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用于治疗银屑病的比美吉珠单抗:当前知识综述

Bimekizumab for the Treatment of Psoriasis: A Review of the Current Knowledge.

作者信息

Ruggiero Angelo, Potestio Luca, Camela Elisa, Fabbrocini Gabriella, Megna Matteo

机构信息

Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, 80131, Italy.

出版信息

Psoriasis (Auckl). 2022 Jun 8;12:127-137. doi: 10.2147/PTT.S367744. eCollection 2022.

Abstract

Bimekizumab, a novel humanized monoclonal IgG1 antibody that neutralizes both IL-17A and IL-17F, was recently approved the treatment of moderate to severe plaque psoriasis in adults who are candidates for systemic therapy. Bimekizumab represents the latest anti IL-17 treatment available for the management of moderate to severe psoriasis. Bimekizumab safety and efficacy profiles were evaluated in four Phase III clinical trials, which evaluated bimekizumab versus placebo and ustekinumab (BE VIVID), versus placebo (BE READY), versus adalimumab (BE SURE), and versus secukinumab (BE RADIANT). Overall, bimekizumab displayed promising results in terms of both efficacy and safety, allowing reach PASI90 and PASI100 in short time (as early as week 4) and maintain it in the long term (52 weeks), with acceptable safety profile. Also, bimekizumab showed a rapid onset of response and a higher efficacy when compared to adalimumab, ustekinumab and secukinumab, with comparable safety profile. Herein, we carried out a comprehensive literature review of the available literature data about bimekizumab in the treatment of moderate to severe psoriasis.

摘要

比美吉珠单抗是一种新型人源化单克隆IgG1抗体,可中和白细胞介素-17A(IL-17A)和白细胞介素-17F(IL-17F),最近被批准用于治疗适合进行全身治疗的中度至重度斑块状银屑病成人患者。比美吉珠单抗是治疗中度至重度银屑病的最新抗IL-17疗法。在四项III期临床试验中对比美吉珠单抗的安全性和疗效进行了评估,这些试验分别对比了比美吉珠单抗与安慰剂和优特克单抗(BE VIVID)、与安慰剂(BE READY)、与阿达木单抗(BE SURE)以及与司库奇尤单抗(BE RADIANT)。总体而言,比美吉珠单抗在疗效和安全性方面均显示出良好的结果,能够在短时间内(最早在第4周)达到银屑病面积和严重程度指数改善90%(PASI90)和改善100%(PASI100),并长期(52周)维持,且安全性可接受。此外,与阿达木单抗、优特克单抗和司库奇尤单抗相比,比美吉珠单抗起效迅速且疗效更高,安全性相当。在此,我们对有关比美吉珠单抗治疗中度至重度银屑病的现有文献数据进行了全面的文献综述。

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