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- Title
Benvitimod for the treatment of psoriasis: A systematic review and meta‐analysis of randomized controlled trials.
- Authors
Ehsan, Muhammad; Rehman, Aqeeb Ur; Athar, Farwa; Mustafa, Biah; Javed, Haseeba; Cheema, Huzaifa Ahmad; Ayyan, Muhammad; Shahid, Abia; Jafar, Uzair; Goldust, Mohamad
- Abstract
Benvitimod is a topical drug that has recently been approved for mild to moderate psoriasis and atopic dermatitis. The drug has just completed phase 3 trials for psoriasis, which calls for a systematic update of current evidence on the efficacy and safety of this drug. We searched MEDLINE (PubMed), EMBASE, Science Direct, International Clinical Trials Registry Platform (ICTRP), Cochrane Central Register of Controlled Trials, and Google Scholar for all available randomized controlled trials concerning the topic. We included six randomized controlled trials evaluating the efficacy of benvitimod 1.0% with a total of 1925 patients. Our meta‐analysis demonstrated that more patients in the benvitimod group achieved physician global assessment score of 0 or 1 (RR 6.53, 95% CI 4.39–9.71), psoriasis area and severity index (PASI) 75 (RR 4.34, 95% CI 2.96–6.36), PASI 90 (RR 8.83, 95% CI 5.22–14.95) and body surface area reduction (MD −3.85, 95% CI −4.83, −2.88) than placebo at week 12. Patient‐reported outcomes were also analyzed, yielding a significant benefit in the benvitimod group for peak pruritus numerical rating scale (PP‐NRS) score (MD −1.20, 95% CI −1.98, −0.42), ≥4‐point decrease in PP‐NRS score (RR 1.58, 95% CI, 1.24–2.03) and dermatology life quality index score (MD −2.54, 95% CI −4.00, −1.07). There was a significantly higher incidence of adverse events in the benvitimod group compared to placebo (RR 1.98, 95% CI 1.73–2.27), while the risk was found to be non‐significant for serious adverse events. Benvitimod is an effective treatment of psoriasis as compared to a placebo. However, more large‐scale, high‐quality trials are needed to comment on the safety of this drug.
- Subjects
RANDOMIZED controlled trials; CLINICAL trials; PSORIASIS; BODY surface area; QUALITY of life; ATOPIC dermatitis
- Publication
Dermatologic Therapy, 2022, Vol 35, Issue 12, p1
- ISSN
1396-0296
- Publication type
Article
- DOI
10.1111/dth.15957