Sebum Regulating, Anti-Inflammatory, and Lipid Restoring Efficacy of Isorhamnetin Extracted from Opuntia ficus-indica: Results from a Randomized Double-Blind Clinical Trial

Oily skin is a prevalent dermatological condition characterized by excessive sebum production, due to hyperactivity of the sebaceous glands. In this study, a randomized split-face clinical trial was conducted on 22 subjects with combination to oily skin to evaluate the efficacy of a cosmetic cream containing a standardized amount of isorhamnetin extract from prickly pear (Opuntia ficus-indica), applied twice daily over a 28-day period. Efficacy assessments included instrumental measurements of skin sebum content, Sebum Excretion Rate (SER), pore size, tumor necrosis factor-alpha (TNF-α) levels, skin microbiome composition, and lipid profile. Additionally, the study included an assessment of participants’ subjective perception. After 14 and 28 days of product use, respectively, a significant reduction in skin sebum content was observed, with decreases of 13.1% and 21.1% on the forehead, and 10.4% and 15.8% in the alar groove. This reduction in sebum levels was associated with a mattifying effect lasting up to 7.1 h, a 37.2% decrease in the sebum excretion rate (SER), and a 9.6% reduction in pore size. The TNF- α levels decreased by 7.4%. The extract was well tolerated by the skin microbiome, which remained stable. Additionally, analysis of the skin lipid profile revealed an increase in both ceramide and triacylglycerol levels. Overall, our findings demonstrate the role of the extract in modulating sebaceous gland activity, improving skin appearance, reducing inflammation, and supporting barrier integrity and hydration in individuals with oily skin.