Fenton Caroline, Plosker Greg L
Adis International Limited, Yardley, Pennsylvania 19067, USA.
Am J Clin Dermatol. 2004;5(6):463-78. doi: 10.2165/00128071-200405060-00012.
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.
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。
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