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Desonide foam 0.05%: safety in children as young as 3 months
1Department of Dermatology, The University of Texas Medical School at Houston, Houston, Texas 77030, USA.
Insights
Desonide foam 0.05% demonstrated safety and tolerability in pediatric patients aged 3 months to 17 years. Mild, reversible hypothalamic-pituitary-adrenal axis suppression was observed in a small percentage of participants.
Area of Science:
- Dermatology
- Pediatric Endocrinology
Background:
- Desonide 0.05% is a new emulsion foam formulation.
- Topical corticosteroids are commonly used for inflammatory skin conditions.
Purpose of the Study:
- To evaluate the safety and tolerability of desonide foam 0.05% in pediatric patients.
- Assessed the impact of desonide foam on the hypothalamic-pituitary-adrenal axis.
Main Methods:
- Conducted two Phase II and one Phase III clinical studies.
- Included pediatric and adolescent participants aged 3 months to 17 years with mild-to-moderate atopic dermatitis.
- Monitored adverse events and hypothalamic-pituitary-adrenal axis function.
Main Results:
- 4% of participants experienced mild, reversible hypothalamic-pituitary-adrenal axis suppression after 4 weeks of treatment.
- Adverse events were reported in 6% of the desonide foam group versus 14% of the vehicle foam group (P = .0002).
- Application site burning was the most frequent adverse event, occurring in 3% of the desonide foam group and 7% of the vehicle foam group (P = .004).
Conclusions:
- Desonide foam 0.05% is safe and well-tolerated in pediatric patients as young as 3 months.
- The studies focused on short-term use of the medication.
Background:
Desonide 0.05% was recently developed in an emulsion foam formulation.
Objective:
The safety of desonide foam 0.05% in children aged 3 months to 17 years was evaluated in two phase II studies and one phase III study.
Methods:
A phase II open-label study of the effect of desonide foam 0.05% on the hypothalamic-pituitary-adrenal axis was evaluated in pediatric and adolescent participants with mild-to-moderate atopic dermatitis. The phase II and III clinical efficacy studies evaluated adverse events.
Results:
At the end of the 4-week treatment in the phase II study, 4% (3 of 75) of participants experienced mild, reversible hypothalamic-pituitary-adrenal-axis suppression. The combined safety data from the phase II and III studies revealed 6% of participants in the desonide foam group and 14% in the vehicle foam group reported adverse events (P = .0002), with application site burning as the most commonly reported adverse event (3% in the desonide foam group vs 7% in the vehicle foam group; P = .004).
Limitations:
The studies evaluated short-term use only.
Conclusion:
Desonide foam was safe and well tolerated in participants as young as 3 months.
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