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一项新的卡泊三醇/倍他米松气雾剂(恩肤霜®)在日常实践条件下治疗斑块状银屑病患者的疗效和耐受性的前瞻性、观察性、非干预性、多中心研究。

Prospective, Observational, Non-Interventional, Multicentre Study on the Efficacy and Tolerability of a New Calcipotriol/Betamethasone Aerosol Foam (Enstilar®) in Patients with Plaque Psoriasis under Daily Practice Conditions.

机构信息

Psoriasis Center, Department of Dermatology, University Medical Center Schleswig-Holstein, Kiel, Germany.

Private Practice for Dermatology, Aesthetic Medicine, Transsexual Medicine, Leipzig, Germany.

出版信息

Dermatology. 2017;233(6):425-434. doi: 10.1159/000486700. Epub 2018 Mar 2.

Abstract

BACKGROUND/AIMS: To assess the efficacy and tolerability of the new aerosol foam of calcipotriol 50 µg/g plus betamethasone dipropionate 0.5 mg/g (Cal/BD foam, Enstilar®) in psoriasis vulgaris under daily practice conditions.

METHODS

410 adult psoriasis patients (56% male) from 87 German sites were enrolled in a 4-week, open-label, prospective, non-controlled, observational, non-interventional study.

RESULTS

At baseline, patients presented with a psoriasis severity of mild (41.81%), moderate (49.63%), and severe (8.31%) assessed by an investigator global assessment (IGA). After 4 weeks of treatment, 49% of the patients achieved an IGA of clear/almost clear. The mean affected body surface area was reduced from 12.91 to 7.55%, the PASI from 10.4 to 5.2 (p < 0.0001). 43% of the patients with severe IGA achieved treatment success (IGA = 0/1 and ≥2-step improvement). 93% of the patients did not show any adverse events.

CONCLUSION

The new Cal/BD foam showed a convincing efficacy and tolerability profile in daily practice, particularly in patients with severer disease manifestations.

摘要

背景/目的:评估新型钙泊三醇 50μg/g 加二丙酸倍他米松 0.5mg/g 气雾剂泡沫(Cal/BD 泡沫,Enstilar®)在日常实践条件下治疗寻常性银屑病的疗效和耐受性。

方法

在这项为期 4 周、开放性、前瞻性、非对照、观察性、非干预性研究中,招募了 410 名来自 87 个德国地点的成年寻常性银屑病患者(56%为男性)。

结果

在基线时,根据研究者整体评估(IGA),患者的银屑病严重程度为轻度(41.81%)、中度(49.63%)和重度(8.31%)。经过 4 周的治疗后,49%的患者达到了 IGA 的清除/几乎清除。平均受累体表面积从 12.91%减少到 7.55%,PASI 从 10.4 减少到 5.2(p<0.0001)。43%的重度 IGA 患者达到了治疗成功(IGA=0/1 和≥2 步改善)。93%的患者未出现任何不良事件。

结论

新型 Cal/BD 泡沫在日常实践中显示出令人信服的疗效和耐受性,特别是在疾病表现更严重的患者中。

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