Guselkumab for Psoriasis in Patients With Active or Prior Malignancy: A Multicentre Retrospective Study

Managing moderate-to-severe psoriasis in patients with current or past malignancy remains a therapeutic challenge. We conducted a multicentre, retrospective real-world study to assess the safety and effectiveness of guselkumab in this complex population. Thirty patients were included, of whom 11 had...

Descripción completa

Detalles Bibliográficos
Autores: Ramos, FJM, Alarcón, SS, Puchades, AM, Romero, IB, Pastor, GMP, Apetrei, LSP, Díaz, FJM, Martorell, A, Pastor, MV, Salvador, JMO, Torralba, AS, Pascual, MG, Tapial, JM
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p19153
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/19153
Access Level:acceso abierto
Palabra clave:cancer
guselkumab
malignancy
psoriasis
Descripción
Sumario:Managing moderate-to-severe psoriasis in patients with current or past malignancy remains a therapeutic challenge. We conducted a multicentre, retrospective real-world study to assess the safety and effectiveness of guselkumab in this complex population. Thirty patients were included, of whom 11 had active cancer at the time of guselkumab initiation. After 52 weeks of follow-up, guselkumab achieved sustained clinical improvement in skin and joint symptoms, with no observed cases of cancer progression or recurrence. Two patients developed new malignancies during treatment, but guselkumab was not discontinued. These findings support the use of IL-23 inhibitors as a safe therapeutic option in this complex patient population.