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Long-Term Safety of Guselkumab in Patients with Psoriatic Disease: An Integrated Analysis of Eleven Phase II/III Clinical Studies in Psoriasis and Psoriatic Arthritis. Guselkumab 在银屑病和银屑病关节炎的 11 项 II/III 期临床研究的综合分析:长期安全性。
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Tildrakizumab: Efficacy, Safety and Survival in Mid-Term (52 Weeks) in Three Tertiary Hospitals in Andalucia (Spain).替拉珠单抗:西班牙安达卢西亚地区三家三级医院的中期(52周)疗效、安全性及生存率研究
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本文引用的文献

1
Tildrakizumab: An Evidence-Based Review of Its Use in the Treatment of Moderate-to-Severe Chronic Plaque Psoriasis.替拉珠单抗:基于证据的中重度慢性斑块状银屑病治疗应用综述
Ther Clin Risk Manag. 2020 Sep 24;16:903-916. doi: 10.2147/TCRM.S227880. eCollection 2020.
2
Retrospective analysis of patients with psoriasis receiving biological therapy: Real-life data.银屑病患者接受生物治疗的回顾性分析:真实世界数据。
Dermatol Ther. 2020 Nov;33(6):e14336. doi: 10.1111/dth.14336. Epub 2020 Oct 9.
3
A Systematic Literature Review and Bucher Indirect Comparison: Tildrakizumab versus Guselkumab.一项系统文献综述和布彻间接比较:替拉珠单抗与古塞库单抗。
J Health Econ Outcomes Res. 2020 Jul 24;7(2):123-129. doi: 10.36469/jheor.2020.13671. eCollection 2020.
4
Pathophysiology, Clinical Presentation, and Treatment of Psoriasis: A Review.银屑病的病理生理学、临床表现和治疗:综述。
JAMA. 2020 May 19;323(19):1945-1960. doi: 10.1001/jama.2020.4006.
5
Tildrakizumab efficacy and impact on quality of life up to 52 weeks in patients with moderate-to-severe psoriasis: a pooled analysis of two randomized controlled trials.替度鲁单抗治疗中重度银屑病的疗效和对生活质量的影响:两项随机对照试验的汇总分析。
J Eur Acad Dermatol Venereol. 2019 Dec;33(12):2305-2312. doi: 10.1111/jdv.15862. Epub 2019 Sep 11.
6
Long-term efficacy and safety of tildrakizumab for moderate-to-severe psoriasis: pooled analyses of two randomized phase III clinical trials (reSURFACE 1 and reSURFACE 2) through 148 weeks.替拉珠单抗治疗中重度银屑病的长期疗效和安全性:两项随机III期临床试验(reSURFACE 1和reSURFACE 2)长达148周的汇总分析
Br J Dermatol. 2020 Mar;182(3):605-617. doi: 10.1111/bjd.18232. Epub 2019 Jul 18.
7
Interleukin 23 in the skin: role in psoriasis pathogenesis and selective interleukin 23 blockade as treatment.皮肤中的白细胞介素23:在银屑病发病机制中的作用以及选择性白细胞介素23阻断作为治疗方法
Ther Adv Chronic Dis. 2018 May;9(5):111-119. doi: 10.1177/2040622318759282. Epub 2018 Mar 19.
8
Prevalence of Psoriasis in Children and Adolescents in the United States: A Claims-Based Analysis.美国儿童和青少年银屑病患病率:基于索赔数据的分析
J Drugs Dermatol. 2018 Feb 1;17(2):187-194.
9
Shifting the focus - the primary role of IL-23 in psoriasis and other inflammatory disorders.转变焦点——IL-23 在银屑病和其他炎症性疾病中的主要作用。
J Eur Acad Dermatol Venereol. 2018 Jul;32(7):1111-1119. doi: 10.1111/jdv.14868. Epub 2018 Mar 9.
10
Tildrakizumab versus placebo or etanercept for chronic plaque psoriasis (reSURFACE 1 and reSURFACE 2): results from two randomised controlled, phase 3 trials.替西单抗与安慰剂或依那西普治疗慢性斑块型银屑病(reSURFACE 1 和 reSURFACE 2):两项随机对照、3 期临床试验的结果。
Lancet. 2017 Jul 15;390(10091):276-288. doi: 10.1016/S0140-6736(17)31279-5. Epub 2017 Jun 6.

使用替拉珠单抗治疗中度至重度斑块状银屑病患者的回顾性分析:真实临床数据

Retrospective Analysis in Patients With Moderate to Severe Plaque Psoriasis Treated With Tildrakizumab: Real-Life Clinical Data.

作者信息

Wei Nancy W, Chi Sunny, Lebwohl Mark G

机构信息

The Kimberly and Eric J. Waldman Department of Dermatology, Icahn School of Medicine at Mount Sinai Hospital, New York, NY, USA.

出版信息

J Psoriasis Psoriatic Arthritis. 2022 Apr;7(2):55-59. doi: 10.1177/24755303221077211. Epub 2022 Mar 29.

DOI:10.1177/24755303221077211
PMID:39296827
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11361525/
Abstract

: Interleukin (IL)-23 antagonists have shown great efficacy with minimal side effect profile in clinical trial data for the treatment of moderate to severe plaque psoriasis. As of yet, there have been no published data regarding real-world patients who have received tildrakizumab therapy. : To analyze real-world efficacy and safety of tildrakizumab in patients with moderate to severe plaque psoriasis. : A retrospective chart review was performed at a large urban academic medical center for all patients treated with tildrakizumab for moderate to severe plaque psoriasis. Demographic information, Psoriasis Area and Severity Indexs(PASIs) from initial presentation and 12-month follow-up, comorbidities, and any possible adverse events were collected and analyzed statistically. : 30 patients on tildrakizumab therapy were included in the analysis. Overall, the mean ± standard deviation of the PASIs was 15.8 ± 11.8 at initial visit and 1.5 ± 2.9 at 12-month follow-up (P < .001). No serious adverse events were reported. : Tildrakizumab has shown efficacy in clinical trials and this real-world cohort for the treatment of moderate to severe plaque psoriasis with a good safety profile. Future studies should be done to assess the efficacy of tildrakizumab compared with other IL-23 inhibitors.

摘要

白细胞介素(IL)-23拮抗剂在中度至重度斑块状银屑病治疗的临床试验数据中显示出巨大疗效且副作用极小。截至目前,尚无关于接受替拉珠单抗治疗的真实世界患者的已发表数据。

目的

分析替拉珠单抗在中度至重度斑块状银屑病患者中的真实世界疗效和安全性。

方法

在一家大型城市学术医疗中心对所有接受替拉珠单抗治疗中度至重度斑块状银屑病的患者进行回顾性病历审查。收集人口统计学信息、初始就诊时和12个月随访时的银屑病面积和严重程度指数(PASI)、合并症以及任何可能的不良事件,并进行统计学分析。

结果

30例接受替拉珠单抗治疗的患者纳入分析。总体而言,初始就诊时PASI的平均值±标准差为15.8±11.8,12个月随访时为1.5±2.9(P<.001)。未报告严重不良事件。

结论

替拉珠单抗在临床试验和该真实世界队列中对中度至重度斑块状银屑病的治疗显示出疗效,且安全性良好。未来应开展研究以评估替拉珠单抗与其他IL-23抑制剂相比的疗效。