Study design: split-face, double-blind, 12 weeks
Each of the 1,800 participants applied 4% niacinamide to one half of their face and 10% niacinamide to the other, in identical vehicle formulations (same pH 5.5 base, same preservative system, same texture). Neither participants nor evaluating dermatologists knew which side received which concentration. Outcome measures: sebum production (measured via Sebumeter at weeks 0, 4, 8, 12), pore size (digital imaging analysis), hyperpigmentation (Mexameter melanin index), transepidermal water loss/TEWL (barrier function), and subjective symptoms (stinging, redness, dryness). Participants were stratified by skin type (oily, combination, dry, sensitive), city (Delhi, Mumbai, Bengaluru, Kolkata), and age group (18–25, 26–35, 36–45).