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西罗莫司乳膏的治疗新适应证。

Off-Label Therapeutic Potential of Crisaborole.

机构信息

97950 Faculty of Medicine, University of British Columbia, Kelowna, Canada.

3158 Faculty of Pharmacy, University of Alberta, Canada.

出版信息

J Cutan Med Surg. 2020 May/Jun;24(3):292-296. doi: 10.1177/1203475420909794. Epub 2020 Mar 5.

DOI:10.1177/1203475420909794
PMID:32133868
Abstract

Crisaborole, a topical phosphodiesterase-4 inhibitor, was recently approved in 2016 for the treatment of mild to moderate atopic dermatitis in adults and children greater than 2 years of age. Since that time, several case reports and a small randomized controlled trial have been published regarding the off-label use of crisaborole for the treatment of other inflammatory dermatologic disorders. This paper reviews the current, albeit limited, evidence for off-label use of crisaborole for psoriasis, seborrheic dermatitis, vitiligo, and inflammatory linear verrucous epidermal nevus. Additional potential therapeutic uses for crisaborole are also postulated, based on its mechanism of action. Future studies are required to elucidate the full therapeutic potential of crisaborole; however, it is a welcome addition to the current nonsteroid topical treatments for inflammatory dermatologic disease.

摘要

克立硼罗,一种局部磷酸二酯酶-4 抑制剂,于 2016 年被批准用于治疗成人和 2 岁以上儿童的轻至中度特应性皮炎。自那时以来,已经发表了几项关于克立硼罗在治疗其他炎症性皮肤病方面的标签外使用的病例报告和小型随机对照试验。本文回顾了目前有限的关于克立硼罗治疗银屑病、脂溢性皮炎、白癜风和炎症性线状疣状表皮痣的标签外使用的证据。还根据其作用机制推测了克立硼罗的其他潜在治疗用途。需要进一步的研究来阐明克立硼罗的全部治疗潜力;然而,它是当前炎症性皮肤病的非甾体类局部治疗的一个受欢迎的补充。

相似文献

1
Off-Label Therapeutic Potential of Crisaborole.西罗莫司乳膏的治疗新适应证。
J Cutan Med Surg. 2020 May/Jun;24(3):292-296. doi: 10.1177/1203475420909794. Epub 2020 Mar 5.
2
Treatment of psoriasis with crisaborole.用克立硼罗治疗银屑病。
J Dermatolog Treat. 2019 Mar;30(2):156-157. doi: 10.1080/09546634.2018.1480747. Epub 2018 Jun 8.
3
Crisaborole 2% Ointment (Eucrisa) for Atopic Dermatitis.用于特应性皮炎的2%克立硼罗软膏(优色林)
Skin Therapy Lett. 2019 Mar;24(2):4-6.
4
Crisaborole and its potential role in treating atopic dermatitis: overview of early clinical studies.克立硼罗及其在治疗特应性皮炎中的潜在作用:早期临床研究综述
Immunotherapy. 2016 Jul;8(8):853-66. doi: 10.2217/imt-2016-0023. Epub 2016 Jun 10.
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Predictors of Systemic Exposure to Topical Crisaborole: A Nonlinear Regression Analysis.预测局部外用比索洛尔的全身暴露:非线性回归分析。
J Clin Pharmacol. 2020 Oct;60(10):1344-1354. doi: 10.1002/jcph.1624. Epub 2020 May 20.
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Topical treatment utilization for patients with atopic dermatitis in the United States, and budget impact analysis of crisaborole ointment, 2.美国特应性皮炎患者的局部治疗利用情况以及克立硼罗软膏的预算影响分析,2。
J Med Econ. 2018 Aug;21(8):770-777. doi: 10.1080/13696998.2018.1470520. Epub 2018 May 21.
7
Application of Topical Phosphodiesterase 4 Inhibitors in Mild to Moderate Atopic Dermatitis: A Systematic Review and Meta-analysis.局部磷酸二酯酶 4 抑制剂在轻度至中度特应性皮炎中的应用:系统评价和荟萃分析。
JAMA Dermatol. 2019 May 1;155(5):585-593. doi: 10.1001/jamadermatol.2019.0008.
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Crisaborole 2% Ointment for Mild-to-Moderate Atopic Dermatitis.2% 克立硼罗软膏治疗轻中度特应性皮炎。
Skin Therapy Lett. 2021 Jan;26(1):1-4.
9
[Phosphodiesterase 4 inhibitors in dermatology : Role in the treatment of skin diseases].[皮肤科中的磷酸二酯酶4抑制剂:在皮肤病治疗中的作用]
Dermatologie (Heidelb). 2024 Oct;75(10):791-797. doi: 10.1007/s00105-024-05407-7. Epub 2024 Aug 30.
10
Crisaborole: Phosphodiesterase inhibitor for treatment of atopic dermatitis.克立硼罗:用于治疗特应性皮炎的磷酸二酯酶抑制剂。
Drugs Today (Barc). 2017 Apr;53(4):239-245. doi: 10.1358/dot.2017.53.4.2604174.

引用本文的文献

1
Topical Crisaborole for the Treatment of Recalcitrant Palmoplantar Pustulosis: A Case Series.外用克立硼罗治疗顽固性掌跖脓疱病:病例系列
Dermatol Ther (Heidelb). 2025 Jun;15(6):1579-1585. doi: 10.1007/s13555-025-01419-w. Epub 2025 Apr 28.
2
Off-Label Treatment in Inflammatory Skin Diseases-European Point of View.炎症性皮肤病的非标签治疗——欧洲视角
J Clin Med. 2025 Mar 30;14(7):2376. doi: 10.3390/jcm14072376.
3
Molecular mechanism of crisaborole combined with erythromycin against methicillin-resistant and .克立硼罗联合红霉素抗耐甲氧西林菌的分子机制及…… (原文最后不完整)
Front Microbiol. 2025 Feb 27;16:1503515. doi: 10.3389/fmicb.2025.1503515. eCollection 2025.
4
Crisaborole combined with vitamin D demonstrates superior therapeutic efficacy over either monotherapy in mice with allergic contact dermatitis.在过敏性接触性皮炎的小鼠模型中,联合应用比索洛尔与维生素 D 比单独应用任何一种药物都具有更好的治疗效果。
Sci Rep. 2024 Aug 29;14(1):20092. doi: 10.1038/s41598-024-71135-6.
5
Knuckle Pads Successfully Treated with 2% Crisaborole Ointment Combined with Triamcinolone Acetonide and Neomycin Plaster: A Case Report.2%克立硼罗软膏联合曲安奈德新霉素贴膏成功治疗指节垫:一例报告
Clin Cosmet Investig Dermatol. 2023 Jul 24;16:1893-1897. doi: 10.2147/CCID.S414268. eCollection 2023.
6
A Review of Existing and New Treatments for the Management of Hand Eczema.手部湿疹治疗的现有和新疗法综述。
J Cutan Med Surg. 2023 Sep-Oct;27(5):493-503. doi: 10.1177/12034754231188325. Epub 2023 Jul 27.
7
In Vitro Skin Retention of Crisaborole after Topical Application.外用后克立硼罗在体外皮肤中的滞留情况。
Pharmaceutics. 2020 May 28;12(6):491. doi: 10.3390/pharmaceutics12060491.