Journal of the Japan Organization of Clinical Dermatologists
Online ISSN : 1882-272X
Print ISSN : 1349-7758
ISSN-L : 1349-7758
Article
Efficacy of tapinarof cream on maintenance of remission in Japanese patients with plaque psoriasis
- post-hoc analysis of the phase 3 clinical trial-
Atsuyuki Igarashi, Hiroyuki Kitajima
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2026 Volume 43 Issue 4 Pages 528-534

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Abstract
Background: There have been no reports demonstrating the efficacy of tapinarof cream (this cream), a therapeutic aryl hydrocarbon receptor modulating topical agent, in maintaining remission among Japanese patients with plaque psoriasis. Purpose: We investigated the efficacy of this cream in the maintenance of remission in Japanese patients with plaque psoriasis after the patients achieved a score of 0 on the Physician’s Global Assessment (PGA). Methods: A post-hoc analysis of 116 patients who achieved a score of 0 on the PGA in a phase 3 long-term administration study of Japanese patients with mild-to-severe plaque psoriasis was performed. Items analyzed were “the duration in which a score of 1 or lower on the PGA was maintained,” “patient backgrounds by the duration in which a score of 1 or lower on the PGA was maintained,” and “the duration in which a score of 0 on the PGA was maintained in patients who suspended the application of the drug after achieving a score of 0.” Results: The median duration in which a score of 1 or lower on the PGA was maintained starting from the time at which the PGA score became 0 was 156.5 days, and the mean duration was 145.9 days. There were no large differences in patient backgrounds when the patients were divided by the median duration in which a score of 1 or lower on the PGA was maintained (156.5 days). The median duration in which a score of 0 on the PGA was maintained in “the patient group who suspended the application of the drug after achieving a score of 0” was 61.0 days, and the mean duration was 83.4 days. Conclusion: This post-hoc analysis of a trial in Japanese patients with plaque psoriasis demonstrated this cream to be a drug that can be expected to maintain remission of plaque psoriasis.
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© 2026 Japan Organization of Clinical Dermatologists
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