Real-world safety and effectiveness of secukinumab in adult patients with moderate to severe plaque psoriasis: results from postmarketing surveillance in Korea

被引:1
作者
Kim, Byung Soo [1 ]
Kim, Dong Hyun [2 ]
Shin, Bong Seok [3 ]
Lee, Eun-So [4 ]
Jo, Seong Jin [5 ]
Bang, Chul Hwan [6 ]
Yun, Yeojun [7 ]
Choe, Yong Beom [8 ,9 ]
机构
[1] Pusan Natl Univ, Sch Med, Dept Dermatol, Pusan, South Korea
[2] CHA Univ Sch Med, CHA Bundang Med Ctr, Dept Dermatol, Seongnam, South Korea
[3] Chosun Univ Hosp, Dept Dermatol, Gwangju, South Korea
[4] Ajou Univ Sch Med, Dept Dermatol, Suwon, South Korea
[5] Seoul Natl Univ Coll Med, Dept Dermatol, Seoul, South Korea
[6] Catholic Univ Korea, Seoul St Marys Hosp, Coll Med, Dept Dermatol, Seoul, South Korea
[7] Novartis Korea Ltd, Seoul, South Korea
[8] Konkuk Univ, Sch Med, Dept Dermatol, Seoul 05030, South Korea
[9] Konkuk Univ Sch Med, Res Inst Med Sci, Seoul 05030, South Korea
关键词
effectiveness; psoriasis; real-world evidence; safety; secukinumab; INFLAMMATORY-BOWEL-DISEASE; CONTROLLED-TRIAL; EFFICACY; MULTICENTER; BIOLOGICS; USABILITY; LIFE;
D O I
10.1177/20406223241230180
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Background: Secukinumab, a fully human monoclonal antibody, was approved in Korea for the treatment of moderate to severe psoriasis in September 2015.Objectives: To assess the safety and effectiveness of secukinumab in patients with moderate to severe psoriasis in Korea.Design: Multicenter, real-world, noninterventional study conducted over 6 years.Methods: Adults with moderate to severe psoriasis were enrolled. Safety was assessed by evaluating adverse events (AEs), treatment-related AEs, and serious AEs (SAEs). Effectiveness was assessed using the change in absolute Psoriasis Area and Severity Index (PASI) score, percentage of patients achieving PASI 75/90/100 and PASI <= 2; at weeks 12 and 24.Results: Overall, 829 and 542 patients were included in the safety and effectiveness sets, respectively. AEs, treatment-related AEs, and SAEs occurred in 29.0%, 9.5%, and 4.1% of patients, with incidence rates of 39.43, 12.98, and 5.59 per 100 patient years, respectively. The absolute PASI score decreased from 16.1 +/- 7.1 (baseline) to 1.6 +/- 2.4 (week 24), with a similar reduction in biologic-naive (16.4 +/- 7.3 to 1.5 +/- 2.2) and biologic-experienced (14.8 +/- 5.9 to 2.4 +/- 3.2) groups. At week 24, PASI 75/90/100 was achieved by 95.1%, 62.4%, and 24.9% of patients. At week 24, PASI 75/90 were higher in biologic-naive (96.6%/65.8%) than biologic-experienced patients (88.3%/48.6%), whereas PASI 100 was similar in both cohorts (24.1% and 28.6%). A similar trend in PASI <= 2 was observed in both cohorts.Conclusion: Secukinumab showed sustained effectiveness and favorable safety profile in adult patients with moderate to severe psoriasis in Korea.
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页数:11
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