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Prednicarbate emollient cream 0.1% in pediatric patients with atopic dermatitis
1University of Pennsylvania, Children's Hospital of Philadelphia, USA.
Insights
Prednicarbate emollient cream 0.1% effectively treated pediatric atopic dermatitis over three weeks. The study found this nonhalogenated corticosteroid safe and well-tolerated, with no observed systemic effects or HPA axis suppression.
Area of Science:
- Dermatology
- Pediatrics
- Pharmacology
Background:
- Atopic dermatitis is a common, chronic inflammatory skin condition in children.
- Current treatments include emollients and topical corticosteroids.
Purpose of the Study:
- To evaluate the safety and efficacy of prednicarbate emollient cream 0.1% for pediatric atopic dermatitis.
- To assess potential systemic effects, including hypothalamic-pituitary-adrenal (HPA) axis suppression.
Main Methods:
- A 3-week, open-label, multicenter study.
- 55 pediatric patients (4 months to 12 years) with atopic dermatitis were enrolled.
- Evaluated serum cortisol levels via cosyntropin stimulation test on days 1 and 22.
Main Results:
- Prednicarbate emollient cream 0.1% showed significant improvements in atopic dermatitis.
- No evidence of HPA axis suppression was detected.
- Adverse events were minimal and within expected ranges for topical corticosteroids.
Conclusions:
- Prednicarbate emollient cream 0.1% is a safe and effective treatment for pediatric atopic dermatitis.
- Short-term (3-week) use demonstrated a favorable safety profile.
- Further research may explore longer-term efficacy and safety.
Abstract:
Atopic dermatitis, common among infants and children, is an intensely pruritic, chronic, inflammatory dermatosis that is traditionally treated with emollients for dry skin and topical corticosteroids for inflamed areas. A multicenter, 3-week, open-label study evaluated prednicarbate emollient cream 0.1%, a nonhalogenated midpotency corticosteroid, in 55 patients aged 4 months to 12 years who were diagnosed with atopic dermatitis. No suppression of the hypothalamic-pituitary-adrenal (HPA) axis was evidenced by serum cortisol levels obtained before and after intravenous injection of 250 mg of cosyntropin on days 1 and 22, and biochemical tests detected no other systemic effects. Adverse events were few and within the expected range. Prednicarbate resulted in improvements based on global evaluations and sign/symptom scores. In conclusion, this study found prednicarbate emollient cream 0.1% to be safe and effective for the treatment of atopic dermatitis in pediatric patients for up to 3 weeks.
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