A comparative study of 20% azelaic acid cream versus 5% tranexamic acid solution for the treatment of postinflammatory hyperpigmentation in patients with acne vulgaris: A single-blinded randomized clinical trial.
controlled
EVIDENCE COMPARISON
DirectionalEarly or indirect evidence suggests tranexamic acid and azelaic acid show similar effectiveness for reducing pigmentation and improving skin tone.
Effect ratio
Favored
Study
Comparison
Limits: Includes subjective endpoint · Early-stage evidence tier
Kept public as exploratory because it includes subjective endpoint; early-stage evidence tier.
Some study-specific context may affect how broadly this comparison generalizes.