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卡泊三醇/倍他米松二丙酸酯泡沫剂在现实世界中的疗效与临床试验数据相当,能提高患者满意度且具有成本效益。

Calcipotriol/betamethasone dipropionate foam demonstrates comparable efficacy to clinical trial data in the real world, improves patient satisfaction and is cost-effective.

作者信息

Armstrong A, Gerdes S

机构信息

University of Southern California, Los Angeles, CA, USA.

Center for Inflammatory Skin Diseases, Department of Dermatology, University Medical Center Schleswig-Holstein Campus Kiel, Kiel, Germany.

出版信息

J Eur Acad Dermatol Venereol. 2021 Feb;35 Suppl 1:28-34. doi: 10.1111/jdv.17084.

Abstract

Real-world evidence studies are becoming increasingly important in providing insight into clinical effectiveness and safety, economic outcomes, patient-reported outcomes and health-related quality of life of treatments in the clinical setting. These studies also help to complement data reported in clinical studies. Fixed-dose combination calcipotriol 50 µg/g plus betamethasone dipropionate 0.5 mg/g cutaneous foam (Cal/BD foam) is a topical agent used for the treatment of psoriasis vulgaris. In clinical studies, Cal/BD foam has demonstrated a significantly greater efficacy and rapid onset of action compared with both single and combination formulations such as ointments and gels. To date, three observational studies have examined the real-world efficacy and safety of Cal/BD foam in clinical practice in the United States, Germany and Spain. Data gathered from these studies reinforce the positive findings reported in clinical studies assessing Cal/BD foam for the treatment of psoriasis and demonstrate improved patient satisfaction with Cal/BD foam. Using Cal/BD foam has been shown to be cost-effective based on results from randomised clinical trials and cost-effective analysis. As such, Cal/BD foam has the potential to lower treatment costs by reducing the need for some patients to progress to more expensive treatments, such as phototherapy and biologics. Cal/BD foam is therefore a cost-effective solution for the treatment of psoriasis vulgaris that should be considered when prescribing topicals.

摘要

真实世界证据研究对于深入了解临床疗效与安全性、经济结果、患者报告结局以及临床环境中治疗的健康相关生活质量变得越来越重要。这些研究也有助于补充临床研究报告的数据。固定剂量复方卡泊三醇50 μg/g加倍他米松二丙酸酯0.5 mg/g皮肤泡沫剂(Cal/BD泡沫剂)是一种用于治疗寻常型银屑病的局部用药。在临床研究中,与单一制剂及诸如软膏和凝胶等复方制剂相比,Cal/BD泡沫剂已显示出显著更高的疗效和更快的起效速度。迄今为止,三项观察性研究已在美国、德国和西班牙考察了Cal/BD泡沫剂在临床实践中的真实世界疗效和安全性。从这些研究收集的数据强化了在评估Cal/BD泡沫剂治疗银屑病的临床研究中报告的阳性结果,并表明患者对Cal/BD泡沫剂的满意度有所提高。根据随机临床试验结果和成本效益分析,使用Cal/BD泡沫剂已被证明具有成本效益。因此,Cal/BD泡沫剂有可能通过减少一些患者对更昂贵治疗(如光疗和生物制剂)的需求来降低治疗成本。因此,Cal/BD泡沫剂是治疗寻常型银屑病的一种具有成本效益的解决方案,在开具局部用药处方时应予以考虑。

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