Real-world outcomes in patients with moderate-to-severe plaque psoriasis treated with guselkumab for up to 1 year

被引:8
作者
Galluzzo, Marco [1 ,2 ]
Talamonti, Marina [1 ,2 ]
Bernardini, Nicoletta [3 ]
Chiricozzi, Andrea [4 ,5 ]
De Simone, Clara [4 ,5 ]
Bonifati, Claudio [6 ]
Bruni, Pierluigi [7 ]
Diotallevi, Federico [8 ]
Esposito, Maria [9 ]
Graceffa, Dario [6 ]
Hansel, Katharina [10 ]
Loconsole, Francesco [11 ]
Moretta, Gaia [12 ]
Mugheddu, Cristina [13 ]
Papini, Manuela [7 ]
Richetta, Antonio [14 ]
Skroza, Nevena [3 ]
Atzori, Laura [13 ]
Fargnoli, Maria Concetta [9 ]
Persechino, Severino [15 ]
Offidani, Annamaria [8 ]
Stingeni, Luca [10 ]
Peris, Ketty [4 ,5 ]
Potenza, Concetta [3 ]
Bianchi, Luca [1 ,2 ]
机构
[1] Univ Roma Tor Vergata, Dept Syst Med, Rome, Italy
[2] Fdn Policlin Tor Vergata, Dermatol Unit, Rome, Italy
[3] Sapienza Univ Rome Polo Pontino, Dermatol, Rome, Italy
[4] Fdn Policlin Univ A Gemelli IRCCS, Dipartimento Med & Chirurg Traslaz, UOC Dermatol, Rome, Italy
[5] Univ Cattolica Sacro Cuore, Dipartimento Med & Chirurg Traslaz, Dermatol, Rome, Italy
[6] San Gallicano Dermatol Inst IRCCS, Dermatol Unit, Rome, Italy
[7] Univ Perugia, Terni Hosp, Dermatol, Terni, Italy
[8] Polytech Marche Univ, Dept Clin & Mol Sci, Dermatol Unit, Ancona, Italy
[9] Univ Aquila, Dermatol Biotechnol & Appl Clin Sci, Laquila, Italy
[10] Univ Perugia, Dept Dermatol & Venereol, Dermatol Sect, Perugia, Italy
[11] Univ Hosp Policlin Univ Bari, Dermatol Clin, Bari, Italy
[12] IDI IRCCS, Dermatol Dept, Rome, Italy
[13] Univ Cagliari, Dermatol, Cagliari, Italy
[14] Sapienza Univ Rome Umberto I Hosp, Dermatol, Rome, Italy
[15] Sapienza Univ Rome, Dept Neurosci Salute Mentale & Organi Senso NESMO, Rome, Italy
关键词
Guselkumab; efficacy; plaque psoriasis; treatment; real-world; PRACTICAL EXPERIENCE; SAFETY; USTEKINUMAB; ADALIMUMAB; THERAPIES; EFFICACY; UK;
D O I
10.1080/14712598.2022.2090835
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
Background Real-world data on guselkumab, especially at times >6 months, are limited. Research design and methods We performed a longitudinal, retrospective analysis on 307 patients with moderate-severe chronic plaque psoriasis (Psoriasis Area Severity Index [PASI] >10) treated with guselkumab for up to 12 months. Main outcome measures PASI 75, PASI 90, and PASI 100 were assessed at baseline and at 4, 12, 20, 28, 36, 44, and 52 weeks. Results At 12 weeks, PASI 75, PASI 90, and PASI 100 were achieved in 56.4%, 33.6%, and 24.1% of patients, respectively. At 52 weeks, PASI 75, PASI 90, and PASI 100 were achieved in 82.7%, 68.7%, and 51.1% of patients, respectively. Patients without comorbidities and those naive to previous biological therapy had better responses. The mean Dermatology Life Quality Index score decreased from 14.0 at baseline to 3.1 at 12 weeks and 1.6 at 6 months, which was maintained at later times. Similar improvements were seen in pruritus visual analog scale. Conclusions Guselkumab maintains its efficacy for up to 12 months among responders in a real-world cohort of patients with moderate-severe plaque psoriasis, confirming data from prior real-world studies with smaller cohorts and shorter duration of follow-up.
引用
收藏
页码:1585 / 1592
页数:8
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