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通过每日使用3.75%或2.5%咪喹莫特乳膏治疗面部或秃发头皮的光化性角化病后,完全清除可持续至少12个月。

Complete clearance is sustained for at least 12 months after treatment of actinic keratoses of the face or balding scalp via daily dosing with imiquimod 3.75% or 2.5% cream.

作者信息

Hanke C William, Swanson Neil, Bruce Suzanne, Berman Brian, Kulp James, Levy Sharon

机构信息

Laser and Skin Surgery Center, Carmel, IN, USA.

出版信息

J Drugs Dermatol. 2011 Feb;10(2):165-70.

Abstract

OBJECTIVE

Assess long-term, sustained, complete clearance of actinic keratoses after treatment with imiquimod 3.75% or 2.5% cream using two two-week or three-week cycles of daily dosing.

METHODS

Adults with five to 20 baseline actinic keratoses who achieved complete clearance at the eight-week post-treatment visit in four phase 3 placebo-controlled treatment studies were followed for an additional 12 months.

RESULTS

For imiquimod 3.75% and 2.5% cream, respectively, complete clearance was sustained for 12 months in 17/42 (40.5%) and 13/39 (33.3%) subjects from the two-week cycle studies, and in 23/48 (47.9%) and 16/37 (43.2%) subjects from the three-week cycle studies. There were no safety concerns during the follow-up.

CONCLUSION

In subjects with a median of eight to nine baseline actinic keratoses who achieved complete clearance after treatment of the full face or balding scalp with topical imiquimod 3.75% cream, complete clearance of all lesions (baseline, recurrent or new) was sustained in ≥ 40 percent of subjects for at least 14 months after the last dose. Clinicaltrials.gov identifier NCT00668733.

摘要

目的

使用3.75%或2.5%咪喹莫特乳膏,通过两个为期两周或三周的每日给药周期,评估光化性角化病治疗后的长期、持续、完全清除情况。

方法

在四项3期安慰剂对照治疗研究中,对基线有5至20处光化性角化病且在治疗后8周访视时实现完全清除的成人患者进行了为期12个月的随访。

结果

对于3.75%和2.5%咪喹莫特乳膏,在为期两周的周期研究中,分别有17/42(40.5%)和13/39(33.3%)的受试者在12个月时保持完全清除;在为期三周的周期研究中,分别有23/48(47.9%)和16/37(43.2%)的受试者在12个月时保持完全清除。随访期间无安全性问题。

结论

在基线有八至九处光化性角化病的受试者中,使用3.75%咪喹莫特乳膏对全脸或秃发头皮进行治疗后实现完全清除,≥40%的受试者在最后一剂后至少14个月内所有皮损(基线、复发或新发)保持完全清除。Clinicaltrials.gov标识符:NCT00668733 。

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