Strober Bruce E, Germino Rebecca, Guana Adriana, Greenberg Jeffrey D, Litman Heather J, Guo Ning, Lebwohl Mark
Department of Dermatology, University of Connecticut Health Center, Farmington, CT, USA.
Probity Medical Research, Waterloo, Canada.
J Dermatolog Treat. 2020 Jun;31(4):333-341. doi: 10.1080/09546634.2019.1603361. Epub 2019 Apr 29.
To examine the real-world effectiveness of secukinumab with regard to clinical and patient-reported outcomes (PROs) from enrollment to a 6-month follow-up visit in patients with psoriasis in the Corrona Psoriasis Registry. Eligible patients aged ≥ 18 years who initiated secukinumab at enrollment in the Corrona Psoriasis Registry and had a 6-month follow-up visit (window: 5-9 months) as of December 31 2017, were included in the analysis. Measures of disease severity and PROs were assessed in patients who maintained secukinumab treatment at the 6-month follow-up visit. Of the 144 patients who initiated secukinumab at enrollment and had a 6-month follow-up visit, 118 (81.9%) maintained secukinumab treatment at 6 months and demonstrated significant improvements in affected body surface area (BSA) and 5-point Investigator's Global Assessment (IGA) score (all < .01). The majority of patients were biologic experienced (89.8%). In addition, patients reported significant improvements in quality of life, as well as in pain, itch, fatigue, work productivity, and daily activities (all < .01). Secukinumab significantly improved disease severity and PROs after 6 months of follow-up in this real-world study, which is consistent with other current real-world studies.
在Corrona银屑病登记处中,研究司库奇尤单抗从入组到6个月随访期间在银屑病患者中的临床和患者报告结局(PRO)方面的真实世界有效性。纳入分析的患者为年龄≥18岁、在Corrona银屑病登记处入组时开始使用司库奇尤单抗且截至2017年12月31日有6个月随访(时间窗:5 - 9个月)的患者。在6个月随访时仍维持司库奇尤单抗治疗的患者中评估疾病严重程度和PRO指标。在144例入组时开始使用司库奇尤单抗且有6个月随访的患者中,118例(81.9%)在6个月时维持司库奇尤单抗治疗,受累体表面积(BSA)和5分制研究者整体评估(IGA)评分均有显著改善(均P < 0.01)。大多数患者有生物制剂使用经验(89.8%)。此外,患者报告生活质量以及疼痛、瘙痒、疲劳、工作效率和日常活动方面均有显著改善(均P < 0.01)。在这项真实世界研究中,司库奇尤单抗在随访6个月后显著改善了疾病严重程度和PRO,这与其他当前真实世界研究结果一致。