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. 2015 Jan 5;5:9–23. doi: 10.2147/PTT.S51490

Table 1.

Overview of efficacy results of RCTs of fumaric acid esters in psoriasis treatment

Study (year) Study design Study population Treatment arms No of patients Treatment duration in weeks Efficacy results
Balak et al (2014)36 Single center double-blind RCT Moderate-to- severe psoriasis PASI <10 FAE + cetirizine 25 12 Mean change in PASI – 65%
PASI-75 response 20%
FAE + placebo 25 12 Mean change in PASI – 66%
PASI-75 response 20%
Fallah Arani et al (2011)34 Multicenter RCT Moderate-to- severe psoriasis PASI <10 FAE (Dutch formulation) 30 12 Mean change in PASI from 18.1 to 10.5 (−42.0%)
PASI-75 response 19%
MTX 30 12 Mean change in PASI from 14.5 to 6.7 (−53.8%)
PASI-75 response 24%
Gollnick et al (2002)35 Multicenter double-blind RCT Severe psoriasis FAE (Fumaderm) + calcipotriol ointment 68 13 Mean change in PASI – 76.1%
FAE (Fumaderm) + placebo ointment 66 13 Mean change in PASI – 51.9%
Altmeyer et al (1994)13 Multicenter double-blind RCT BSA <10% FAE (Fumaderm) 50 16 Mean decrease in PASI from 21.6 to 10.8 (−50.0%)
Placebo 50 16 Not reported
Nieboer et al (1990)33 Single-center RCT BSA <10% FAE (Fumaderm) 23 12 More than 50% improvement in 52%
DMF (Dutch formulation) 11 12 More than 50% improvement in 45%
Nugteren-Huying et al (1990)14 Single-center RCT BSA <10% FAE (Fumaderm) 13 16 Mean decrease BSA from 21.0% to 6.7%
Octyl FAE 13 16 Not reported
Placebo 13 16 Not reported

Abbreviations: BSA, body surface area affected; DMF, dimethyl fumarate; FAE, fumaric acid esters; MTX, methotrexate; PASI, psoriasis area and severity index; RCT, randomized controlled trial.