A Botanical Skin Care Regimen on Mild to Moderate Acne and the Microbiome
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ClinicalTrials.gov Identifier: NCT05271487 |
Recruitment Status :
Not yet recruiting
First Posted : March 9, 2022
Last Update Posted : March 9, 2022
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Condition or disease | Intervention/treatment | Phase |
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Acne Vulgaris | Other: Multi-Step Botanical Skin Care Regimen | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 20 participants |
Allocation: | N/A |
Intervention Model: | Single Group Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | The Effects of a Botanical Skin Care Regimen on Mild to Moderate Acne and the Microbiome |
Estimated Study Start Date : | March 7, 2022 |
Estimated Primary Completion Date : | July 1, 2022 |
Estimated Study Completion Date : | March 1, 2023 |
Arm | Intervention/treatment |
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Experimental: Multi-Step Botanical Skin Care Regimen
The patient will be provided with and instructed to use a cleanser, toner, oil control cream, exfoliating facial scrub, clay mask, acne spot treatment, and body scrub for the duration of the study.
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Other: Multi-Step Botanical Skin Care Regimen
The intervention includes 7 different topical products:
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- Total lesion count [ Time Frame: 8 weeks ]Number of of inflammatory lesions, and open and closed comedones
- Inflammatory lesion count [ Time Frame: 4 weeks ]Number of inflammatory lesions
- Inflammatory lesion count [ Time Frame: 8 weeks ]Number of inflammatory lesions
- Non-inflammatory lesion count [ Time Frame: 4 weeks ]Number of open and closed comedones
- Non-inflammatory lesion count [ Time Frame: 8 weeks ]Number of open and closed comedones
- Investigator global assessment (IGA) of acne [ Time Frame: 4 weeks ]Validated scale for global assessment of acne. Scale is 0 to 4 with 4 indicating greater severity of acne
- Investigator global assessment (IGA) of acne [ Time Frame: 8 weeks ]Validated scale for global assessment of acne. Scale is 0 to 4 with 4 indicating greater severity of acne
- Sebum excretion [ Time Frame: 4 weeks ]Measure of skin sebum via sebumeter
- Sebum excretion [ Time Frame: 8 weeks ]Measure of skin sebum via sebumeter
- Gut microbiome assessment [ Time Frame: 4 weeks ]Gut microbiome shift for short-chain fatty acid producing bacteria via stool sample
- Gut microbiome assessment [ Time Frame: 8 weeks ]Gut microbiome shift for short-chain fatty acid producing bacteria via stool sample
- Skin microbiome diversity [ Time Frame: 4 weeks ]Shift in Shannon diversity of the skin microbiome
- Skin microbiome diversity [ Time Frame: 8 weeks ]Shift in Shannon diversity of the skin microbiome
- Positive and Negative Affect Schedule (PANAS-SF) [ Time Frame: 4 weeks ]Survey assessing positive and negative mood states. Scores range from 10 to 50 with higher scores representing positive affect
- Positive and Negative Affect Schedule (PANAS-SF) [ Time Frame: 8 weeks ]Survey assessing positive and negative mood states. Scores range from 10 to 50 with higher scores representing positive affect
- Diurnal Cortisol Slope [ Time Frame: 4 weeks ]4 salivary cortisol collections to assess diurnal slope
- Diurnal Cortisol Slope [ Time Frame: 8 weeks ]4 salivary cortisol collections to assess diurnal slope
- Salivary Sex Hormone Levels [ Time Frame: 4 weeks ]1 salivary collection to assess estradiol, progesterone, testosterone, DHEAS
- Salivary Sex Hormone Levels [ Time Frame: 8 weeks ]1 salivary collection to assess estradiol, progesterone, testosterone, DHEAS

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Ages Eligible for Study: | 15 Years to 45 Years (Child, Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Subjects 15 years of age until 45 years of age.
- The presence of mild to moderate acne based on investigator global assessment.
Exclusion Criteria:
- The presence of severe acne as noted by the investigator global assessment.
- Those with a nut allergy.
- Those who are unwilling to discontinue oral probiotic-based supplementation to meet the washout criteria prior to enrolling.
- Those who are unwilling to discontinue topical antibiotics and topical benzoyl peroxide to meet the washout criteria prior to enrolling.
- Individuals who are unwilling to discontinue vitamin E containing supplements during the washout and intervention.
- Individuals who have been on an oral antibiotic for acne within the previous 1 month.
- Individuals who are pregnant or breastfeeding.
- Individuals who have changed any of their hormonal based contraception within 3 months prior to joining the study.
- Oral supplementation that has nuts in it.
- Use of isotretinoin within the three months prior to joining the study.
- Current tobacco smoker or a tobacco smoking history of greater than 10 pack-years.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05271487
Contact: Jessica Maloh | 9167502463 | jessica@integrativeskinresearch.com |
United States, California | |
Integrative Skin Science and Research | |
Sacramento, California, United States, 95819 | |
Contact: Jessica Maloh 916-750-2463 jessica@integrativeskinresearch.com | |
Principal Investigator: Raja Sivamani, MD MS AP |
Responsible Party: | Raja Sivamani, MD MS AP, Principal Investigator, Integrative Skin Science and Research |
ClinicalTrials.gov Identifier: | NCT05271487 |
Other Study ID Numbers: |
CB_Acne_01 |
First Posted: | March 9, 2022 Key Record Dates |
Last Update Posted: | March 9, 2022 |
Last Verified: | February 2022 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
botanical microbiome skin care |
Acne Vulgaris Acneiform Eruptions Skin Diseases Sebaceous Gland Diseases |