Clascoterone

Reviewed by Daisy · Last updated 6 May 2026

A topical androgen receptor inhibitor developed to address acne at a hormonal level

Best For Skin Types

Oily, Combination, Acne-prone

Addresses

Acne, Oil control

Effective Concentrations

1%

Usage Frequency

Once or twice daily

What Is Clascoterone?

Clascoterone is a synthetic topical androgen receptor inhibitor—a compound designed to block the activity of androgens (hormones) in the skin. It works locally within the sebaceous glands and hair follicles, where it competes with dihydrotestosterone, a hormone involved in acne development.

Unlike systemic treatments such as oral contraceptives or spironolactone, clascoterone acts only on the skin, making it a localised approach to hormonal acne without affecting hormone levels throughout the body.

How It Works

Androgens (male hormones present in all skin types) stimulate sebaceous glands to produce excess sebum and promote conditions favourable to acne development. Clascoterone binds to androgen receptors in these glands and follicles, blocking the hormonal signals that would otherwise trigger increased oil production and acne-related changes.

By reducing this androgen-driven activity locally in the skin, clascoterone may help reduce acne lesion formation without the systemic effects of oral hormonal treatments.

Clinical Evidence & References

Phase 3 clinical trials evaluated clascoterone cream 1% in patients aged 9 years and older with moderate to severe facial acne. These randomised, placebo-controlled studies demonstrated efficacy in reducing both inflammatory and non-inflammatory lesions compared to vehicle control over a 12-week treatment period.

The ingredient received regulatory approval in the USA in 2020 for acne treatment. Research specifically in UK populations or longer-term safety data remains limited, and comparative efficacy against established acne treatments such as retinoids or benzoyl peroxide requires further investigation.

How to Use

Clascoterone cream is typically applied topically to affected areas once or twice daily. It can be used alongside other acne treatments, though combining it with multiple active ingredients should be done carefully to avoid irritation. Allow the skin time to adjust—improvements may take several weeks to become apparent. Always follow product instructions, as formulation and strength may vary.

Safety & Precautions

Clascoterone has been shown to be generally well-tolerated in clinical trials. As with any topical treatment, mild irritation, redness, or dryness may occur; discontinue use if severe reactions develop. Pregnant individuals should consult a healthcare provider before use.

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