Acne has psychosocial effects on patient's quality of life (QoL). This post hoc exploratory analysis of pooled phase 3 data assessed the impact of investigational IDP-126 gel (for moderate to severe
acne) on the
Acne-Specific Quality of Life Questionnaire (
Acne-QoL; exploratory endpoint in the trials). Methods: A post hoc exploratory analysis using pooled data (N=309; age ≥13 years) was conducted to assess if 1) changes from baseline to week 12 in
Acne-QoL domain scores significantly differ by treatment; 2) differences were clinically meaningful, and 3) relative importance of
acne severity as measured by the Evaluator's Global Severity Score (EGSS) or lesion counts explains the changes in QoL (
Acne-QoL). Results:
Acne-QoL domain scores significantly (P<0.001, each) improved for patients treated with
IDP-126 Gel vs vehicle in all four domains (role-emotional [least squares mean difference {LSMean} 4.1], self-perception [LSMean 3.8],
acne symptoms [LSMean 2.6], and role-social [LSMean 2.0]). The proportion of responders was significantly higher (P<0.05, each) in the
IDP-126 Gel group vs vehicle across
Acne-QoL domains, self-perception (odds ratio [OR]: 4.32),
acne symptoms (OR: 3.90), role-social (OR: 3.59), and role-emotional (OR: 2.50). Across all
Acne QoL domains, the improvement on the EGSS endpoint (53.8-63.3%) was more likely to influence QoL improvements than the inflammatory (20.1-33.4%) and non-inflammatory lesion (9.5-18.7%) counts. Conclusions: This post hoc exploratory analysis of pooled phase 3 data (moderate to severe
acne) suggests that treatment with
IDP 126 Gel led to statistically significant and clinically meaningful improvements in QoL and improvement in QoL was primarily influenced by EGSS.J Drugs Dermatol. 2023;22(10):1033-1039 doi:10.36849/JDD.7812.