Jarratt Michael, Jones Terry, Adelglass Jeffrey, Bucko Alicia, Pollak Richard, Roman-Miranda Amaury, Olin Jason T, Swinyer Leonard
J Drugs Dermatol. 2014 Jul;13(7):838-46.
Interdigital tinea pedis is one of the most common clinical presentations of dermatophytosis.
This phase 3 study evaluated the safety and efficacy of luliconazole cream 1% in patients with tinea pedis.
A total of 321 male and female patients aged ≥12 years with tinea pedis and eligible for modified intent-to-treat analysis were randomized 1:1 to receive luliconazole cream 1% (n=159) or vehicle (n=162) once daily for 14 days. Efficacy was evaluated at days 28 and 42 (i.e., days 14 and 28 posttreatment) based on clinical signs (erythema, scaling, pruritus) and mycology (KOH, fungal culture). The primary outcome was complete clearance at day 42. Safety evaluations included adverse events and laboratory assessments.
Complete clearance at day 42 was achieved in 26.4% (28/106) of patients treated with luliconazole cream 1% compared with 1.9% (2/103) of patients treated with vehicle (P< 0.001). Similar safety profiles were obtained for luliconazole cream 1% and vehicle.
This study was conducted in a relatively small population under controlled clinical trial conditions.
Luliconazole cream 1% applied once daily for 14 days is well tolerated and more effective than vehicle in patients with tinea pedis.
足趾间足癣是皮肤癣菌病最常见的临床表现之一。
本3期研究评估了1%卢立康唑乳膏治疗足癣患者的安全性和有效性。
共有321例年龄≥12岁的足癣患者符合改良意向性分析标准,按1:1随机分组,分别接受1%卢立康唑乳膏(n = 159)或赋形剂(n = 162)治疗,每日1次,共14天。在第28天和第42天(即治疗后第14天和第28天)根据临床体征(红斑、脱屑、瘙痒)和真菌学(氢氧化钾、真菌培养)评估疗效。主要结局是第42天完全清除。安全性评估包括不良事件和实验室检查。
1%卢立康唑乳膏治疗的患者中,26.4%(28/106)在第42天实现完全清除,而赋形剂治疗的患者中这一比例为1.9%(2/103)(P < 0.001)。1%卢立康唑乳膏和赋形剂的安全性特征相似。
本研究在相对较少的人群中、在对照临床试验条件下进行。
对于足癣患者,每日1次应用1%卢立康唑乳膏,连用14天,耐受性良好,且比赋形剂更有效。