The purpose of this study is to determine whether topical tazarotene (Tazorac), a receptor-selective synthetic retinoid that normalizes epidermal differentiation, ameliorates signs and symptoms of brittle nails.
"Brittle nails," referring to nails that chip, peel, or split excessively, occur in up to 30% of women and 15% of men, with highest prevalence among the elderly. Treatment of brittle nails involves restoration and maintenance of a normal degree of nail plate hydration by minimizing exposure to dehydrating chemicals and by use of moisturizers, such as alpha-hydroxy acids. Retinoids are vitamin A analogs that play a role in skin cell differentiation and proliferation. Tazarotene is a topical receptor-selective synthetic retinoid that normalizes epidermal differentiation and reduces the influx of inflammatory cells into the skin. In this single-center, open-label trial, subjects applied tazarotene to the nails twice daily for 24 weeks. Signs and symptoms were rated by the investigators and subjects during treatment and 12 weeks after discontinuation.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
20
All patients were to apply topical tazarotene (Tazorac) twice daily to all affected fingernails for 24 weeks.
Columbia University Medical Center
New York, New York, United States
The primary endpoint was the change in the Physician's Global Improvement Assessment (PGIA) of the 2 target nails. The PGIA score reflects the comparison of photographs taken at baseline to the nails at 12 weeks, 24 weeks, and 36 weeks.
Time frame: Weeks 12, 24, and 36
Physician's Global Assessment (PGA) measures the severity of brittle nail symptoms.
Time frame: Baseline, Week 12, and Week 24
Physician ratings of the roughness, raggedness, and peeling of the target nails.
Time frame: All study visits
A VapoMeter measures the Transonychial Water Loss (TOWL) on both target nails.
Time frame: All study visits
Subject reporting provides the subjects' assessments of their nail breakage.
Time frame: All study visits
Subject reporting provides the subjects' satisfaction with the product.
Time frame: Week 12, 24, and 36
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