Fan Xiao-Dong, Xia Xiang, Zhang Chun-Yan, Kong Wen-Qiang, Zhou Chun-Yang, DU Biao
School of Pharmacy, North Sichuan Medical Collage, Sichuan Nanchong 637000, China.E-mail:
Nan Fang Yi Ke Da Xue Xue Bao. 2017 Sep 20;37(9):1274-1279. doi: 10.3969/j.issn.1673-4254.2017.09.24.
To evaluate the efficacy and safety of anti-interleukin-17 antibody in the treatment of plaque psoriasis.
Randomized controlled trials (RCT) of anti-interleukin-17 antibody (Secukinumab, Brodalumab, and Ixekizumab) in the treatment of plaque psoriasis published between January, 2000 and March, 2017 were searched from PubMed, Cochrane Library, EBSCO, EMbase, CBM, CNKI, VIPdetabase, and Wangfang database. The quality of the retrieved trials was evaluated and the results of studies were analyzed using RevMan 5.0 software.
Thirteen RCTs were included involving a total of 11 203 patients. Meta-analysis showed a significant differences between anti-interleukin-17 antibody and placebo (or positive drug) in terms of PASI75 and sPGA (P<0.05). The total incidence of adverse events differed significantly between anti- interleukin-17 antibody and placebo, but no significant differences were found between them in the incidence of serious adverse events and discontinuation rate due to adverse events (P>0.05).
Anti-interleukin-17 antibody is safe and effective for treatment of plaque psoriasis.