Evidence map›Paper›PMID 25733808›Full record

Trial reportDrug design, development and therapy2015

Tazarotene as alternative topical treatment for onychomycosis.

Elena Campione, Evelin Jasmine Paternò, Gaetana Costanza, Laura Diluvio, Isabella Carboni, Daniele Marino, Cartesio Favalli, Sergio Chimenti, Luca Bianchi, Augusto Orlandi

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Drug design, development and therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

14 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. All-Trans Retinoic Acid Effect onJournal of fungi (Basel, Switzerland) · 2022
    Article
  6. Review
  7. Retinoids in Fungal Infections: From Bench to Bedside.Pharmaceuticals (Basel, Switzerland) · 2021
    Review
  8. Review
  9. Antifungal Effect of All-Antimicrobial agents and chemotherapy · 2021
    Article
  10. Article
  11. Antifungal activity ofDrug design, development and therapy · 2018
    Article
  12. Review
  13. Article
  14. 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

10 authors at 2 institutions in 1 country.

Elena CampioneDepartment of Dermatology, Policlinic Tor Vergata, Rome, Italy.
Evelin Jasmine PaternòDepartment of Biomedicine and Prevention, Policlinic Tor Vergata, Rome, Italy.
Gaetana CostanzaDepartment of Biomedicine and Prevention, Policlinic Tor Vergata, Rome, Italy ; Department of Anatomic Pathology, Policlinic Tor Vergata, Rome, Italy.
Laura DiluvioDepartment of Dermatology, Policlinic Tor Vergata, Rome, Italy.
Isabella CarboniDepartment of Dermatology, Policlinic Tor Vergata, Rome, Italy.
Daniele MarinoDepartment of Microbiology, University of Rome Tor Vergata, Rome, Italy.
Cartesio FavalliDepartment of Microbiology, University of Rome Tor Vergata, Rome, Italy.
Sergio ChimentiDepartment of Dermatology, Policlinic Tor Vergata, Rome, Italy.
Luca BianchiDepartment of Dermatology, Policlinic Tor Vergata, Rome, Italy.
Augusto OrlandiDepartment of Biomedicine and Prevention, Policlinic Tor Vergata, Rome, Italy ; Department of Anatomic Pathology, Policlinic Tor Vergata, Rome, Italy.
Policlinico Tor Vergata · ITUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDistal and lateral onychomycoses are the most frequent forms of onychomycosis, causing subungual hyperkeratosis that usually limits local penetration of antimycotic drugs. Tazarotene exerts anti-inflammatory and immune-modulating activities toward both infective agents and damaged keratinocytes. Given the well-documented efficacy of tazarotene on hyperkeratotic nail psoriasis, we investigated its therapeutic use in onychomycosis. PATIENTS AND

methodsWe designed a preliminary open clinical trial in patients affected by distal and lateral subungual onychomycosis of the toenails and verified the fungistatic activity of tazarotene in vitro. Fifteen patients were treated with topical tazarotene 0.1% gel once per day for 12 weeks. Mycological cultures and potassium hydroxide stains of nail samples were performed at the beginning and at the end of the study. Treatment was considered effective when clinical healing and negative mycological culture were obtained. Onycholysis, nail bed discoloration, and subungual hyperkeratosis were measured using standardized methodologies and analyzed by means of Mann-Whitney test and analysis of variance. Fungistatic activity of tazarotene was evaluated by disk diffusion assay.

resultsSix patients (40%) reached a mycological cure on target nail samples already after 4 weeks of treatment. Complete clinical healing and negative cultures were reached in all patients at week 12, with a significant improvement of all clinical parameters of the infected nails. Disk diffusion assay after 48 hours of incubation with tazarotene solution showed a central area of inhibition in all examined fungal cultures.

conclusionOur results documented a good clinical outcome using topical tazarotene 0.1% gel in distal and lateral subungual onychomycosis and its fungistatic activity of tazarotene in vitro. The majority of patients appeared cured at a 6-month follow-up. The efficacy and safety of tazarotene must be confirmed on a larger number of patients, although already documented in nail psoriasis patients often affected by onychomycosis.

Indexed as

Administration, TopicalAdolescentAdultAgedFemaleHumansMaleMiddle AgedNicotinic AcidsOnychomycosisRetinoidsYoung AdultNicotinic AcidsRetinoidstazaroteneantiproliferative agentfungistatic activityretinoids

Identifiers

PMID25733808
PMCPMC4338256
OpenAlexW1991014889

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.