Bimekizumab efficacy and safety in patients with moderate to severe plaque psoriasis

Bimekizumab is a monoclonal IgG1 antibody that inhibits interleukin-17A/F. Bimekizumab is more efficacious than secukinumab over 1 year in the treatment of psoriasis. Objective: Evaluate the safety and efficacy of bimekizumab through 2 years in patients with moderate to severe plaque psoriasis. The...

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Detalles Bibliográficos
Autores: Strober, B.|||0000-0002-8394-2057, Paul, C., Blauvelt, A., Thaçi, D., Puig Sanz, Lluís|||0000-0001-6083-0952, Lebwohl, M., White, K., Vanvoorden, V., Deherder, D., Gomez, N.N., Eyerich, K.
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:303439
Acceso en línea:https://ddd.uab.cat/record/303439
https://dx.doi.org/urn:doi:10.1016/j.jaad.2023.04.063
Access Level:acceso abierto
Palabra clave:Bimekizumab
Clinical trial
Efficacy
Open-label
Plaque psoriasis
Psoriasis
Safety
Secukinumab
Descripción
Sumario:Bimekizumab is a monoclonal IgG1 antibody that inhibits interleukin-17A/F. Bimekizumab is more efficacious than secukinumab over 1 year in the treatment of psoriasis. Objective: Evaluate the safety and efficacy of bimekizumab through 2 years in patients with moderate to severe plaque psoriasis. The BE RADIANT phase 3b randomized controlled trial consisted of a 48-week double-blinded period, where patients received bimekizumab (320 mg every 4 or 8 weeks) or secukinumab (300 mg weekly to Week 4, then every 4 weeks), and an open-label extension (OLE). From Week 48, all patients received bimekizumab in the OLE. At Week 48, more patients achieved complete skin clearance (PASI 100; modified non-responder imputation) with bimekizumab than secukinumab (74.8% vs 52.8%). PASI 100 responses were maintained to Week 96 in continuous bimekizumab patients (70.8%); patients who switched from secukinumab to bimekizumab had increased rates at Week 96 (76.6%). The most common adverse events were: nasopharyngitis, oral candidiasis, and urinary tract infection. Safety data were consistent with the known safety profile of bimekizumab. Limited racial diversity; overlap with the COVID-19 pandemic. High PASI 100 responses achieved with bimekizumab over 48 weeks were sustained through Week 96; secukinumab patients who switched to bimekizumab achieved similar responses by Week 96.