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卡泊三醇/倍他米松二丙酸酯:治疗寻常型银屑病的应用综述

Calcipotriol/betamethasone dipropionate: a review of its use in the treatment of psoriasis vulgaris.

作者信息

Fenton Caroline, Plosker Greg L

机构信息

Adis International Limited, Yardley, Pennsylvania 19067, USA.

出版信息

Am J Clin Dermatol. 2004;5(6):463-78. doi: 10.2165/00128071-200405060-00012.


DOI:10.2165/00128071-200405060-00012
PMID:15663344
Abstract

The two-compound product containing calcipotriol 50 microg/g plus betamethasone dipropionate 0.5 mg/g (Dovobet, Daivobet) [referred to here as calcipotriol/betamethasone dipropionate], is a topical treatment for psoriasis vulgaris, combining a vitamin D analog and a corticosteroid. For most adult patients with psoriasis vulgaris on the trunk and limbs, up to 4 weeks of therapy with calcipotriol/betamethasone dipropionate provides an effective and well tolerated treatment. In clinical trials, patients with a mean baseline psoriasis area and severity index (PASI) of 9.5-10.9 experienced a mean 65.0-74.4% PASI improvement within 4 weeks, significantly better than improvements with calcipotriol 50 microg/g monotherapy, betamethasone dipropionate 0.5 mg/g monotherapy, or placebo. In addition, in 6.4%-20.1% of patients, lesions cleared. In patients who were subsequently treated with calcipotriol maintenance therapy, benefits were retained for at least 4 weeks. The safety of calcipotriol/betamethasone dipropionate in patients treated for up to 1 year was generally good; fewer than 5% of patients experienced adverse events possibly associated with long-term corticosteroid use.

摘要

含有50微克/克骨化三醇加0.5毫克/克二丙酸倍他米松的复方制剂(达力士倍他米松,得肤宝)[此处称为骨化三醇/二丙酸倍他米松],是一种寻常型银屑病的局部治疗药物,它将一种维生素D类似物和一种皮质类固醇结合在一起。对于大多数躯干和四肢患有寻常型银屑病的成年患者,使用骨化三醇/二丙酸倍他米松进行长达4周的治疗可提供有效且耐受性良好的治疗。在临床试验中,平均基线银屑病面积和严重程度指数(PASI)为9.5 - 10.9的患者在4周内PASI平均改善了65.0 - 74.4%,显著优于使用50微克/克骨化三醇单药治疗、0.5毫克/克二丙酸倍他米松单药治疗或安慰剂的改善情况。此外,6.4% - 20.1%的患者皮损消退。在随后接受骨化三醇维持治疗的患者中,疗效至少维持了4周。骨化三醇/二丙酸倍他米松在接受长达1年治疗的患者中的安全性总体良好;不到5%的患者出现了可能与长期使用皮质类固醇相关的不良事件。

相似文献

[1]
Calcipotriol/betamethasone dipropionate: a review of its use in the treatment of psoriasis vulgaris.

Am J Clin Dermatol. 2004

[2]
Calcipotriol/betamethasone dipropionate: a review of its use in the treatment of psoriasis vulgaris of the trunk, limbs and scalp.

Drugs. 2011-4-16

[3]
Spotlight on calcipotriene/betamethasone dipropionate in psoriasis vulgaris of the trunk, limbs, and scalp.

Am J Clin Dermatol. 2011-12-1

[4]
Topical calcipotriol/betamethasone dipropionate for psoriasis vulgaris: A systematic review.

Indian J Dermatol Venereol Leprol. 2016

[5]
Efficacy of once-daily treatment regimens with calcipotriol/betamethasone dipropionate ointment and calcipotriol ointment in psoriasis vulgaris.

Br J Dermatol. 2004-6

[6]
A 52-week randomized safety study of a calcipotriol/betamethasone dipropionate two-compound product (Dovobet/Daivobet/Taclonex) in the treatment of psoriasis vulgaris.

Br J Dermatol. 2006-6

[7]
Treatment of psoriasis vulgaris with the two-compound product calcipotriol/betamethasone dipropionate followed by different formulations of calcipotriol.

Clin Drug Investig. 2006

[8]
The impact of a two-compound product containing calcipotriol and betamethasone dipropionate (Daivobet/ Dovobet) on the quality of life in patients with psoriasis vulgaris: a randomized controlled trial.

Br J Dermatol. 2004-9

[9]
Fixed-dose combination therapy for psoriasis.

Am J Clin Dermatol. 2004

[10]
A new calcipotriol/betamethasone formulation with rapid onset of action was superior to monotherapy with betamethasone dipropionate or calcipotriol in psoriasis vulgaris.

Acta Derm Venereol. 2002

引用本文的文献

[1]
The Role of Sphingolipids and Sphingosine-1-phosphate-Sphingosine-1-phosphate-receptor Signaling in Psoriasis.

Cells. 2023-9-26

[2]
Nanoscale Topical Pharmacotherapy in Management of Psoriasis: Contemporary Research and Scope.

J Funct Biomater. 2022-12-29

[3]
Logical and experimental modeling of cytokine and eicosanoid signaling in psoriatic keratinocytes.

iScience. 2021-11-15

[4]
Glucocorticoids in Sepsis: To Be or Not to Be.

Front Immunol. 2020

[5]
Calcipotriol/betamethasone for the treatment of psoriasis: efficacy, safety, and patient acceptability.

Psoriasis (Auckl). 2015-6-8

[6]
Calcipotriene/betamethasone dipropionate for the treatment of psoriasis vulgaris: an evidence-based review.

Clin Cosmet Investig Dermatol. 2017-9-29

[7]
Oral granulated Chinese herbal medicine (YXBCM01) plus topical calcipotriol for psoriasis vulgaris: study protocol for a double-blind, randomized placebo controlled trial.

Trials. 2014-12-19

[8]
Efficacy of adding topical simvastatin to topical calcipotriol on improvement of cutaneous plaque psoriasis.

Adv Biomed Res. 2014-1-9

[9]
Calcipotriol/betamethasone dipropionate: a review of its use in the treatment of psoriasis vulgaris of the trunk, limbs and scalp.

Drugs. 2011-4-16

[10]
Harnessing dendritic cells in inflammatory skin diseases.

Semin Immunol. 2011-2-4

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