A Nova Formulação de Calcipotriol/Dipropionato de Betametasona em Espuma Cutânea para o Tratamento da Psoríase

Tiago Torres, Paulo Filipe

Resumo


A psoríase é uma doença inflamatória crónica da pele, imunomediada, potencialmente desfigurante e incapacitante, que afeta mundialmente mais de 100 milhões de indivíduos. A combinação fixa de calcipotriol e betametasona (0,005% Cal/ 0,064% BD) é o tratamento tópico recomendado. No entanto, os tratamentos tópicos estão associados a falta de eficácia e baixa adesão, nomeadamente devido às fracas propriedades cosméticas das formulações disponíveis. Para melhorar a aceitação e a adesão dos doentes, foi desenvolvida uma espuma cutânea de Cal/ BD para tratamento de adultos com psoríase. Os ensaios clínicos de fase II e III mostraram que a formulação fixa dos dois compostos é consistentemente mais eficaz e mais segura do que os ingredientes individuais, considerando o mesmo veículo. A espuma cutânea demonstrou maior eficácia em estudos clínicos, sendo que uma análise conjunta dos principais estudos mostrou que isso não ocorre à custa do perfil de segurança. Além disso, a espuma cutânea Cal/ BD mostrou uma melhoria significativa da eficácia em comparação com pomadas, géis e loções. O perfil de eficácia e segurança melhorado desta nova formulação, maior tolerabilidade e resposta mais rápida, aliados a uma menor frequência de tratamento (1x por dia), oferece maior conveniência e melhor aceitação do que as respetivas monoterapias (2x por dia) podendo, eventualmente, melhorar a adesão ao tratamento, conduzindo a melhorias mais significativas na qualidade de vida dos doentes, representando uma opção terapêutica mais vantajosa para os doentes. São necessários mais estudos para explorar a possibilidade desta espuma cutânea permitir a gestão da doença a longo prazo.


Palavras-chave


Aerossóis; Betametasona/administração e dosagem; Betametasona/antagonistas & inibidores; Calcitriol/ administração & dosagem; Calcitriol/antagonistas & inibidores; Gel; Psoríase/tratamento

Texto Completo:

PDF (English)

Referências


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DOI: http://dx.doi.org/10.29021/spdv.76.1.879

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