Clinical trial Recruiting at 28 sites Phase 3 Interventional Ages 12 and up

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

PhasePhase 3
Study typeInterventional
Ages12 Years and up
SexAll
Enrollment800 (estimated)
SponsorSagimet Biosciences Inc.
Industry-sponsored
Locations28 sites (Bryant, Arkansas and 27 other locations)
StatusRecruiting
StartedOctober 21, 2026
Main results expectedAugust 2027
Study endsApril 2028
Registry record updatedNovember 9, 2026
Trial IDNCT07863193 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
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.