A randomized, double-blind, vehicle-controlled study of 1% pimecrolimus cream in adult patients with perioral dermatitis

被引:28
作者
Schwarz, Thomas [1 ]
Kreiselmaier, Inga [1 ]
Bieber, Thomas [2 ]
Thaci, Diamant [3 ]
Simon, Jan C. [4 ]
Meurer, Michael [5 ]
Werfel, Thomas [6 ]
Zuberbier, Torsten [7 ]
Luger, Thomas A. [8 ]
Wollenberg, Andreas [9 ]
Braeutigam, Matthias [10 ]
机构
[1] Univ Kiel, Dept Dermatol, D-24105 Kiel, Germany
[2] Univ Bonn, Dept Dermatol, D-5300 Bonn, Germany
[3] Goethe Univ Frankfurt, Dept Dermatol, D-6000 Frankfurt, Germany
[4] Univ Leipzig, Dept Dermatol, Leipzig, Germany
[5] Univ Dresden, Dept Dermatol, Dresden, Germany
[6] Leibniz Univ Hannover, Dept Dermatol, D-30167 Hannover, Germany
[7] Univ Berlin, Dept Dermatol, Berlin, Germany
[8] Univ Munster, Dept Dermatol, D-4400 Munster, Germany
[9] Univ Munich, Dept Dermatol, D-80539 Munich, Germany
[10] Novartis Pharma GmbH, Nurnberg, Germany
关键词
D O I
10.1016/j.jaad.2008.03.043
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Backgroun: Perioral dermatitis (POD) is a common dermatosis without standard therapy. Objective: We sought to evaluate pimecrolimus cream 1% in POD. Methods: We conducted a multicenter, randomized, double-blind, parallel-group study in adult patients with POD treated twice daily with pimecrolimus cream 1% or vehicle until clearance for up to 4 weeks. Follow-up took place 4 and 8 weeks after treatment. Results: Patients treated with pimecrolimus had an average POD Severity Index score of 2.6 compared with 3.5 for patients treated with vehicle. Both groups had baseline scores of 5.2. The between-group difference was 0.9 (95% confidence level 0.4, 1.4, P = .0011). Patients with history of topical corticosteroids benefited most. Pimecrolimus-treated patients reported greater improvement in quality of life. There were no group differences regarding safety. Limitations: Pimecrolimus vehicle is not a true placebo. Conclusions. Pimecrolimus rapidly improves clinical symptoms and quality of life of patients with POD, being most effective in corticosteroid-induced POD.
引用
收藏
页码:34 / 40
页数:7
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