Secukinumab Treatment of Plaque Psoriasis Shows Early Improvement in DLQI Response - Results of a Phase II Regimen-finding Trial
Overview
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Background: The social stigma and chronicity of psoriasis significantly affect health-related quality of life (HRQoL).
Objective: We examined the effect of three regimens of secukinumab on HRQoL in moderate to severe psoriasis patients.
Methods: Twelve-week data from a phase II, randomized, double-blind, placebo-controlled, regimen-finding study evaluated HRQoL, measured by the Dermatology Life Quality Index (DLQI). Secukinumab or placebo was administered subcutaneously in three treatment regimens: single (baseline only), monthly (baseline, weeks 4, 8) and early (baseline, weeks 1, 2, 4). Differences among regimens were assessed with logistic regression models and Fisher's exact test.
Results: Patients (n = 404) were randomized to single (baseline) treatment regimen, n = 66; monthly, (baseline, weeks 4 and 8), n = 138; early, (baseline, weeks 1, 2, 4), n = 133; and placebo, n = 67. DLQI response was significantly higher in early, monthly and single regimens than in placebo regimen (40.8%, 33.6% and 13.1% vs. 1.6%, respectively; P < 0.001 for all).
Conclusion: Moderate to severe psoriasis patients receiving monthly and early treatment with secukinumab demonstrated improved HRQoL compared with placebo.
Malagoli P, Dapavo P, Amerio P, Atzori L, Balato A, Bardazzi F Dermatol Ther (Heidelb). 2024; 14(10):2739-2757.
PMID: 39316358 PMC: 11480300. DOI: 10.1007/s13555-024-01255-4.
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.
Sbidian E, Chaimani A, Guelimi R, Garcia-Doval I, Hua C, Hughes C Cochrane Database Syst Rev. 2023; 7:CD011535.
PMID: 37436070 PMC: 10337265. DOI: 10.1002/14651858.CD011535.pub6.
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.
Sbidian E, Chaimani A, Garcia-Doval I, Doney L, Dressler C, Hua C Cochrane Database Syst Rev. 2022; 5:CD011535.
PMID: 35603936 PMC: 9125768. DOI: 10.1002/14651858.CD011535.pub5.
Karpinska-Mirecka A, Bartosinska J, Krasowska D Int J Environ Res Public Health. 2021; 18(24).
PMID: 34948777 PMC: 8701055. DOI: 10.3390/ijerph182413167.
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.
Sbidian E, Chaimani A, Garcia-Doval I, Doney L, Dressler C, Hua C Cochrane Database Syst Rev. 2021; 4:CD011535.
PMID: 33871055 PMC: 8408312. DOI: 10.1002/14651858.CD011535.pub4.