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Efficacy of a fixed combination of calcipotriol/betamethasone dipropionate topical gel in adult patients with mild to moderate psoriasis : Blinded interim analysis of a phase IV, multicenter, randomized, controlled, prospective study
Reich, Kristian (Dermatologikum Hamburg)
Zschocke, Ina (SCIderm GmbH (Alemanya))
Bachelez, Hervé (Université Paris-Diderot)
De Jong, Elke M.G.J. (Radboud University Medical Centre)
Gisondi, Paolo (University of Verona)
Puig Sanz, Lluís (Institut d'Investigació Biomèdica Sant Pau)
Warren, Richard B (University of Manchester)
Mrowietz, Ulrich (Universitätsklinikum Schleswig-Holstein)
Universitat Autònoma de Barcelona. Departament de Medicina

Data: 2015
Resum: Background Psoriasis is a common, chronic, inflammatory skin disease with the majority of individuals having limited disease, treated with topical medication. However, special attributes of topical treatments like galenic/cosmetic properties or an inconvenient treatment schedule may result in low preference for topical treatments. Hence, there is strong medical need for a topical medication, which is highly efficacious, easy-to-use and preferred by both physicians and patients. Objective Blinded interim analysis with the purpose to assess efficacy of (both from the physician's and patient's perspective) and the patients' preference with a highly efficacious and easy-to-use fixed combination of calcipotriol/betamethasone dipropionate topical gel after 8 weeks of once daily treatment in a large patient population. Methods In this phase IV, international, multicentre, randomized, controlled, prospective, parallel group study, adult patients with active, mild to moderate psoriasis despite previous topical psoriasis treatment, i. e. unsuccessful in the 8 weeks preceding study participation, are followed over 64 weeks. During the first 8 weeks the patients apply their medication once a day followed by a 56-weeks maintenance period according to SmPC. Blinded interim analysis of all patients included demographics, Physician's Global Assessment, the novel Patient's self Global Assessment (PsGA) and Patient Preference Questionnaire (PPQ). Results 1795 patients were analysed. At week 8, 36. 5% of the physicians rated the patients' psoriasis as clear/almost clear. Similarly, based on the patients' self-assessment, 34. 2% had a clear/almost clear score of PsGA in week 8. Analysis of the PPQ showed that the vast majority of the patients judged their 8-week treatment to be preferable compared with their previous treatments. Conclusion Results of this blinded interim analysis indicate that the fixed combination of calcipotriol/betamethasone dipropionate gel is highly efficacious and preferred by the majority of analysed patients.
Drets: Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades. Creative Commons
Llengua: Anglès
Document: Article ; recerca ; Versió publicada
Matèria: Administration, Cutaneous ; Adult ; Aged ; Anti-Inflammatory Agents ; Betamethasone ; Calcitriol ; Dermatologic Agents ; Double-Blind Method ; Drug Combinations ; Female ; Gels ; Humans ; Male ; Middle Aged ; Patient Preference ; Prospective Studies ; Psoriasis ; Severity of Illness Index ; Surveys and Questionnaires ; Treatment Outcome
Publicat a: Journal of the European Academy of Dermatology and Venereology, Vol. 29 Núm. 6 (january 2015) , p. 1156-1163, ISSN 1468-3083

DOI: 10.1111/jdv.12774
PMID: 25346093


8 p, 432.2 KB

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 Registre creat el 2024-09-05, darrera modificació el 2025-06-14



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