Sarecycline
medication Under reviewA narrow-spectrum tetracycline-class antibiotic indicated for the treatment of inflammatory lesions of non-nodular moderate to severe acne vulgaris.
Research summary
Multiple randomized, double-blind, placebo-controlled phase 3 trials and long-term open-label extension studies have evaluated sarecycline in healthy adolescents and adults with moderate-to-severe acne vulgaris. These studies consistently show that once-daily weight-based sarecycline for 12 weeks significantly reduces inflammatory lesion counts and increases the proportion of patients achieving treatment success on standardized acne grading scales compared with placebo. Improvements are often detectable by week 3 and maintained with continued therapy. Safety data from up to 40–48 weeks of treatment indicate that sarecycline is generally well tolerated. The most common adverse events are mild gastrointestinal symptoms, nasopharyngitis, and headache, with relatively low rates of photosensitivity, vestibular symptoms, and candidiasis compared with broader-spectrum tetracyclines. Emerging research is also comparing its effects on the gut microbiome and antibiotic resistance patterns versus doxycycline, aiming to determine whether its narrower spectrum confers meaningful advantages in antimicrobial stewardship.
Reported Benefits
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Long-Term Oral Sarecycline Use in Moderate-to-Severe Acne Vulgaris: Patterns of Use and Safety Outcomes from a Phase 3 Extension Study
Moore A, Green LJ, Tschen E, et al.
Safety and Tolerability of Sarecycline for the Treatment of Acne Vulgaris: Results from a 40-Week, Open-Label Study
Moore A, Green LJ, Tschen E, et al.
Once-Daily Oral Sarecycline 1.5 mg/kg/day Is Effective for Moderate to Severe Acne Vulgaris: Results from Two Phase 3 Randomized, Double-Blind, Placebo-Controlled Trials (SC1401 and SC1402)
Moore A, Green LJ, Bruce S, et al.
Efficacy and Safety of Sarecycline in Chinese Patients with Moderate-to-Severe Acne Vulgaris: Results from a Phase 3 Randomized Clinical Trial with 36-Week Open-Label Follow-up
Zhang J, Li S, Wang Y, et al.
No reports yet
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Add Sarecycline to your stack to report effects
Long-Term Oral Sarecycline Use in Moderate-to-Severe Acne Vulgaris: Patterns of Use and Safety Outcomes from a Phase 3 Extension Study
Moore A, Green LJ, Tschen E, et al.
Efficacy and Safety of Sarecycline in Chinese Patients with Moderate-to-Severe Acne Vulgaris: Results from a Phase 3 Randomized Clinical Trial with 36-Week Open-Label Follow-up
Zhang J, Li S, Wang Y, et al.
Safety and Tolerability of Sarecycline for the Treatment of Acne Vulgaris: Results from a 40-Week, Open-Label Study
Moore A, Green LJ, Tschen E, et al.
Once-Daily Oral Sarecycline 1.5 mg/kg/day Is Effective for Moderate to Severe Acne Vulgaris: Results from Two Phase 3 Randomized, Double-Blind, Placebo-Controlled Trials (SC1401 and SC1402)
Moore A, Green LJ, Bruce S, et al.
No reports yet
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Add Sarecycline to your stack to report effects
Safety and Tolerability of Sarecycline for the Treatment of Acne Vulgaris: Results from a 40-Week, Open-Label Study
Moore A, Green LJ, Tschen E, et al.
Once-Daily Oral Sarecycline 1.5 mg/kg/day Is Effective for Moderate to Severe Acne Vulgaris: Results from Two Phase 3 Randomized, Double-Blind, Placebo-Controlled Trials (SC1401 and SC1402)
Moore A, Green LJ, Bruce S, et al.
No reports yet
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Comparing Sarecycline and Doxycycline Effects on the Skin and Gut Microbiome and Antibiotic Resistance in Patients with Acne Vulgaris (NCT07544251)
Harvard Medical School et al.
Reported Side Effects
No reports yet
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Add Sarecycline to your stack to report effects
Once-Daily Oral Sarecycline 1.5 mg/kg/day Is Effective for Moderate to Severe Acne Vulgaris: Results from Two Phase 3 Randomized, Double-Blind, Placebo-Controlled Trials (SC1401 and SC1402)
Moore A, Green LJ, Bruce S, et al.
Safety and Tolerability of Sarecycline for the Treatment of Acne Vulgaris: Results from a 40-Week, Open-Label Study
Moore A, Green LJ, Tschen E, et al.
No reports yet
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Add Sarecycline to your stack to report effects
Safety and Tolerability of Sarecycline for the Treatment of Acne Vulgaris: Results from a 40-Week, Open-Label Study
Moore A, Green LJ, Tschen E, et al.
Once-Daily Oral Sarecycline 1.5 mg/kg/day Is Effective for Moderate to Severe Acne Vulgaris: Results from Two Phase 3 Randomized, Double-Blind, Placebo-Controlled Trials (SC1401 and SC1402)
Moore A, Green LJ, Bruce S, et al.
No reports yet
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Add Sarecycline to your stack to report effects
Once-Daily Oral Sarecycline 1.5 mg/kg/day Is Effective for Moderate to Severe Acne Vulgaris: Results from Two Phase 3 Randomized, Double-Blind, Placebo-Controlled Trials (SC1401 and SC1402)
Moore A, Green LJ, Bruce S, et al.
Safety and Tolerability of Sarecycline for the Treatment of Acne Vulgaris: Results from a 40-Week, Open-Label Study
Moore A, Green LJ, Tschen E, et al.
No reports yet
Be the first to report this effect and help the community.
Add Sarecycline to your stack to report effects
Safety and Tolerability of Sarecycline for the Treatment of Acne Vulgaris: Results from a 40-Week, Open-Label Study
Moore A, Green LJ, Tschen E, et al.
Once-Daily Oral Sarecycline 1.5 mg/kg/day Is Effective for Moderate to Severe Acne Vulgaris: Results from Two Phase 3 Randomized, Double-Blind, Placebo-Controlled Trials (SC1401 and SC1402)
Moore A, Green LJ, Bruce S, et al.
No reports yet
Be the first to report this effect and help the community.
Add Sarecycline to your stack to report effects
Safety and Tolerability of Sarecycline for the Treatment of Acne Vulgaris: Results from a 40-Week, Open-Label Study
Moore A, Green LJ, Tschen E, et al.
Efficacy and Safety of Sarecycline in Chinese Patients with Moderate-to-Severe Acne Vulgaris: Results from a Phase 3 Randomized Clinical Trial with 36-Week Open-Label Follow-up
Zhang J, Li S, Wang Y, et al.
No reports yet
Be the first to report this effect and help the community.
Add Sarecycline to your stack to report effects
Safety and Tolerability of Sarecycline for the Treatment of Acne Vulgaris: Results from a 40-Week, Open-Label Study
Moore A, Green LJ, Tschen E, et al.
Once-Daily Oral Sarecycline 1.5 mg/kg/day Is Effective for Moderate to Severe Acne Vulgaris: Results from Two Phase 3 Randomized, Double-Blind, Placebo-Controlled Trials (SC1401 and SC1402)
Moore A, Green LJ, Bruce S, et al.
Related health conditions
Research showing how this habit affects specific health conditions. Always consult healthcare professionals.
May Help With
Skin condition causing pimples, blackheads, and cysts
Efficacy and Safety of Sarecycline in Chinese Patients with Moderate-to-Severe Acne Vulgaris: Results from a Phase 3 Randomized Clinical Trial with 36-Week Open-Label Follow-up
Zhang J, Li S, Wang Y, et al.
Safety and Tolerability of Sarecycline for the Treatment of Acne Vulgaris: Results from a 40-Week, Open-Label Study
Moore A, Green LJ, Tschen E, et al.
Once-Daily Oral Sarecycline 1.5 mg/kg/day Is Effective for Moderate to Severe Acne Vulgaris: Results from Two Phase 3 Randomized, Double-Blind, Placebo-Controlled Trials (SC1401 and SC1402)
Moore A, Green LJ, Bruce S, et al.
Long-Term Oral Sarecycline Use in Moderate-to-Severe Acne Vulgaris: Patterns of Use and Safety Outcomes from a Phase 3 Extension Study
Moore A, Green LJ, Tschen E, et al.
Research (5 studies)
Efficacy and Safety of Sarecycline in Chinese Patients with Moderate-to-Severe Acne Vulgaris: Results from a Phase 3 Randomized Clinical Trial with 36-Week Open-Label Follow-up
Zhang J, Li S, Wang Y, et al.
Comparing Sarecycline and Doxycycline Effects on the Skin and Gut Microbiome and Antibiotic Resistance in Patients with Acne Vulgaris (NCT07544251)
Harvard Medical School et al.
Safety and Tolerability of Sarecycline for the Treatment of Acne Vulgaris: Results from a 40-Week, Open-Label Study
Moore A, Green LJ, Tschen E, et al.
Long-Term Oral Sarecycline Use in Moderate-to-Severe Acne Vulgaris: Patterns of Use and Safety Outcomes from a Phase 3 Extension Study
Moore A, Green LJ, Tschen E, et al.
Once-Daily Oral Sarecycline 1.5 mg/kg/day Is Effective for Moderate to Severe Acne Vulgaris: Results from Two Phase 3 Randomized, Double-Blind, Placebo-Controlled Trials (SC1401 and SC1402)
Moore A, Green LJ, Bruce S, et al.
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