Feldman Steven R, Werner Cary P, Alió Saenz Alessandra B
Wake Forest University Health Sciences, Winston-Salem, NC, USA.
J Drugs Dermatol. 2013 Apr;12(4):438-46.
Tazarotene 0.1% gel and cream are effective topical treatments for acne. Tazarotene foam, 0.1% was developed to provide an alternative, safe, and effective formulation.
To evaluate efficacy and tolerability of tazarotene foam, 0.1% in adults and adolescents with acne vulgaris.
Two randomized, double-blind, vehicle-controlled, parallel-group studies were conducted at 39 centers in the United States and Canada. The first study involved 744 participants and the second 742, aged 12 to 45 years, who were randomized to receive treatment with either tazarotene foam, 0.1% or vehicle foam once daily for 12 weeks. Lesion counts, Investigator's Static Global Assessments (ISGA), and Subject's Global Assessments (SGA) were evaluated at baseline and weeks 2, 4, 8, and 12. Tolerability was monitored throughout the study.
At week 12 in both studies, treatment with tazarotene foam led to greater decreases from baseline in mean absolute and percentage change in lesion counts (noninflammatory, inflammatory, and total), greater proportion of participants with ≥2-grade improvement in ISGA score, and greater proportion of participants with ISGA score of 0 or 1 than vehicle treatment (P<.001 for all). Only application-site skin irritation and dryness were reported by >5% of participants in active treatment groups in both studies.
The efficacy and tolerability of tazarotene foam were not compared directly with those of other formulations.
Tazarotene foam, 0.1% significantly reduced the number and severity of acne lesions after 12 weeks and had a safe and acceptable tolerability profile.
0.1%的他扎罗汀凝胶和乳膏是治疗痤疮的有效局部用药。0.1%的他扎罗汀泡沫剂被开发出来以提供一种替代的、安全有效的剂型。
评估0.1%他扎罗汀泡沫剂治疗寻常痤疮成人和青少年患者的疗效和耐受性。
在美国和加拿大的39个中心进行了两项随机、双盲、赋形剂对照、平行组研究。第一项研究纳入744名参与者,第二项研究纳入742名参与者,年龄在12至45岁之间,他们被随机分配接受0.1%他扎罗汀泡沫剂或赋形剂泡沫剂治疗,每日一次,共12周。在基线以及第2、4、8和12周时评估皮损计数、研究者静态整体评估(ISGA)和受试者整体评估(SGA)。在整个研究过程中监测耐受性。
在两项研究的第12周时,与赋形剂治疗相比,他扎罗汀泡沫剂治疗使皮损计数(非炎性、炎性和总数)的平均绝对值和百分比变化较基线有更大程度的降低,ISGA评分改善≥2级的参与者比例更高,ISGA评分为0或1的参与者比例更高(所有P<0.001)。在两项研究的活性治疗组中,均有超过5%的参与者报告了仅用药部位的皮肤刺激和干燥。
他扎罗汀泡沫剂的疗效和耐受性未与其他剂型直接比较。
0.1%他扎罗汀泡沫剂在12周后显著减少了痤疮皮损的数量和严重程度,且具有安全可接受的耐受性。