Efficacy and Tolerability of Prednisolone Acetate 0.5% Cream Versus Betamethasone Valerate 0.1% Cream in Cortisosensitive Dermatosis
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Purpose
Topical corticosteroids are largely used in dermatology. The major problem related to their use is that the same mechanisms underlying their therapeutic effects (antiinflammatory and antiproliferative) may lead to adverse events. Conditions sensitive to corticosteroids require formulations with mild to moderate potency while high-potency corticosteroids era required in less responsive conditions. The aim of the present study is to compare the safety and efficacy of prednisolone acetate 0.5% cream (mild-potency non-fluoridated corticosteroid) versus betamethasone valerate 0.1% cream (high-potency fluoridated corticosteroid) in the treatment of mild to moderate cortisosensitive dermatosis (atopic dermatitis, contact dermatitis, seborrheic dermatitis and psoriasis). The study hypothesis is that 0.5% prednisolone cream will be as effective as 0.1% betamethasone cream and will be an alternative option to treat corticosensitive dermatosis in body areas where the use of fluoridated corticosteroids is contraindicated, such as the face.
| Condition | Intervention | Phase |
|---|---|---|
|
Dermatitis, Atopic Dermatitis, Contact Dermatitis, Seborrheic Psoriasis |
Drug: 0.5% prednisolone acetate cream Drug: 0.1% betamethasone valerate cream |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Comparative Evaluation of the Efficacy and Tolerability of Prednisolone Acetate 0.5% Cream Versus Betamethasone Valerate 0.1% Cream in the Treatment of Pediatric and Adult Dermatosis |
- Evaluate efficacy and safety of 0.5% prednisolone cream in comparison to 0.1% betamethasone cream in the treatment of corticosensitive dermatosis. [ Time Frame: 14 days ] [ Designated as safety issue: Yes ]
- Evaluate physicians' and patients' perception of the efficacy and tolerability of treatment. [ Time Frame: 14 days ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 170 |
| Study Start Date: | February 2010 |
| Estimated Primary Completion Date: | February 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: 0.5% prednisolone acetate cream |
Drug: 0.5% prednisolone acetate cream
Small amount applied over the lesion twice a day for 14 days.
|
| Active Comparator: 0.1% betamethasone valerate cream |
Drug: 0.1% betamethasone valerate cream
Small amount applied over the lesion twice a day for 14 days.
|
Eligibility| Ages Eligible for Study: | 12 Years to 60 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Subjects with corticosensitive dermatosis (atopic dermatitis, contact dermatitis, seborrheic dermatitis, psoriasis) mild to moderate in intensity;
- Compliance of the subject to the treatment protocol;
- Agreement with the terms o the informed consent by the participants
- Subjects who did not use the following medicines before inclusion: topical corticosteroids or other therapies to dermatitis (30 days); oral corticosteroids (180 days); parenteral corticosteroids (180 days); immunomodulators/immunosuppressor (30 days); any drug under investigation (1 year); any therapy for the studied clinical conditions (180 days); keratolytic agents (30 days); emollient agents (30 days); tazarotene (30 days); vitamin D (topical or oral, 30 days); methotrexate (30 days); acitretin (2 years); UV light (30 days); PUVA therapy (30 days).
Exclusion criteria:
- Pregnancy or risk of pregnancy
- Lactation
- History of allergy of any component of the formulations
- Other conditions considered by the investigator as reasonable for non-eligibility
- HIV positivity
- Drug abuse
- Subjects without previous response to topical corticosteroids
- Subjects with intense sun exposure within 15 days of the screening
Contacts and Locations| Contact: Cláudia Domingues | 55115188.5237 | cdomingues@mantecorp.com |
| Principal Investigator: | Mário C Pires, MD | Hospital Padre Bento de Guarulhos |
| Principal Investigator: | Roberta F. J. Criado, MD | Faculdade d Medicina do ABC |
| Principal Investigator: | Adilson Costa, MD | KOLderma |
More Information
No publications provided
| Responsible Party: | Celso Pereira Sustovich, Medical Director, Mantecorp Indústria Química e Farmacêutica Ltd |
| ClinicalTrials.gov Identifier: | NCT01011621 History of Changes |
| Other Study ID Numbers: | PRE/P/08-1 |
| Study First Received: | November 9, 2009 |
| Last Updated: | November 10, 2009 |
| Health Authority: | Brazil: Ethics Committee |
Keywords provided by Mantecorp Industria Quimica e Farmaceutica Ltd.:
|
Prednisolone acetate Betamethasone valerate |
Additional relevant MeSH terms:
|
Dermatitis Dermatitis, Atopic Dermatitis, Contact Psoriasis Dermatitis, Seborrheic Skin Diseases Skin Diseases, Genetic Genetic Diseases, Inborn Skin Diseases, Eczematous Hypersensitivity, Immediate Hypersensitivity Immune System Diseases Skin Diseases, Papulosquamous Sebaceous Gland Diseases Betamethasone-17,21-dipropionate |
Methylprednisolone acetate Prednisolone acetate Betamethasone Prednisolone Methylprednisolone Methylprednisolone Hemisuccinate Betamethasone sodium phosphate Prednisolone hemisuccinate Prednisolone phosphate Anti-Inflammatory Agents Therapeutic Uses Pharmacologic Actions Anti-Asthmatic Agents Respiratory System Agents Glucocorticoids |
ClinicalTrials.gov processed this record on May 21, 2013