Efficacy of an Adapted Antibiotherapy in Hurley Stage 2 Hidradenitis Suppurativa Patients

Inclusion Criteria

• •Adults \< 60 years old
• •Diagnosis of HS according to European Dermatology guidelines:
• •* Recurrent inflammation occurring more than 2 times in the past 6 months in the inverse regions of the body, presenting with nodules, sinus-tracts and/or scarring.
• •* Signs: Involvement of axilla, genitofemoral area, perineum, gluteal area (and infra-mammary areafor women). Presence of nodules (inflamed or noninflamed), sinus tracts (inflamed or noninflamed), abscesses, scarring (atrophic, mesh-like, red, hypertrophic or linear)
• •Active HS with i) ≥ 1 year of evolution and ii) ≥ 4 flares during the previous year
• •Clinical severity of HS at inclusion: Hurley stage 2
• •BMI \< 35
• •Written informed consent from patient
• •Patient able to complete DLQI
• •Patients affiliated to the French health system (Assurance Maladie), except French state medical aid beneficiaries (Aide Médicale d'Etat)
• •Active compatible contraception for men and women of childbearing or inability to procreate
• •Available laboratory blood test performed within the last 2-months
• •Person \< 18 and ≥ 60 years old
• •Former stage 3 HS
• •Previous use of the experimental treatment
• •Unauthorized drugs for the study during the month preceding the inclusion
• •Any contra-indication to study treatments or excipient (e.g. lactose, cornstarch, riboflavin notably):
• •pregnancy, breastfeeding, known allergy to experimental or reference drugs, wheat allergy, tendinopathy, QT prolongation, bradycardia, heart failure, heart rhythm disturbances, hydroelectrolytic disorders, hypokalemia, coagulation disorders, severe liver/kidney dysfunction, porphyria, mandatory use of nonsteroidal anti-inflammatory drugs (NSAIDs) for other medical conditions
• •Unbalanced diabetes (ie HbA1c above 7%)
• •Dysphagia, untreated gastro-oesophageal reflux/ulcer
• •BMI ≥ 35
• •Immune suppression, inflammatory disease, including gastroenterologic and rheumatologic inflammatory conditions
• •Lactase deficiency, lactose and galactose intolerance
• •Malabsorption syndrome
• •Person living in the same household as another patient
• •Person under guardianship or curatorship
• •Individuals with any condition which, in the opinion of the investigator, might interfere with the evaluation of the study objectives (e.g patient unable to complete DLQI, or poor predictable observance
• •Participation in another interventional research on health products studies
• •Patients requiring repeated (more than 3/year) use of antibiotics for a chronic disease other than HS
• •Alcohol-dependant patients defined as an addiction to alcohol with a negative impact on health, social or personal life
• •Development of hypersensitivity to any of the study products and/or excipients (e.g. lactose, corn starch, riboflavin).