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. 2013 Jan 31;2013(1):CD007633. doi: 10.1002/14651858.CD007633.pub2

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 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 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