Department of Rheumatology, Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain.
Department of Rheumatology, Hospital Universitario de Basurto, Bilbao, Spain.
Expert Opin Drug Saf. 2021 Jun;20(6):627-634. doi: 10.1080/14740338.2021.1851363. Epub 2021 Jan 20.
: Secukinumab is a fully human monoclonal antibody which targets and neutralizes interleukin (IL)-17A, a cytokine that plays an important role in the pathophysiology of ankylosing spondylitis (AS). Secukinumab is the first IL-17A inhibitor approved for the treatment of AS.: This paper aimed to evaluate the role of IL-17 in human beings, and the blocking of this cytokine with secukinumab while reviewing its efficacy and safety in the treatment of AS from data of MEASURE clinical trials.: MEASURE clinical trials showed efficacy and safety of secukinumab in patients with AS. Mild infections were the most frequent adverse event observed. Mucocutaneous candidiasis was a relatively common side effect due to the role of IL-17A in mucocutaneous defense against extracellular organisms. Secukinumab remained generally well tolerated over the longer-term. The combination of efficacy and safety makes secukinumab a good option of treatment for patients with AS refractory to non-steroidal anti-inflammatory drugs.
司库奇尤单抗是一种全人源单克隆抗体,能特异性结合并中和白细胞介素(IL)-17A,后者在强直性脊柱炎(AS)的病理生理学中发挥重要作用。司库奇尤单抗是首个获批用于治疗 AS 的 IL-17A 抑制剂。
本文旨在评估 IL-17 在人体中的作用,以及使用司库奇尤单抗阻断该细胞因子在治疗 AS 中的疗效和安全性,所采用的数据来自 MEASURE 临床试验。
MEASURE 临床试验显示,司库奇尤单抗在 AS 患者中具有疗效和安全性。最常见的不良事件是轻度感染。由于 IL-17A 在黏膜防御对抗细胞外病原体方面的作用,黏膜皮肤念珠菌病是一种较为常见的副作用。在长期应用中,司库奇尤单抗总体耐受性良好。疗效和安全性的结合使司库奇尤单抗成为治疗对非甾体抗炎药反应不佳的 AS 患者的一种选择。