A prospective multicenter study assessing effectiveness and safety of secukinumab in a real-life setting in 158 patients

Background: Secukinumab is a first-in-class interleukin 17A monoclonal antibody that has demonstrated an excellent safety and efficacy profile in phase 3 studies. Objective: To evaluate the effectiveness of secukinumab in daily clinical practice and to understand the clinical and epidemiologic chara...

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Detalles Bibliográficos
Autores: Ortiz-Salvador, JM, Saneleuterio-Temporal, M, Magdaleno-Tapial, J, Velasco-Pastor, M, Pujol-Marco, C, Sahuquillo-Torralba, A, Mateu-Puchades, A, Pitarch-Bort, G, Mari-Ruiz, JI, Matabi-Diaz, J, Montesinos-Villaescusa, E, Miralles-Botella, J, Garcia-Fernandez, L, Martorell-Calatayud, A, Belinchon-Romero, I, Sanchez-Carazo, JL, Perez-Ferriols, A
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:España
Institución:INCLIVA
Repositorio:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
OAI Identifier:oai:incliva.fundanetsuite.com:p3841
Acceso en línea:https://incliva.portalinvestigacion.com/publicaciones/3841
Access Level:acceso abierto
Palabra clave:biologic therapy
IL-17
psoriasis
secukinumab
Descripción
Sumario:Background: Secukinumab is a first-in-class interleukin 17A monoclonal antibody that has demonstrated an excellent safety and efficacy profile in phase 3 studies. Objective: To evaluate the effectiveness of secukinumab in daily clinical practice and to understand the clinical and epidemiologic characteristics of patients treated with secukinumab in clinical settings. Methods: In this multicenter prospective observational study, we recruited adult patients with moderateto- severe plaque psoriasis from 12 hospitals in Spain during January-December 2016. These patients were treated with secukinumab and prospectively followed at 12-week intervals for 52 weeks. Results: In total, 158 patients were recruited to the study. A Psoriasis Area and Severity Index (PASI) score improvement $ 75% over baseline (PASI-75) was achieved by 57%, 83.5%, 89%, and 78.5% of patients at weeks 4, 12, 24, and 52, respectively. PASI-90 was achieved in 27.8%, 62%, 64.6%, and 63.2% of patients at weeks 4, 12, 24, and 52, respectively; PASI-75 and PASI-90 responders were significantly more common among patients with a body mass index < 30 kg/cm(2) and patients without previous biologic therapy failures. Limitations: Observational study. Time from onset of psoriasis was not evaluated. Conclusion: Secukinumab is a safe treatment with effectiveness rates similar to those found in its phase 3 studies. These rates endure up to a year from start of treatment.