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Phase II randomized, placebo-controlled trial of M. vaccae-derived protein (PVAC) for the treatment of psoriasis
Authors:Netto Eduardo Martins  Takahashi Denise  de Fátima Paim de Oliveira Maria  Barbosa Paulo  Ferraz Neide  Paixão Ariene  Oyafuso Luiza Keiko  Bortoletto Cecília  Matos Denise  Paixão Maurício  da Silva Anete Olivieri Pessoa  Badaro Roberto
Affiliation:Federal University of Bahia, Brazil. enetto@ufba.br
Abstract:The treatment effect against psoriasis of an antigen (delipidated, deglycolipidated form of M. vaccae-PVAC) was investigated. One hundred and sixty-five patients were enrolled in three arms (50 or 15 microg or placebo), each receiving a total of two intradermal injections (days 0 and 21). At week 12, a 75% decrease in psoriasis area and severity index was similar among the studied groups (13, 9 and 18%, p=0.429). The overall incidence of adverse events was significantly higher in the PVAC treated groups when compared to placebo (98.2, 87.3 and 70.9%; p<0.001) largely due to local reactions that were limited for the most part to grades 1 and 2 in severity and were self-limiting. Despite its overall safety, PVAC was not clearly indicated to be superior to placebo in the treatment of psoriasis in this study.
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