Rattanakaemakorn Ploysyne, Chevaisrakul Parawee, Wongpraparut Chanisada, Chiowchanwisawakit Praveena, Tovanabutra Napatra, Tantiwong Pimchanok, Amornpinyo Warayuwadee, Chakkavittumrong Panlop, Hanvivadhanakul Punchong, Chaiamnuay Sumapa, Laodheerasiri Supapat, Pattamadilok Bensachee, Choonhakarn Charoen, Mahakkanukrauh Ajanee, Aiewruengsurat Duangkamol, Sangmala Siripan, Pretikul Nisa, Sumethkul Kittiwan, Satpanich Panchalee, Boonsiri Metavee, Sangob Naruemon, Asawanonda Pravit
Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Dermatol Ther (Heidelb). 2024 Dec;14(12):3229-3241. doi: 10.1007/s13555-024-01299-6. Epub 2024 Nov 7.
Secukinumab has proven to be effective and safe in psoriasis (PsO), psoriatic arthritis (PsA), and ankylosing spondylitis (AS) in the phase 3 studies. However, data on real-world practice is limited.
This study is an ongoing, multicenter, 2-year observational study that focuses on patients with moderate to severe plaque PsO, active PsA, or AS receiving secukinumab. The aim of this study is to present baseline data for the entire study population.
A total of 127 patients were enrolled, with 101 having PsO, 12 with PsA, and 14 with AS. Among the patients, approximately 54.0% were male. The mean body mass index ranged from 25.0 to 27.4 kg/m across all groups. Patients with PsO had the longest disease duration with an average of 11.0 years, followed by AS (3.0 years) and PsA (1.0 year). Previous biologic therapy was observed in 6.9-8.1% of patients. Baseline disease severity scores revealed moderate to severe disease. In the PsO group, the mean Psoriasis Area and Severity Index score was 16.1. For patients with PsA, the mean Tender Joint Count was 9.1, and the mean Swollen Joint Count was 6.7. In the AS group, the mean Bath Ankylosing Spondylitis Disease Activity Index score was 4.6, and the mean Ankylosing Spondylitis Disease Activity Score was 3.7.
The study demonstrates disease durations, disease activity, and treatment history in Thai patients that were generally consistent with previous randomized controlled studies. Long-term data on the efficacy and safety of the treatment will be presented in future publications.
在3期研究中,司库奇尤单抗已被证明在银屑病(PsO)、银屑病关节炎(PsA)和强直性脊柱炎(AS)中有效且安全。然而,关于实际临床应用的数据有限。
本研究是一项正在进行的多中心、为期2年的观察性研究,重点关注接受司库奇尤单抗治疗的中度至重度斑块状PsO、活动性PsA或AS患者。本研究的目的是提供整个研究人群的基线数据。
共纳入127例患者,其中101例患有PsO,12例患有PsA,14例患有AS。在这些患者中,约54.0%为男性。所有组的平均体重指数在25.0至27.4kg/m之间。PsO患者的病程最长,平均为11.0年,其次是AS(3.0年)和PsA(1.0年)。6.9 - 8.1%的患者曾接受过生物治疗。基线疾病严重程度评分显示为中度至重度疾病。在PsO组中,银屑病面积和严重程度指数平均评分为16.1。对于PsA患者,平均压痛关节数为9.1,平均肿胀关节数为6.7。在AS组中,平均巴斯强直性脊柱炎疾病活动指数评分为4.6,平均强直性脊柱炎疾病活动评分为3.7。
该研究表明泰国患者的病程、疾病活动度和治疗史总体上与先前的随机对照研究一致。治疗的疗效和安全性的长期数据将在未来的出版物中呈现。