Indian Journal of Dermatology
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THERAPEUTIC ROUND
Year : 2013  |  Volume : 58  |  Issue : 2  |  Page : 117-123

Evaluation of efficacy, safety, and tolerability of fixed dose combination (FDC) of halometasone 0.05% and fusidic acid 2% w/w topical cream versus FDC of betamethasone valerate 0.12% and neomycin sulphate 0.5% w/w topical cream in the treatment of infected eczematous dermatosis in Indian subjects: A randomized open-label comparative phase III multi-centric trial


1 Department of Dermatology and Venerology, Osmania Medical College and Hospital, Hyderabad, Andhrapradesh, India
2 Department of Dermatology, Dr. SMCSI Medical College, Trivandrum, Kerala, India
3 Department of Dermatology, King George Hospital, Andhra Medical College, Visakhapatnam, Andhra Pradesh, India
4 Department of Dermatology, LTM Medical College and LTM General Hospital, Sion, Mumbai, Maharashtra, India
5 Department of Skin and STD, Deccan College of Medical Sciences, Hyderabad, Andhrapradesh, India
6 Department of Dermatology KMC Hospital, Mangalore, Karnataka, India
7 Global Medical Affairs, Dr. Reddy's Laboratories, Hyderabad, India

Correspondence Address:
Mariam Philip
Department of Dermatology, Dr. SMCSI Medical College, Trivandrum, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5154.108041

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Aim: To evaluate the efficacy and safety of fixed drug combination (FDC) halometasone 0.05% and fusidic acid 2% (group A) vs FDC betamethasone 0.12% and neomycin sulfate 0.5% cream (group B) in acute or chronic infected eczematous dermatosis, through a randomized open-label, comparative, multicentric study. Materials and Methods: A total of 152 patients were randomized to either Group A or Group B. EASI (Eczema Area and Severity Index), IGA (Investigator's global assessment), scale for severity of eczema, pruritus, and safety parameters were assessed at baseline, Day 5/Day 10, Day 10/20, and Day 20/Day 30 for acute/chronic cases. Skin swabs were tested at screening, Day 10, and end of the study. Results: Staphylococcus aureus was the frequently encountered causative agent. There was a significant reduction within the study groups in EASI, IGA scales for severity of eczema, pruritus at various visits, compared to baseline. At the end of study, 83.87% in group A and 65.71% in group B were culture negative. Cure rate was 54.28% and 50% in group A and B, respectively. Five adverse events were reported in five patients, of which three patients withdrew from the study. Conclusion: Halometasone 0.05% and Fusidic acid 2% cream is effective, safe, well tolerated with comparable efficacy to the comparator in the treatment of acute and chronic infected eczematous dermatosis.


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