Jornal Vascular Brasileiro
https://app.periodikos.com.br/journal/jvb/article/doi/10.1590/1677-5449.202400981
Jornal Vascular Brasileiro
Study Protocol

Desodorante tópico de oxibutinina para hiperidrose axilar: efeito local ou sistêmico? Fundamentação e desenho do estudo de fase II today

Topical oxybutynin deodorant for axillary hyperhidrosis: a topic or a systemic effect? Rationale and design of the phase II today trial

Samantha Neves; Giuliano Giova Volpiani; Alexia Paganotti; Felipe Menegueti; Ricardo Sanchez Boix; Roberto Augusto Caffaro; Vanessa Prado dos Santos; Eduardo Ramacciotti

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Resumo

Os anticolinérgicos melhoram a qualidade de vida com redução da sudorese em pacientes com hiperidrose, mas permanece incerto se a aplicação tópica exerce efeitos locais ou sistêmicos. O objetivo principal deste estudo é avaliar o impacto da oxibutinina tópica na hiperidrose axilar. Vinte pacientes com hiperidrose axilar serão randomizados em três grupos. O Grupo A receberá 2,5 mg de oxibutinina oral com diferentes posologias do primeiro ao 35º dia. O Grupo B receberá um placebo tópico na forma de spray, e o Grupo C receberá um spray de oxibutinina a 10%, com duas borrifadas em cada axila duas vezes ao dia por 35 dias (produto em investigação). O desfecho primário será a avaliação da eficácia do spray tópico de oxibutinina, avaliada pelo número de pacientes que apresentam melhora na gravidade da condição. O estudo TODAY mostrará evidências sobre os efeitos da oxibutinina tópica, avaliando seu impacto na hiperidrose axilar.

Palavras-chave

hiperidrose; oxibutinina; anticolinérgico; hiperidrose axilar

Abstract

Anticholinergics have been shown to enhance quality of life and reduce sweat in patients with hyperhidrosis. However, it remains unclear whether topical application specifically exerts local or systemic effects. This study’s primary aim is to assess topical oxybutynin’s impact on axillary hyperhidrosis. Twenty patients will be randomized into three groups. Group A will receive 2.5 mg of oral oxybutynin from day 1 to day 35 (on a variable frequency regimen). Group B will be administered a topical placebo for 35 days and Group C will receive a 10% oxybutynin topical spray, to be used twice daily for 35 days. The primary efficacy outcome will be the evaluation of the effectiveness of topical oxybutynin spray in treating hyperhidrosis. The TODAY trial will generate high-quality evidence on the effects of topical oxybutynin, assessing whether its impact is local or systemic in patients with axillary hyperhidrosis.

Keywords

hyperhidrosis; oxybutynin; anticholinergic; axillary hyperhidrosis

References

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Submitted date:
06/25/2024

Accepted date:
10/23/2024

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
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