Institute of Medical Epidemiology, Biostatistics, and Informatics, Faculty of Medicine, Martin-Luther-University Halle-Wittenberg, Halle/Saale, Germany.
Profile Centre of Health Sciences Halle, Faculty of Medicine, Martin-Luther-University Halle-Wittenberg, Halle/Saale, Germany.
J Dtsch Dermatol Ges. 2024 Jul;22(7):936-945. doi: 10.1111/ddg.15403. Epub 2024 May 28.
Hidradenitis suppurativa (HS)/Acne inversa (Ai) is a chronic debilitating disease with limited therapy options. The device-based LAight therapy was approved in Europe in 2017. The aim of this study was to evaluate the effect of real-world care with at least one treatment with LAight therapy on disease activity and burden in 3,437 patients.
Patients were included in the analysis if they had a diagnosis of HS and received at least one treatment. The endpoints Hidradenitis Suppurativa Severity Score System (IHS4), pain on the numeric rating scale (pain-NRS) and Dermatology Life Quality Index (DLQI) were analyzed using a linear mixed model for repeated measures (MMRM) over 26 weeks of care with LAight therapy. Furthermore, responder rates were calculated for all endpoints, and the therapy's safety profile and patient satisfaction were thoroughly examined.
A significant decrease in IHS4, pain-NRS, and DLQI was achieved during 26 weeks of care with LAight. The BMI at baseline had a significant negative effect on therapy response for pain-NRS and DLQI.
This study confirms that LAight therapy leads to satisfactory disease control in all stages of severity and is a valuable addition to the therapeutic repertoire of HS.
化脓性汗腺炎(HS)/反向痤疮(Ai)是一种慢性衰弱性疾病,治疗选择有限。基于设备的 LAight 疗法于 2017 年在欧洲获得批准。本研究旨在评估至少接受一次 LAight 治疗的真实世界护理对 3437 名患者疾病活动度和负担的影响。
如果患者被诊断为 HS 并且至少接受过一次治疗,则将其纳入分析。使用线性混合模型(MMRM)对 Hidradenitis Suppurativa 严重程度评分系统(IHS4)、数字评分量表上的疼痛(疼痛-NRS)和皮肤病生活质量指数(DLQI)等终点进行分析,共进行了 26 周的 LAight 治疗。此外,还计算了所有终点的应答率,并彻底检查了该疗法的安全性概况和患者满意度。
在 26 周的 LAight 治疗期间,IHS4、疼痛-NRS 和 DLQI 显著降低。基线时的 BMI 对疼痛-NRS 和 DLQI 的治疗反应有显著的负影响。
这项研究证实,LAight 疗法可在所有严重程度阶段实现令人满意的疾病控制,是 HS 治疗方案的有价值的补充。