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. 2013 Mar 28;2013(3):CD005028. doi: 10.1002/14651858.CD005028.pub3

Barker 1999 (P).

Methods DESIGN 
 Between‐patient
 Participant delivery
 ALLOCATION 
 Random
 Method of randomisation: unclear
 Concealment: unclear
 BLINDING 
 Double‐blind (unclear)
 WITHDRAWAL/DROPOUT 
 Described
Participants N: 60
Treatment duration: 8 wks; FU: 8 wks
LF: 6 (10.0%)
BC: demographics similar; clinical characteristics not reported
Age: 47.2 (14.5SD, N = 144) (range = 20 to 75)
Gender (per cent men): 59.7% (86/144)
Severity: not reported
INCLUSION CRITERIA
  • Chronic plaque psoriasis

  • Stable bilateral lesions affecting < 20% total body surface area

  • Adult (aged 18 to 85)


EXCLUSION CRITERIA
  • Pregnancy

  • Concomitant disease

  • Known hypersensitivity to vitamin D derivatives

  • Systemic treatments within previous 1 mth

  • Systemic retinoids within previous 2 mths

  • Plaques < 10 cm² or > 150 cm²

Interventions Dose‐ranging study including placebo; calcipotriol 50 mcg/g; maxacalcitol ointment 6, 12.5, 25, and 50 mcg/g OD.
Contrast included the following:
  • Calcipotriol ointment 50 mcg/g OD (C)

  • Placebo ointment (vehicle) (P)

Outcomes
  1. Psoriasis Severity Index (PSI): sum scores for erythema, induration and scaling (0 to 24)

  2. IAGI (6‐pt: worse to cleared)

  3. PAGI (6‐pt: worse to cleared)

  4. Investigator side preference

  5. Patient side preference

Notes Non‐target plaques received emollient or coal tar throughout the study.
 Chugai Pharma Europe sponsored the trial.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk The trial reported insufficient details.
Blinding (performance bias and detection bias) 
 All outcomes Low risk The trial was double‐blind (participant/assessor).
Randomisation method reported Unclear risk The trial did not report this.
Loss to follow up Low risk 10.0%
Baseline assessments Low risk These were partially reported (demographics only).
Baseline comparability demonstrated Unclear risk These were partially done.