A novel lotion formulation of 20% oxybutynin hydrochloride for the treatment of primary palmar hyperhidrosis: A randomized, placebo-controlled, double-blind, phase III study

No previous controlled studies have been specifically designed or adequately powered to show the efficacy of topical oxybutynin for palmar hyperhidrosis by using quantitative measures. To evaluate efficacy of 20% oxybutynin hydrochloride lotion (20% OL) in reducing palmar sweat volume in patients wi...

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Veröffentlicht in:Journal of the American Academy of Dermatology 2023-07, Vol.89 (1), p.62-69
Hauptverfasser: Fujimoto, Tomoko, Terahara, Takaaki, Okawa, Koji, Inakura, Hiroshi, Hirayama, Yuta, Yokozeki, Hiroo
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container_issue 1
container_start_page 62
container_title Journal of the American Academy of Dermatology
container_volume 89
creator Fujimoto, Tomoko
Terahara, Takaaki
Okawa, Koji
Inakura, Hiroshi
Hirayama, Yuta
Yokozeki, Hiroo
description No previous controlled studies have been specifically designed or adequately powered to show the efficacy of topical oxybutynin for palmar hyperhidrosis by using quantitative measures. To evaluate efficacy of 20% oxybutynin hydrochloride lotion (20% OL) in reducing palmar sweat volume in patients with primary palmar hyperhidrosis (PPHH). In a randomized controlled trial, Japanese patients with PPHH aged 12 years and older received either 20% OL (n = 144) or placebo (n = 140) on both palms once daily for 4 weeks. Palmar sweat volume was measured by the ventilated capsule method. For the primary outcome, response was defined as a reduction of sweat volume of at least 50% from baseline. At week 4, the responder rate for sweat volume was significantly higher in the 20% OL arm than in the placebo arm (52.8% vs 24.3%, respectively; treatment difference, 28.5% [95% CI, 17.7% to 39.3%]; P 
doi_str_mv 10.1016/j.jaad.2023.03.025
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To evaluate efficacy of 20% oxybutynin hydrochloride lotion (20% OL) in reducing palmar sweat volume in patients with primary palmar hyperhidrosis (PPHH). In a randomized controlled trial, Japanese patients with PPHH aged 12 years and older received either 20% OL (n = 144) or placebo (n = 140) on both palms once daily for 4 weeks. Palmar sweat volume was measured by the ventilated capsule method. For the primary outcome, response was defined as a reduction of sweat volume of at least 50% from baseline. At week 4, the responder rate for sweat volume was significantly higher in the 20% OL arm than in the placebo arm (52.8% vs 24.3%, respectively; treatment difference, 28.5% [95% CI, 17.7% to 39.3%]; P &lt; .001). No serious adverse events occurred, and no adverse events led to treatment discontinuation. The treatment period was only 4 weeks. 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subjects Hyperhidrosis Disease Severity Scale (HDSS)
oxybutynin hydrochloride
perspiration meter
primary palmar hyperhidrosis
sweat volume
ventilated capsule method
title A novel lotion formulation of 20% oxybutynin hydrochloride for the treatment of primary palmar hyperhidrosis: A randomized, placebo-controlled, double-blind, phase III study
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