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- Title
Topical retapamulin ointment, 1%, versus sodium fusidate ointment, 2%, for impetigo: a randomized, observer-blinded, noninferiority study.
- Authors
Oranje, Arnold P.; Chosidow, Olivier; Sacchidanand, Sarvajnamurthy; Todd, Gail; Singh, Krishan; Scangarella, Nicole; Shawar, Ribhi; Twynholm, Monique; TOC100224 Study Team
- Abstract
<bold>Background: </bold>Retapamulin is a novel pleuromutilin antibacterial developed for topical use. <bold>Objective: </bold>To compare the efficacy and safety of retapamulin ointment, 1% (twice daily for 5 days), with sodium fusidate ointment, 2% (3 times daily for 7 days), in impetigo. <bold>Methods: </bold>A randomized (2:1 retapamulin to sodium fusidate), observer-blinded, noninferiority, phase III study in 519 adult and pediatric (aged > or = 9 months) subjects. <bold>Results: </bold>Retapamulin and sodium fusidate had comparable clinical efficacies (per-protocol population: 99.1 and 94.0%, respectively; difference: 5.1%, 95% confidence interval: 1.1-9.0%, p = 0.003; intent-to-treat population: 94.8 and 90.1%, respectively; difference: 4.7%, 95% confidence interval: -0.4 to 9.7%, p = 0.062). Bacteriological efficacies were similar. Success rates in the small numbers of sodium-fusidate-, methicillin- and mupirocin-resistant Staphylococcus aureus were good for retapamulin (9/9, 8/8 and 6/6, respectively). Both drugs were well tolerated. <bold>Conclusion: </bold>Retapamulin is a highly effective and convenient new treatment option for impetigo, with efficacy against isolates resistant to existing therapies.
- Subjects
SKIN microbiology; ANTIBIOTICS; COMPARATIVE studies; DOSE-effect relationship in pharmacology; IMPETIGO; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; OINTMENTS; RESEARCH; STATISTICAL sampling; SKIN; STAPHYLOCOCCUS aureus; STEROIDS; STREPTOCOCCUS; CUTANEOUS therapeutics; EVALUATION research; RANDOMIZED controlled trials; TREATMENT effectiveness; BLIND experiment
- Publication
Dermatology (10188665), 2007, Vol 215, Issue 4, p331
- ISSN
1018-8665
- Publication type
journal article
- DOI
10.1159/000107776