Department of Dermatology, Yale University, New Haven, CT, USA.
Department of Dermatology, Central Connecticut Dermatology Research, Cromwell, CT, USA.
J Dermatolog Treat. 2022 Dec;33(8):3178-3187. doi: 10.1080/09546634.2022.2116266. Epub 2022 Sep 5.
To describe real-world baseline characteristics and patient-reported outcomes (PROs) at 6-month and 12-month follow-up visits among patients with psoriasis who initiated and maintained secukinumab, stratified by prior exposure to biologics.
This real-world study included patients enrolled in the CorEvitas (formerly Corrona) Psoriasis Registry who initiated and maintained secukinumab through 6-month and/or 12-month follow-up. Demographics, clinical characteristics, and PROs were collected. PROs included Dermatology Life Quality Index (DLQI); itch, skin pain, fatigue, and EuroQol visual analog scales; and Work Productivity and Activity Impairment. Mean (SD) differences between baseline and follow-up visits were calculated for all outcomes.
Overall, 652 patients had a 6-month follow-up visit, 460 (70.6%) were biologic experienced and 192 (29.4%) were biologic naive. Biologic-experienced and biologic-naive patients reported mean (SD) improvements in all PROs measured at 6-month follow-up. Similar improvements were seen among patients with a 12-month follow-up visit ( = 390) and both 6-month and 12-month follow-up visits ( = 326).
Biologic-experienced and biologic-naive patients with psoriasis who initiated and maintained secukinumab treatment reported improvements in PROs at 6-month and/or 12-month follow-up visits. These findings suggest that secukinumab is a potential biologic for psoriasis at any point along the patient treatment journey.
描述接受司库奇尤单抗治疗的银屑病患者在起始并维持治疗后 6 个月和 12 个月随访时的真实世界基线特征和患者报告结局(PROs),并按既往生物制剂暴露情况进行分层。
本真实世界研究纳入了在 CorEvitas(原 Corrona)银屑病登记处入组、并在 6 个月和/或 12 个月随访时起始并维持司库奇尤单抗治疗的患者。收集了患者的人口统计学、临床特征和 PROs。PROs 包括皮肤病生活质量指数(DLQI);瘙痒、皮肤疼痛、疲劳和欧洲五维健康量表视觉模拟评分;以及工作效率和活动障碍。计算了所有结局在基线和随访时的均值(SD)差异。
总体而言,652 例患者有 6 个月随访,460 例(70.6%)有生物制剂治疗史,192 例(29.4%)无生物制剂治疗史。生物制剂治疗史和无生物制剂治疗史患者在 6 个月随访时报告的所有 PROs 均有均值(SD)改善。在有 12 个月随访(n=390)和同时有 6 个月和 12 个月随访(n=326)的患者中也观察到了类似的改善。
起始并维持司库奇尤单抗治疗的有生物制剂治疗史和无生物制剂治疗史的银屑病患者在 6 个月和/或 12 个月随访时 PROs 得到改善。这些发现表明,司库奇尤单抗可能是任何治疗阶段银屑病患者的潜在生物制剂。