Title
Efficacy and Safety of 0.25% Desoximetasone Cream (Topoxy®) in the Treatment of Scalp Psoriasis
A Randomized Control Trial of Efficacy and Safety of 0.25% Desoximetasone Cream (Topoxy®) Compared With 0.25% Desoximetasone Cream (Topicorte®) in the Treatment of Scalp Psoriasis
Phase
Phase 3Lead Sponsor
Siriraj HospitalStudy Type
InterventionalStatus
Unknown statusIndication/Condition
Scalp PsoriasisIntervention/Treatment
desoximetasone ...Study Participants
105The purpose of this study is to evaluate efficacy and safety of 0.25% Desoximetasone cream (Topoxy®) compare with 0.25% Desoximetasone cream (Topicorte®) in the treatment of scalp psoriasis.
apply on the scalp psoriasis lesion twice a day
apply on the scalp psoriasis lesion twice a day
apply on the scalp psoriasis lesion twice a day
0.25% Desoximetasone cream (Topoxy®): apply on scalp psoriasis lesion twice a day for 8 weeks. (Tar shampoo will be given to all participants. The Shampoo should be applied on wet scalp every other day, then massage and allow shampoo to remain on the scalp for 5 minutes, after that rinse off by water.)
0.25% Desoximetasone cream (Topicorte®): apply on scalp psoriasis lesion twice a day for 8 weeks. (Tar shampoo will be given to all participants. The Shampoo should be applied on wet scalp every other day, then massage and allow shampoo to remain on the scalp for 5 minutes, after that rinse off by water.)
Placebo: apply on scalp psoriasis lesion twice a day for 8 weeks. (Tar shampoo will be given to all participants. The Shampoo should be applied on wet scalp every other day, then massage and allow shampoo to remain on the scalp for 5 minutes, after that rinse off by water.)
Inclusion Criteria: Age ≥ 18 years Diagnosed with scalp psoriasis by dermatologist Has scalp psoriasis Involve ≥ 10% of total scalp area and also has clinical signs, or a previous diagnosis, of psoriasis on the trunk and/or limbs Total severity of scalp psoriasis should be graded in mild to very severe according to Investigator's Global Assessment score (IGA) Clinical signs (redness, thickness, scaliness) should be scored as "Moderate" for at least 1 sign and "slight" on each of the other two signs All participants agree to participate in the study and already complete and sign consent form Exclusion Criteria: Treated with these medications before including in the study Topical corticosteroid for scalp psoriasis (except emollients and shampoo) within 2 weeks Very potent topical corticosteroids for psoriasis on other area or Narrow band Ultraviolet B (NB-UVB) within 2 weeks Oral psoralen plus Ultraviolet A (PUVA) or oral medication (Methotrexate, Acitretin, Cyclosporine) within 4 weeks Biologic agents or concomitant medication that could affect scalp psoriasis (Beta- blockers, Antimalarial drugs, Lithium ) within 6 months Has skin infection or atrophic skin on the scalp Has history of allergic reaction or hypersensitivity to 0.25% Desoximetasone Female participants with pregnancy or in lactation period Participants who unable to come for follow-up visits at hospital Participants with other underlying disease e.g. diabetes mellitus, hypertension, thyroid disease Vulnerable subject e.g. illiterate person