NIH-funded research U01 cooperative agreement

Comparing spironolactone and doxycycline for treating acne in women

Official title: A randomized, double-blind, multi-center comparative effectiveness study of spironolactone versus doxycycline hyclate for the treatment of acne in women

Funded at University of Pennsylvania · NIH-10699996 · Data updated 2026-11-12

This study is looking at how well two medications, spironolactone and doxycycline, work for treating moderate to severe acne in women, and by joining, you could help find out which one might be better for your skin!

More Acne research and trials

Quick facts

Grant typeU01 cooperative agreement
Study typeNIH-funded research
Funding institutionUniversity of Pennsylvania
NIH-funded
Lab location1 site (Philadelphia, United States)
Project startAugust 17, 2021
Project endJuly 31, 2027
Funding year2024
Award (this year)$883,902
NIH project number5U01AR079752-03
Project IDNIH-10699996 on NIH RePORTER

Who could benefit from this research

Could help

Ideal candidates for this research are women aged 21 and older who are experiencing moderate to severe acne.

Less likely to help

Patients with mild acne or those who are not women may not receive benefit from this research.

What this research studies

This research investigates the effectiveness of two medications, spironolactone and doxycycline, in treating moderate to severe acne in women. Participants will be randomly assigned to receive one of the two treatments in a double-blind manner, meaning neither the participants nor the researchers will know which treatment is being administered. The study aims to determine which medication is more effective and to assess their impact on the skin microbiome. By participating, women with acne may contribute to important findings that could influence future treatment options.

Why it matters

Potential benefit: If successful, this research could provide clearer guidance on the most effective treatment for acne in women, potentially leading to better management of the condition.

How similar studies have gone: Previous research has highlighted the need for comparative effectiveness studies in acne treatment, indicating that this approach is both relevant and necessary.

Where this research is happening

  • University of Pennsylvania
    Philadelphia, United States
    Active

Researchers

  • Principal investigator: Margolis, David — University of Pennsylvania
  • Study coordinator: Margolis, David

Related research

Other NIH-funded projects on the same topics.

  • Acne: how skin oils, bacteria, and the immune system interact

    A UC system grant is exploring how acne develops by looking at skin oils, skin bacteria, and the body’s immune response to help find new ways to prevent or treat acne.

    NIH research University of California Los Angeles · Los Angeles, United States · NIH-11393075

  • Acne: how skin bacteria, fats, and immunity drive lesions

    A large NIH-funded effort at UCLA/UCSD is studying how skin bacteria, fat metabolism, and the immune system interact to cause acne, with plans to translate findings into better treatments.

    NIH research University of California Los Angeles · Los Angeles, United States · NIH-11393068

  • Spironolactone vs doxycycline for acne in women

    A multi-center trial compares spironolactone and doxycycline to treat acne in adult women to find which works better with fewer side effects.

    NIH research University of Pennsylvania · Philadelphia, United States · NIH-11387827

  • Novel endolysins to target Cutibacterium acnes for acne treatment

    A small research grant is developing a highly specific enzyme therapy to kill the acne-causing bacteria without disturbing good skin or gut bacteria.

    NIH research Topaz Biosciences, INC. · Emeryville, United States · NIH-11381883

  • Th17 extracellular traps and skin bacteria in acne health

    A study in people with acne aims to understand how specific skin bacteria and immune cells interact to fight acne-causing germs and how this could lead to better treatments.

    NIH research University of California Los Angeles · Los Angeles, United States · NIH-11374876

  • New bacteria-targeting enzymes to fight acne

    Developing species-specific enzymes to remove the acne-causing bacterium Cutibacterium acnes for people with acne.

    NIH research Topaz Biosciences, INC. · Emeryville, United States · NIH-11183989

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.