塔皮纳罗夫奶油适用于成人和儿童的亚托皮炎-根据种族和菲茨帕特里克皮肤类型的疗效在两个第三阶段随机临床试验中
Andrew F Alexis1, Leon Kircik2, Raj Chovatiya3,4
1Department of Dermatology, Weill Cornell Medicine, 1305 York Avenue, New York, NY, 10021, USA. drandrewalexis@gmail.com.
Dermatology and therapy
|July 22, 2025
概括
在ADORING试验中,Tapinarof奶油1%QD在不同种族和Fitzpatrick皮肤类型的阿托皮性皮肤炎 (AD) 中显示出一致的疗效. 治疗耐受性很好,暂停治疗的时间很少.
科学领域:
- 皮肤病学 皮肤病学
- 临床试验 临床试验
- 药理学 药理学是指药理学的学科.
背景情况:
- 亚托匹性皮肤炎 (AD) 在有色人种患者中呈现异质,这些患者在临床试验中通常代表性不足.
- 之前的研究 (ADORING 1 & 2) 显示,塔皮纳罗夫奶油在成人和儿童患有阿兹海默症时具有1%的QD疗效.
- 这项分析专门研究了按种族和皮肤类型分层的tapinarof的疗效.
研究的目的:
- 为了评估tapinarof奶油1%每天一次 (QD) 的疗效和安全性,在阿托皮性皮肤炎 (AD) 患者中使用.
- 为了评估按患者种族和皮肤类型分层的治疗结果.
- 为了证实塔皮纳罗夫在多样化的阿尔茨海默病患者群体中的有效性.
主要方法:
- 第三阶段,为期8周的随机试验 (ADORING 1 & 2) 涉及患有AD的成人和儿童.
- 主要终点:验证的调查人员对亚托匹性皮肤炎TM (vIGA-ADTM) 全球评估得分为0或1以≥2度改善.
- 二级终点:湿疹区域和严重程度指数有75%的改善 (EASI75).
- 分析了跨种族群体 (亚裔,黑人/非裔美国人,白人) 和菲茨帕特里克皮肤类型 (I-III,IV-VI) 的疗效.
主要成果:
- 在所有评估的种族和菲茨帕特里克皮肤类型群体中,Tapinarof 奶油 1% QD 与车辆相比显示出显著的疗效.
- 较高的比例的患者实现了主要终点成功与tapinarof相比车辆:亚洲 (39.5-48.9%),黑人/非洲裔美国人 (43.1-47.0%),白人 (49.4-52.1%).
- 对于菲茨帕特里克皮肤类型I-III (44.8-49.9%) 和IV-VI (46.8-49.6%) 也观察到类似的优异结果.
- EASI75的反应在tapinarof.使用时始终更高.
- 副作用主要为轻度/中度,停药率低.
结论:
- 塔皮纳洛夫奶油1%QD在广泛,多样化的阿托皮性皮肤炎患者群体中有效且耐受良好.
- 无论患者的种族或菲茨帕特里克皮肤类型,治疗疗效都是一致的.
- 塔皮纳罗夫为各种人口群体的亚托皮炎提供了一种可行的治疗选择.
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