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他扎罗汀 0.045%乳剂治疗油性皮肤痤疮和皮脂溢出的改善作用。

Improvements in acne and skin oiliness with tazarotene 0.045% lotion in patients with oily skin.

机构信息

Center for Dermatology and Laser Surgery, Sacramento, CA, USA.

Department of Dermatology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

出版信息

J Dermatolog Treat. 2023 Dec;34(1):2147391. doi: 10.1080/09546634.2022.2147391.

Abstract

BACKGROUND

Excessive sebum production is a factor in acne development. Tazarotene 0.045% lotion has demonstrated reductions in acne lesions and acne-induced sequelae.

OBJECTIVE

Evaluate efficacy, changes in skin oiliness, and safety with tazarotene 0.045% lotion in participants with moderate-to-severe acne and oily skin.

METHODS

In two phase 3, double-blind, 12-week studies (NCT03168321; NCT03168334), participants aged ≥ 9 years with moderate-to-severe acne were randomized 1:1 to once-daily tazarotene 0.045% lotion or vehicle lotion ( = 1614). This pooled, analysis included only participants self-categorized with oily skin at baseline on the Acne-Specific Quality of Life questionnaire item 19 (scores: 0 [extremely oily] to 6 [not at all oily]). Inflammatory/noninflammatory lesion counts, treatment success, skin oiliness, treatment-emergent adverse events (TEAEs), and cutaneous safety/tolerability were evaluated.

RESULTS

In all participants with oily skin ( = 793), tazarotene provided greater reductions in inflammatory/noninflammatory lesions ( < 0.001, both) and greater treatment success rates versus vehicle ( < 0.01) at week 12. Over two-thirds of polymeric lotion-treated participants had subjective skin oiliness reductions by week 12, with around a third reporting 'low/not' oily skin. Tazarotene TEAE rates were similar to the overall population.

CONCLUSIONS

Once-daily treatment with tazarotene 0.045% polymeric emulsion lotion may help improve patient-perceived skin oiliness in those with moderate-to-severe acne.

摘要

背景

皮脂过度分泌是痤疮发展的一个因素。他扎罗汀 0.045%乳液已被证明可减少痤疮损伤和痤疮引起的后遗症。

目的

评估他扎罗汀 0.045%乳液治疗中重度痤疮和油性皮肤患者的疗效、皮肤油腻感的变化和安全性。

方法

在两项为期 12 周、双盲、3 期研究(NCT03168321;NCT03168334)中,年龄≥9 岁、中重度痤疮的参与者按 1:1 随机分配至他扎罗汀 0.045%乳液或赋形剂乳液( = 1614)组。本汇总、分析仅包括在痤疮特异性生活质量问卷项目 19(评分:0[极油]至 6[一点不油])中基线时自我报告油性皮肤的参与者。评估了炎症/非炎症性皮损计数、治疗成功率、皮肤油腻感、治疗中出现的不良事件(TEAE)和皮肤安全性/耐受性。

结果

在所有油性皮肤的参与者( = 793)中,他扎罗汀在第 12 周时提供了更大的炎症/非炎症性皮损减少( < 0.001)和更高的治疗成功率(与赋形剂相比, < 0.01)。超过三分之二的聚合物乳液治疗的参与者在第 12 周时报告主观皮肤油腻感减轻,约三分之一的人报告皮肤油腻感“低/无”。他扎罗汀的 TEAE 发生率与总体人群相似。

结论

每日一次使用他扎罗汀 0.045%聚合物乳液治疗可能有助于改善中重度痤疮患者的皮肤油腻感。

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