Denifanstat vs placebo for moderate to severe acne in teens and adults
Official title: A Phase 3 Randomized, Double-Blind, Placebo-Controlled, Multicenter, Parallel-Design Trial to Evaluate the Safety and Efficacy of Denifanstat in Participants With Moderate to Severe Acne Vulgaris
Run by Sagimet Biosciences Inc. · NCT07863193 · Data updated 2026-11-12
This study tests whether denifanstat works safely to improve acne in people 12 and older, compared with a matching placebo.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 12 Years and up |
| Sex | All |
| Enrollment | 800 (estimated) |
| Sponsor | Sagimet Biosciences Inc. Industry-sponsored |
| Locations | 28 sites (Bryant, Arkansas and 27 other locations) |
| Status | Recruiting |
| Started | October 21, 2026 |
| Main results expected | August 2027 |
| Study ends | April 2028 |
| Registry record updated | November 9, 2026 |
| Trial ID | NCT07863193 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Individuals aged 12 years and older with moderate to severe acne vulgaris (EGSS 3–4) and specified lesion counts, willing to consent/assent and use contraception as required.
✕Probably not a fit
Patients with very severe acne forms, other competing skin conditions, or those not meeting the lesion criteria may not experience benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
In this Phase 3 trial, participants with moderate to severe acne vulgaris will receive denifanstat or placebo for 12 weeks to assess safety and effectiveness. After the initial treatment period, about 530 participants may join an open-label extension for an additional 40 weeks of treatment. Eligible participants include those aged 12+ with defined inflammatory and noninflammatory facial lesions, and they must use effective contraception if applicable. Key exclusion criteria include certain severe acne forms and other skin diseases that could affect evaluation.
Why it matters
Potential benefit: If successful, denifanstat could offer a new targeted option to reduce acne severity and improve skin appearance for patients with moderate to severe acne.
How similar studies have gone: Previous studies in acne have explored systemic agents; this trial tests a novel denifanstat approach with potential for positive outcomes, but results are not yet established.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria:
1. Must be willing and able to participate in the trial and provide written informed consent or assent
2. Aged ≥12 years on the date that written informed consent/ assent is provided
3. Moderate to severe acne vulgaris based on the following criteria at screening:
1. The EGSS at screening of 3 or 4.
AND
2. Number of facial skin lesions:
* 30 to 75 inflammatory lesions
* 30 to 100 noninflammatory lesions
4. All participants with their partners, if any, must agree to the use of an acceptable method of highly effective contraception. Women of childbearing potential (WOCBP) must not be pregnant or breastfeeding, must not plan to become pregnant during the study, and must use 2 forms of birth control, one being a barrier method, or be sexually abstinent.
Exclusion Criteria:
1. Presence of \>2 facial cysts/ nodules
2. Cystic acne, acne fulminans or acne conglobata
3. Other significant skin diseases that may affect the efficacy evaluation or require co-treatment
4. History of clinically significant dry eye, such as Ocular Surface Disease Index (OSDI) ≥33, or corneal staining ≥ grade III on Oxford Grading Scale, chronic dry eye, or other corneal abnormality
5. Use of concomitant strong cytochrome P450 (CYP) 3A4 inducers and strong or moderate inhibitors within 2 weeks prior to Day 1 the trial except Paxlovid®
6. Use of a glucagon-like-peptide 1 (GLP-1) agonist for \<12 weeks prior to first dose of trial medication
7. Use of any of the following:
1. Introduction of any drug known to prolong QT interval corrected for heart rate (QTC)
2. Sensitive substrates of P-glycoprotein (P-gp) and breast cancer resistant protein (BCRP)
3. Herbs and supplements such as St John's Wort or grapefruit juice.
8. Use of concomitant acne treatments unless appropriate washout period is documented
Where it's running
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Sagimet Investigative Site
Bryant, Arkansas, United States Recruiting -
Sagimet Investigative Site
Beverly Hills, California, United States Recruiting -
Sagimet Investigative Site
Fremont, California, United States Recruiting -
Sagimet Investigative Site
San Diego, California, United States Recruiting -
Sagimet Investigative Site
Santa Ana, California, United States Recruiting -
Sagimet Investigative Site
Doral, Florida, United States Recruiting
Show 22 more locations
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Sagimet Investigative Site
Fort Lauderdale, Florida, United States Recruiting -
Sagimet Investigative Site
Miami, Florida, United States Recruiting -
Sagimet Investigative Site
Miami, Florida, United States Recruiting -
Sagimet Investigative Site
Miami, Florida, United States Recruiting -
Sagimet Investigative Site
Miramar, Florida, United States Recruiting -
Sagimet Investigative Site
Sweetwater, Florida, United States Recruiting -
Sagimet Investigative Site
Lincolnshire, Illinois, United States Recruiting -
Sagimet Investigative Site
Indianapolis, Indiana, United States Recruiting -
Sagimet Investigative Site
New Albany, Indiana, United States Recruiting -
Sagimet Investigative Site
Clinton Township, Michigan, United States Recruiting -
Sagimet Investigative Site
Omaha, Nebraska, United States Recruiting -
Sagimet Investigative Site
Portsmouth, New Hampshire, United States Recruiting -
Sagimet Investigative Site
Robbinsville, New Jersey, United States Recruiting -
Sagimet Investigative Site
Wilmington, North Carolina, United States Recruiting -
Sagimet Investigative Site
Columbus, Ohio, United States Recruiting -
Sagimet Investigative Site
East Greenwich, Rhode Island, United States Recruiting -
Sagimet Investigative Site
Greenville, South Carolina, United States Recruiting -
Sagimet Investigative Site
Murfreesboro, Tennessee, United States Recruiting -
Sagimet Investigative Site
Nashville, Tennessee, United States Recruiting -
Sagimet Investigative Site
College Station, Texas, United States Recruiting -
Sagimet Investigative Site
El Paso, Texas, United States Recruiting -
Sagimet Investigative Site
Spokane, Washington, United States Recruiting
Study contacts
- Study coordinator: Study Director
- Email: clinicalhotline@sagimet.com
- Phone: (650) 561-8675
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Nadifloxacin Plus Tretinoin vs Clindamycin Plus Tretinoin for Mild-to-Moderate Acne
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Topical clascoterone vs. adapalene for mild-to-moderate acne in teens and young adults
This trial tests whether clascoterone 1% cream works as well as adapalene 0.1% cream for treating mild-to-moderate acne in people aged 12–55.
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Facial skin microbiome changes during isotretinoin in moderate-to-severe acne
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Hormonal profiles and isotretinoin response in adult women with acne
This study tests whether baseline hormones (DHEAS, FSH, and LH) help predict how adult women with acne will respond to systemic isotretinoin.
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Adults with mild-to-moderate inflammatory facial acne will try either a three-session radiofrequency treatment or a daily adapalene-benzoyl peroxide gel, to see which reduces acne lesions and sebum production better.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.