Adsit Sandra, Zaldivar Enrique Rivas, Sofen Howard, Dei-Cas Ignacio, Maldonado-García César, Peñaranda Elkin O, Puig Luís, Meng Xiangyi, Fox Todd, Guana Adriana
TCR Medical Corporation, San Diego, CA, USA.
Dermos, Guatemala City, Guatemala.
Adv Ther. 2017 Jun;34(6):1327-1339. doi: 10.1007/s12325-017-0521-z. Epub 2017 Apr 10.
There is little evidence available on the efficacy and safety of biologic therapies for the treatment of psoriasis in Hispanic patients. Secukinumab is demonstrated to be highly effective for clearing psoriasis. The aim of this study was to compare the efficacy and safety of secukinumab in Hispanic and non-Hispanic patients.
Data were pooled from four phase 3 studies of secukinumab in patients with moderate-to-severe plaque psoriasis. Patients who self-identified as Hispanic were included in the Hispanic subgroup.
Efficacy responses (Psoriasis Area and Severity Index [PASI] 75/90/100 and Investigator's Global Assessment 2011 modified version 0/1) for secukinumab 300 mg were greater than for etanercept at week 12 in the Hispanic and non-Hispanic patient subgroups. At week 12 with secukinumab 300 mg, PASI 90/100 responses were achieved by 70.6%/35.9% of Hispanic patients and 58.0%/28.1% of non-Hispanic patients. At week 12 with secukinumab 150 mg, PASI 90/100 responses were achieved by 59.5%/25.1% of Hispanic patients and 41.2%/13.4% of non-Hispanic patients. In both subgroups, peak efficacy responses with secukinumab were observed at week 16 and were maintained to week 52.
Secukinumab is highly effective for clearing psoriasis in both Hispanic and non-Hispanic patients.
Novartis Pharmaceutical Corporation.
关于生物疗法治疗西班牙裔患者银屑病的疗效和安全性,现有证据较少。司库奇尤单抗已被证明对清除银屑病非常有效。本研究的目的是比较司库奇尤单抗在西班牙裔和非西班牙裔患者中的疗效和安全性。
汇总了四项司库奇尤单抗治疗中度至重度斑块状银屑病患者的3期研究数据。自我认定为西班牙裔的患者纳入西班牙裔亚组。
在西班牙裔和非西班牙裔患者亚组中,第12周时,300mg司库奇尤单抗的疗效反应(银屑病面积和严重程度指数 [PASI] 改善75/90/100以及研究者整体评估2011修订版为0/1)优于依那西普。第12周使用300mg司库奇尤单抗时,70.6%/35.9%的西班牙裔患者和58.0%/28.1%的非西班牙裔患者达到PASI 90/100反应。第12周使用150mg司库奇尤单抗时,59.5%/25.1%的西班牙裔患者和41.2%/13.4%的非西班牙裔患者达到PASI 90/100反应。在两个亚组中,司库奇尤单抗的疗效峰值反应均在第16周观察到,并维持至第52周。
司库奇尤单抗对清除西班牙裔和非西班牙裔患者的银屑病均非常有效。
诺华制药公司。