School of Medicine, Indiana University, Indianapolis, IN, USA.
Physicians Skin Care, PLLC, Louisville, KY, USA.
J Dermatolog Treat. 2022 Jun;33(4):2241-2249. doi: 10.1080/09546634.2021.1944969. Epub 2021 Aug 30.
Topical retinoids are recommended for acne treatment, but their use may be limited by irritation or dermatitis. Herein is an overview of the dermal sensitization, safety, tolerability, and participant satisfaction data from phase-1, -2, and -3 studies of lower-dose tazarotene 0.045% polymeric emulsion lotion.
Two phase-1, single-blind, vehicle-controlled dermal safety studies were conducted in healthy participants aged ≥18 years. One phase-2 (NCT02938494) and two phase-3 studies (NCT03168334; NCT03168321) were double-blind, randomized, and vehicle-controlled over 12 weeks in participants aged ≥9 years (≥12 years, phase-2) with moderate-to-severe acne.
A total of 2029 participants (tazarotene 0.045% lotion or vehicle) were included across the 5 studies (safety populations: = 1982). In the phase-1 studies, tazarotene had a low potential for irritancy/contact dermatitis and did not induce sensitization. In all studies, tazarotene lotion was well tolerated and had a positive safety profile. In addition, tazarotene lotion reduced the severity of hyperpigmentation and erythema and participants preferred it more than previous acne treatments.
The results from these five studies show that the tolerability, safety, and patient satisfaction of topical tazarotene 0.045% lotion, combined with its efficacy, make it an important option for the treatment of acne.
局部用维 A 酸类药物被推荐用于痤疮治疗,但由于其可能引起刺激或皮炎,其应用可能受到限制。本文概述了低浓度他扎罗汀 0.045%聚合物乳剂的 1 期、2 期和 3 期临床试验中关于皮肤致敏、安全性、耐受性和患者满意度的数据。
两项 1 期、单盲、安慰剂对照的皮肤安全性研究在年龄≥18 岁的健康志愿者中进行。一项 2 期(NCT02938494)和两项 3 期研究(NCT03168334;NCT03168321)在年龄≥9 岁(≥12 岁,2 期)、中重度痤疮患者中进行,为期 12 周,采用双盲、随机、安慰剂对照设计。
共纳入 2029 名(他扎罗汀 0.045%乳剂或安慰剂)参与者(安全性人群:n=1982)参加了这 5 项研究。在 1 期研究中,他扎罗汀引起刺激/接触性皮炎的可能性较低,且不会引起致敏。在所有研究中,他扎罗汀乳剂具有良好的耐受性和安全性。此外,他扎罗汀乳剂可减轻色素沉着和红斑的严重程度,且患者对其的偏好程度高于既往的痤疮治疗方法。
这 5 项研究的结果表明,他扎罗汀 0.045%乳剂的耐受性、安全性和患者满意度,加上其疗效,使其成为治疗痤疮的重要选择。