Sarecycline: a narrow spectrum tetracycline for the treatment of moderate-to-severe acne vulgaris

Sarecycline is a novel, narrow-spectrum, once-daily tetracycline-derived oral antibiotic that is FDA-approved in the US to be taken with or without food for moderate-to-severe acne vulgaris for ages 9 years of age and older. Sarecycline possesses anti-inflammatory properties and potent activity agai...

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Veröffentlicht in:Future microbiology 2019-09, Vol.14 (14), p.1235-1242
Hauptverfasser: Moore, Angela Yen, Charles, Jean Elizze M, Moore, Stephen
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container_title Future microbiology
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creator Moore, Angela Yen
Charles, Jean Elizze M
Moore, Stephen
description Sarecycline is a novel, narrow-spectrum, once-daily tetracycline-derived oral antibiotic that is FDA-approved in the US to be taken with or without food for moderate-to-severe acne vulgaris for ages 9 years of age and older. Sarecycline possesses anti-inflammatory properties and potent activity against Gram-positive bacteria, including activity against multiple strains of , while exhibiting minimal activity against enteric aerobic Gram-negative bacteria. Unlike many acne studies, sarecycline was investigated for chest and back acne. Significant reduction in inflammatory lesions was seen at week 12 at 1.5 mg/kg/day of sarecycline, with statistically significant improvement seen as early as week 3. No reports of phototoxicity, dizziness, pseudotumor cerebri or lupus but 1.2% nausea and 1.2% vaginal candidiasis was reported in the pivotal Phase III studies.
doi_str_mv 10.2217/fmb-2019-0199
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Sarecycline possesses anti-inflammatory properties and potent activity against Gram-positive bacteria, including activity against multiple strains of , while exhibiting minimal activity against enteric aerobic Gram-negative bacteria. Unlike many acne studies, sarecycline was investigated for chest and back acne. Significant reduction in inflammatory lesions was seen at week 12 at 1.5 mg/kg/day of sarecycline, with statistically significant improvement seen as early as week 3. No reports of phototoxicity, dizziness, pseudotumor cerebri or lupus but 1.2% nausea and 1.2% vaginal candidiasis was reported in the pivotal Phase III studies.</description><identifier>ISSN: 1746-0913</identifier><identifier>EISSN: 1746-0921</identifier><identifier>DOI: 10.2217/fmb-2019-0199</identifier><identifier>PMID: 31475868</identifier><language>eng</language><publisher>England: Future Medicine Ltd</publisher><subject>Acne ; Acne Vulgaris - drug therapy ; Acne Vulgaris - microbiology ; Antacids ; Anti-Bacterial Agents - therapeutic use ; Anti-inflammatory agents ; Anti-Inflammatory Agents - therapeutic use ; Antibiotics ; Bacteria ; Bacteria - drug effects ; Bioavailability ; Blood-brain barrier ; Candidiasis ; Clinical Trials, Phase III as Topic ; Cystic fibrosis ; FDA approval ; Food ; Gram-Negative Aerobic Bacteria - drug effects ; Gram-negative bacteria ; Gram-positive bacteria ; Gram-Positive Bacteria - drug effects ; Humans ; Inflammation ; Microbial Sensitivity Tests ; Microbiota ; narrow spectrum ; Nausea ; Phototoxicity ; Propionibacteriaceae - drug effects ; Pseudotumors ; Review ; sarecycline ; Statistical analysis ; Studies ; tetracycline ; Tetracyclines - therapeutic use ; Vagina</subject><ispartof>Future microbiology, 2019-09, Vol.14 (14), p.1235-1242</ispartof><rights>2019 Angela Moore</rights><rights>2019. 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subjects Acne
Acne Vulgaris - drug therapy
Acne Vulgaris - microbiology
Antacids
Anti-Bacterial Agents - therapeutic use
Anti-inflammatory agents
Anti-Inflammatory Agents - therapeutic use
Antibiotics
Bacteria
Bacteria - drug effects
Bioavailability
Blood-brain barrier
Candidiasis
Clinical Trials, Phase III as Topic
Cystic fibrosis
FDA approval
Food
Gram-Negative Aerobic Bacteria - drug effects
Gram-negative bacteria
Gram-positive bacteria
Gram-Positive Bacteria - drug effects
Humans
Inflammation
Microbial Sensitivity Tests
Microbiota
narrow spectrum
Nausea
Phototoxicity
Propionibacteriaceae - drug effects
Pseudotumors
Review
sarecycline
Statistical analysis
Studies
tetracycline
Tetracyclines - therapeutic use
Vagina
title Sarecycline: a narrow spectrum tetracycline for the treatment of moderate-to-severe acne vulgaris
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