MAS063DP is effective monotherapy for mild to moderate atopic dermatitis in infants and children: A multicenter, randomized, vehicle-controlled study

被引:55
作者
Boguniewicz, Mark [1 ,2 ]
Zeichner, Joshua A. [3 ]
Eichenfield, Lawrence F. [4 ,5 ]
Hebert, Adelaide A. [6 ,7 ]
Jarratt, Michael [8 ]
Lucky, Anne W. [9 ]
Paller, Amy S. [10 ,11 ]
机构
[1] Natl Jewish Med & Res Ctr, Div Pediat Allergy Immunol, Dept Pediat, Denver, CO 80206 USA
[2] Univ Colorado, Sch Med, Denver, CO USA
[3] Mt Sinai Sch Med, Dept Dermatol, New York, NY USA
[4] Univ Calif San Diego, Sch Med, San Diego, CA 92103 USA
[5] Rady Childrens Hosp, Div Pediat Dermatol, San Diego, CA USA
[6] Univ Texas Houston, Sch Med, Dept Dermatol, Houston, TX USA
[7] Univ Texas Houston, Sch Med, Dept Pediat, Houston, TX USA
[8] DernRes Inc, Austin, TX USA
[9] Dermatol Res Associates, Cincinnati, OH USA
[10] Northwestern Univ, Sch Med, Dept Dermatol, Chicago, IL 60611 USA
[11] Northwestern Univ, Sch Med, Dept Pediat, Chicago, IL 60611 USA
关键词
D O I
10.1016/j.jpeds.2007.11.031
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Objective To examine the efficacy and safety of MAS063DP (Atopiclair) cream in the management of mild to moderate atopic dermatitis in infants and children. Study design One hundred forty-two patients aged 6 months to 12 years were administered MAS063DP (n = 72) or vehicle (n = 70) cream 3 times per day to affected areas and sites prone to develop atopic dermatitis. The primary endpoint for efficacy was the Investigator's Global Assessment at day 22. Secondary endpoints included Investigator's Global Assessment at other time-points, patient's/caregiver's assessment of pruritus, onset, duration of itch relief, Eczema Area and Severity Index, subject's/caregiver's assessment of global response, and need for rescue medication in the event of an atopic dermatitis flare. Results MAS063DP cream was statistically more effective (P <.0001) than vehicle cream for the primary endpoint and all secondary endpoints. Treatment discontinuation as a result of an adverse event occurred in 9.9% of patients using MAS063DP cream and 16% of patients using vehicle cream. Conclusion MAS063DP cream is effective and safe as monotherapy for the treatment of symptoms of mild to moderate atopic dermatitis in infants and children.
引用
收藏
页码:854 / 859
页数:6
相关论文
共 24 条
[11]   The eczema area and severity index (EASI): assessment of reliability in atopic dermatitis [J].
Hanifin, JM ;
Thurston, M ;
Omoto, M ;
Cherill, R ;
Tofte, SJ ;
Graeber, M .
EXPERIMENTAL DERMATOLOGY, 2001, 10 (01) :11-18
[12]  
HANIFIN JM, 1980, ACTA DERM-VENEREOL, P44
[13]   The prevalence of atopic dermatitis in Oregon schoolchildren [J].
Laughter, D ;
Istvan, JA ;
Tofte, SJ ;
Hanifin, JM .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2000, 43 (04) :649-655
[14]   New insights into atopic dermatitis [J].
Leung, DYM ;
Boguniewicz, M ;
Howell, MD ;
Nomura, I ;
Hamid, OA .
JOURNAL OF CLINICAL INVESTIGATION, 2004, 113 (05) :651-657
[15]   Hyaluronic acid and skin: Wound healing and aging [J].
Manuskiatti, W ;
Maibach, HI .
INTERNATIONAL JOURNAL OF DERMATOLOGY, 1996, 35 (08) :539-544
[16]   11-BETA-HYDROXYSTEROID DEHYDROGENASE [J].
MONDER, C ;
WHITE, PC .
VITAMINS AND HORMONES, VOL 47: ADVANCES IN RESEARCH AND APPLICATIONS, 1993, 47 :187-271
[17]   Unique mutations in the filaggrin gene in Japanese patients with ichthyosis vulgaris and atopic dermatitis [J].
Nomura, Toshifumi ;
Sandilands, Aileen ;
Akiyama, Masashi ;
Liao, Haihui ;
Evans, Alan T. ;
Sakai, Kaori ;
Ota, Mitsuhito ;
Sugiura, Hisashi ;
Yamamoto, Kazuo ;
Sato, Hiroshi ;
Palmer, Colin N. A. ;
Smith, Frances J. D. ;
McLean, W. H. Irwin ;
Shimizu, Hiroshi .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2007, 119 (02) :434-440
[18]   Common loss-of-function variants of the epidermal barrier protein filaggrin are a major predisposing factor for atopic dermatitis [J].
Palmer, CNA ;
Irvine, AD ;
Terron-Kwiatkowski, A ;
Zhao, YW ;
Liao, HH ;
Lee, SP ;
Goudie, DR ;
Sandilands, A ;
Campbell, LE ;
Smith, FJD ;
O'Regan, GM ;
Watson, RM ;
Cecil, JE ;
Bale, SJ ;
Compton, JG ;
DiGiovanna, JJ ;
Fleckman, P ;
Lewis-Jones, S ;
Arseculeratne, G ;
Sergeant, A ;
Munro, CS ;
El Houate, B ;
McElreavey, K ;
Halkjaer, LB ;
Bisgaard, H ;
Mukhopadhyay, S ;
McLean, WHI .
NATURE GENETICS, 2006, 38 (04) :441-446
[19]   Epidermal barrier formation and recovery in skin disorders [J].
Segre, JA .
JOURNAL OF CLINICAL INVESTIGATION, 2006, 116 (05) :1150-1158
[20]   Liquorice-induced rise in blood pressure:: a linear dose-response relationship [J].
Sigurjónsdóttir, HA ;
Franzson, L ;
Manhem, K ;
Ragnarsson, J ;
Sigurdsson, G ;
Wallerstedt, S .
JOURNAL OF HUMAN HYPERTENSION, 2001, 15 (08) :549-552