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依那西普治疗斑块型银屑病儿科患者的有效性和安全性:真实世界证据

Effectiveness and Safety of Etanercept in Paediatric Patients with Plaque-Type Psoriasis: Real-World Evidence.

作者信息

Narbutt Joanna, Jakubczak Zofia, Wasiewicz-Ciach Paulina, Wojtania Joanna, Krupa Katarzyna, Sobolewska-Sztychny Dorota, Ciążyńska Magdalena, Kołt-Kamińska Marta, Reich Adam, Skibińska Małgorzata, Lesiak Aleksandra

机构信息

Department of Dermatology, Paediatric Dermatology and Oncology, Medical University of Lodz, 90-419 Lodz, Poland.

Students' Scientific Association of Experimental, Clinical and Surgical Dermatology, Medical University of Lodz, 91-347 Lodz, Poland.

出版信息

J Clin Med. 2024 Aug 17;13(16):4858. doi: 10.3390/jcm13164858.

Abstract

: Psoriasis is a chronic, multisystemic, inflammatory disease affecting approximately 1% of children and significantly reducing their health-related quality of life. Etanercept is a biologic fusion protein-blocking TNF-α and belongs to one of the biologics used among the children population. The purpose of this study was to assess the effectiveness and safety profile of etanercept in paediatric patients with plaque-type psoriasis. Material and methods: The outcome of the treatment was evaluated based on Psoriasis Area and Severity Index (PASI), Body Surface Area (BSA), and Children's Dermatology Life Quality Index (CDLQI). Achievement of at least PASI75 at week 16 was assessed as an adequate response to therapy, which was the primary endpoint. : Forty-three paediatric patients were included in the study, 24 females and 19 males. The average age at inclusion into our study was 13 years. At baseline, the mean PASI score, BSA, and CDLQI were 16.3 ± 6.5, 22.3 ± 12.2%, and 17.4 ± 5.3, respectively. At week 16, 90.7% of patients achieved PASI 50, 79.1% achieved PASI 75, and 46.5% attained PASI 90. There was also a decrease in mean BSA and CDLQI values to 3.5 ± 3.8 and 5.4 ± 5.7, respectively. : Etanercept proved to be effective, safe, and well-tolerated among the paediatric population with psoriasis.

摘要

银屑病是一种慢性、多系统的炎症性疾病,影响约1%的儿童,并显著降低他们与健康相关的生活质量。依那西普是一种阻断肿瘤坏死因子-α的生物融合蛋白,属于儿童人群中使用的生物制剂之一。本研究的目的是评估依那西普在斑块型银屑病儿科患者中的有效性和安全性。材料和方法:基于银屑病面积和严重程度指数(PASI)、体表面积(BSA)和儿童皮肤病生活质量指数(CDLQI)评估治疗结果。将第16周时至少达到PASI75评估为对治疗的充分反应,这是主要终点。43名儿科患者纳入研究,24名女性和19名男性。纳入本研究时的平均年龄为13岁。基线时,平均PASI评分、BSA和CDLQI分别为16.3±6.5、22.3±12.2%和17.4±5.3。在第16周时,90.7%的患者达到PASI 50,79.1%的患者达到PASI 75,46.5%的患者达到PASI 90。平均BSA和CDLQI值也分别降至3.5±3.8和5.4±5.7。依那西普在患有银屑病的儿科人群中被证明是有效、安全且耐受性良好的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9274/11355138/b3296c02c4d4/jcm-13-04858-g001.jpg

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