Deucravacitinib in Moderate to Severe Psoriasis

Deucravacitinib is an oral, selective tyrosine kinase 2 inhibitor that demonstrated therapeutic benefit in a Phase 2 clinical trial of adults with moderate to severe plaque psoriasis. This analysis was designed to evaluate the effect of deucravacitinib on additional clinical and quality-of-life (QoL...

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Detalles Bibliográficos
Autores: Thaçi, Diamant|||0000-0001-8513-550X, Strober, Bruce|||0000-0002-8394-2057, Gordon, Kenneth B., Foley, Peter, Gooderham, Melinda|||0000-0001-8926-0113, Morita, Akimichi, Papp, Kim A.|||0000-0001-9557-3642, Puig Sanz, Lluís|||0000-0001-6083-0952, Menter, M. Alan, Colombo, Matthew J., Elbez, Yedid, Kisa, Renata M., Ye, June, Napoli, Andrew A., Wei, Lan, Banerjee, Subhashis, Merola, Joseph F.|||0000-0001-6514-4353, Gottlieb, Alice B.
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:256010
Acceso en línea:https://ddd.uab.cat/record/256010
https://dx.doi.org/urn:doi:10.1007/s13555-021-00649-y
Access Level:acceso abierto
Palabra clave:Body surface area
Humans
Psoriasis
Quality of life
TYK2
Descripción
Sumario:Deucravacitinib is an oral, selective tyrosine kinase 2 inhibitor that demonstrated therapeutic benefit in a Phase 2 clinical trial of adults with moderate to severe plaque psoriasis. This analysis was designed to evaluate the effect of deucravacitinib on additional clinical and quality-of-life (QoL) outcomes and assess the relationship between these outcomes in adults with psoriasis. Post-hoc analysis of a 12-week Phase 2 trial was conducted for the three most efficacious dosage groups (3 mg twice daily, 6 mg twice daily, 12 mg once daily) and placebo. Investigator assessments for efficacy included Psoriasis Area and Severity Index (PASI), body surface area (BSA) involvement, and static Physician's Global Assessment; QoL was assessed using the Dermatology Life Quality Index (DLQI). Treatment responses and their associations were evaluated over time. Deucravacitinib elicited improvement versus placebo as early as Week 4 for most efficacy measures (including changes in absolute PASI and BSA), with efficacy trends observed from Week 2 to Week 12. Improvements in QoL, assessed by achievement of a DLQI overall score of 0/1 (no effect at all on patient's life), followed a pattern similar to deucravacitinib-related clinical outcomes over 12 weeks. Overall, patients with greater improvements in psoriasis-related clinical signs and symptoms also reported greater improvement in QoL. However, complete skin clearance was not required for achieving DLQI 0/1. Deucravacitinib treatment produced early response and similar trends in improvements across multiple efficacy assessments and QoL in moderate to severe plaque psoriasis. Deucravacitinib has the potential to become a promising new oral therapy for this condition. ClinicalTrials.gov identifier; NCT02931838. The online version contains supplementary material available at 10.1007/s13555-021-00649-y. The online version contains supplementary material available at 10.1007/s13555-021-00649-y.