PMID- 31419323 OWN - NLM STAT- MEDLINE DCOM- 20200616 LR - 20200616 IS - 1365-2230 (Electronic) IS - 0307-6938 (Print) IS - 0307-6938 (Linking) VI - 45 IP - 3 DP - 2020 Apr TI - Efficacy and safety of HAT1 compared with calcipotriol in the treatment of patients with mild to moderate chronic plaque psoriasis: results from an open-label randomized comparative pilot clinical study. PG - 318-322 LID - 10.1111/ced.14074 [doi] AB - Psoriasis is commonly treated with topical corticosteroids, oral cytotoxic drugs and biologic agents, which can be associated with significant adverse effects (AEs), high cost and response attenuation. Additionally, patients often use alternative therapies ad hoc, which can be challenging to integrate into a treatment regimen, owing to a lack of adequately powered controlled trials assessing efficacy and safety. We developed a novel topical botanical complex, herbal anti-inflammatory treatment (HAT1), through extensive preclinical in vitro and in vivo modelling to define key mechanisms of action and clinical potential. To assess the efficacy and safety of HAT1 in psoriasis, we performed a 10-week, open-label, pilot clinical trial comparing topical treatment of HAT1 with calcipotriol 0.005% in adult patients with mild to moderate psoriasis. Primary and secondary endpoints included the percentage of patients obtaining improvement of >/= 75% in Psoriasis Area and Severity Index (PASI 75), Physician's Global Assessment (PGA) response, and evaluation of tolerability and safety of HAT1. In the HAT1 arm, 85.7% of study patients reached PASI 75 compared with 21.4% in the calcipotriol comparator group. Additionally, 78.6% of patients in the HAT1 arm achieved a 'clear' or 'minimal' PGA response. HAT1 was well tolerated, with no AEs observed throughout the trial. These results suggest that HAT1 reduces psoriasis disease activity in a clinically relevant manner. Ongoing studies, including well-powered, double-blind, randomized controlled trials will be required to assess the potential of HAT1 in psoriasis. CI - (c) 2019 Haus Bioceuticals. Clinical and Experimental Dermatology published by John Wiley & Sons Ltd on behalf of British Association of Dermatology. FAU - Alex, P AU - Alex P AD - Haus Clinical Research Program, Haus Bioceuticals, Oklahoma City, OK, USA. FAU - Williams, S AU - Williams S AD - Haus Clinical Research Program, Haus Bioceuticals, Oklahoma City, OK, USA. FAU - Sutton, L AU - Sutton L AD - Haus Clinical Research Program, Haus Bioceuticals, Oklahoma City, OK, USA. FAU - Yesudas, T AU - Yesudas T AD - Haus Clinical Research Program, Haus Bioceuticals, Oklahoma City, OK, USA. FAU - Sutton, C AU - Sutton C AD - Haus Clinical Research Program, Haus Bioceuticals, Oklahoma City, OK, USA. FAU - Thomas, S AU - Thomas S AD - Haus Clinical Research Program, Haus Bioceuticals, Oklahoma City, OK, USA. FAU - Centola, M AU - Centola M AD - Haus Clinical Research Program, Haus Bioceuticals, Oklahoma City, OK, USA. LA - eng PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial DEP - 20190926 PL - England TA - Clin Exp Dermatol JT - Clinical and experimental dermatology JID - 7606847 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Dermatologic Agents) RN - 0 (Plant Extracts) RN - 143NQ3779B (calcipotriene) RN - FXC9231JVH (Calcitriol) SB - IM MH - Administration, Topical MH - Adolescent MH - Adult MH - Anti-Inflammatory Agents/adverse effects/*therapeutic use MH - Calcitriol/adverse effects/*analogs & derivatives/therapeutic use MH - Child MH - Chronic Disease MH - Dermatologic Agents/adverse effects/*therapeutic use MH - Female MH - Humans MH - Intention to Treat Analysis MH - Male MH - Middle Aged MH - Pilot Projects MH - Plant Extracts/adverse effects/*therapeutic use MH - Psoriasis/*drug therapy MH - Young Adult PMC - PMC7154690 EDAT- 2019/08/17 06:00 MHDA- 2020/06/17 06:00 PMCR- 2020/04/14 CRDT- 2019/08/17 06:00 PHST- 2018/01/15 00:00 [received] PHST- 2019/07/25 00:00 [revised] PHST- 2019/08/13 00:00 [accepted] PHST- 2019/08/17 06:00 [pubmed] PHST- 2020/06/17 06:00 [medline] PHST- 2019/08/17 06:00 [entrez] PHST- 2020/04/14 00:00 [pmc-release] AID - CED14074 [pii] AID - 10.1111/ced.14074 [doi] PST - ppublish SO - Clin Exp Dermatol. 2020 Apr;45(3):318-322. doi: 10.1111/ced.14074. Epub 2019 Sep 26.