3. Basic characteristics.
Author | Year | Intervention | Comparison | Application | Treatment duration | Follow‐up | N | Internally‐controlled study | Primary outcome | Secondary outcome | Level of evidence |
Topical therapy | |||||||||||
Baran | 1999 | Topical 8% clobetasol | Placebo lacquer | Once daily | 1, 2 to 6, 6 months, average 2, 5 months | No | 18 | Yes | 1 | 3 | B |
Baran | 1999a | Topical 8% clobetasol | Placebo lacquer | 1st week once daily, onwards 2 or 3 times weekly | 5,1 to 8, 9 months, average 7, 0 months | No | 27 | Yes | 1 | 3 | B |
Cannavo | 2003 | Topical ciclosporin 70% in maize oil | Maisoil | Twice daily | 12 weeks (3 months) | 8 weeks | 16 | No | 1, 3 | 1, 2, 3 | A2 |
de Jong | 1999 | 1% 5‐fluorouracil in Belanyx® lotion | Belanyx® lotion | Once daily, under occlusion | 12 weeks (3 months) | 4 weeks | 57 | Yes | 1, 2, 3 | 1, 3 | A2 |
Flori | 1994 | Hyaluronic acid + chondroitin sulphates | Placebo | Gel in the morning, micro emulsion at night | 90 days (3 months) | No | 30 | No | 1 | 1, 3 | A2/B |
Rigopoulos | 2007 | Tazarotene 0.1% cream | Clobetasol propionate 0.05% | Once daily under occlusion | 12 weeks (3 months) | 12 weeks | 46 | No | 2 | 1, 3 | A2 |
Scher | 2001 | Tazarotene 0.1% gel | Vehicle gel | Once daily, one target nail under occlusion | 24 weeks (6 months) | No | 31 | No | 1 | 1, 3 | A2/B |
Tosti | 1998 | Calcipotriol 50 ug/g | Betamethason dipropionate 64 mg/g + salicylic acid 0.03 g/g | Twice daily | 3 to 5 months | 1 month | 58 | No | 3 | 1, 3 | B |
Tzung | 2008 | Calcipotriol 0.005% | Calcipotriol 0.005% + betamethasone dipropionate 0.05% | Calcipotriol twice daily with betamethasone once daily | 12 weeks (3 months) | No | 40 | No | 1, 2, 3 | 1, 3 | B |
Systemic therapy | |||||||||||
Gűműşel | 2011 | Methotrexate 15 mg | Ciclosporin 5 mg/kg | MTX: single dose weekly subcutaneous. After 3 months decrease to 10 mg/week CsA: daily (divided into 2 doses), after 3 months decrease to 2.5 to 3.5 mg/kg/day |
24 weeks | 12 weeks | 37 | No | 1 ,2, 3 | 1 | A2 |
Levell | 1995 | Systemic ciclosporin 2.5 mg/kg | Topical dithranol 2% to 8% + 0.5% salicylic acid + UVB | CsA: 2 daily doses. Dith: once daily for 15 minutes preceded by UVB | Up to 16 weeks (4 months) until clear | Up to 8 months | 29 | No | 1 | 1 | A2/B |
Mahrle | 1995 | Systemic ciclosporin 2.5 mg/kg | Etretinate 0.5 mg/kg | Once daily | 22 weeks (5, 5 months) | 4 weeks | 137 | No | 1 | 1 | B |
Biological therapy | |||||||||||
Igarashi | 2012 | Ustekinumab 45 mg or 90 mg | Placebo | Subcutaneous injection week 0, 4, every 12 weeks | 64 weeks | 8 weeks | 102 | No | 2 | 1 | A2 |
Kavanaugh | 2009 | Golimumab 50 mg or 100 mg | Placebo | Subcutaneous injection every 4 weeks | 20 weeks (5 months) | 4 weeks | 287 | No | 1, 2 | 1 | B |
Rich | 2008 | Infliximab 5 mg/kg | Placebo | Infusion at week 0, 2, 6 and every 8 weeks onward | 46 weeks (11, 5 months) | 4 weeks | 305 | No | 2 | 1, 3 | A2 |
Radiotherapy | |||||||||||
Kwang | 1995 | Electron beam 0.75 Gy | Placebo | 0.75 Gy per week (total 6 Gy) | 8 weeks (2 months) | 12 months | 12 | Yes | 1 | 1, 3 | B |
Lindelof | 1989 | Grenz rays 5Gy | Placebo | 5 Gy once a week | 10 weeks (2, 5 months) | 6 months | 24 | Yes | 1 | 1 | A2/B |
Yu | 1992 | Superficial radiotherapy 450 cGy | 'Sham radiotherapy' | Fortnightly | 14 days (1/2 month) | 18 weeks | 10 | Yes | 1 | 1, 3 | B |
Primary outcomes
(a) Global improvement of nail psoriasis as rated by a clinician (b) Improvement of nail psoriasis scores (NAS, NAPSI) (c) Improvement of nail psoriasis in the participant's opinion
Secondary outcomes
(a) Adverse effects (and serious adverse effects, i.e. serious enough to require withdrawal of the treatment) (b) Effects on quality of life (c) Improvement in nail features, pain score, nail thickness, thickness of subungual hyperkeratosis, number of affected nails, and nail growth
Level of evidence
A2: Randomised controlled trial of good quality (adequate control group, good study design, size of the study, consistence) B: Randomised clinical trial of low quality