2f:I[703058,["/_next/static/immutable/chunks/3bhq_5eh1d760.js","/_next/static/immutable/chunks/2iy5wruuedsh6.js","/_next/static/immutable/chunks/2pfsjpn6k6zlg.js","/_next/static/immutable/chunks/26c7v3_3uwnwu.js","/_next/static/immutable/chunks/00yc7rcvua6a7.js","/_next/static/immutable/chunks/37ktb71aq3480.js","/_next/static/immutable/chunks/2d50b-7eu4558.js","/_next/static/immutable/chunks/06_yt270h41rg.js","/_next/static/immutable/chunks/2d6noqpp6ehas.js","/_next/static/immutable/chunks/1sx186c93bpzg.js","/_next/static/immutable/chunks/3dc-1n866s65i.js","/_next/static/immutable/chunks/20x2y96ldu5wx.js","/_next/static/immutable/chunks/2w1bvggzb0ga8.js","/_next/static/immutable/chunks/2051ffx3xzio9.js"],"PaperListPageClient"] 30:T656,Melasma is a chronic refractory pigmentation disorder. Kligman triple (KT) formula is the gold standard. A dermocosmetic (DC) serum containing vitamin B3 and 2-mercaptonicotinyl glycine has been developed for melasma. This study assessed the benefits of DC serum compared to KT in melasma. A randomized, single-blind 6-month study was conducted in women with melasma. Subjects were randomized to Group A (morning: serum; evening: cream, for 6 months) or to Group B (1st 3 months: morning: skin hydrating gel; evening: KT, followed by 3 months of DC routine regimen); all subjects applied a sunscreen with an SPF 50+ twice daily. Assessments included MASI, mMASI, IGA, skin hydration, radiance and fine wrinkles, tolerance, and quality of life (QoL) using MELASQOL. Ninety-one women aged 44 ± 6 years of Phototypes III (30%) and IV (36%) were recruited. Both regimens significantly (p < 0.05) improved MASI after 3 months. A clinically relevant difference in favor of KT was observed. Three months after the switch, both Group A (38.1%) and Group B (41.2%) provided a similar significant (p < 0.05) percentage reduction of MASI score, with no between-group difference. The mMASI and IGA showed similar results. QoL and skin hydration significantly (p < 0.05) improved in both groups after 6 months. Skin radiance and fine wrinkles also improved. Global tolerance was better with the DC routine. Both DC routine and KT significantly improved melasma after 3 months of use. DC further improved melasma when replacing KT for 3 further months, with similar results when used alone for 6 months.31:T806,ABSTRACTIntroductionMelasma is a chronic refractory pigmentation disorder. Kligman triple (KT) formula is the gold standard. A dermocosmetic (DC) serum containing vitamin B3 and 2‐mercaptonicotinyl glycine has been developed for melasma. This study assessed the benefits of DC serum compared to KT in melasma.Material and MethodsA randomized, single‐blind 6‐month study was conducted in women with melasma. Subjects were randomized to Group A (morning: serum; evening: cream, for 6 months) or to Group B (1st 3 months: morning: skin hydrating gel; evening: KT, followed by 3 months of DC routine regimen); all subjects applied a sunscreen with an SPF 50+ twice daily. Assessments included MASI, mMASI, IGA, skin hydration, radiance and fine wrinkles, tolerance, and quality of life (QoL) using MELASQOL.ResultsNinety‐one women aged 44 ± 6 years of Phototypes III (30%) and IV (36%) were recruited. Both regimens significantly (p < 0.05) improved MASI after 3 months. A clinically relevant difference in favor of KT was observed. Three months after the switch, both Group A (38.1%) and Group B (41.2%) provided a similar significant (p < 0.05) percentage reduction of MASI score, with no between‐group difference. The mMASI and IGA showed similar results. QoL and skin hydration significantly (p < 0.05) improved in both groups after 6 months. Skin radiance and fine wrinkles also improved. Global tolerance was better with the DC routine.ConclusionsBoth DC routine and KT significantly improved melasma after 3 months of use. DC further improved melasma when replacing KT for 3 further months, with similar results when used alone for 6 months.25:[[["$","script","0",{"type":"application/ld+json","dangerouslySetInnerHTML":{"__html":"{\"@context\":\"https://schema.org\",\"@type\":\"CollectionPage\",\"name\":\"niacinamide: generic Research & Clinical Takeaways\",\"description\":\"Explore peer-reviewed papers on niacinamide (generic). Clinician-written summaries and actionable practice insights. 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Both regimens significantly (p < 0.05) improved MASI after 3 months. A clinically relevant difference in favor of KT was observed. Three months after the switch, both Group A (38.1%) and Group B (41.2%) provided a similar significant (p < 0.05) percentage reduction of MASI score, with no between-group difference. The mMASI and IGA showed similar results. QoL and skin hydration significantly (p < 0.05) improved in both groups after 6 months. Skin radiance and fine wrinkles also improved. Global tolerance was better with the DC routine.","abstract":"$30","keywords":["2‐Mercaptonicotinyl glycine","Kligman's formula","Melasma","vitamin B3"],"pubmed_id":"41036635","conclusions":"","publication_date":"2025-10-02T00:00:00"},"crossref":{"DOI":"10.1111/jocd.70476","URL":"https://doi.org/10.1111/jocd.70476","ISSN":["1473-2130","1473-2165"],"link":[{"URL":"https://onlinelibrary.wiley.com/doi/pdf/10.1111/jocd.70476","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"page":null,"type":"journal-article","issue":"10","score":1,"title":["A Novel Dermocosmetic Routine Containing Vitamin B3 and 2‐Mercaptonicotinyl Glycine Significantly Improves Melasma After 3 Months of Daily Use"],"author":[{"given":"Juliane","family":"Rocio","sequence":"first","affiliation":[{"name":"Institute of Dermatology & Aesthetics of Rio de Janeiro Rio de Janeiro Brazil"}]},{"given":"Natalia","family":"Kovylkina","sequence":"additional","affiliation":[{"name":"Vichy Laboratoires International Vichy France"}]},{"given":"Tania","family":"Cestari","sequence":"additional","affiliation":[{"name":"Department of Dermatology Hospital de Clinicas de Porto Alegre Porto Alegre Brazil"}]},{"given":"Mariana Fajgenbaum","family":"Feiges","sequence":"additional","affiliation":[{"name":"L'Oréal LDB Rio de Janeiro Brazil"}]},{"given":"Erika","family":"Fernandes","sequence":"additional","affiliation":[{"name":"L'Oréal LDB Rio de Janeiro Brazil"}]},{"given":"Claire","family":"Deloche‐Bensmaine","sequence":"additional","affiliation":[{"name":"Vichy Laboratoires International Vichy France"}]},{"given":"Elisa","family":"Caberlotto","sequence":"additional","affiliation":[{"name":"Vichy Laboratoires International Vichy France"}]},{"given":"Thierry","family":"Passeron","sequence":"additional","affiliation":[{"name":"Department of Dermatology, CHU Nice Université Côte d'Azur Nice France"},{"name":"C3M, INSERM U1065 Université Côte d'Azur Nice France"}]}],"issued":{"date-parts":[[2025,10]]},"member":"311","prefix":"10.1111","source":"Crossref","volume":"24","archive":["Portico"],"created":{"date-time":"2025-10-02T09:57:20Z","timestamp":1759399040000,"date-parts":[[2025,10,2]]},"indexed":{"date-time":"2025-10-03T00:38:19Z","timestamp":1759451899164,"date-parts":[[2025,10,3]]},"license":[{"URL":"http://creativecommons.org/licenses/by/4.0/","start":{"date-time":"2025-10-02T00:00:00Z","timestamp":1759363200000,"date-parts":[[2025,10,2]]},"delay-in-days":1,"content-version":"vor"}],"subject":[],"abstract":"$31","language":"en","relation":{},"resource":{"primary":{"URL":"https://onlinelibrary.wiley.com/doi/10.1111/jocd.70476"}},"subtitle":[],"assertion":[{"name":"received","group":{"name":"publication_history","label":"Publication History"},"label":"Received","order":0,"value":"2025-07-22"},{"name":"accepted","group":{"name":"publication_history","label":"Publication History"},"label":"Accepted","order":2,"value":"2025-09-19"},{"name":"published","group":{"name":"publication_history","label":"Publication History"},"label":"Published","order":3,"value":"2025-10-02"}],"deposited":{"date-time":"2025-10-02T09:57:25Z","timestamp":1759399045000,"date-parts":[[2025,10,2]]},"issn-type":[{"type":"print","value":"1473-2130"},{"type":"electronic","value":"1473-2165"}],"published":{"date-parts":[[2025,10]]},"publisher":"Wiley","reference":[{"DOI":"10.1111/pcmr.12684","key":"e_1_2_10_2_1","year":"2018","issue":"4","author":"Passeron T.","volume":"31","first-page":"461","unstructured":null,"article-title":"Melasma, a Photoaging Disorder","journal-title":"Pigment Cell & Melanoma Research","doi-asserted-by":"crossref"},{"DOI":"10.1007/s13555-022-00779-x","key":"e_1_2_10_3_1","year":"2022","issue":"9","author":"Espósito A. 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(niacinamide + 2‑mercaptonicotinyl glycine serum in the morning; night cream) used for 6 months versus Kligman triple (fluocinolone/tretinoin/hydroquinone) for 3 months then switch to the dermocosmetic. All participants used SPF 50+ twice daily; primary endpoints were MASI and mMASI at Months 3 and 6.","key_result":"At Month 3, MASI fell by 19.5% with the dermocosmetic and 30.5% with Kligman triple (both p<0.05; between-group difference not significant); at Month 6, reductions were 38.1% and 41.2%, respectively, with no between-group difference. Skin hydration improved with the dermocosmetic (+9.6% at 3 months; continued +6.3% by 6 months), did not change with Kligman triple, and increased in the switch group after Month 3 (+6.1%); tolerance favored the dermocosmetic (no local issues at 6 months: 90% vs 66%).","limitations":"Single-center, single-blind trial in women only limits generalizability. The Kligman arm switched to the dermocosmetic at 3 months, so the 6‑month comparison is not a continuous head‑to‑head; the study was industry funded and included sponsor employees among authors.","practice_takeaway":"In women with epidermal melasma, a niacinamide/2‑mercaptonicotinyl glycine dermocosmetic achieved similar 6‑month MASI reductions to Kligman triple and improved hydration with better tolerance. It is a reasonable alternative to Kligman triple or a maintenance option after a 3‑month Kligman course."}}],"initialOffset":1,"fetchConfig":{"kind":"tags","tags":[{"tag_type":"generic","value":"niacinamide"}]},"breadcrumbItems":[{"name":"Home","href":"/"},{"name":"Research Hub","href":"/hub"},{"name":"Generics","href":"/hub/tag/generic"},{"name":"niacinamide"}],"hrefConfig":{"basePath":"/hub/papers","webViewQueryParams":{"hub_ctx":"tag","hub_tag_type":"generic","hub_tag_value":"niacinamide"}}}]]

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