Evidence map›Paper›PMID 34510404›Full record

ArticleDermatology and therapy2021

Beyond-Mild Psoriasis: A Consensus Statement on Calcipotriol and Betamethasone Dipropionate Foam for the Topical Treatment of Adult Patients.

Roland Aschoff, Anthony Bewley, Annunziata Dattola, Clara De Simone, Mourad Lahfa, Mar Llamas-Velasco, Antonio Martorell, Mira Pavlovic, Michael Sticherling

Open access · goldAbstract read
In one paragraph

Article in Dermatology and therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 45% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Patient-Centric Design of Topical Dermatological Medicines.Pharmaceuticals (Basel, Switzerland) · 2023
    Review
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

9 authors at 7 institutions in 5 countries.

Roland AschoffDepartment of Dermatology, University Hospital Carl Gustav Carus, Technical University of Dresden, Fetscherstraße 74, 01307, Dresden, Germany. Roland.Aschoff@uniklinikum-dresden.de.ORCID http://orcid.org/0000-0002-5740-8651
Anthony BewleyBarts Health NHS Trust and Queen Mary University London, London, UK.ORCID http://orcid.org/0000-0003-1195-0290
Annunziata DattolaDepartment of Dermatology, University of Rome "Tor Vergata", Rome, Italy.ORCID http://orcid.org/0000-0001-9504-5882
Clara De SimoneDepartment of Dermatology, Catholic University of the Sacred Heart Policlinico "A. Gemelli", IRCCS, Rome, Italy.ORCID http://orcid.org/0000-0002-0898-0045
Mourad LahfaDermatologist, Private Office, Biarritz, France.
Mar Llamas-VelascoDepartment of Dermatology, Hospital Universitario de La Princesa, Madrid, Spain.ORCID https://orcid.org/0000-0002-1187-1341
Antonio MartorellHospital de Manises, Valencia, Spain.ORCID http://orcid.org/0000-0003-1378-1590
Mira PavlovicMedicines Development and Training Services and Department of Dermatology, Saint-Louis Hospital, Paris, France.
Michael SticherlingDepartment of Dermatology, Psoriasis Center, University Medical Center, Erlangen, Germany.ORCID http://orcid.org/0000-0001-9396-3938
Barts Health NHS Trust · GBHôpital Saint-Louis · FRHospital de Manises · ESHospital Universitario de La Princesa · ESUniversità Cattolica del Sacro Cuore · ITUniversity Hospital Carl Gustav Carus · DEUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere are clear treatment options for mild psoriasis where topical therapies are the mainstay, and for severe psoriasis where systemic therapy (biologic or non-biologic) is necessary. However, there is less clarity in the 'grey zone' of patients in the moderate or so-called 'beyond-mild' segment. There are frequent delays to the initiation, discontinuation, switching and dose change in treatment, and many patients fail to continue treatment because of concerns about safety or lack of efficacy. Treatment with topical therapies, such as calcipotriol and betamethasone dipropionate (Cal/BD) combinations, may be suitable for these patients.

methodThese consensus recommendations on the use of topical therapies including Cal/BD foam for beyond-mild psoriasis originated from a modified Delphi process of European clinical experts. In the process, the experts iteratively refined a series of draft statements, which had to receive ≥ 80% approval to be incorporated into the consensus.

resultsThe experts identified three main themes: Cal/BD foam as monotherapy, as an add-on to non-biologic systemic therapies and as an add-on to systemic biologics. The consensus emphasises disease factors and patient preference in treatment choice, summarises the evidence base for Cal/BD foam monotherapy for flare treatment as well as long-term management, and identifies the potential for improved treatment outcomes, such as reduced time to onset of action and reduced systemic dose to minimise side effects for add-on Cal/BD therapy to non-biologic systemics. The recommendations regarding add-on Cal/BD foam to biologics are similar to those for non-biologic systemic therapies, but also include suggestions for patients on biologics who are late responders. As clinical choices of Cal/BD combination vary, we have here often used 'Cal/BD' without reference to any particular formulation.

conclusionsThese recommendations aim to give practical guidance to those treating patients with beyond-mild psoriasis, to support patients' use of topical preparations and to optimise treatment outcomes.

Indexed as

Betamethasone dipropionateCalcipotriolConsensus recommendationsModerate psoriasisSevere psoriasisTopical treatments

Identifiers

PMID34510404
PMCPMC8484344
OpenAlexW3201123653

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.