Ahmed Sk Shahriar, De Abhishek, Das Sudip, Manchanda Yashpal
From the Department of Dermatology, Calcutta National Medical College, Kolkata, West Bengal, India.
Department of Dermatology, Farwaniya Hospital, Kuwait University, Kuwait.
Indian J Dermatol. 2023 May-Jun;68(3):282-295. doi: 10.4103/ijd.ijd_421_23.
Psoriasis is a chronic, debilitating, relapsing, inflammatory dermatosis, which affects approximately 2-3% of the population. The burgeoning research on pathogenesis of psoriasis has opened up new directions in management of this common condition. The introduction of biologics has given additional elements to the arsenal of psoriatic disease treatments. TNF-α inhibitors, IL-12/23 inhibitors, IL-17 inhibitors, CD-6 inhibitor proved highly efficient and have a good safety profile in numerous clinical trials. Biosimilar drugs are structurally almost similar to their reference biologic and are also made from living organism. Long-term follow-up and post-marketing surveillance are required to understand, long-term efficacy, adverse events of these powerful potent molecules.
银屑病是一种慢性、使人衰弱、易复发的炎症性皮肤病,约影响2%-3%的人口。对银屑病发病机制的蓬勃研究为这种常见疾病的治疗开辟了新方向。生物制剂的引入为银屑病治疗手段增添了新元素。肿瘤坏死因子-α抑制剂、白细胞介素-12/23抑制剂、白细胞介素-17抑制剂、CD-6抑制剂在众多临床试验中被证明高效且安全性良好。生物类似药在结构上与它们的参照生物制品几乎相似,且同样由生物体制造。需要进行长期随访和上市后监测,以了解这些强效分子的长期疗效和不良事件。