Treatment of Acne with Topical Patch Containing Tacca Chantrieri Extract: an Open-Label Study
Main Article Content
Abstract
Tacca chantrieri André is a perennial plant with a cylindrical rhizome. Previous pre-clinical studies revealed that an ethanolic extract of this plant’s rhizome exerts many pharmacological actions, including anti-inflammatory and antimicrobial activities, which make it suitable for acne treatment. In this study, a topical patch incorporating 2% w/w of ethanol extract of Tacca chantrieri André’s rhizomes was evaluated for clinical efficacy and safety, in 30 participants with non-inflammatory or inflammatory acne. An open-label, without a comparator study, was conducted for a period of 6 weeks. The results showed that participants with all grades of Acne Global Severity Scale (AGSS) had a reduction in the severity of their acne. The success rate of treatment was 65.52%. There were no adverse reactions in any of these participants. Our data showed that a topical patch containing an ethanol extract of Tacca chantrieri André’s rhizome can be a useful treatment of acne.
Article Details
Upon acceptance of an article, the Pharmacological and Therapeutic Society of Thailand will have exclusive right to publish and distribute the article in all forms and media and grant rights to others. Authors have rights to use and share their own published articles.
References
Cunliffe WJ, Gould DJ. Prevalence of facial acne in late adolescence and in adults. Br J Dermatol. 1979;1:1109-10.
Koo J. The psychosocial impact of acne: patient’s perceptions. J Am Acad Dermatol. 1995;32:S26-S30.
Hazarika N, Archana M. The psychosocial impact of acne vulgaris. Indian J Dermatol. 2016;61(5):515-20.
Rubinow DR, Peck GL, Squillace KM, Gantt GG. Reduced anxiety and depression in cystic acne patients after successful treatment with oral isotretinoin. J Am Acad Dermatol. 1987;17:25-32.
Tan JK. Psychosocial impact of acne vulgaris: evaluating the evidence. Skin Therapy Lett. 2004;9:1-3
Whitney KM, Ditre CM. Management strategies for acne vulgaris. Clin Cosmet Investig Dermatol. 2011;4:41-53.
Adler BL, Kornmehl H, Armstrong AW. Antibiotic resistance in acne treatment. JAMA Dermatol. 2017;153(8):810-1.
Swanson JK. Antibiotic resistance of Propionibacterium acnes in acne vulgaris. Dermatol Nurs. 2003;15(4):359-62.
Bérard A, Azoulay L, Koren G, Blais L, Perreault S, Oraichi D. Isotretinoin, pregnancies, abortions and birth defects: a population-based perspective. Br J Pharm. 2007;63:196-205.
Trivedi MK, Shinkai K, Murase JE. A review of hormone-based therapies to treat adult acne vulgaris in women. Int J Womens Dermatol. 2017;3(1):44-52.
Dominguez J, Hojyo MT, Celayo JL, Domínguez-Soto L, Teixeira F. Topical isotretinoin vs. topical retinoic acid in the treatment of acne vulgaris. Int J Dermatol. 1998;37:54-5.
Sagransky M, Yentzer BA, Feldman SR. Benzoyl peroxide: a review of its current use in the treatment of acne vulgaris. Expert Opin Pharmacother 2009;10:2555-62.
Gilani AH, Rahman AU. Trends in ethnopharmocology. J Ethnopharmacol. 2005;100(1-2):43-9.
Daengprasert S, Sutanthavibul N, Chandrachai A. Development process for Thai traditional medicines. JOMB. 2012;1(1):11-3.
Phengklai C. Taccaceae. In: Smitinand T, Larsen K. Flora of Thailand volume six part one. Bangkok: Royal Forest Department; 1993:1-7.
Keardrit K, Rujjanawate C, Amornlerdpison D. Analgesic, antipyretic and anti-inflammatory effects of Tacca chantrieri Andre. J Med Plants Res. 2010;4(19):1991-5.
Sudtiyanwimon S, Niwatananun W, Yotsawimonwat S, Okonogi S. Phytochemical and biological activities of Tacca chantrieri. J Min Met Mat S. 2010;20(3):179-83.
Rujjanawate C, inventor. Anti-inflammatory gel containing Tacca chantrieri’s extract. Thailand, Petty patent number 9613. 2008 Nov 26.
Rujjanawate C. Treatment of tinea corporis with Tacca chantrieri’s extract. SNRU J Sci Technol. 2016;8(1):115-21.
Anukanon S, Rujjanawate C. Formulation and evaluation of topical patch containing Tacca Chantrieri’s Extract. In: Janvanichyanont U, editor. Proceeding of the 5th National and international academic conference: research to serve society; 2017 May 26; Huachiew Chalermprakiet University. Samutprakarn: Huachiew Chalermprakiet University; 2017. p. HSI46-55.
U.S. Department of health and human services food and drug administration. Draft guidance for industry acne vulgaris: developing drugs for treatment [Internet]. Rockville, MD; 2005 [cited 2017 Oct 4]. Available from: https://www.fda.gov/ohrms/dockets/98fr/2005d-0340-gdl0001.pdf. Published 2005.
Yokosuka A, Mimaki Y, Sakagami H, Sashida Y. New diarylheptanoids and diarylheptanoid glucosides from the rhizomes of Tacca chantrieri and their cytotoxic activity. J Nat Prod. 2002;65:283-9.
Yokosuka A, Mimaki Y, Sashida Y. Spirostanol saponins from the rhizomes of Tacca chantrieri and their cytotoxic activity. Phytochemistry. 2002;61:73-8.
Yokosuka A, Mimaki Y. New glycosides from the rhizomes of Tacca chantrieri. Chem Pharm Bull (Tokyo). 2007;55(2):273-9.
Yokosuka A, Mimaki Y, Sashida Y. Steroidal and pregnane glycosides from the rhizomes of Tacca chantrieri. J Nat Prod. 2002; 65:1293-8.
Yokosuka A, Mimaki Y, Sakuma C, Sashida Y. New glycosides of the campesterol derivative from the rhizomes of Tacca chantrieri. Steroids. 2005;70(4):257-65.
Yokosuka A, Mimaki Y, Sashida Y. Chantriolides A and B, two new withanolide glucosides from the rhizomes of Tacca chantrieri. J Nat Prod. 2003;66:876-8.
Peng J, Jackson EM, Babinski DJ, Risinger AL, Helms G, Frantz DE, et al. Evelynin, a cytotoxic benzoquinone-type retro-dihydrochalcone from Tacca chantrieri. J Nat Prod. 2010;73(9):1590-2.
Sparg SG, Light ME, Staden J. Biological activities and distribution of plant saponins. J Ethnopharmacol. 2004;94(2-3):219-43.
Peng J, Risinger AL, Fest GA, Jackson EM, Helms G, Polin LA. Identification and biological activities of new taccalonolide microtubule stabilizers. J Med Chem. 2011;54(17):6117-24.
Risinger AL, Mooberry SL. Taccalonolides: novel microtubule stabilizers with clinical potential. Cancer Lett. 2010;291(1):14-9.
Zouboulis CC. Is acne vulgaris a genuine inflammatory disease? Dermatology. 2001;203(4):277-9.
Webster GF, McGinley KJ, Leyden JJ. Inhibition of lipase production in Propionibacterium acnes by sub minimal inhibitory concentrations of tetracycline and erythromycin. Br J Dermatol. 1981;104:453-7.
Fanelli M, Kupperman E, Lautenbach E, Edelstein PH, Margolis DJ. Antibiotics, acne, and Staphylococcus aureus colonization. Arch Dermatol. 2011;147(8):917-21.
Wang Y, Kuo S, Shu M, Yu J, Huang S, Dai A. Staphylococcus epidermidis in the human skin microbiome mediates fermentation to inhibit the growth of Propionibacterium acnes: implications of probiotics in acne vulgaris. Appl Microbiol Biotechnol. 2014;98(1):411-24.