Evidence map›Paper›PMID 24256460›Full record

Trial reportJournal of the European Academy of Dermatology and Venereology : JEADV2014

Betamethasone valerate dressing is non-inferior to calcipotriol-betamethasone dipropionate ointment in the treatment of patients with mild-to-moderate chronic plaque psoriasis: results of a randomized assessor-blinded multicentre trial.

J-P Ortonne, M Esposito, S Chimenti, M Kapińska-Mrowiecka, A Grodzińska, L Naldi, V Frangione

Open access · hybridAbstract readClinical Trial, Phase IVComparative StudyMulticenter Study
In one paragraph

Trial report in Journal of the European Academy of Dermatology and Venereology : JEADV, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 4 countries.

J-P OrtonneDepartment of Dermatology, University Hospital of Nice, Nice, France.
M Esposito
S Chimenti
M Kapińska-Mrowiecka
A Grodzińska
L Naldi
V Frangione
University of Rome Tor Vergata · ITCentre Hospitalier Universitaire de Nice · FRCentro Studi GISED · ITIBSA Institut Biochimique (Switzerland) · CHMiędzyleski Szpital Specjalistyczny w Warszawie · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA ready-to-use betamethasone valerate 0.1% (BMV) dressing was found to be superior to placebo dressing and a reference 0.1% BMV cream in the treatment of patients with chronic plaque psoriasis (CPP).

methodsThis multicentre, prospective, randomized, investigator-blinded, controlled, non-inferiority trial compared the efficacy and safety of the BMV dressing to the calcipotriol-betamethasone dipropionate (CBD) ointment during a 4-week treatment of patients with mild to moderate CPP. The primary efficacy endpoint was the 4-item psoriasis total severity score (TSS-4) at week 4, and the associated non-inferiority margin was 1 point. Secondary outcome measures included the psoriasis global assessment (PGA) score and patients' quality of life (QoL). Safety was assessed through adverse events (AE) reporting in each treatment group.

resultsOf 325 screened patients, 324 were randomized to BMV (N = 165) or CBD (N = 159), and were considered evaluable for the safety and intention-to-treat (ITT) efficacy analyses. Per protocol (PP) populations included 133 and 131 patients in the BMV and CBD groups respectively. The mean adjusted TSS-4 significantly decreased through the study from baseline in both groups. The PP (primary) analysis of week 4 data revealed a -0.288 (95% CI: -0.610 to 0.034) not significant between-group difference in adjusted means, demonstrating non-inferiority of BMV to CBD. Non-inferiority was also demonstrated in the ITT analysis. The PGA and other secondary outcomes were significantly improved from baseline in both groups at week 4. The QoL score was slightly better in the CBD group at week 4, but no difference was observed at follow-up. No safety or tolerability concerns were observed in either group.

conclusionsBMV dressing is non-inferior to CBD ointment in patients with mild to moderate CPP. Both treatments significantly improve patients' psoriasis and QoL.

Indexed as

BandagesAnti-Inflammatory AgentsBetamethasoneBetamethasone ValerateCalcitriolChronic DiseaseDermatologic AgentsDrug Therapy, CombinationFemaleGlucocorticoidsHumansMaleMiddle AgedOintmentsProspective StudiesPsoriasisAnti-Inflammatory AgentsBetamethasonebetamethasone-17,21-dipropionateBetamethasone ValeratecalcipotrieneCalcitriolDermatologic AgentsGlucocorticoidsOintments

Identifiers

PMID24256460
PMCPMC4282443
OpenAlexW2077621572

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.