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Calcipotriol plus betamethasone dipropionate gel compared with its active components in the same vehicle and the vehicle alone in the treatment of psoriasis vulgaris: a randomised, parallel group, double-blind, exploratory study.

Abstract
A two-compound ointment containing calcipotriol plus betamethasone dipropionate is an effective treatment for psoriasis vulgaris. The same active ingredients have now been combined in a gel formulation. Our objective was to compare the efficacy and safety of once daily treatment of the two-compound gel with the single components in the same gel vehicle and the gel vehicle alone, in patients with psoriasis vulgaris on the trunk and/or limbs. 364 patients received once daily treatment for up to 8 weeks with either the two-compound gel, the single components in the gel vehicle or the gel vehicle alone. The percentage of patients whose disease was clear or very mild and who had at least a two-step improvement in the Investigator's Global Assessment of disease severity at week 8, was significantly higher with calcipotriol plus betamethasone dipropionate (27.2%) than with betamethasone dipropionate (16.9%, p = 0.027), calcipotriol (11.4%, p = 0.006) or gel vehicle (0.0%, p < 0.001). This exploratory study showed that the two-compound gel was safe and more efficacious than its individual ingredients in the treatment of psoriasis vulgaris.
AuthorsColin Fleming, Cecilia Ganslandt, Lyn Guenther, Anders Johannesson, Colin Buckley, Jan C Simon, Helen Stegmann, Lotte Vestergaard Tingleff
JournalEuropean journal of dermatology : EJD (Eur J Dermatol) 2010 Jul-Aug Vol. 20 Issue 4 Pg. 465-71 ISSN: 1167-1122 [Print] France
PMID20413372 (Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
Chemical References
  • Anti-Inflammatory Agents
  • Dermatologic Agents
  • Drug Combinations
  • Gels
  • Immunoglobulin A
  • Ointments
  • Pharmaceutical Vehicles
  • calcipotriene
  • Betamethasone
  • Calcitriol
Topics
  • Administration, Topical
  • Analysis of Variance
  • Anti-Inflammatory Agents (administration & dosage, therapeutic use)
  • Betamethasone (administration & dosage, therapeutic use)
  • Calcitriol (administration & dosage, analogs & derivatives, therapeutic use)
  • Dermatologic Agents (administration & dosage, therapeutic use)
  • Double-Blind Method
  • Drug Combinations
  • Europe
  • Female
  • Gels
  • Humans
  • Immunoglobulin A (blood)
  • Male
  • Middle Aged
  • Ointments
  • Pharmaceutical Vehicles
  • Prospective Studies
  • Psoriasis (drug therapy)
  • Severity of Illness Index
  • Treatment Outcome

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