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奥地利真实世界中接受阿普米司特治疗的银屑病患者的特征与结局——APPRECIATE研究结果

Characteristics and outcomes of patients with psoriasis treated with apremilast in the real-world in Austria - results the APPRECIATE study.

作者信息

Jonak Constanze, Göttfried Isolde, Perl-Convalexius Sylvia, Gruber Barbara, Schütz-Bergmayr Martina, Vujic Igor, Weger Wolfgang, Schicher Nikolaus, Semlin Lydia, Hemetsberger Margit, Cordey Myriam, Sator Paul

机构信息

Department of Dermatology, Medical University of Vienna, Vienna, Austria.

Dermatology Practice, Vienna, Austria.

出版信息

Ther Adv Chronic Dis. 2023 Feb 7;14:20406223231152785. doi: 10.1177/20406223231152785. eCollection 2023.

Abstract

BACKGROUND

Apremilast, an oral phosphodiesterase 4 inhibitor, is approved in the European Union for the treatment of moderate-to-severe chronic plaque psoriasis in adult patients refractory or contraindicated to or intolerant of other systemic therapies.

OBJECTIVES

The APPRECIATE study assessed apremilast use in real-world practice and its clinical value to physicians and patients. APPRECIATE was a multinational, observational, retrospective, cross-sectional study.

METHODS

Apremilast effectiveness at 6 (±1) months was assessed on the basis of psoriasis severity and health-related quality-of-life scores and treatment satisfaction using physician/patient-reported outcomes, respectively. We report the Austrian cohort of 72 patients.

RESULTS

At 6 (±1) months, three-quarters of patients remained on apremilast, while physicians and patients reported treatment benefits across all psoriasis symptoms and manifestations. Of patients, the majority were satisfied with their treatment and achieved treatment goals considered most relevant. Patients' and physicians' perceptions of treatment effectiveness were aligned, and health-related quality-of-life scores indicated an improvement in the majority of patients. Apremilast tolerability was consistent with the known safety profile.

CONCLUSIONS

Among psoriasis patients receiving apremilast in Austria, improvement in clinical outcomes were observed and satisfaction with apremilast treatment among patients and physicians was high.

REGISTRATION

ClinicalTrials.gov NCT02740218.

摘要

背景

阿普米司特是一种口服磷酸二酯酶4抑制剂,在欧盟被批准用于治疗对其他全身治疗难治、禁忌或不耐受的成年中重度慢性斑块状银屑病患者。

目的

APPRECIATE研究评估了阿普米司特在实际临床中的应用情况及其对医生和患者的临床价值。APPRECIATE是一项多国、观察性、回顾性横断面研究。

方法

分别根据银屑病严重程度、健康相关生活质量评分以及使用医生/患者报告结局评估的治疗满意度,评估阿普米司特在6(±1)个月时的疗效。我们报告了奥地利队列中的72例患者。

结果

在6(±1)个月时,四分之三的患者仍在使用阿普米司特,医生和患者均报告了在所有银屑病症状和表现方面的治疗益处。大多数患者对治疗满意并实现了他们认为最相关的治疗目标。患者和医生对治疗效果的认知一致,且健康相关生活质量评分显示大多数患者有所改善。阿普米司特的耐受性与已知的安全性特征相符。

结论

在奥地利接受阿普米司特治疗的银屑病患者中,观察到临床结局有所改善,患者和医生对阿普米司特治疗的满意度较高。

注册信息

ClinicalTrials.gov NCT02740218

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/434f/9909071/98ebf6a5c9a1/10.1177_20406223231152785-fig1.jpg

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