J Am Acad Dermatol:crisaborole治疗特应性皮炎是安全和有效的

2016-07-24 Mechront 译 MedSci原创

背景:对于特应性皮炎(AD)需要额外的局部治疗,在提供治疗的同时最小化风险。目的:评估两项AD相关的III期研究中(AD-301: NCT02118766; AD-302: NCT02118792)磷酸二酯酶4抑制剂crisaborole药膏的有效性和安全性。方法:两项研究均是安慰剂对照的双盲研究,按2:1将患者分到试验组和对照组,患者年龄≥2岁,调查者静态全球评估(ISGA)评分为轻度或中度,每

背景:对于特应性皮炎(AD)需要额外的局部治疗,在提供治疗的同时最小化风险。

目的:评估两项AD相关的III期研究中(AD-301: NCT02118766; AD-302: NCT02118792)磷酸二酯酶4抑制剂crisaborole药膏的有效性和安全性。

方法:两项研究均是安慰剂对照的双盲研究,按2:1将患者分到试验组和对照组,患者年龄≥2岁,调查者静态全球评估(ISGA)评分为轻度或中度,每天2次,持续28天。主要终点是29天时ISGA评分(清除 0;几乎清除 1),与基线相比改善≥2级。

结果:相比对照组,试验组达到目标ISGA评分的比例更高(清除/几乎清除伴≥2级改善; AD-301: 32.8% vs 25.4%, P = .038; AD-302: 31.4% vs 18.0%, P < .001),达到清除/几乎清除的比例也更高(51.7% vs 40.6%, P = .005; 48.5% vs 29.7%, P < .001)。Crisaborole治疗组达到目标ISGA得分和瘙痒症的改善中,时间明显短于对照组。治疗相关的不良事件是罕见的,严重程度常为轻度至中度。研究的随访时间过短是局限性之一。

结论:Crisaborole在改善AD相关测量值和症状(疾病的严重程度、皮肤瘙痒和其他症状)表现出了良好的安全性和有效性。

原始出处:


Paller AS,et al.Efficacy and safety of crisaborole ointment, a novel, nonsteroidal phosphodiesterase 4 (PDE4) inhibitor for the topical treatment of atopic dermatitis (AD) in children and adults.J Am Acad Dermatol. 2016 Jul 7. pii: S0190-9622(16)30330-9. doi: 10.1016/j.jaad.2016.05.046. [Epub ahead of print]

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    2016-10-21 lishizhe
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    2016-07-26 闆锋旦
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    2016-07-25 oo902

    讲的很全面

    0