A randomized comparison of narrow-band TL-01 phototherapy and PUVA photochemotherapy for psoriasis.
BACKGROUND
Although PUVA treatment of psoriasis is more effective than conventional or broad-band UVB phototherapy, two small studies have suggested that narrow-band or TL-01 phototherapy may have a therapeutic effect equal to PUVA. If confirmed, this would be of considerable importance as TL-01 therapy is likely to be considerably safer in the long term than PUVA.


OBJECTIVE
The purpose of this study was to compare PUVA with narrow-band (TL-01) phototherapy in psoriasis.


METHODS
We studied 100 patients with plaque-type psoriasis who were randomly allocated to twice-weekly treatment with PUVA or narrow-band UVB.


RESULTS
Clearance of psoriasis was achieved in a significantly greater proportion of patients treated with PUVA (84%) than with TL-01 (63%) (P =.018), and with significantly fewer treatments (median number of treatments for clearance with PUVA, 16.7; with TL-01, 25.3; P =.001). Only 12% of those treated with TL-01 were clear of psoriasis 6 months after finishing treatment compared with 35% for PUVA (P =.002).


CONCLUSIONS
When given twice weekly, PUVA is more effective for psoriasis than narrow-band UVB phototherapy.
Gordon
P M
PM
Department of Dermatology, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom.
Diffey
B L
BL
Matthews
J N
JN
Farr
P M
PM
D000328:Adult; D005500:Follow-Up Studies; D006801:Humans; D011701:PUVA Therapy; D011565:Psoriasis / Q000188:drug therapy* / Q000532:radiotherapy*; D014467:Ultraviolet Therapy