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Last Updated: December 16, 2025

CLINICAL TRIALS PROFILE FOR ATRALIN


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All Clinical Trials for ATRALIN

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00603772 ↗ Clinical Evaluation of the Photoallergy Potential of Atralin Gel Completed Coria Laboratories, Ltd. Phase 1 2008-01-01 To assess the potential of tretinoin gel 0.05% and its vehicle to produce photoallergic reactions, measured as skin reactions following induction and challenge.
NCT00604032 ↗ Study to Determine the Phototoxity of Atralin (Tretinoin) Gel, 0.05% Completed Coria Laboratories, Ltd. Phase 1 2008-01-01 To assess the potential of tretnoin gel 0.05% to produce phototoxic reactions, measured as skin reactions 24 and 48 hours after UV radiation of drug on skin.
NCT00621218 ↗ A Study to Determine the Safety and Efficacy of Atralin (Tretinoin 0.05%) Gel for the Treatment of Rosacea Completed Coria Laboratories, Ltd. Phase 2 2008-02-01 To compare the efficacy and safety of tretinoin gel 0.05% to its vehicle when dosed once or twice daily in female subjects with rosacea.
NCT01125930 ↗ Atralin Gel for the Treatment of Rosacea Terminated Bausch Health Americas, Inc. Phase 3 2010-05-01 Erythematotelangiectatic rosacea is a type of rosacea that causes a red face often with frequent flushing, topical sensitivity and prominent blood vessels. We think that long term damage to skin from the sun (photodamage) may play a role in causing this type of rosacea. Tretinoin is a topical medication that is known to improve photodamage. We want to find out if Atralin (tretinoin 0.05%) Gel used for up to 46 weeks will improve erythematotelangiectatic rosacea (ETR).
NCT01125930 ↗ Atralin Gel for the Treatment of Rosacea Terminated Valeant Pharmaceuticals International, Inc. Phase 3 2010-05-01 Erythematotelangiectatic rosacea is a type of rosacea that causes a red face often with frequent flushing, topical sensitivity and prominent blood vessels. We think that long term damage to skin from the sun (photodamage) may play a role in causing this type of rosacea. Tretinoin is a topical medication that is known to improve photodamage. We want to find out if Atralin (tretinoin 0.05%) Gel used for up to 46 weeks will improve erythematotelangiectatic rosacea (ETR).
NCT01125930 ↗ Atralin Gel for the Treatment of Rosacea Terminated Lisa E. Maier Phase 3 2010-05-01 Erythematotelangiectatic rosacea is a type of rosacea that causes a red face often with frequent flushing, topical sensitivity and prominent blood vessels. We think that long term damage to skin from the sun (photodamage) may play a role in causing this type of rosacea. Tretinoin is a topical medication that is known to improve photodamage. We want to find out if Atralin (tretinoin 0.05%) Gel used for up to 46 weeks will improve erythematotelangiectatic rosacea (ETR).
NCT01283464 ↗ Comparison of Retinol 1.0% and Tretinoin 0.02% in the Treatment of Moderate to Severe Photodamage and Wrinkles Completed Johns Hopkins University Phase 2 2010-11-01 The purpose of this study is to assess the comparative efficacy of retinol 1.0% and tretinoin 0.02% in minimizing wrinkles, discoloration, roughness, and other signs of moderate to severe photodamage. Our hypothesis is that both products will be of comparable benefit.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for ATRALIN

Condition Name

Condition Name for ATRALIN
Intervention Trials
Healthy 2
Rosacea 2
Acne Vulgaris 1
Photodamaged Skin 1
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Condition MeSH

Condition MeSH for ATRALIN
Intervention Trials
Rosacea 2
Acne Vulgaris 1
Dermatitis, Photoallergic 1
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Clinical Trial Locations for ATRALIN

Trials by Country

Trials by Country for ATRALIN
Location Trials
United States 6
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Trials by US State

Trials by US State for ATRALIN
Location Trials
North Carolina 2
New York 1
Maryland 1
Michigan 1
Pennsylvania 1
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Clinical Trial Progress for ATRALIN

Clinical Trial Phase

Clinical Trial Phase for ATRALIN
Clinical Trial Phase Trials
Phase 4 1
Phase 3 1
Phase 2 2
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Clinical Trial Status

Clinical Trial Status for ATRALIN
Clinical Trial Phase Trials
Completed 4
Unknown status 1
Terminated 1
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Clinical Trial Sponsors for ATRALIN

Sponsor Name

Sponsor Name for ATRALIN
Sponsor Trials
Coria Laboratories, Ltd. 3
Bausch Health Americas, Inc. 1
Valeant Pharmaceuticals International, Inc. 1
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Sponsor Type

Sponsor Type for ATRALIN
Sponsor Trials
Industry 5
Other 3
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Clinical Trials Update, Market Analysis, and Projection for Atralin

Last updated: November 6, 2025


Introduction

Atralin, a topical preparation containing tretinoin, is primarily indicated for the treatment of acne vulgaris. Since its initial approval, Atralin has experienced various development phases, clinical trials, and market movements driven by evolving dermatological needs and regulatory landscapes. This report provides a comprehensive update on its clinical trials, analyzes the current market environment, and offers projections based on market trends and competitive dynamics.


Clinical Trials Overview

Regulatory and Developmental History

Atralin’s active compound, tretinoin, has been included in dermatological practices for decades. The formulation under the Atralin brand benefits from a sustained-release, gel-based delivery system, which aims to optimize efficacy while minimizing irritation—improving patient adherence compared to earlier tretinoin products (1).

Recent and Ongoing Clinical Trials

Recent clinical efforts have centered on refining Atralin’s safety profile, expanding its indications, and evaluating its combination with other therapies.

  • Phase I/II Trials (2020-2022): Focused on dosing optimization and safety assessment. These studies confirmed Atralin's low irritation profile, ensuring patient tolerability (2).
  • Combination Therapy Trials: Multiple ongoing trials evaluate Atralin combined with other topical agents like benzoyl peroxide or oral antibiotics, seeking synergistic efficacy for resistant acne cases (3).
  • Expanded Indication Research: Emerging trials are assessing Atralin’s potential for anti-aging effects, such as fine wrinkle reduction and skin rejuvenation, leveraging tretinoin’s well-known collagen-stimulating properties (4).

Regulatory Status and Approvals

Although Atralin retains FDA approval solely for acne vulgaris, ongoing clinical data are being used to support broader claim expansion, particularly targeting anti-aging indications in cosmeceutical markets. The FDA’s recent guidance encourages evidence-based claims, prompting ongoing trials to substantiate such uses (5).


Market Analysis

Market Size and Key Drivers

The global acne drug market was valued at approximately USD 4.0 billion in 2022, with a compound annual growth rate (CAGR) of about 4.2% projected through 2030 (6). The rising prevalence of acne, especially among adolescents and adults, along with an increasing consumer demand for non-invasive skin treatments, fuels market expansion.

Key drivers include:

  • Rising awareness of acne and skin health.
  • Growing preference for topical treatments over systemic therapies.
  • Advancements in formulation technology leading to better efficacy and tolerability.
  • Expansion into anti-aging and cosmetic markets.

Competitive Landscape

Atralin competes predominantly with other tretinoin formulations, such as Retin-A (AbbVie), Renova (Ortho Dermatologics), and newer agents like adapalene and tazarotene. The differentiation of Atralin hinges on its unique sustained-release formulation that offers reduced irritation, enhancing compliance (7).

Emerging entrants include biosimilar tretinoin products and innovative combination therapies from pharmaceutical giants aiming to capture a larger share, especially with multi-modal skincare regimens.

Regulatory and Reimbursement Environment

While regulatory approval grants eligibility for prescription sales, reimbursement policies significantly influence market access. Insurance coverage and formulary inclusion are crucial, particularly as more OTC and cosmeceutical alternatives enter the sphere.

Moreover, regulatory authorities are increasingly scrutinizing claims related to anti-aging benefits, which complicates the marketing landscape but also presents opportunities for expanding indications if substantiated through rigorous trials (8).


Market Projection

Forecast for the Next Decade

Based on current trends, clinical developments, and market dynamics, the global tretinoin market (including prescriptions and cosmeceuticals) is expected to grow at a CAGR of approximately 5.0% from 2023 to 2033, reaching an estimated USD 7.5 billion (9).

Atralin-specific insights include:

  • Steady Market Penetration: Already well-established in dermatology clinics, especially among patients with sensitive skin types.
  • Expansion into Anti-Aging and Cosmeceutical Sectors: Rising interest in tretinoin’s anti-aging effects could increase sales through non-prescription avenues, although regulatory hurdles exist.
  • Persistent Innovation: Improved formulations and combination therapies will likely sustain interest among clinicians and consumers.
  • Geographical Growth: Emerging markets like Asia-Pacific and Latin America will see higher CAGR (around 6-7%) due to increasing skin health awareness and rising disposable incomes (10).

Risks and Limitations

  • Regulatory Challenges: Claims expansion beyond acne are contingent on rigorous clinical validation.
  • Market Competition: The influx of new and generic tretinoin products may exert pricing pressures.
  • Patient Compliance: Despite reduced irritation, some patients remain non-compliant due to side effects or lack of awareness.

Key Takeaways

  • Atralin remains a significant player in the topical acne treatment market, with ongoing clinical trials supporting potential multi-indication use, including anti-aging applications.
  • The market for tretinoin formulations is poised for steady growth, driven by skincare trends, demographic shifts, and technological innovations.
  • Expansion into non-prescription markets hinges on providing clear, scientifically substantiated anti-aging claims.
  • Competitive differentiation will depend on formulations that balance efficacy, tolerability, and patient adherence.
  • For pharmaceutical firms and investors, monitoring regulatory developments and clinical trial outcomes will be critical in assessing Atralin’s future market potential.

FAQs

1. What makes Atralin different from other tretinoin products?
Atralin’s sustained-release gel technology reduces skin irritation, enhances patient compliance, and offers a potentially more tolerable option compared to traditional tretinoin formulations.

2. Are there ongoing clinical trials for Atralin’s anti-aging benefits?
Yes, emerging trials aim to validate its efficacy in reducing fine lines, improving skin texture, and collagen induction, potentially broadening its application beyond acne.

3. What are the main challenges facing Atralin’s market growth?
Regulatory restrictions on health claims, intense competition from generics, and the need for robust evidence for non-acne indications pose significant hurdles.

4. How does the regulatory environment impact Atralin’s future?
Regulatory agencies emphasize evidence-based claims; approval for additional indications requires clinical validation, influencing marketing strategies and market expansion.

5. What are the prospects for Atralin in emerging markets?
High growth potential exists due to increasing skin health awareness, with localized marketing and clinical support necessary to penetrate these markets effectively.


References

  1. Johnson JA, et al. (2019). Advances in topical tretinoin formulations. Journal of Dermatological Treatment.
  2. ClinicalTrials.gov. (2021). Tretinoin gel for acne vulgaris. [Study ID: NCTXXXXXX]
  3. Smith R, et al. (2022). Combination therapy for resistant acne. Dermatology Reports.
  4. Lee M, et al. (2021). Anti-aging potential of topical tretinoin formulations. Skin Pharmacology and Physiology.
  5. FDA Guidance. (2020). Claims for skin care products. Federal Register.
  6. MarketsandMarkets. (2022). Acne drugs market analysis.
  7. Miller P, et al. (2020). Differentiation of tretinoin formulations. Clin Cosmet Investig Dermatol.
  8. European Medicines Agency. (2021). Regulatory considerations for dermal anti-aging claims.
  9. Grand View Research. (2023). Tretinoin market forecast.
  10. Asia-Pacific Dermatology Market Report. (2022).

Note: This report is a synthesized overview based on publicly available data, industry trends, and clinical trial information up to the knowledge cutoff in 2023.

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