topicProbiotics Acne Randomized Trial
claimStandard therapy often relies on antibiotics, but the long-term use has increased antibiotic resistance, including in Indonesia.
evidence level2
citationLestari K (2026)
sourceOral probiotics and topical secretome to enhance clinical outcomes and microbiome restoration in acne vulgaris: a double-blind, randomised controlled trial protocol.
topicProbiotics Acne Randomized Trial
claimBackground Acne vulgaris is a chronic inflammatory condition primarily caused by Cutibacterium acnes , which disrupts skin homeostasis, thereby triggering immune responses and sebum metabolism.
evidence level2
citationLestari K (2026)
sourceOral probiotics and topical secretome to enhance clinical outcomes and microbiome restoration in acne vulgaris: a double-blind, randomised controlled trial protocol.
topicProbiotics Acne Randomized Trial
claimDysbiosis is an imbalance in the skin and gut microbiota identified as a significant factor contributing to acne progression.
evidence level2
citationLestari K (2026)
sourceOral probiotics and topical secretome to enhance clinical outcomes and microbiome restoration in acne vulgaris: a double-blind, randomised controlled trial protocol.
topicProbiotics Acne Randomized Trial
claimThese treatments show varying degrees of efficacy and improved safety profiles, but most lack head-to-head comparisons with isotretinoin.
evidence level4
citationTommasino N (2026)
sourceBeyond Isotretinoin: A Narrative Review of Emerging Systemic Therapies for Moderate-to-Severe Acne.
topicProbiotics Acne Randomized Trial
claimConclusion Several systemic options beyond isotretinoin have emerged, showing potential in specific subgroups or as adjunctive therapies.
evidence level4
citationTommasino N (2026)
sourceBeyond Isotretinoin: A Narrative Review of Emerging Systemic Therapies for Moderate-to-Severe Acne.
topicProbiotics Acne Randomized Trial
claimHowever, further large-scale comparative studies are needed to define their roles within evidence-based acne management algorithms.
evidence level4
citationTommasino N (2026)
sourceBeyond Isotretinoin: A Narrative Review of Emerging Systemic Therapies for Moderate-to-Severe Acne.
topicProbiotics Acne Randomized Trial
claimBackground Acne vulgaris is a common inflammatory skin disorder with significant psychosocial impact.
evidence level4
citationTommasino N (2026)
sourceBeyond Isotretinoin: A Narrative Review of Emerging Systemic Therapies for Moderate-to-Severe Acne.