Evolution of Drug Survival with Biological Agents and Apremilast Between 2012 and 2018 in Patients with Psoriasis from the PsoBioTeq Cohort

被引:3
作者
Bettuzzi, Thomas [1 ,2 ,3 ]
Bachelez, Herve [4 ,5 ]
Beylot-Barry, Marie [6 ]
Arlegui, Hugo [7 ]
Paul, Carle [8 ,9 ]
Viguier, Manuelle [10 ]
Mahe, Emmanuel [11 ]
Beneton, Nathalie [12 ]
Jullien, Denis [13 ]
Richard, Marie-Aleth [14 ]
Joly, Pascal [15 ]
Tubach, Florence [7 ]
Dupuy, Alain [16 ,17 ]
Sbidian, Emilie [1 ,2 ,3 ,18 ]
Chosidow, Olivier [1 ,2 ,19 ]
机构
[1] Paris Est Creteil Univ, Henri Mondor Hosp, AP HP, Creteil Med Sch, Creteil, France
[2] Paris Est Creteil Univ, Henri Mondor Hosp, AP HP, Dermatol Dept, Creteil, France
[3] Paris Est Creteil Univ, EpiDermE, Creteil, France
[4] Paris Diderot Univ, SorbonneParis Cite, Paris, France
[5] St Louis Hosp, AP HP, Inst Imagine, Dermatol Dept,INSERM UMR 1163, Paris, France
[6] Bordeaux Univ, INSERM 01053, St Andre Hosp, Dermatol Dept, Bordeaux, France
[7] Sorbonne Univ, Pitie Salpetriere Hosp, AP HP,Pierre Louis Inst Epidemiol & Publ Hlth,INS, Publ Hlth Dept,Ctr Pharmacoepidemiol Cephepi CIC, Paris, France
[8] Toulouse Univ Hosp, Dermatol Dept, Toulouse, France
[9] Paul Sabatier Univ, UMR INSERM 1056, Toulouse, France
[10] Robert Debre Univ Hosp, Dermatol Dept, Reims, France
[11] Victor Dupouy Hosp, Dermatol Dept, Argenteuil, France
[12] Le Mans Hosp, Dermatol Dept, Le Mans, France
[13] Lyon Univ Hosp, Edouard Herriot Hosp, HCL, Dermatol Dept, Lyon, France
[14] Univ Hosp, La Timone Hosp, Dermatol Dept, Marseille, France
[15] Normandie Univ, Rouen Univ Hosp, Dept Dermatol, INSERM 1234, Caen, France
[16] Rennes Univ Hosp, Hop Pontchaillou, Dermatol Dept, Rennes, France
[17] Rennes 1 Univ, Inserm CIC 1414, Rennes, France
[18] Ctr Invest Clin 1430, INSERM, Creteil, France
[19] Paris Est Creteil Univ, USC ANSES, Creteil Med Sch, Res Grp Dynam,EA7380,Natl Vet Sch Alfort, Creteil, France
关键词
psoriasis; drug survival; treatment; biologic; apremilast; MODERATE; EFFICACY; SAFETY;
D O I
10.2340/actadv.v101.566
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Drug survival reflects treatment effectiveness and safety in real life. There is limited data on the variation of drug survival with the availability of systemic treatments with additional biological disease-modifying antirheumatic drugs (bDMARDs) or synthetic diseasemodifying antirheumatic drugs (sDMARDs). The aim of this study was to determine whether the increasing number of available systemic treatments for psoriasis affects drug survival over time. Patients were selected from the PsoBioTeq cohort, a French prospective observational cohort enrolling patients with moderate to severe psoriasis. All patients initiating a first bDMARD or sDMARD were included. The primary outcome was comparison of drug survival over time. A multivariate Cox proportional hazard ratio model was computed. A total of 1,866 patients were included; 739 females (39%), median age 47 years. In the multivariate Cox model, no association was found between the calendar year of initiation and drug survival (hazard ratio) overlapping from 0.80 (0.42-1.52) to 1.17 (0.64-2.17), p = 0.633). In conclusion, drug survival in psoriasis is not affected by the year of initiation.
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页数:7
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