文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

德卡伐替尼治疗中度至重度银屑病:一项2期试验的临床和生活质量结果

Deucravacitinib in Moderate to Severe Psoriasis: Clinical and Quality-of-Life Outcomes in a Phase 2 Trial.

作者信息

Thaçi Diamant, Strober Bruce, Gordon Kenneth B, Foley Peter, Gooderham Melinda, Morita Akimichi, Papp Kim A, Puig Lluís, Menter M Alan, Colombo Matthew J, Elbez Yedid, Kisa Renata M, Ye June, Napoli Andrew A, Wei Lan, Banerjee Subhashis, Merola Joseph F, Gottlieb Alice B

机构信息

Institute and Comprehensive Center for Inflammation Medicine, University of Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany.

Yale University, Central Connecticut Dermatology Research, New Haven, CT, USA.

出版信息

Dermatol Ther (Heidelb). 2022 Feb;12(2):495-510. doi: 10.1007/s13555-021-00649-y. Epub 2022 Jan 13.


DOI:10.1007/s13555-021-00649-y
PMID:35025062
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8850503/
Abstract

INTRODUCTION: Deucravacitinib is an oral, selective tyrosine kinase 2 inhibitor that demonstrated therapeutic benefit in a Phase 2 clinical trial of adults with moderate to severe plaque psoriasis. This analysis was designed to evaluate the effect of deucravacitinib on additional clinical and quality-of-life (QoL) outcomes and assess the relationship between these outcomes in adults with psoriasis. METHODS: Post-hoc analysis of a 12-week Phase 2 trial was conducted for the three most efficacious dosage groups (3 mg twice daily, 6 mg twice daily, 12 mg once daily) and placebo. Investigator assessments for efficacy included Psoriasis Area and Severity Index (PASI), body surface area (BSA) involvement, and static Physician's Global Assessment; QoL was assessed using the Dermatology Life Quality Index (DLQI). Treatment responses and their associations were evaluated over time. RESULTS: Deucravacitinib elicited improvement versus placebo as early as Week 4 for most efficacy measures (including changes in absolute PASI and BSA), with efficacy trends observed from Week 2 to Week 12. Improvements in QoL, assessed by achievement of a DLQI overall score of 0/1 (no effect at all on patient's life), followed a pattern similar to deucravacitinib-related clinical outcomes over 12 weeks. Overall, patients with greater improvements in psoriasis-related clinical signs and symptoms also reported greater improvement in QoL. However, complete skin clearance was not required for achieving DLQI 0/1. CONCLUSION: Deucravacitinib treatment produced early response and similar trends in improvements across multiple efficacy assessments and QoL in moderate to severe plaque psoriasis. Deucravacitinib has the potential to become a promising new oral therapy for this condition. TRIAL REGISTRATION: ClinicalTrials.gov identifier; NCT02931838.

摘要

引言:德卡伐替尼是一种口服的选择性酪氨酸激酶2抑制剂,在一项针对中度至重度斑块状银屑病成人患者的2期临床试验中显示出治疗益处。本分析旨在评估德卡伐替尼对其他临床和生活质量(QoL)结局的影响,并评估银屑病成人患者这些结局之间的关系。 方法:对三项最有效的剂量组(每日两次3毫克、每日两次6毫克、每日一次12毫克)和安慰剂进行了为期12周的2期试验的事后分析。研究者对疗效的评估包括银屑病面积和严重程度指数(PASI)、体表面积(BSA)受累情况以及静态医师整体评估;使用皮肤病生活质量指数(DLQI)评估生活质量。随时间评估治疗反应及其关联。 结果:早在第4周,对于大多数疗效指标(包括绝对PASI和BSA的变化),德卡伐替尼与安慰剂相比就有改善,从第2周到第12周观察到疗效趋势。通过DLQI总体评分达到0/1(对患者生活完全没有影响)评估的生活质量改善,在12周内遵循与德卡伐替尼相关的临床结局相似的模式。总体而言,银屑病相关临床体征和症状改善更大的患者,其生活质量改善也更大。然而,实现DLQI 0/1并不需要完全清除皮肤。 结论:在中度至重度斑块状银屑病中,德卡伐替尼治疗产生了早期反应,并且在多项疗效评估和生活质量改善方面具有相似的趋势。德卡伐替尼有潜力成为治疗这种疾病的一种有前景的新型口服疗法。 试验注册:ClinicalTrials.gov标识符;NCT02931838。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f9/8850503/dc13b0833674/13555_2021_649_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f9/8850503/b9dd8404c4ef/13555_2021_649_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f9/8850503/03a8df189298/13555_2021_649_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f9/8850503/96f2c34825ed/13555_2021_649_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f9/8850503/27eacad39fb8/13555_2021_649_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f9/8850503/6550a8d7e2be/13555_2021_649_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f9/8850503/dc13b0833674/13555_2021_649_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f9/8850503/b9dd8404c4ef/13555_2021_649_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f9/8850503/03a8df189298/13555_2021_649_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f9/8850503/96f2c34825ed/13555_2021_649_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f9/8850503/27eacad39fb8/13555_2021_649_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f9/8850503/6550a8d7e2be/13555_2021_649_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f9/8850503/dc13b0833674/13555_2021_649_Fig6_HTML.jpg

相似文献

[1]
Deucravacitinib in Moderate to Severe Psoriasis: Clinical and Quality-of-Life Outcomes in a Phase 2 Trial.

Dermatol Ther (Heidelb). 2022-2

[2]
Deucravacitinib in plaque psoriasis: 2-year safety and efficacy results from the phase III POETYK trials.

Br J Dermatol. 2024-4-17

[3]
Efficacy and safety of the selective TYK2 inhibitor, deucravacitinib, in Japanese patients with moderate to severe plaque psoriasis: Subgroup analysis of a randomized, double-blind, placebo-controlled, global phase 3 trial.

J Dermatol. 2023-5

[4]
The efficacy and safety of tyrosine kinase 2 inhibitor deucravacitinib in the treatment of plaque psoriasis: a systematic review and meta-analysis of randomized controlled trials.

Front Med (Lausanne). 2023-9-29

[5]
Matching-Adjusted Indirect Comparison of the Long-Term Efficacy of Deucravacitinib Versus Adalimumab for Moderate to Severe Plaque Psoriasis.

Dermatol Ther (Heidelb). 2023-11

[6]
Deucravacitinib Improves Patient-Reported Outcomes in Patients with Moderate to Severe Psoriasis: Results from the Phase 3 Randomized POETYK PSO-1 and PSO-2 Trials.

Dermatol Ther (Heidelb). 2024-8

[7]
Pharmacodynamic Response to Deucravacitinib, an Oral, Selective, Allosteric TYK2 Inhibitor, in a Global, Phase 2, Randomized, Double-Blind, Placebo-Controlled Psoriasis Trial.

Dermatol Ther (Heidelb). 2024-10

[8]
Deucravacitinib versus placebo and apremilast in moderate to severe plaque psoriasis: Efficacy and safety results from the 52-week, randomized, double-blinded, phase 3 Program fOr Evaluation of TYK2 inhibitor psoriasis second trial.

J Am Acad Dermatol. 2023-1

[9]
Brodalumab and ixekizumab, anti-interleukin-17-receptor antibodies for psoriasis: a critical appraisal.

Br J Dermatol. 2012-10

[10]
Deucravacitinib versus placebo and apremilast in moderate to severe plaque psoriasis: Efficacy and safety results from the 52-week, randomized, double-blinded, placebo-controlled phase 3 POETYK PSO-1 trial.

J Am Acad Dermatol. 2023-1

引用本文的文献

[1]
Adverse Events Associated with Apremilast and Deucravacitinib for Psoriasis: A Pharmacovigilance Study Based on the FAERS Database.

Clin Cosmet Investig Dermatol. 2025-5-5

[2]
The treatment of psoriasis via herbal formulation and nano-polyherbal formulation: A new approach.

Bioimpacts. 2024-8-11

[3]
Discovery of GLPG3667, a Selective ATP Competitive Tyrosine Kinase 2 Inhibitor for the Treatment of Autoimmune Diseases.

J Med Chem. 2024-6-13

[4]
Using Automated Machine Learning to Predict Necessary Upcoming Therapy Changes in Patients With Psoriasis Vulgaris and Psoriatic Arthritis and Uncover New Influences on Disease Progression: Retrospective Study.

JMIR Form Res. 2024-6-27

[5]
A paradigm shift in psoriasis treatment: deucravacitinib's significance.

Ann Med Surg (Lond). 2023-11-7

[6]
JAK Inhibitors in Psoriatic Disease.

Clin Cosmet Investig Dermatol. 2023-10-31

[7]
The efficacy and safety of tyrosine kinase 2 inhibitor deucravacitinib in the treatment of plaque psoriasis: a systematic review and meta-analysis of randomized controlled trials.

Front Med (Lausanne). 2023-9-29

[8]
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.

Cochrane Database Syst Rev. 2023-7-12

[9]
JAK Signaling Is Critically Important in Cytokine-Induced Viral Susceptibility of Keratinocytes.

Int J Mol Sci. 2023-5-25

[10]
Clinical Utility of Deucravacitinib for the Management of Moderate to Severe Plaque Psoriasis.

Ther Clin Risk Manag. 2023-5-18

本文引用的文献

[1]
JAK Inhibitors for Treatment of Psoriasis: Focus on Selective TYK2 Inhibitors.

Drugs. 2020-3

[2]
Absolute and Relative Psoriasis Area and Severity Indices (PASI) for Comparison of the Efficacy of Ixekizumab to Etanercept and Placebo in Patients with Moderate-to-severe Plaque Psoriasis: An Integrated Analysis of UNCOVER-2 and UNCOVER-3 Outcomes.

Acta Derm Venereol. 2019-10-1

[3]
Exploration of the Product of the 5-Point Investigator's Global Assessment and Body Surface Area (IGA × BSA) as a Practical Minimal Disease Activity Goal in Patients with Moderate-to-Severe Psoriasis.

Dermatology. 2019-5-29

[4]
Recommendations for Initiating Systemic Therapy in Patients with Psoriasis.

J Clin Aesthet Dermatol. 2019-4

[5]
The association of socioeconomic and clinical characteristics with health-related quality of life in patients with psoriasis: a cross-sectional study.

Health Qual Life Outcomes. 2018-9-12

[6]
Phase 2 Trial of Selective Tyrosine Kinase 2 Inhibition in Psoriasis.

N Engl J Med. 2018-9-11

[7]
Evaluation of sPGA × BSA as an Outcome Measure and Treatment Target for Clinical Practice.

J Invest Dermatol. 2018-3-22

[8]
Psoriasis in Skin of Color: Insights into the Epidemiology, Clinical Presentation, Genetics, Quality-of-Life Impact, and Treatment of Psoriasis in Non-White Racial/Ethnic Groups.

Am J Clin Dermatol. 2018-6

[9]
Assessing clinical response and defining minimal disease activity in plaque psoriasis with the Physician Global Assessment and body surface area (PGA × BSA) composite tool: An analysis of apremilast phase 3 ESTEEM data.

J Am Acad Dermatol. 2017-12

[10]
From the Medical Board of the National Psoriasis Foundation: Treatment targets for plaque psoriasis.

J Am Acad Dermatol. 2016-11-28

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索