Review Article

Efficacy and Safety of Tripterygium Wilfordii Hook F on Psoriasis Vulgaris: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Table 1

Description of studies.

PublicationSample size
(intervention : control)
Age (mean (SD) or range)
(intervention : control)
InterventionControlDurationOutcomeResults

Liu and Tian 2017 [15]40 : 40-Tripterygium glycosides 20 mg tid;
acitretin capsules 20 mg once daily
Acitretin capsules 20 mg once daily8 weeksPASI 6082.5%;
45%;

Wang 2017 [10]40 : 4039.28 ± 4.51;
39. 98 ± 5.03
Tripterygium glycosides 20 mg tid;
compound glycyrrhizin 50 mg tid
Compound glycyrrhizin 50 mg tid8 weeksPASI 6077.5%;
52.5%;

Fan 2016 [21]98 : 9830.4 ± 6.5 : 31.2 ± 6.8Tripterygium glycosides 20 mg tid;
0.05% tazarotene gel once daily
0.05% tazarotene gel once daily3 months75% reduction rate33.67%: 33.69%:

Guan 2016 [16]43 : 4336.9 ± 7.6 : 36.8 ± 7.8Tripterygium glycosides 10 mg tid;
acitretin capsules 30 mg once daily
Acitretin capsules 30 mg once daily8 weeksPASI 6072.1%:
58.1%;

Liu 2015 [8]55; 5531.2 ± 6.4;
32.1 ± 5.8
Tripterygium glycosides 20 mg tid;Cyclosporin A 2.5 mg/kg/day; after 4 weeks, increase dose to 3–5 mg/kg/day12 weeksPASI 6063.6%;
47.3%;

Wu 2015 [5]58 : 5742.0 ± 12.0 : 40.2 ± 12.4Tripterygium glycosides 20 mg tid;
placebo matching acitretin 30 mg once daily
Acitretin 30 mg once daily;
placebo matching TwHF 20 mg tid
8 weeksPASI 7519.0%;
17.5%;

Zhou 2015 [11]34 : 3336.2 ± 4.7
35.9 ± 5.3
Tripterygium glycosides 20 mg tid;
compound glycyrrhizin 400 mL injection once daily
Compound glycyrrhizin 400 mL injection once daily2 monthsPASI 3097.1%;
81.8%;

Liu 2014 [12]40 : 40-Tripterygium glycosides 20 mg tid;
compound glycyrrhizin 60 mL injection once daily
Compound glycyrrhizin 60 mL injection once daily4 weeksPASI 6075%;
57.5%;

Kong 2013 [13]100 : 10032.78 ± 18.21 : 31.5 ± 17.23Tripterygium glycosides 20 mg tid;
compound glycyrrhizin 60 mL injection once daily
Compound glycyrrhizin 60 mL injection once daily4 weeksPASI 6084%;
56%;

Zhao 2012 [14]45 : 4036.5 ± 4.4 : 35.5 ± 5.1Tripterygium glycosides 20 mg tid;
compound glycyrrhizin 40 mL injection once daily
Compound glycyrrhizin 40 mL injection once daily8 weeks30% reduction rate75.6%;
60.0%;

Zhou and Ke 2012 [22]60 : 6036.58 ± 4.92 : 37.12 ± 4.32Tripterygium glycosides 20 mg tid for first 4 weeks and 10 mg tid for last 4 weeks;
NB-UVB 3 times per week
NB-UVB 3 times per week8 weeksPASI 6088.33%;
63.33%;

Qi et al. 2009 [9]48 : 47-TwHF 20 mg tid;Compound glycyrrhizin 60 mL injection once daily8 weeksPASI 6081.25%;
76.60%;

Qiu et al. 2009 [23]52 : 50-Tripterygium glycosides 20 mg tid
Chinese medicine Fuling decoction once daily
Compound Qingdai pills 6 g tid3 months60% reduction rate90.4%;
56.0%

He 2008 [17]19 : 2034.3 ± 10.1 : 35.5 ± 14.3Tripterygium glycosides 20 mg tid; acitretin capsules 0.5–1 mg/kg⋅d bid or tidAcitretin capsules 0.5–1 mg/kg⋅d bid or tid8 weeksPASI 6084.2%;
38.9%;

Y. Liu and J. Liu 2007 [24]36 : 3433.5 : 35.8Tripterygium glycosides 10–20 mg tid; Chinese medicine Xiaoyin decoction once dailyCompound Qingdai pills 6  day−14 weeksPASI 7086.1%;
64.7%

Feng 2004 [18]56 : 33-Tripterygium glycosides 20 mg tid;
compound amino-polypeptide Tablets 5 pieces bid
Compound amino-polypeptide tablets 5 pieces bid10 weeksPASI 6076.78%;
57.57%

Huang 2004 [19]52 : 4336.7 ± 18.2 : 34.7 ± 19.3Tripterygium glycosides 10 mg tid;
Compound Amino-polypeptide tablets 5 pieces bid
Compound amino-polypeptide tablets 5 pieces bid60 daysPASI 6071.15%;
46.51%

Hou 2001 [20]43 : 3531.4 : 33.2Tripterygium glycosides 20 mg tid + compound amino-polypeptide tablets 5 pieces bidCompound amino-polypeptide tablets 5 pieces bid30 daysPASI 6081.4%;
60.0%;

Ma 2000 [6]50 : 5028 ± 2.3 : 29.54 ± 13.22Tripterygium glycosides capsules 6 g tidQingdai capsules 6 g tid4 weeksPASI 7084%;
84%;

Zhang 1999 [7]25 : 2726.68 ± 12.3 : 28.62 ± 14.23Tripterygium glycosides capsules 6 g tidPlacebo capsules 6 g tid4 weeksPASI 7084%
11.11%