Al-Salama Zaina T, Deeks Emma D
Springer, Private Bag 65901, Mairangi Bay, Auckland, 0754, New Zealand.
Am J Clin Dermatol. 2017 Feb;18(1):139-145. doi: 10.1007/s40257-016-0242-0.
Dapsone 7.5% gel (Aczone) is indicated for the once-daily topical treatment of acne vulgaris in patients aged ≥12 years. Dapsone is a sulfone antibacterial with anti-inflammatory actions, which are thought to be largely responsible for its efficacy in treating acne vulgaris. In two phase III trials of 12 weeks' duration in patients aged ≥12 years with moderate acne vulgaris, once-daily dapsone 7.5% gel reduced acne severity (as per the Global Acne Assessment Score) and lesion counts versus vehicle. The benefits of dapsone 7.5% gel over vehicle were seen as early as week 2 for inflammatory lesion counts, and from week 4 or 8 for other outcomes. Dapsone 7.5% gel was well tolerated, with a low incidence of treatment-related adverse events, with the majority of adverse events being administration-site related and mild or moderate in severity. Thus, dapsone 7.5% gel is an effective and well tolerated option for the topical treatment of acne vulgaris in patients aged ≥12 years, with the convenience of once-daily application.
7.5%氨苯砜凝胶(Aczone)适用于≥12岁寻常痤疮患者的每日一次局部治疗。氨苯砜是一种具有抗炎作用的砜类抗菌药,其治疗寻常痤疮的疗效被认为主要归因于抗炎作用。在两项针对≥12岁中度寻常痤疮患者的为期12周的III期试验中,每日一次使用7.5%氨苯砜凝胶可降低痤疮严重程度(根据全球痤疮评估评分)并减少皮损数量,与赋形剂相比效果更佳。在炎症性皮损计数方面,7.5%氨苯砜凝胶在第2周时就显示出优于赋形剂的效果,而在其他指标上,第4周或第8周时也显示出优势。7.5%氨苯砜凝胶耐受性良好,与治疗相关的不良事件发生率较低,大多数不良事件与用药部位有关,严重程度为轻度或中度。因此,7.5%氨苯砜凝胶是≥12岁寻常痤疮患者局部治疗的一种有效且耐受性良好的选择,且具有每日一次用药的便利性。