Bachelez H
Service de dermatologie, AP-HP, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75475 Paris Cedex 10 ; Sorbonne Paris Cité - Université Paris-Diderot, Paris ; Groupe de recherche sur les pathologies auto-inflammatoires, INSERM U1163, institut Imagine, Paris, France.
Ann Dermatol Venereol. 2015 Dec;142 Suppl 3:S49-54. doi: 10.1016/S0151-9638(16)30006-0.
During the ongoing year were published results from clinical trials opening new perspectives in the treatment of chronic inflammatory and dysimmune skin diseases. If this therapeutic development still predominantly on moderate-to- severe forms of plaque psoriasis, it tends to be more diversified towards moderate-to- severe forms of other diseases heavily impacting on patients'lives such as atopic dermatitis in adulthood, and hidradenitis suppurativa. Likewise, the development of IL-17 and IL-23 biological inhibitors, but also of small molecules such as tofacitinib in psoriasis, and the achievement of dupilumab phase 2 studies in atopic dermatitis provide evidence for the high efficacy of these therapies, while adalimumab is the first drug to be approved for the treatment of hidradenitis suppurativa. On the other hand, advances in vaccinology allowed the successful development of innovative vaccine respectively against Herpes zoster and 9 serotypes of human papillomavirus. For all these interventions, prolonged real-life pharmacovigilance will be necessary to provide a more accurate picture of their respective benefit-to- risk balances.
在这一年中,公布了一些临床试验结果,这些结果为慢性炎症性和免疫失调性皮肤病的治疗开辟了新的前景。如果这种治疗进展仍主要集中在中度至重度斑块状银屑病上,那么它正朝着对患者生活影响严重的其他疾病的中度至重度形式发展,比如成年特应性皮炎和化脓性汗腺炎。同样,IL-17和IL-23生物抑制剂的研发,以及银屑病中托法替布等小分子药物的研发,还有度普利尤单抗在特应性皮炎中的2期研究成果,都证明了这些疗法的高效性,而阿达木单抗是首个被批准用于治疗化脓性汗腺炎的药物。另一方面,疫苗学的进展使得分别针对带状疱疹和9种人乳头瘤病毒血清型的创新疫苗得以成功研发。对于所有这些干预措施,需要进行长期的实际药物警戒,以便更准确地了解它们各自的效益风险平衡情况。