Once-daily tazarotene gel versus twice-daily fluocinonide cream in the treatment of plaque psoriasis

M. Lebwohl, E. Ast, J. P. Callen, S. I. Cullen, S. R. Hong, C. L. Kulp-Shorten, N. J. Lowe, T. J. Phillips, T. Rosen, D. I. Wolf, J. M. Quell, J. Sefton, J. C. Lue, J. R. Gibson, R. A.S. Chandraratna

Research output: Contribution to journalArticlepeer-review

91 Scopus citations

Abstract

Background: A new class of topical receptor-selective acetylenic retinoids, the first of which is tazarotene, has been developed. Objective: Our purpose was to compare the safety, efficacy, and duration of therapeutic effect of 12 weeks of once-daily tazarotene 0.1% and 0.05% gel with that of twice-daily fluocinonide 0.05% cream in the treatment of patients with plaque psoriasis. Methods: Three hundred forty-eight patients with plaque psoriasis were enrolled and 275 patients completed a multicenter, investigator-masked, randomized, parallel-group clinical trial. Results: Both tazarotene gels were as effective as fluocinonide in reducing plaque elevation after 1 week of treatment, and tazarotene 0.1% gel was similar to fluocinonide in reducing scaling of trunk/limb lesions at all study weeks except week 4. Tazarotene 0.1% gel was similar to fluocinonide in reducing scaling of knee/elbow lesions at weeks 8 and 12. Fluocinonide had a significantly greater effect on erythema than tazarotene at weeks 2 through 8. However, treatments were not significantly different at week 12, and tazarotene demonstrated significantly better maintenance of therapeutic effect after cessation of therapy. Conclusion: Tazarotene 0.1% and 0.05% gels were safe and effective in the treatment of mild-to-moderate plaque psoriasis.

Original languageEnglish
Pages (from-to)705-711
Number of pages7
JournalJournal of the American Academy of Dermatology
Volume38
Issue number5 I
DOIs
StatePublished - 1998

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