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Veltin (clindamycin phosphate and tretinoin)

Company: Stiefel
Approval Status: Approved July 2010
Treatment for: acne vulgaris
Areas: Dermatology / Plastic Surgery; Pediatrics

| General Information | Clinical Results | Side Effects | Mechanism of Action | Literature References | Additional Information |


General Information

Veltin gel is a combination of 1.2% clindamycin, and 0.025% tretinoin. It combines the anti-inflammatory and antibiotic effects of clindamycin and tretinoin. Tretinoin prevents the formation of comedones by stimulating keratinocyte production and reducing their cohesiveness. The bacteriostatic effect of clindamycin prevents proliferation of the microbial flora, thereby stopping production of inflammatory mediators that result in pustular lesions.

Veltin is specifically indicated for the topical treatment of acne vulgaris in patients 12 years or older.

Veltin is supplied as a gel for topical administration. The recommended application is once daily in the evening, gently rubbing the medication to lightly cover the entire affected area. Approximately a pea sized amount will be needed for each application.


Clinical Results

FDA Approval
The FDA approval of Veltin was based on 12-week multicenter, randomized, blinded studies in subjects 12 years and older. Treatment response was defined as the percent of subjects who had a two grade improvement from baseline to Week 12 based on the Investigator’s Global Assessment (IGA) and a mean absolute change from baseline to Week 12 in two out of three (total, inflammatory and non-inflammatory) lesion counts.
Study One
In Study 1, 1,649 subjects were randomized to Veltin Gel, Clindamycin gel, Tretinoin gel, or placebo gel. At baseline, subjects had an average of 71 total lesions of which the mean number of inflammatory lesions was 25.5 lesions and the mean number of non-inflammatory lesions was 45.1 lesions. The majority of subjects enrolled with a baseline IGA score of 3. The results were as follows:
% of Patients with IGA Two Grade Improvement: Veltin Gel: 36.3%; Clindamycin Gel: 26.6%; Tretinoin Gel: 26.1% and placebo: 20.2%.
% of Patients with IGA of 0 (clear) or 1 (almost clear) with a Two Grade Improvement: Veltin Gel: 33.2%; Clindamycin Gel: 24.0%; Tretinoin Gel: 24.0% and placebo: 17.8%.
Mean Percentage Reduction in Inflammatory Lesions: Veltin Gel: 60.4%; Clindamycin Gel: 56.5%; Tretinoin Gel: 54.5% and placebo: 43.3%
Mean Percentage Reduction in Non-Inflammatory Lesions: Veltin Gel: 51.0%; Clindamycin Gel: 42.9%; Tretinoin Gel: 47.3% and placebo: 36.0%
Mean Percentage Reduction in Total Lesions: Veltin Gel: 55.0%; Clindamycin Gel: 49.0%; Tretinoin Gel: 50.5% and placebo: 39.1%.

The safety and efficacy of Veltin gel was also evaluated in two additional 12-week, multi-centered, randomized, blinded, studies in patients 12 years and older. A total of 2,219 subjects with mild-to-moderate acne vulgaris were treated once daily for 12 weeks. Of the 2,219 subjects, 634 subjects were treated with Veltin gel. These studies demonstrated outcomes consistent with the initial study.


Side Effects

Adverse events associated with the use of Veltin may include, but are not limited to, the following application site reactions:

  • Dryness
  • Irritation
  • Exfoliation
  • Erythema
  • Pruritus
  • Dermatitis
  • Sunburn


Mechanism of Action

Veltin gel is a combination of 1.2% clindamycin, and 0.025% tretinoin. It combines the anti-inflammatory and antibiotic effects of clindamycin and tretinoin. Tretinoin prevents the formation of comedones by stimulating keratinocyte production and reducing their cohesiveness. The bacteriostatic effect of clindamycin prevents proliferation of the microbial flora, thereby stopping production of inflammatory mediators that result in pustular lesions.


Literature References

Eichenfield LF, Wortzman M A novel gel formulation of 0.25% tretinoin and 1.2% clindamycin phosphate: efficacy in acne vulgaris patients aged 12 to 18 years. Pediatric Dermatology 2009 May-Jun;26(3):257-61.

Kircik LH, Peredo MI, Bucko AD, Loss RW Jr, Fowler JF Jr, Wortzman M, Neumaier GJ Safety of a novel gel formulation of clindamycin phosphate 1.2%-tretinoin 0.025%: results from a 52-week open-label study. Cutis; Cutaneous Medicine for the Practitioner 2008 Nov;82(5):358-66.

Schlessinger J, Menter A, Gold M, Leonardi C, Eichenfield L, Plott RT, Leyden J, Wortzman M; ZIANA Study Group Clinical safety and efficacy studies of a novel formulation combining 1.2% clindamycin phosphate and 0.025% tretinoin for the treatment of acne vulgaris. Journal of Drugs in Dermatology 2007 Jun;6(6):607-15.


Additional Information

For additional information regarding acne vulgaris or Veltin gel, please visit the Stiefel web page.


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Veltin Drug Information

The Veltin drug information shown above is licensed from Thomson CenterWatch. The information provided here is for general educational purposes only and does not constitute medical or pharmaceutical advice which should be sought from qualified medical and pharmaceutical advisers.





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