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一种新型装置治疗腋窝多汗症患者安全性和有效性的初步研究。

A Pilot Study of the Safety and Effectiveness of a Novel Device in Subjects With Axillary Hyperhidrosis.

作者信息

Kaufman Joely, Green Jeremy B, Cazzaniga Alex, Canty David J, Tims Erin, Waugh Jacob

机构信息

Skin Associates of South Florida/Skin Research Institute, Coral Gables, Florida.

Medical/Science Communications, TogoRun, New York, New York.

出版信息

Dermatol Surg. 2022 Nov 1;48(11):1220-1225. doi: 10.1097/DSS.0000000000003598. Epub 2022 Sep 20.

Abstract

BACKGROUND

One-third of U.S. adults are bothered by excessive sweating and 5% suffer from hyperhidrosis, both of which negatively affect quality-of-life (QoL). A single-use disposable patch using the novel targeted alkali thermolysis (TAT) technology is being developed to address this condition.

OBJECTIVE

Assess the efficacy and safety of the TAT patch for the treatment of excessive sweating using a randomized, double-blind, sham-controlled study design.

MATERIALS AND METHODS

Adults with Hyperhidrosis Disease Severity Scale (HDSS) scores of 3 or 4 ( n = 16) were treated with an active or sham patch for up to 3 minutes (as established in a previous unpublished feasibility study) and evaluated weekly for 6 weeks post-treatment. The primary effectiveness measure was improved HDSS at Week-4.

RESULTS

The study met its objective. For the primary efficacy measure, 83% of TAT-treated subjects reported HDSS scores of 1 or 2 at Week-4 versus 0% of sham-treated subjects ( p = .0032). Furthermore, 67% of TAT-treated subjects had a 2-point improvement in HDSS scores versus 0% of sham-treated subjects ( p = .0123). Quality-of-life improvement correlated with HDSS. The TAT patch seemed to be well-tolerated; one transient moderate adverse event that resolved without sequelae was reported.

CONCLUSION

The TAT patch successfully demonstrated efficacy and was well-tolerated.

摘要

背景

三分之一的美国成年人受到多汗症困扰,5%的人患有多汗症,这两者都会对生活质量(QoL)产生负面影响。一种采用新型靶向碱热解(TAT)技术的一次性使用贴片正在研发中,以解决这一问题。

目的

采用随机、双盲、假对照研究设计,评估TAT贴片治疗多汗症的疗效和安全性。

材料与方法

多汗症疾病严重程度量表(HDSS)评分为3或4的成年人(n = 16)接受活性或假贴片治疗长达3分钟(如先前未发表的可行性研究所确定),并在治疗后6周每周进行评估。主要有效性指标是第4周时HDSS的改善情况。

结果

该研究达到了其目标。对于主要疗效指标,83%接受TAT治疗的受试者在第4周报告HDSS评分为1或2,而接受假治疗的受试者为0%(p = .0032)。此外,67%接受TAT治疗的受试者HDSS评分提高了2分,而接受假治疗的受试者为0%(p = .0123)。生活质量的改善与HDSS相关。TAT贴片似乎耐受性良好;报告了一例无后遗症的短暂中度不良事件。

结论

TAT贴片成功证明了其疗效且耐受性良好。

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