Clinical usefulness of a supplementary cyclosporin administration with a topical application of maxacalcitol ointment for patients with moderate psoriasis vulgaris

J Dermatol. 2009 Apr;36(4):197-201. doi: 10.1111/j.1346-8138.2009.00623.x.

Abstract

In this study, we aimed at confirming the clinical usefulness of a supplementary additional cyclosporin microemulsion preconcentrate (CyA MEPC) administration in 15 patients with psoriasis vulgaris whose disease activity had been unchanged or exacerbated with topical maxacalcitol treatment. Each patient took a supplementary CyA MEPC administration, 2.5 mg/kg per day in addition to maxacalcitol ointment therapy. When the Psoriasis Area and Severity Index (PASI) score revealed over a 75% decrease against the initial value, the administration of CyA MEPC was tapered off, and a topical application of maxacalcitol ointment was continued for the maintenance phase. All patients could obtain improvement within 12 weeks. In 12 patients whose PASI score reduced over 75%, CyA MEPC was tapered off. Of those, five patients remained in remission by maxacalcitol ointment for over 12 months and three patients for 6 months. In conclusion, this preliminary study may suggest that supplementary therapy of short-term CyA MEPC administration in combination with topical vitamin D3 treatment may be worth trying for patients with moderate psoriasis vulgaris.

MeSH terms

  • Administration, Topical
  • Adult
  • Calcitriol / administration & dosage
  • Calcitriol / analogs & derivatives*
  • Cyclosporine / administration & dosage*
  • Dermatologic Agents / administration & dosage*
  • Drug Synergism
  • Female
  • Humans
  • Male
  • Ointments
  • Patient Satisfaction
  • Psoriasis / drug therapy*
  • Psoriasis / pathology
  • Remission Induction

Substances

  • Dermatologic Agents
  • Ointments
  • Cyclosporine
  • Calcitriol
  • maxacalcitol