A 12-month follow-up split-scalp study comparing calcipotriol-assisted MAL-PDT with conventional MAL-PDT for the treatment of actinic keratosis: a randomized controlled trial (notice n° 603794)

détails MARC
000 -LEADER
fixed length control field 02720cam a2200277 4500500
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20250121154946.0
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title fre
042 ## - AUTHENTICATION CODE
Authentication code dc
100 10 - MAIN ENTRY--PERSONAL NAME
Personal name Torezan, Luis
Relator term author
245 00 - TITLE STATEMENT
Title A 12-month follow-up split-scalp study comparing calcipotriol-assisted MAL-PDT with conventional MAL-PDT for the treatment of actinic keratosis: a randomized controlled trial
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2021.<br/>
500 ## - GENERAL NOTE
General note 45
520 ## - SUMMARY, ETC.
Summary, etc. BackgroundTo enhance the efficacy of photodynamic therapy (PDT) for actinic keratosis (AKs), physical and chemical pre-treatments, such as calcipotriol (CAL) have been suggested. ObjectivesTo compare the long-term 12-month efficacy and safety between methylaminolevulinate (MAL)-PDT and prior application of topical CAL versus conventional MAL-PDT for AKs of the scalp. Materials & MethodsTwenty patients with multiple AKs on the scalp were randomized to receive conventional PDT on one side of the scalp and CAL-assisted PDT, in which CAL was applied daily for 15 days beforehand, on the other side. Patients were evaluated for AK clearance at three, six and 12 months thereafter. ResultsAll 20 patients completed the study. At three months, overall AK clearance was 92.07% and 82.04% for CAL-PDT and conventional PDT, respectively ( p &lt; 0.001). Similar results were found at six and 12 months: 92.07% and 81.69% ( p &lt; 0.001), and 90.69% and 77.46% ( p &lt; 0.001) for CAL-PDT and conventional PDT, respectively. Grade I AKs showed a similar response rate for both sides ( p = 0.055) at three months and significant differences were obtained at six ( p = 0.001) and 12 months ( p &lt; 0.001) for CAL-PDT and conventional PDT. Grade II AKs showed greater improvement on the CAL-PDT side (89.55% vs 62.90%) ( p &lt; 0.001) at three months. No difference was found at six and 12 months. ConclusionCAL-PDT proved to be safe and more effective than conventional PDT for the treatment of AKs on the scalp after 12 months. CAL pre-treatment may have enhanced the efficacy of PDT for AK treatment, however, larger trials are needed to corroborate our findings.
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element scalp
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element efficacy and safety
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element calcipotriol (CAL)
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element actinic keratosis (AK)
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element methylaminolevulinate (MAL)-PDT
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element photodynamic therapy (PDT)
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Grinblat, Beni
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Haedersdal, Merete
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Festa-Neto, Cyro
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Szeimies, Rolf-Markus
Relator term author
786 0# - DATA SOURCE ENTRY
Note European Journal of Dermatology | 31 | 5 | 2021-09-01 | p. 638-644 | 1167-1122
856 41 - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://shs.cairn.info/revue-european-journal-of-dermatology-2021-5-page-638?lang=en&redirect-ssocas=7080">https://shs.cairn.info/revue-european-journal-of-dermatology-2021-5-page-638?lang=en&redirect-ssocas=7080</a>

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