RepurpOS

Acne Vulgaris

Disease intelligence for Acne Vulgaris: 113 alterations and 538 ranked therapeutics from curated public databases.

US DALYs2.23MWHO GHE 2021 · all ages
Global DALYs41.44MWHO GHE 2021 · worldwide
US mortality6,479 deaths/yrWHO GHE 2021
Global mortality92.1K deaths/yrWHO GHE 2021 · worldwide
Spontaneous remissionSpontaneous resolution by adulthood in majority (persistent adult acne in 12-22% of women, 3% of men); moderate-severe…
Best-intervention remissionOral isotretinoin: 85-90% achieve sustained remission (acne-free at 5 years) after one course; relapse requiring…
Gap sizeLarge — isotretinoin is highly effective but dramatically underused due to iPLEDGE programme barriers and pregnancy…
Primary barrieraccess/framing
Full remission profile →

Disease overview

Alterations
113
Molecular (A)
100
Clinical (B–E)
13
Direct drugs
135
Via biomarker
404
Natural agents
0
Natural products
89
Merged ranked
538
With trial/literature evidence
25

Sources: Open Targets, HPO, ClinicalTrials.gov, DGIdb, ChEMBL, PubMed Literature, Examine.com, PubMed NP Literature · Pipeline phase 7 · Updated 2026-07-06

Remission & chronicity

Spontaneous remission
Spontaneous resolution by adulthood in majority (persistent adult acne in 12-22% of women, 3% of men); moderate-severe acne rarely self-resolves; scarring occurs in up to 95% without adequate treatment
Best-intervention remission
Oral isotretinoin: 85-90% achieve sustained remission (acne-free at 5 years) after one course; relapse requiring retreat in 15-20%; topical adapalene + benzoyl peroxide: 65-70% reduction in inflammatory lesions at 12 weeks
Drug-free remission
Relapse after remission
Chronicity
Gap size
Large — isotretinoin is highly effective but dramatically underused due to iPLEDGE programme barriers and pregnancy concerns; patients spend years on antibiotics instead
Primary barrier
access/framing
Barrier detail: The iPLEDGE programme creates substantial barriers to isotretinoin access (monthly blood tests, pregnancy tests, pharmacy restrictions); this leads to years of antibiotic courses creating antibiotic resistance and allowing scarring to progress; acne is not considered a 'serious' disease despite causing significant psychological morbidity and permanent scarring

Last SoC change: 2022 — FDA approved clascoterone (Winlevi) — first androgen receptor inhibitor for acne; 2021 Accutane biosimilar access improved; 2019 AAD guidelines updated; isotretinoin approved 1982; tetracycline antibiotics for acne since 1950s

Remission data layers: disease_db_100 · source-locked manual data · confidence: high

Identifiers: MONDO: MONDO:0011438 · ORPHA: ORPHA:352718

Right to Try Relevance

Eligibility: This disease meets the federal and state right-to-try legal standard (21 U.S.C. § 360bbb-0a and Montana SB 535): it lacks disease-modifying therapy with indication-specific FDA approval. Patients with Acne Vulgaris may be eligible to access investigational therapies outside of clinical trials under right-to-try frameworks.
Investigational Agents
40
Phase 3: 15, Phase 2: 25
Most Advanced Phase
Phase 3
Highest dev. stage
Gene Targets
113
Actionable
Pipeline Compounds (Top 6)
Azithromycin, Berdazimer Sodium, Bifidobacterium Spp., Denifanstat, Ethyl Linoleate, Honokiol
Legal Standard: Right-to-try requires the disease lacks "adequate approved therapy for that specific disease" (not symptom-management drugs). This distinction means a disease with antidepressants available still qualifies if no FDA approval exists for THAT disease indication.
View Right-to-Try Compendium

Right to Try Relevance

Eligibility: This disease meets the federal and state right-to-try legal standard (21 U.S.C. § 360bbb-0a and Montana SB 535): it lacks disease-modifying therapy with indication-specific FDA approval. Patients with Acne Vulgaris may be eligible to access investigational therapies outside of clinical trials under right-to-try frameworks.
Investigational Agents
40
Phase 3: 15, Phase 2: 25
Most Advanced Phase
Phase 3
Highest dev. stage
Gene Targets
113
Actionable
Pipeline Compounds (Top 6)
Azithromycin, Berdazimer Sodium, Bifidobacterium Spp., Denifanstat, Ethyl Linoleate, Honokiol
Legal Standard: Right-to-try requires the disease lacks "adequate approved therapy for that specific disease" (not symptom-management drugs). This distinction means a disease with antidepressants available still qualifies if no FDA approval exists for THAT disease indication.
View Right-to-Try Compendium

Alterations

Showing 80 of 113 · Types A (molecular) through E (functional)

NameTypeSubtypeDirection FrequencyEvidenceSourcesLinks
Adult onset Pathology Pathological finding Moderate HPO, Monarch
ACACA
acetyl-CoA carboxylase alpha
Molecular Gene Emerging Open Targets
ACACB
acetyl-CoA carboxylase beta
Molecular Gene Emerging Open Targets
ADAMTS18
ADAM metallopeptidase with thrombospondin type 1 motif 18
Molecular Gene Emerging Open Targets
AFG2A
AAA ATPase AFG2A
Molecular Gene Emerging Open Targets
ALG12
ALG12 alpha-1,6-mannosyltransferase
Molecular Gene Emerging Open Targets
ANKRD55
ankyrin repeat domain 55
Molecular Gene Emerging Open Targets
AR
androgen receptor
Molecular Gene Emerging Open Targets
ARFGAP2
ARF GTPase activating protein 2
Molecular Gene Emerging Open Targets
BCL11A
BCL11 transcription factor A
Molecular Gene Emerging Open Targets
BIRC5
baculoviral IAP repeat containing 5
Molecular Gene Emerging Open Targets
BORCS5
BLOC-1 related complex subunit 5
Molecular Gene Emerging Open Targets
CCDC57
coiled-coil domain containing 57
Molecular Gene Emerging Open Targets
CDC42BPG
CDC42 binding protein kinase gamma
Molecular Gene Emerging Open Targets
CDK5R2
cyclin dependent kinase 5 regulatory subunit 2
Molecular Gene Emerging Open Targets
CLEC16A
C-type lectin domain containing 16A
Molecular Gene Emerging Open Targets
CNR1
cannabinoid receptor 1
Molecular Gene Emerging Open Targets
CRELD2
CRELD disulfide isomerase 2
Molecular Gene Emerging Open Targets
CSTA
cystatin A
Molecular Gene Emerging Open Targets
CXCL8
C-X-C motif chemokine ligand 8
Molecular Gene Emerging Open Targets
CYP21A2
cytochrome P450 family 21 subfamily A member 2
Molecular Gene Emerging Open Targets
CYSLTR1
cysteinyl leukotriene receptor 1
Molecular Gene Emerging Open Targets
DEXI
Dexi homolog
Molecular Gene Emerging Open Targets
DLC1
DLC1 Rho GTPase activating protein
Molecular Gene Emerging Open Targets
DLG1
discs large MAGUK scaffold protein 1
Molecular Gene Emerging Open Targets
EDAR
ectodysplasin A receptor
Molecular Gene Emerging Open Targets
ERRFI1
ERBB receptor feedback inhibitor 1
Molecular Gene Emerging Open Targets
ESR1
estrogen receptor 1
Molecular Gene Emerging Open Targets
FADS1
fatty acid desaturase 1
Molecular Gene Emerging Open Targets
FADS2
fatty acid desaturase 2
Molecular Gene Emerging Open Targets
FGF10
fibroblast growth factor 10
Molecular Gene Emerging Open Targets
FLG
filaggrin
Molecular Gene Emerging Open Targets
FST
follistatin
Molecular Gene Emerging Open Targets
Frequency of adverse events (AEs) Lab / Clinical Lab value Emerging ClinicalTrials.gov
GHRL
ghrelin and obestatin prepropeptide
Molecular Gene Emerging Open Targets
IDH2
isocitrate dehydrogenase (NADP(+)) 2
Molecular Gene Emerging Open Targets
IGF1
insulin like growth factor 1
Molecular Gene Emerging Open Targets
IKZF1
IKAROS family zinc finger 1
Molecular Gene Emerging Open Targets
IL17A
interleukin 17A
Molecular Gene Emerging Open Targets
IL19
interleukin 19
Molecular Gene Emerging Open Targets
IL1A
interleukin 1 alpha
Molecular Gene Emerging Open Targets
IL1B
interleukin 1 beta
Molecular Gene Emerging Open Targets
INS
insulin
Molecular Gene Emerging Open Targets
ITGA2
integrin subunit alpha 2
Molecular Gene Emerging Open Targets
KRT84
keratin 84
Molecular Gene Emerging Open Targets
LAMC1
laminin subunit gamma 1
Molecular Gene Emerging Open Targets
LAMC2
laminin subunit gamma 2
Molecular Gene Emerging Open Targets
LGR5
leucine rich repeat containing G protein-coupled receptor 5
Molecular Gene Emerging Open Targets
LGR6
leucine rich repeat containing G protein-coupled receptor 6
Molecular Gene Emerging Open Targets
LYPLAL1
lysophospholipase like 1
Molecular Gene Emerging Open Targets
Local Tolerability (Erythema) Lab / Clinical Lab value Emerging ClinicalTrials.gov
MAP3K11
mitogen-activated protein kinase kinase kinase 11
Molecular Gene Emerging Open Targets
MIX23
mitochondrial matrix import factor 23
Molecular Gene Emerging Open Targets
MMP1
matrix metallopeptidase 1
Molecular Gene Emerging Open Targets
MMP13
matrix metallopeptidase 13
Molecular Gene Emerging Open Targets
MMP7
matrix metallopeptidase 7
Molecular Gene Emerging Open Targets
MMP8
matrix metallopeptidase 8
Molecular Gene Emerging Open Targets
MOCS2
molybdenum cofactor synthesis 2
Molecular Gene Emerging Open Targets
MYEOV
myeloma overexpressed
Molecular Gene Emerging Open Targets
NAV2
neuron navigator 2
Molecular Gene Emerging Open Targets
NDUFS4
NADH:ubiquinone oxidoreductase subunit S4
Molecular Gene Emerging Open Targets
NR3C1
nuclear receptor subfamily 3 group C member 1
Molecular Gene Emerging Open Targets
NR3C2
nuclear receptor subfamily 3 group C member 2
Molecular Gene Emerging Open Targets
PACSIN3
protein kinase C and casein kinase substrate in neurons 3
Molecular Gene Emerging Open Targets
PAWR
pro-apoptotic WT1 regulator
Molecular Gene Emerging Open Targets
PGA5
pepsinogen A5
Molecular Gene Emerging Open Targets
PGR
progesterone receptor
Molecular Gene Emerging Open Targets
PINX1
PIN2 (TERF1) interacting telomerase inhibitor 1
Molecular Gene Emerging Open Targets
PNPLA3
patatin like domain 3, 1-acylglycerol-3-phosphate O-acyltransferase
Molecular Gene Emerging Open Targets
PPP1R12B
protein phosphatase 1 regulatory subunit 12B
Molecular Gene Emerging Open Targets
PRDM1
PR/SET domain 1
Molecular Gene Emerging Open Targets
PTGS1
prostaglandin-endoperoxide synthase 1
Molecular Gene Emerging Open Targets
PTGS2
prostaglandin-endoperoxide synthase 2
Molecular Gene Emerging Open Targets
RARA
retinoic acid receptor alpha
Molecular Gene Emerging Open Targets
RARB
retinoic acid receptor beta
Molecular Gene Emerging Open Targets
RARG
retinoic acid receptor gamma
Molecular Gene Emerging Open Targets
RASSF10
Ras association domain family member 10
Molecular Gene Emerging Open Targets
SAMD12
sterile alpha motif domain containing 12
Molecular Gene Emerging Open Targets
SEMA4B
semaphorin 4B
Molecular Gene Emerging Open Targets
SHB
SH2 domain containing adaptor protein B
Molecular Gene Emerging Open Targets

FDA-Approved Therapies

Phase 4 agents with regulatory approval for this indication

Drug NameMechanismType
3,3',4',5-TETRACHLOROSALICYLANILIDE Gene-targeted
ABIRATERONE ACETATE inhibitor Gene-targeted
ACETAZOLAMIDE None Gene-targeted
ACETOPHENAZINE Gene-targeted
ALCLOFENAC Gene-targeted
ALCLOMETASONE DIPROPIONATE Gene-targeted
AMCINONIDE Gene-targeted
AMDINOCILLIN Gene-targeted
AMIODARONE HYDROCHLORIDE Gene-targeted
AMLEXANOX Gene-targeted
AMLODIPINE BESYLATE Gene-targeted
AMPHETAMINE None Gene-targeted
ANHYDROUS TACROLIMUS Gene-targeted
APALUTAMIDE inhibitor; inhibitor Gene-targeted
APOMORPHINE Gene-targeted
ARSENIC TRIOXIDE Gene-targeted
ASTEMIZOLE Gene-targeted
ATALUREN Gene-targeted
ATRACURIUM BESYLATE Gene-targeted
ATROPINE Gene-targeted
AZACITIDINE Gene-targeted
AZARIBINE Gene-targeted
BECLOMETHASONE DIPROPIONATE Gene-targeted
BENAZEPRIL HYDROCHLORIDE Gene-targeted
BENORILATE Gene-targeted
BETAMETHASONE Gene-targeted
BETAMETHASONE DIPROPIONATE Gene-targeted
BETAMETHASONE SODIUM PHOSPHATE Gene-targeted
BETAMETHASONE VALERATE Gene-targeted
BICALUTAMIDE inhibitor; inhibitor Gene-targeted
BICALUTAMIDE None Gene-targeted
BIFONAZOLE Gene-targeted
BISACODYL Gene-targeted
BITHIONOL Gene-targeted
BITHIONOLATE SODIUM Gene-targeted
BORTEZOMIB Gene-targeted
BROMOCRIPTINE Gene-targeted
BROMOCRIPTINE MESYLATE Gene-targeted
BUPRENORPHINE HYDROCHLORIDE Gene-targeted
BUTAMBEN Gene-targeted

Therapeutics

Direct disease associations, biomarker-linked drugs, OSMF narrative-review natural agents, and merged ranking. Only agents with registry trials or published clinical literature are shown by default.

DrugTypePhaseEvidence ScoreTrials & literatureSourcesLinks
OFLOXACIN Small molecule Approved Strong 100 Open Targets, ChEMBL
3,3',4',5-TETRACHLOROSALICYLANILIDE Repurposing Small molecule Approved Strong 95 DGIdb
ABIRATERONE ACETATE Repurposing Small molecule Approved Strong 95 DGIdb
ACETAZOLAMIDE Repurposing Small molecule Approved Strong 95 ChEMBL
ACETOPHENAZINE Repurposing Small molecule Approved Strong 95 DGIdb
ALCLOFENAC Repurposing Small molecule Approved Strong 95 DGIdb
ALCLOMETASONE DIPROPIONATE Repurposing Small molecule Approved Strong 95 DGIdb
AMCINONIDE Repurposing Small molecule Approved Strong 95 DGIdb
AMDINOCILLIN Repurposing Small molecule Approved Strong 95 DGIdb
AMIODARONE HYDROCHLORIDE Repurposing Small molecule Approved Strong 95 DGIdb
AMLEXANOX Repurposing Small molecule Approved Strong 95 DGIdb
AMLODIPINE BESYLATE Repurposing Small molecule Approved Strong 95 DGIdb
AMPHETAMINE Repurposing Small molecule Approved Strong 95 ChEMBL
ANHYDROUS TACROLIMUS Repurposing Small molecule Approved Strong 95 DGIdb
APALUTAMIDE Repurposing Small molecule Approved Strong 95 DGIdb
APOMORPHINE Repurposing Small molecule Approved Strong 95 DGIdb
ARSENIC TRIOXIDE Repurposing Small molecule Approved Strong 95
3 pubs
View evidence
DGIdb
ASTEMIZOLE Repurposing Small molecule Approved Strong 95 DGIdb
ATALUREN Repurposing Small molecule Approved Strong 95 DGIdb
ATRACURIUM BESYLATE Repurposing Small molecule Approved Strong 95 DGIdb
ATROPINE Repurposing Small molecule Approved Strong 95 DGIdb
AZACITIDINE Repurposing Small molecule Approved Strong 95 DGIdb
AZARIBINE Repurposing Small molecule Approved Strong 95 DGIdb
BECLOMETHASONE DIPROPIONATE Repurposing Small molecule Approved Strong 95 DGIdb
BENAZEPRIL HYDROCHLORIDE Repurposing Small molecule Approved Strong 95 DGIdb
BENORILATE Repurposing Small molecule Approved Strong 95 DGIdb
BETAMETHASONE Repurposing Small molecule Approved Strong 95 DGIdb
BETAMETHASONE DIPROPIONATE Repurposing Small molecule Approved Strong 95 DGIdb
BETAMETHASONE SODIUM PHOSPHATE Repurposing Small molecule Approved Strong 95 DGIdb
BETAMETHASONE VALERATE Repurposing Small molecule Approved Strong 95 DGIdb
BICALUTAMIDE Repurposing Small molecule Approved Strong 95 DGIdb
BICALUTAMIDE Repurposing Small molecule Approved Strong 95 ChEMBL
BIFONAZOLE Repurposing Small molecule Approved Strong 95 DGIdb
BISACODYL Repurposing Small molecule Approved Strong 95 DGIdb
BITHIONOL Repurposing Small molecule Approved Strong 95 DGIdb
BITHIONOLATE SODIUM Repurposing Small molecule Approved Strong 95 DGIdb
BORTEZOMIB Repurposing Small molecule Approved Strong 95 DGIdb
BROMOCRIPTINE Repurposing Small molecule Approved Strong 95 DGIdb
BROMOCRIPTINE MESYLATE Repurposing Small molecule Approved Strong 95 DGIdb
BUPRENORPHINE HYDROCHLORIDE Repurposing Small molecule Approved Strong 95 DGIdb
BUTAMBEN Repurposing Small molecule Approved Strong 95 DGIdb
CAFFEINE Repurposing Small molecule Approved Strong 95 DGIdb
CALCIFEDIOL ANHYDROUS Repurposing Small molecule Approved Strong 95 DGIdb
CALCIPOTRIENE Repurposing Small molecule Approved Strong 95 DGIdb
CALCITRIOL Repurposing Small molecule Approved Strong 95 DGIdb
CAMPTOTHECIN Repurposing Small molecule Approved Strong 95 DGIdb
CANDESARTAN CILEXETIL Repurposing Small molecule Approved Strong 95 DGIdb
CANRENONE Repurposing Small molecule Approved Strong 95 DGIdb
CARBACHOL Repurposing Small molecule Approved Strong 95 ChEMBL
CARBAMAZEPINE Repurposing Small molecule Approved Strong 95 DGIdb
DrugTypePhaseEvidence ScoreSourcesLinks
AZITHROMYCIN Small molecule Phase III Moderate 80 Open Targets
BERDAZIMER SODIUM Small molecule Phase III Moderate 80 Open Targets
BIFIDOBACTERIUM SPP. Small molecule Phase III Moderate 80 Open Targets
DENIFANSTAT Small molecule Phase III Moderate 80 Open Targets
ETHYL LINOLEATE Small molecule Phase III Moderate 80 Open Targets
HONOKIOL Small molecule Phase III Moderate 80 Open Targets
HYALURONIC ACID Small molecule Phase III Moderate 80 Open Targets
KETOCONAZOLE Small molecule Phase III Moderate 80 Open Targets
LYMECYCLINE Small molecule Phase III Moderate 80 Open Targets
MONTELUKAST Small molecule Phase III Moderate 80 Open Targets
OLUMACOSTAT GLASARETIL Small molecule Phase III Moderate 80 Open Targets
PYRUVATE Small molecule Phase III Moderate 80 Open Targets
SPIRONOLACTONE Small molecule Phase III Moderate 80 Open Targets
TRICHLOROACETIC ACID Small molecule Phase III Moderate 80 Open Targets
TRIETHYL CITRATE Small molecule Phase III Moderate 80 Open Targets
ACEBILUSTAT Small molecule Phase II Emerging 60 Open Targets
AFAMELANOTIDE Biologic Phase II Emerging 60 Open Targets
APREMILAST Small molecule Phase II Emerging 60 Open Targets
ASCORBIC ACID Small molecule Phase II Emerging 60 Open Targets
BECLOMETHASONE Small molecule Phase II Emerging 60 Open Targets
BERMEKIMAB Biologic Phase II Emerging 60 Open Targets
BMX-010 Small molecule Phase II Emerging 60 Open Targets
BOTULINUM TOXIN TYPE A Biologic Phase II Emerging 60 Open Targets
CALCIPOTRIENE Small molecule Phase II Emerging 60 Open Targets
CANNABIDIOL Small molecule Phase II Emerging 60 Open Targets
CHLORIN E6 Small molecule Phase II Emerging 60 Open Targets
CJM-112 Small molecule Phase II Emerging 60 Open Targets
CLOTRIMAZOLE Small molecule Phase II Emerging 60 Open Targets
DIMETHYLCURCUMIN Small molecule Phase II Emerging 60 Open Targets
FINASTERIDE Small molecule Phase II Emerging 60 Open Targets
GENTAMICIN Small molecule Phase II Emerging 60 Open Targets
GEVOKIZUMAB Biologic Phase II Emerging 60 Open Targets
GINGER Small molecule Phase II Emerging 60 Open Targets
GLYCOLIC ACID Small molecule Phase II Emerging 60 Open Targets
IBUPROFEN Small molecule Phase II Emerging 60 Open Targets
IMSIDOLIMAB Biologic Phase II Emerging 60 Open Targets
INGENOL DISOXATE Small molecule Phase II Emerging 60 Open Targets
IVERMECTIN Small molecule Phase II Emerging 60 Open Targets
LEMUTEPORFIN Small molecule Phase II Emerging 60 Open Targets
LEVAMISOLE Small molecule Phase II Emerging 60 Open Targets
DrugTypePhaseEvidence ScoreTrials & literatureSourcesLinks
3,3',4',5-TETRACHLOROSALICYLANILIDE Repurposing via AR Small molecule Approved Strong 95 DGIdb
ABIRATERONE ACETATE Repurposing via AR Small molecule Approved Strong 95 DGIdb
ACETAZOLAMIDE Repurposing via ACACA Small molecule Approved Strong 95 ChEMBL
ACETOPHENAZINE Repurposing via AR Small molecule Approved Strong 95 DGIdb
ALCLOFENAC Repurposing via AR Small molecule Approved Strong 95 DGIdb
ALCLOMETASONE DIPROPIONATE Repurposing via AR Small molecule Approved Strong 95 DGIdb
AMCINONIDE Repurposing via AR Small molecule Approved Strong 95 DGIdb
AMDINOCILLIN Repurposing via AR Small molecule Approved Strong 95 DGIdb
AMIODARONE HYDROCHLORIDE Repurposing via AR Small molecule Approved Strong 95 DGIdb
AMLEXANOX Repurposing via AR Small molecule Approved Strong 95 DGIdb
AMLODIPINE BESYLATE Repurposing via AR Small molecule Approved Strong 95 DGIdb
AMPHETAMINE Repurposing via ACACA Small molecule Approved Strong 95 ChEMBL
ANHYDROUS TACROLIMUS Repurposing via AR Small molecule Approved Strong 95 DGIdb
APALUTAMIDE Repurposing via AR Small molecule Approved Strong 95 DGIdb
APOMORPHINE Repurposing via AR Small molecule Approved Strong 95 DGIdb
ARSENIC TRIOXIDE Repurposing via BIRC5 Small molecule Approved Strong 95
3 pubs
View evidence
DGIdb
ASTEMIZOLE Repurposing via AR Small molecule Approved Strong 95 DGIdb
ATALUREN Repurposing via AR Small molecule Approved Strong 95 DGIdb
ATRACURIUM BESYLATE Repurposing via AR Small molecule Approved Strong 95 DGIdb
ATROPINE Repurposing via AR Small molecule Approved Strong 95 DGIdb
AZACITIDINE Repurposing via AR Small molecule Approved Strong 95 DGIdb
AZARIBINE Repurposing via AR Small molecule Approved Strong 95 DGIdb
BECLOMETHASONE DIPROPIONATE Repurposing via AR Small molecule Approved Strong 95 DGIdb
BENAZEPRIL HYDROCHLORIDE Repurposing via AR Small molecule Approved Strong 95 DGIdb
BENORILATE Repurposing via AR Small molecule Approved Strong 95 DGIdb
BETAMETHASONE Repurposing via AR Small molecule Approved Strong 95 DGIdb
BETAMETHASONE DIPROPIONATE Repurposing via AR Small molecule Approved Strong 95 DGIdb
BETAMETHASONE SODIUM PHOSPHATE Repurposing via AR Small molecule Approved Strong 95 DGIdb
BETAMETHASONE VALERATE Repurposing via AR Small molecule Approved Strong 95 DGIdb
BICALUTAMIDE Repurposing via AR Small molecule Approved Strong 95 DGIdb
BICALUTAMIDE Repurposing via ACACA Small molecule Approved Strong 95 ChEMBL
BIFONAZOLE Repurposing via AR Small molecule Approved Strong 95 DGIdb
BISACODYL Repurposing via AR Small molecule Approved Strong 95 DGIdb
BITHIONOL Repurposing via AR Small molecule Approved Strong 95 DGIdb
BITHIONOLATE SODIUM Repurposing via AR Small molecule Approved Strong 95 DGIdb
BORTEZOMIB Repurposing via AR Small molecule Approved Strong 95 DGIdb
BROMOCRIPTINE Repurposing via AR Small molecule Approved Strong 95 DGIdb
BROMOCRIPTINE MESYLATE Repurposing via AR Small molecule Approved Strong 95 DGIdb
BUPRENORPHINE HYDROCHLORIDE Repurposing via AR Small molecule Approved Strong 95 DGIdb
BUTAMBEN Repurposing via AR Small molecule Approved Strong 95 DGIdb

Natural Products

89 natural products with the same evidence schema as repurposed drugs — registry trials, PubMed literature, and reference links (pipeline-ranked). Only agents with direct clinical evidence are shown by default.

Reference lookups: Examine.com

DrugTypePhaseEvidence ScoreTrials & literatureSourcesLinks
Zinc Natural product Nutraceutical Approved Moderate 20
8 trials 11 Cochrane 4 Meta-analysis 47 Trial pubs 28 RCT
View evidence

Registry trials

  • NCT06120452 — A Clinical Trial to Evaluate the Effectiveness of an Acne Serum in Improving Facial Acne and Post-Acne Pigmentation (COMPLETED) NA
  • NCT05151055 — Lactoferrin + Vitamin E + Zinc for Hormonal Acne (UNKNOWN) PHASE2
  • NCT03626298 — Efficacy and Tolerability of Nicotinamide Plus Cream for Moderate Acne Vulgaris in Indonesia (COMPLETED) PHASE4
  • NCT05879406 — A Study to Evaluate the Efficacy and Safety of Clear Skin Formula on Mitigating Mild to Moderate Non-cystic Acne (COMPLETED) NA
  • NCT04975412 — Relationship of Whole Blood Zinc Levels to Acne Severity (COMPLETED)
  • NCT05779085 — Efficacy of a Deep Cleansing Gel Containing 2% Salicylic Acid, 0.2% Zinc Gluconate and 0.05% Lipohydroxy Acid in the Management of Mild to Moderate Facial Acne (COMPLETED)
  • NCT03466658 — Preoperative Jumpstart for Decolonization of P. Acnes (TERMINATED) NA
  • NCT06775314 — The Effectiveness and Safety of Cleanser Containing Triethyl Citrate, Pyruvic Acid, Combination Cream Containing Triethyl Citrate, Ethyl Linoleate, GT Peptide-10, Salicylic Acid 0,5%, Zinc Lactate, Hyaluronic Acid and Spot Cream Containing Triethyl Citrate, Ethyl Linoleate, GT Peptide-10, Honokiol (NOT_YET_RECRUITING) PHASE3

Published literature

Examine.com
Vitamin D3 Natural product Nutraceutical Approved Moderate 20
6 trials
View evidence

Registry trials

  • NCT05758259 — The Efficacy and Safety of Topical Vitamin D and Supplementation In Acne Vulgaris The Study of VDR, IL-1β, IL-6, IL-10 and IL-17 Expression (UNKNOWN) PHASE4
  • NCT00416585 — Effects of Roaccutane on Ca, P, PTH and Vitamin D Metabolites in the Treatment of Sever Acne (COMPLETED) PHASE1
  • NCT01694433 — "Clinical Trial to Determine the Efficacy of Vitamin D for Acne Therapy" (COMPLETED) PHASE2, PHASE3
  • NCT06141330 — Vitamin D Supplementation in Acne (COMPLETED) NA
  • NCT03866447 — Role of Vitamin D and Its Topical Analogues in Pathogenesis and Treatment of Acne Vulgaris (UNKNOWN) PHASE4
  • NCT04204304 — Relationship Between Serum Vitamin D Levels and Musculoskeletal Adverse Effects in Patients Using Isotretinoin (COMPLETED) NA

Examine.com
N-Acetylcysteine Natural product Amino acid Preclinical Moderate 20
1 trials 1 Trial pubs 1 RCT
View evidence

Registry trials

  • NCT06179056 — Anti-microbial Role of Non-antibiotic Agents Against Cutibacterium Acnes in Patients With Acne Vulgaris (COMPLETED)

Published literature

Examine.com
Zinc Natural product Nutraceutical Approved Emerging 19
8 trials 11 Cochrane 4 Meta-analysis 47 Trial pubs 28 RCT
View evidence

Registry trials

  • NCT06120452 — A Clinical Trial to Evaluate the Effectiveness of an Acne Serum in Improving Facial Acne and Post-Acne Pigmentation (COMPLETED) NA
  • NCT05151055 — Lactoferrin + Vitamin E + Zinc for Hormonal Acne (UNKNOWN) PHASE2
  • NCT03626298 — Efficacy and Tolerability of Nicotinamide Plus Cream for Moderate Acne Vulgaris in Indonesia (COMPLETED) PHASE4
  • NCT05879406 — A Study to Evaluate the Efficacy and Safety of Clear Skin Formula on Mitigating Mild to Moderate Non-cystic Acne (COMPLETED) NA
  • NCT04975412 — Relationship of Whole Blood Zinc Levels to Acne Severity (COMPLETED)
  • NCT05779085 — Efficacy of a Deep Cleansing Gel Containing 2% Salicylic Acid, 0.2% Zinc Gluconate and 0.05% Lipohydroxy Acid in the Management of Mild to Moderate Facial Acne (COMPLETED)
  • NCT03466658 — Preoperative Jumpstart for Decolonization of P. Acnes (TERMINATED) NA
  • NCT06775314 — The Effectiveness and Safety of Cleanser Containing Triethyl Citrate, Pyruvic Acid, Combination Cream Containing Triethyl Citrate, Ethyl Linoleate, GT Peptide-10, Salicylic Acid 0,5%, Zinc Lactate, Hyaluronic Acid and Spot Cream Containing Triethyl Citrate, Ethyl Linoleate, GT Peptide-10, Honokiol (NOT_YET_RECRUITING) PHASE3

Published literature

Examine.com
Vitamin D3 Natural product Nutraceutical Approved Emerging 19
6 trials
View evidence

Registry trials

  • NCT05758259 — The Efficacy and Safety of Topical Vitamin D and Supplementation In Acne Vulgaris The Study of VDR, IL-1β, IL-6, IL-10 and IL-17 Expression (UNKNOWN) PHASE4
  • NCT00416585 — Effects of Roaccutane on Ca, P, PTH and Vitamin D Metabolites in the Treatment of Sever Acne (COMPLETED) PHASE1
  • NCT01694433 — "Clinical Trial to Determine the Efficacy of Vitamin D for Acne Therapy" (COMPLETED) PHASE2, PHASE3
  • NCT06141330 — Vitamin D Supplementation in Acne (COMPLETED) NA
  • NCT03866447 — Role of Vitamin D and Its Topical Analogues in Pathogenesis and Treatment of Acne Vulgaris (UNKNOWN) PHASE4
  • NCT04204304 — Relationship Between Serum Vitamin D Levels and Musculoskeletal Adverse Effects in Patients Using Isotretinoin (COMPLETED) NA

Examine.com
Selenium Natural product Nutraceutical Preclinical Moderate 17
1 trials 1 Meta-analysis 1 Trial pubs 1 RCT
View evidence

Registry trials

  • NCT05879406 — A Study to Evaluate the Efficacy and Safety of Clear Skin Formula on Mitigating Mild to Moderate Non-cystic Acne (COMPLETED) NA

Published literature

Examine.com
Silymarin Natural product Botanical Approved Moderate 17
3 trials 1 Cochrane 4 Trial pubs 3 RCT
View evidence

Registry trials

  • NCT05666765 — Comparison Between Isotretinoin, Silymarin and Both in the Treatment of Acne Vulgaris (UNKNOWN) PHASE4
  • NCT04490967 — Silymarin Cream Versus Salicylic Acid in Treatment of Acne Vulgaris (UNKNOWN) PHASE4
  • NCT06376110 — Single-Blind Study Assessing the Use of a Topical Antioxidant With A Series of Laser Procedures to Reduce Sebum Production (UNKNOWN) NA

Published literature

Examine.com
Resveratrol Natural product Food compound Approved Moderate 17
1 trials 2 Meta-analysis 2 Trial pubs 1 RCT
View evidence

Registry trials

  • NCT03563365 — The Functional and Emotional Benefits of Replenix Power of Three With Resveratrol (TERMINATED) PHASE4

Published literature

Examine.com
Niacin Natural product Nutraceutical Approved Moderate 17
8 trials
View evidence

Registry trials

  • NCT06120452 — A Clinical Trial to Evaluate the Effectiveness of an Acne Serum in Improving Facial Acne and Post-Acne Pigmentation (COMPLETED) NA
  • NCT03626298 — Efficacy and Tolerability of Nicotinamide Plus Cream for Moderate Acne Vulgaris in Indonesia (COMPLETED) PHASE4
  • NCT05879406 — A Study to Evaluate the Efficacy and Safety of Clear Skin Formula on Mitigating Mild to Moderate Non-cystic Acne (COMPLETED) NA
  • NCT07121439 — Efficacy and Safety of a Combined Serum Containing Melasyl™, 10% Niacinamide, Hyaluronic Acid, and HEPES (NOT_YET_RECRUITING) NA
  • NCT06822335 — Clinical Efficacy of the Product in the Management of Facial Post Inflammatory Hyperpigmentation (PIHP) Subjects (COMPLETED)
  • NCT05457621 — Effectiveness and Tolerance of Effaclar Serum in Women With Mandibular Acne (COMPLETED) NA
  • NCT05446402 — Investigation of the Tolerability of Two Facial Cleansing Routines for Mild to Moderate Acne (COMPLETED) PHASE4
  • NCT05497323 — Effectivity and Safety of Combination Cream of Salicylic Acid, Aqua Posae Filiformis, Niacinamide, Lipohydroxy Acid, Procerad and Zinc PCA (UNKNOWN) PHASE1

Examine.com
Niacin Natural product Nutraceutical Approved Emerging 16
8 trials
View evidence

Registry trials

  • NCT06120452 — A Clinical Trial to Evaluate the Effectiveness of an Acne Serum in Improving Facial Acne and Post-Acne Pigmentation (COMPLETED) NA
  • NCT03626298 — Efficacy and Tolerability of Nicotinamide Plus Cream for Moderate Acne Vulgaris in Indonesia (COMPLETED) PHASE4
  • NCT05879406 — A Study to Evaluate the Efficacy and Safety of Clear Skin Formula on Mitigating Mild to Moderate Non-cystic Acne (COMPLETED) NA
  • NCT07121439 — Efficacy and Safety of a Combined Serum Containing Melasyl™, 10% Niacinamide, Hyaluronic Acid, and HEPES (NOT_YET_RECRUITING) NA
  • NCT06822335 — Clinical Efficacy of the Product in the Management of Facial Post Inflammatory Hyperpigmentation (PIHP) Subjects (COMPLETED)
  • NCT05457621 — Effectiveness and Tolerance of Effaclar Serum in Women With Mandibular Acne (COMPLETED) NA
  • NCT05446402 — Investigation of the Tolerability of Two Facial Cleansing Routines for Mild to Moderate Acne (COMPLETED) PHASE4
  • NCT05497323 — Effectivity and Safety of Combination Cream of Salicylic Acid, Aqua Posae Filiformis, Niacinamide, Lipohydroxy Acid, Procerad and Zinc PCA (UNKNOWN) PHASE1

Examine.com
Silymarin Natural product Botanical Approved Emerging 16
3 trials 1 Cochrane 4 Trial pubs 3 RCT
View evidence

Registry trials

  • NCT05666765 — Comparison Between Isotretinoin, Silymarin and Both in the Treatment of Acne Vulgaris (UNKNOWN) PHASE4
  • NCT04490967 — Silymarin Cream Versus Salicylic Acid in Treatment of Acne Vulgaris (UNKNOWN) PHASE4
  • NCT06376110 — Single-Blind Study Assessing the Use of a Topical Antioxidant With A Series of Laser Procedures to Reduce Sebum Production (UNKNOWN) NA

Published literature

Examine.com
N-Acetylcysteine Natural product Amino acid Phase I Emerging 13
1 trials 1 Trial pubs 1 RCT
View evidence

Registry trials

  • NCT06179056 — Anti-microbial Role of Non-antibiotic Agents Against Cutibacterium Acnes in Patients With Acne Vulgaris (COMPLETED)

Published literature

Examine.com
Cocoa Flavanols Natural product Nutraceutical Phase I Moderate 13
1 trials
View evidence

Registry trials

  • NCT01193764 — Study Assessing the Effect of Chocolate Consumption in Subjects With A History of Acne Vulgaris (TERMINATED) NA

Examine.com
Resveratrol Natural product Food compound Approved Emerging 10
1 trials 2 Meta-analysis 2 Trial pubs 1 RCT
View evidence

Registry trials

  • NCT03563365 — The Functional and Emotional Benefits of Replenix Power of Three With Resveratrol (TERMINATED) PHASE4

Published literature

Examine.com
Selenium Natural product Nutraceutical Phase I Emerging 10
1 trials 1 Meta-analysis 1 Trial pubs 1 RCT
View evidence

Registry trials

  • NCT05879406 — A Study to Evaluate the Efficacy and Safety of Clear Skin Formula on Mitigating Mild to Moderate Non-cystic Acne (COMPLETED) NA

Published literature

Examine.com
Vitamin E Natural product Nutraceutical Phase II Emerging 10
4 trials 7 RCT
View evidence

Registry trials

  • NCT05151055 — Lactoferrin + Vitamin E + Zinc for Hormonal Acne (UNKNOWN) PHASE2
  • NCT05879406 — A Study to Evaluate the Efficacy and Safety of Clear Skin Formula on Mitigating Mild to Moderate Non-cystic Acne (COMPLETED) NA
  • NCT05756881 — Topical Palm Tocotrienols on Blemish-prone Skin (TERMINATED) NA
  • NCT05873933 — An Investigation of a Multi-Function Skincare Product to Improve Aging, Eczema, and Acne Outcomes (WITHDRAWN) NA

Folate Natural product Nutraceutical Phase I Emerging 10
2 trials 1 Meta-analysis 6 Trial pubs
View evidence

Registry trials

  • NCT03386942 — A Study of MORAb-202 (Herein Referred to as Farletuzumab Ecteribulin) in Participants With Solid Tumors (COMPLETED) PHASE1
  • NCT07021495 — SKIN Disease Profiling by an Exploratory, pRospective, Biomarker Study in dermatoloGY Practice (SKINERGY) (RECRUITING)

Omega-3 Fatty Acids Natural product Nutraceutical Phase III Emerging 10
3 trials 2 Trial pubs 2 RCT
View evidence

Registry trials

  • NCT07583121 — Impact of a Daily Application of an Omega-3 Monoglycerides Based Serum and Cream on the Skin Microbiota (NOT_YET_RECRUITING) NA
  • NCT01764308 — Effects of Omega-3 Fatty Acid Supplementation in Acne Patients (TERMINATED) PHASE3
  • NCT06155513 — Omega-3 Monoglyceride Based Topic Products as Skin Prebiotics for Eczema (TERMINATED) NA

Published literature

Egcg Natural product Food compound Preclinical Emerging 7
2 trials
View evidence

Registry trials

  • NCT01846338 — The Effect of「GTT-EGCG」on Acne Women (UNKNOWN) NA
  • NCT01687556 — EGCG Improves Acne by Modulating Molecular Targets (COMPLETED) NA

Curcumin Natural product Food compound Preclinical Emerging 7
1 trials 2 Cochrane 1 Meta-analysis 1 RCT
View evidence

Registry trials

  • NCT06097871 — RCT of an Oral Acne Supplement for Adult Women (COMPLETED) NA

Published literature

Probiotics Natural product Probiotic Preclinical Emerging 7
Bitter Melon Natural product Botanical Preclinical Emerging 7
Lactobacillus Natural product Probiotic Preclinical Emerging 7
Echinacea Natural product Botanical Preclinical Emerging 7
Chamomile Natural product Botanical Preclinical Emerging 7
Cinnamon Natural product Botanical Preclinical Emerging 7
Cannabidiol Natural product Food compound Preclinical Emerging 2
Licorice Natural product Botanical Preclinical Emerging 2
Tea Tree Natural product Nutraceutical Preclinical Emerging 0
Aloe Vera Natural product Nutraceutical Preclinical Emerging 0
Azelaic Acid Natural product Nutraceutical Preclinical Emerging 0
Evening Primrose Oil Natural product Nutraceutical Preclinical Emerging 0
Phloretin Natural product Nutraceutical Preclinical Emerging 0
Passion Fruit Natural product Nutraceutical Preclinical Emerging 0
Hops Natural product Nutraceutical Preclinical Emerging 0
Pomegranate Natural product Nutraceutical Preclinical Emerging 0
Rose Natural product Nutraceutical Preclinical Emerging 0
Mangosteen Natural product Nutraceutical Preclinical Emerging 0
Basil Natural product Nutraceutical Preclinical Emerging 0
Copper Natural product Nutraceutical Preclinical Emerging 0
Vitamin B-3 (Niacin) Natural product Nutraceutical Preclinical Emerging 0
Bee Propolis Natural product Nutraceutical Preclinical Emerging 0
Yeast Natural product Nutraceutical Preclinical Emerging 0
Burdock Natural product Nutraceutical Preclinical Emerging 0
Cannabis Natural product Nutraceutical Preclinical Emerging 0
Chlorophyll Natural product Nutraceutical Preclinical Emerging 0
Copaiba Essential Oil Natural product Nutraceutical Preclinical Emerging 0
EGCG (Epigallocatechin Gallate) Natural product Nutraceutical Preclinical Emerging 0
Guggul Natural product Nutraceutical Preclinical Emerging 0
Fos (Fructooligosaccharides) Natural product Nutraceutical Preclinical Emerging 0
Galacto-Oligosaccharides Natural product Nutraceutical Preclinical Emerging 0
Fermented Foods and Beverages Natural product Nutraceutical Preclinical Emerging 0
Japanese Cypress Natural product Nutraceutical Preclinical Emerging 0
Nigella Sativa (Aka Black Seed) Natural product Nutraceutical Preclinical Emerging 0
Ginseng (Korean) Natural product Nutraceutical Preclinical Emerging 0
Stryphnodendron Adstringens Natural product Nutraceutical Preclinical Emerging 0
Ayurvedic Formulation: Sunder Vati Natural product Nutraceutical Preclinical Emerging 0
Vitamin a Natural product Food compound Preclinical Emerging 0
Cannabidivarin Natural product Nutraceutical Preclinical Emerging 0
Cannabigerol Natural product Nutraceutical Preclinical Emerging 0
Cannabigerovarin Natural product Nutraceutical Preclinical Emerging 0
Cannabinoids Natural product Nutraceutical Preclinical Emerging 0
Mango Natural product Nutraceutical Preclinical Emerging 0
Bergamot Natural product Nutraceutical Preclinical Emerging 0
Lactobacillus Paraplantarum Natural product Nutraceutical Preclinical Emerging 0
Salicylic Acid Natural product Nutraceutical Preclinical Emerging 0
Cryptomeria Japonica Natural product Nutraceutical Preclinical Emerging 0
Broccoli Natural product Nutraceutical Preclinical Emerging 0
Cauliflower Natural product Nutraceutical Preclinical Emerging 0
Myrtle Natural product Nutraceutical Preclinical Emerging 0
Nettle Natural product Nutraceutical Preclinical Emerging 0
Emodin Natural product Nutraceutical Preclinical Emerging 0
Herb Bennet Natural product Nutraceutical Preclinical Emerging 0
Squalene Natural product Nutraceutical Preclinical Emerging 0
Tocotrienols Natural product Food compound Preclinical Emerging 0
Icariin Natural product Nutraceutical Preclinical Emerging 0
Salvia Miltiorrhiza Natural product Nutraceutical Preclinical Emerging 0
Red Clover Natural product Nutraceutical Preclinical Emerging 0
Piceatannol Natural product Nutraceutical Preclinical Emerging 0
Seaweed Natural product Nutraceutical Preclinical Emerging 0

Alterations and therapeutics are aggregated from public databases (Open Targets, HPO, ChEMBL, DGIdb, and others). Natural agents are candidates from OSMF narrative reviews on opensourcemed.info/chronic-disease.html — not approved treatments. This page is for research orientation only — not medical advice.