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依奇珠单抗起始治疗者的疾病应答和患者报告结局。

Disease response and patient-reported outcomes among initiators of ixekizumab.

机构信息

Department of Dermatology, Yale University, New Haven, CT, USA.

Central Connecticut Dermatology Research, Cromwell, CT, USA.

出版信息

J Dermatolog Treat. 2022 May;33(3):1538-1546. doi: 10.1080/09546634.2020.1853023. Epub 2020 Dec 2.

Abstract

OBJECTIVES

There is limited real-world evidence on using ixekizumab in psoriasis patients. Therefore, we characterized patients with psoriasis initiating ixekizumab and report 6-month changes in disease and patient-reported outcomes.

METHODS

Adult patients with psoriasis who initiated ixekizumab and completed a 6-month follow-up visit were enrolled from the Corrona Psoriasis Registry. Disease characteristics and outcomes were assessed at ixekizumab initiation. Outcomes included the mean 6-month change in Psoriasis Area and Severity Index (PASI), body surface area (BSA), Investigator Global Assessment (IGA), and IGA*BSA.

RESULTS

From baseline to follow-up in all patients ( = 136), means decreased for IGABSA (-45.5) and BSA (-12.4), and a higher % achieved an absolute PASI ≤ 5 (84.6%), BSA 0-3 (72.1%), and IGA 0/1 (50.7%). Within stratified groups, means decreased for PASI <12 for IGABSA (-21.1) and BSA (-6.3); PASI≥12 for IGABSA (-94.8) and BSA (-24.6); weight <100 kg for IGABSA (-45.1) and BSA (-12.4); weight ≥100 kg for IGABSA (-46.2) and BSA (-12.3); concomitant PsA for IGABSA (-56.0) and BSA (-15.3); and in no concomitant PsA for IGA*BSA (-36.9) and BSA (-10.0).

CONCLUSIONS

We provide real-world evidence on the benefits of ixekizumab for treating psoriasis, regardless of baseline disease severity, weight, or concomitant PsA.

摘要

目的

关于使用依奇珠单抗治疗银屑病患者,目前仅有有限的真实世界证据。因此,我们对开始接受依奇珠单抗治疗的银屑病患者进行了特征描述,并报告了 6 个月时疾病和患者报告结局的变化。

方法

从 Corrona 银屑病注册中心招募了开始接受依奇珠单抗治疗且完成 6 个月随访的成年银屑病患者。在开始依奇珠单抗治疗时评估疾病特征和结局。结局包括 6 个月时平均 Psoriasis Area and Severity Index(PASI)、体表面积(BSA)、研究者全球评估(IGA)和 IGA*BSA 的变化。

结果

在所有患者( = 136)中,从基线到随访时,IGABSA(-45.5)和 BSA(-12.4)均值降低,更高比例的患者达到绝对 PASI≤5(84.6%)、BSA 0-3(72.1%)和 IGA 0/1(50.7%)。在分层组内,IGABSA(-21.1)和 BSA(-6.3)时 PASI<12 的患者降低;IGABSA(-94.8)和 BSA(-24.6)时 PASI≥12 的患者降低;体重<100kg 时 IGABSA(-45.1)和 BSA(-12.4)降低;体重≥100kg 时 IGABSA(-46.2)和 BSA(-12.3)降低;同时伴有 PsA 时 IGABSA(-56.0)和 BSA(-15.3)降低;无同时伴有 PsA 时 IGA*BSA(-36.9)和 BSA(-10.0)降低。

结论

我们提供了关于依奇珠单抗治疗银屑病的真实世界证据,无论基线疾病严重程度、体重或同时伴有 PsA 如何,该药物都有益处。

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