دورية أكاديمية

Efficacy and safety of proactive treatment with twice-weekly topical Cal/BD foam in patients with plaque psoriasis undergoing HPA-axis testing: a PSO-LONG subgroup analysis.

التفاصيل البيبلوغرافية
العنوان: Efficacy and safety of proactive treatment with twice-weekly topical Cal/BD foam in patients with plaque psoriasis undergoing HPA-axis testing: a PSO-LONG subgroup analysis.
المؤلفون: Papp, Kim, Adamski, Zygmunt, Guenther, Lyn, Liljedahl, Monika, Miasik-Pogodzinska, Agnieszka, Szponar-Bojda, Anna, Lynde, Charles, Nutt, Terri, Mørch, Marie Holst, Tyring, Stephen, Werschler, William, Reich, Adam, Sadick, Neil, Turchin, Irina, Lacour, Jean-Philippe
المصدر: Journal of Dermatological Treatment; Jun2022, Vol. 33 Issue 4, p2297-2304, 8p
مصطلحات موضوعية: FOAM, BODY surface area, PSORIASIS, SUBGROUP analysis (Experimental design)
مستخلص: In PSO-LONG, long-term proactive management (PAM) of psoriasis with fixed-dose combination calcipotriol 50 µg/g and betamethasone dipropionate 0.5 mg/g (Cal/BD) aerosol foam was superior to conventional reactive management. This post-hoc analysis investigated long-term PAM with Cal/BD foam in PSO-LONG patients who could be more susceptible to corticosteroid-induced hypothalamic-pituitary-adrenal (HPA) axis suppression. Efficacy and safety of PAM with Cal/BD foam (twice-weekly) versus reactive management (twice-weekly vehicle foam), with once-daily rescue Cal/BD foam for four weeks following relapse, was assessed in the HPA subgroup (n = 66); patients had moderate-to-severe psoriasis (physician global assessment score ≥3; 10–30% body surface area affected). Primary endpoint was time to first relapse. PAM with Cal/BD foam was associated with longer median time to first relapse (111 versus 31 days), reduced risk of first relapse (hazard ratio: 0.49; p =.029), greater proportion of days in remission (17%; p =.001) and reduced rate of relapse (60% reduction; p <.001) than reactive management. Adverse events occurred in 37.5% (PAM) and 47.1% (reactive management) of patients, with no new safety signals. No clinically significant HPA-axis suppression was observed. Efficacy of PAM with Cal/BD foam is maintained in patients with moderate-to-severe psoriasis, with no new safety signals. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:09546634
DOI:10.1080/09546634.2021.1959501