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Clinical Studies




          NALDI Study in plaque psoriasis : BETESIL more
                                             (2)
          efficacious than Betamethasone Cream 0.1%


          A Prospective and controlled study
          International, multi-centre, prospective, randomised, assessor-blind, parallel group,
          active-controlled phase III study comparing BMV plaster 0.1% versus Betamethasone valerate
          0.1% cream.
          Objective
          To evaluate the efficacy and safety of BETESIL and Betamethasone valerate cream 0.1% in
          patients with mild-to-moderate chronic plaque psoriasis.
          Study Diagram


                    Visit D0     D7   D14   D21     D35         3 months
                    Day                                PGA = 0/1
                                                     Discontinue treatment
                               BETESIL
                             Once a day (n = 116)
                                            PGA > 1 Continuation   PGA = 0/1
                                              of treatment  Discontinue treatment and follow up
                  1:1                                        PGA > 1
               Randomised                                 Start alternative treatment
                                                       PGA = 0/1
                                                     Discontinue treatment
                          Betamethasone Valerate Cream 0.1 %
                             Twice a day (n = 114)
                                            PGA > 1 Continuation   PGA = 0/1
                                              of treatment  Discontinue treatment and follow up
                                                             PGA > 1
               230 patients included (ITT*)               Start alternative treatment
               • Adults ≥ 18
               • Diagnosis of stable, chronic plaque psoriasis on <10% of the body surface area
               • 2 to 4 plaques on elbows and / or knees on a surface of 10 to 150 cm   2
               • Exclusion of patients requiring systemic treatment for psoriasis

          Outcome measures
          Number of patients with cleared plaques (PGA score **= 0) after 3 weeks of treatment (ITT*)

          BETESIL like other potent steroids, is a first-line treatment in plaque
          psoriasis excluding sensitive areas (face and skin folds).
          Once a significant improvement has been achieved, it may be replaced by another form of less
          potent corticosteroid.
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