product‐induced changes in apparent pigmentation were assessed by capturing digital photographic images of the women after 0, 4, 6 and 8 weeks of product use and evaluating the images by algorithm‐based computer image analysis for coloured spot area fraction, by expert visual grading, and by chromophore‐specific image analysis based on noncontact SIAscopy™ for melanin spot area fraction and melanin chromophore evenness. Results  By all four measures, the niacinamide + NAG formulation regimen was significantly (P &lt; 0·05) more effective than the vehicle control formulation regimen in reducing the detectable area of facial spots and the appearance of pigmentation. Conclusions  A formulation containing the combination of niacinamide + NAG reduced the appearance of irregular pigmentation including hypermelaninization, providing an effect beyond that achieved with SPF 15 sunscreen.</description><identifier>ISSN: 0007-0963</identifier><identifier>EISSN: 1365-2133</identifier><identifier>DOI: 10.1111/j.1365-2133.2009.09477.x</identifier><identifier>PMID: 19845667</identifier><identifier>CODEN: BJDEAZ</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Acetylglucosamine - administration &amp; dosage ; Administration, Topical ; Adult ; anti-ageing ; Biological and medical sciences ; Dermatology ; Double-Blind Method ; Drug Therapy, Combination ; Face ; Female ; Glucosamine - administration &amp; dosage ; Humans ; hyperpigmentation ; Hyperpigmentation - drug therapy ; Image Processing, Computer-Assisted ; Medical sciences ; Middle Aged ; N-acetyl glucosamine ; niacinamide ; Niacinamide - administration &amp; dosage ; Pharmaceutical Vehicles ; Pigmentary diseases of the skin ; randomized controlled trial ; Skin Pigmentation - drug effects ; Statistics as Topic ; Treatment Outcome</subject><ispartof>British journal of dermatology (1951), 2010-02, Vol.162 (2), p.435-441</ispartof><rights>2009 The Authors. 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In small clinical studies, niacinamide‐containing and NAG‐containing formulations reduced the appearance of hyperpigmentation. Objectives  To assess the effect of a combination of niacinamide and NAG in a topical moisturizing formulation on irregular facial pigmentation, including specific detection of changes in colour features associated with melanin. Methods  This was a 10‐week, double‐blind, vehicle‐controlled, full‐face, parallel‐group clinical study conducted in women aged 40–60 years. After a 2‐week washout period, subjects used a daily regimen of either a morning sun protection factor (SPF) 15 sunscreen moisturizing lotion and evening moisturizing cream each containing 4% niacinamide + 2% NAG (test formulation; n = 101) or the SPF 15 lotion and cream vehicles (vehicle control; n = 101). Product‐induced changes in apparent pigmentation were assessed by capturing digital photographic images of the women after 0, 4, 6 and 8 weeks of product use and evaluating the images by algorithm‐based computer image analysis for coloured spot area fraction, by expert visual grading, and by chromophore‐specific image analysis based on noncontact SIAscopy™ for melanin spot area fraction and melanin chromophore evenness. Results  By all four measures, the niacinamide + NAG formulation regimen was significantly (P &lt; 0·05) more effective than the vehicle control formulation regimen in reducing the detectable area of facial spots and the appearance of pigmentation. Conclusions  A formulation containing the combination of niacinamide + NAG reduced the appearance of irregular pigmentation including hypermelaninization, providing an effect beyond that achieved with SPF 15 sunscreen.</description><subject>Acetylglucosamine - administration &amp; dosage</subject><subject>Administration, Topical</subject><subject>Adult</subject><subject>anti-ageing</subject><subject>Biological and medical sciences</subject><subject>Dermatology</subject><subject>Double-Blind Method</subject><subject>Drug Therapy, Combination</subject><subject>Face</subject><subject>Female</subject><subject>Glucosamine - administration &amp; dosage</subject><subject>Humans</subject><subject>hyperpigmentation</subject><subject>Hyperpigmentation - drug therapy</subject><subject>Image Processing, Computer-Assisted</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>N-acetyl glucosamine</subject><subject>niacinamide</subject><subject>Niacinamide - administration &amp; dosage</subject><subject>Pharmaceutical Vehicles</subject><subject>Pigmentary diseases of the skin</subject><subject>randomized controlled trial</subject><subject>Skin Pigmentation - drug effects</subject><subject>Statistics as Topic</subject><subject>Treatment Outcome</subject><issn>0007-0963</issn><issn>1365-2133</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFksFu1DAQhiMEokvhFZAviAtZnDixEyQOpYUWVBUJFThajj3penHsYDt0l_fkfXB2l8WX8Wi--T3y_FmGCrws0nm9XhaE1nlZELIsMW6XuK0YW24eZItj4WG2wBizHLeUnGRPQlhjXBBc48fZSdE2VU0pW2R_voCaZNTOIm1RXAES4wjCCysBuR71Qmph0Go7gh_13QA2ih0t-ggeTWFHDU6HOHn9G3xA9zqukEDSDZ22ezgh0Y1aJiWrk6IVg1bpKavQTS4kxK1Bd2aSLqSChTfIQ5hMDHOjQGkY5YYkrl4h5abOQN4ZbVP2C1ZaplQ6G70zBhSKPs37NHvUCxPg2SGeZl8_vL89v8qvP19-PD-7ziVpGMsrKUoiu7ruKkK6qmAlIbRr2jpF0ndMKSKqpuz7BlPVyqpUhJYdpi2VrMAFkNPs5V539O7nBCHyQQcJxggLbgqcEdLQqqjaRD4_kFM3gOKj14PwW_5vEwl4cQBESP_UzxvQ4ciVJaENJTP3ds_dawPb_zqYz87gaz4bgM8G4LMz-M4ZfMPffbqYb6k_3_enjcHm2C_8D56mYDX_fnPJa3Zx21x9K3lL_gIMSb9Z</recordid><startdate>201002</startdate><enddate>201002</enddate><creator>Kimball, A.B.</creator><creator>Kaczvinsky, J.R.</creator><creator>Li, J.</creator><creator>Robinson, L.R.</creator><creator>Matts, P.J.</creator><creator>Berge, C.A.</creator><creator>Miyamoto, K.</creator><creator>Bissett, D.L.</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201002</creationdate><title>Reduction in the appearance of facial hyperpigmentation after use of moisturizers with a combination of topical niacinamide and N-acetyl glucosamine: results of a randomized, double-blind, vehicle-controlled trial</title><author>Kimball, A.B. ; 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dosage</topic><topic>Pharmaceutical Vehicles</topic><topic>Pigmentary diseases of the skin</topic><topic>randomized controlled trial</topic><topic>Skin Pigmentation - drug effects</topic><topic>Statistics as Topic</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kimball, A.B.</creatorcontrib><creatorcontrib>Kaczvinsky, J.R.</creatorcontrib><creatorcontrib>Li, J.</creatorcontrib><creatorcontrib>Robinson, L.R.</creatorcontrib><creatorcontrib>Matts, P.J.</creatorcontrib><creatorcontrib>Berge, C.A.</creatorcontrib><creatorcontrib>Miyamoto, K.</creatorcontrib><creatorcontrib>Bissett, D.L.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of dermatology (1951)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kimball, A.B.</au><au>Kaczvinsky, J.R.</au><au>Li, J.</au><au>Robinson, L.R.</au><au>Matts, P.J.</au><au>Berge, C.A.</au><au>Miyamoto, K.</au><au>Bissett, D.L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reduction in the appearance of facial hyperpigmentation after use of moisturizers with a combination of topical niacinamide and N-acetyl glucosamine: results of a randomized, double-blind, vehicle-controlled trial</atitle><jtitle>British journal of dermatology (1951)</jtitle><addtitle>Br J Dermatol</addtitle><date>2010-02</date><risdate>2010</risdate><volume>162</volume><issue>2</issue><spage>435</spage><epage>441</epage><pages>435-441</pages><issn>0007-0963</issn><eissn>1365-2133</eissn><coden>BJDEAZ</coden><abstract>Summary Background  Topical niacinamide and N‐acetyl glucosamine (NAG) each individually inhibit epidermal pigmentation in cell culture. In small clinical studies, niacinamide‐containing and NAG‐containing formulations reduced the appearance of hyperpigmentation. Objectives  To assess the effect of a combination of niacinamide and NAG in a topical moisturizing formulation on irregular facial pigmentation, including specific detection of changes in colour features associated with melanin. Methods  This was a 10‐week, double‐blind, vehicle‐controlled, full‐face, parallel‐group clinical study conducted in women aged 40–60 years. After a 2‐week washout period, subjects used a daily regimen of either a morning sun protection factor (SPF) 15 sunscreen moisturizing lotion and evening moisturizing cream each containing 4% niacinamide + 2% NAG (test formulation; n = 101) or the SPF 15 lotion and cream vehicles (vehicle control; n = 101). Product‐induced changes in apparent pigmentation were assessed by capturing digital photographic images of the women after 0, 4, 6 and 8 weeks of product use and evaluating the images by algorithm‐based computer image analysis for coloured spot area fraction, by expert visual grading, and by chromophore‐specific image analysis based on noncontact SIAscopy™ for melanin spot area fraction and melanin chromophore evenness. Results  By all four measures, the niacinamide + NAG formulation regimen was significantly (P &lt; 0·05) more effective than the vehicle control formulation regimen in reducing the detectable area of facial spots and the appearance of pigmentation. Conclusions  A formulation containing the combination of niacinamide + NAG reduced the appearance of irregular pigmentation including hypermelaninization, providing an effect beyond that achieved with SPF 15 sunscreen.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19845667</pmid><doi>10.1111/j.1365-2133.2009.09477.x</doi><tpages>7</tpages></addata></record>
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source MEDLINE; Access via Wiley Online Library; Oxford University Press Journals All Titles (1996-Current)
subjects Acetylglucosamine - administration & dosage
Administration, Topical
Adult
anti-ageing
Biological and medical sciences
Dermatology
Double-Blind Method
Drug Therapy, Combination
Face
Female
Glucosamine - administration & dosage
Humans
hyperpigmentation
Hyperpigmentation - drug therapy
Image Processing, Computer-Assisted
Medical sciences
Middle Aged
N-acetyl glucosamine
niacinamide
Niacinamide - administration & dosage
Pharmaceutical Vehicles
Pigmentary diseases of the skin
randomized controlled trial
Skin Pigmentation - drug effects
Statistics as Topic
Treatment Outcome
title Reduction in the appearance of facial hyperpigmentation after use of moisturizers with a combination of topical niacinamide and N-acetyl glucosamine: results of a randomized, double-blind, vehicle-controlled trial
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