PMID- 30893392 OWN - NLM STAT- MEDLINE DCOM- 20190415 LR - 20190719 IS - 2326-6929 (Electronic) IS - 0011-4162 (Linking) VI - 103 IP - 2 DP - 2019 Feb TI - Safety and efficacy of halobetasol propionate lotion 0.01% in the treatment of moderate to severe plaque psoriasis: a pooled analysis of 2 phase 3 studies. PG - 111-116 AB - Potent topical corticosteroids (TCSs) are the mainstay of psoriasis treatment. Safety concerns have limited use to 2 to 4 weeks. The objective of our study was to investigate the safety and efficacy of once-daily halobetasol propionate (HP) lotion 0.01% in moderate to severe plaque psoriasis through 2 multicenter, randomized, double-blind, vehicle-controlled phase 3 studies (N=430). Participants were randomized (2:1) to HP lotion 0.01% or vehicle once daily for 8 weeks, followed by 4 weeks of follow-up. The primary efficacy assessment was treatment success (at least a 2-grade improvement in baseline investigator global assessment [IGA] score and a score of 0 [clear] or 1 [almost clear]). Additional assessments included improvement in psoriasis signs and symptoms, body surface area (BSA), and a composite score of IGAxBSA. Safety and treatment-emergent adverse events (AEs) were evaluated throughout. We found that HP lotion 0.01% demonstrated statistically significant superiority over vehicle as early as week 2 and also was superior in reducing psoriasis signs and symptoms and BSA involvement. FAU - Sugarman, Jeffrey L AU - Sugarman JL AD - University of California, San Francisco, USA. FAU - Weiss, Jonathan S AU - Weiss JS AD - Gwinnett Dermatology, PC, and Gwinnett Clinical Research Center, Inc, Snellville, Georgia, USA. FAU - Tanghetti, Emil A AU - Tanghetti EA AD - Center for Dermatology and Laser Surgery, Sacramento, California, USA. FAU - Soung, Jennifer AU - Soung J AD - Southern California Dermatology, Santa Ana, USA. FAU - Yamauchi, Paul S AU - Yamauchi PS AD - David Geffen School of Medicine at UCLA, Los Angeles, California, USA. FAU - Lin, Tina AU - Lin T AD - Ortho Dermatologics, Bridgewater, New Jersey, USA. FAU - Harris, Susan AU - Harris S AD - Bausch Health, Bridgewater, USA. FAU - Martin, Gina AU - Martin G AD - Bausch Health, Petaluma, California, USA. FAU - Pillai, Radhakrishnan AU - Pillai R AD - Bausch Health, Petaluma, California, USA. LA - eng PT - Clinical Trial, Phase III PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PL - United States TA - Cutis JT - Cutis JID - 0006440 RN - 0 (Dermatologic Agents) RN - 0 (Glucocorticoids) RN - 9P6159HM7T (halobetasol) RN - ADN79D536H (Clobetasol) SB - IM MH - Administration, Cutaneous MH - Adult MH - Aged MH - Clobetasol/administration & dosage/adverse effects/*analogs & derivatives MH - Dermatologic Agents/*administration & dosage/adverse effects MH - Double-Blind Method MH - Female MH - Follow-Up Studies MH - Glucocorticoids/*administration & dosage/adverse effects MH - Humans MH - Male MH - Middle Aged MH - Psoriasis/*drug therapy/pathology MH - Severity of Illness Index MH - Treatment Outcome EDAT- 2019/03/21 06:00 MHDA- 2019/04/16 06:00 CRDT- 2019/03/21 06:00 PHST- 2019/03/21 06:00 [entrez] PHST- 2019/03/21 06:00 [pubmed] PHST- 2019/04/16 06:00 [medline] PST - ppublish SO - Cutis. 2019 Feb;103(2):111-116.