Results of comparison of the effectiveness of adalimumab and ixekizumab in the treatment of psoriasis

封面

如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅或者付费存取

详细

Background. Psoriasis (PS) is a chronic non-infectious disease of an autoimmune nature, which is characterized by predominantly skin lesions.

Objective. Determination of the clinical effectiveness of adalimumab and ixekizumab in the treatment of PS.

Methods. The study involved 140 patients, 87 (62.14%) men and 53 (37.86%) women aged 18–60 years (mean age 38.2±11.7 years). The effectiveness of therapy was assessed after 4, 8, 12, 52 weeks and 2 years. The severity of PS was assessed using the PASI, BSA, sPGA indices. The quality of life of the study participants was assessed using the Dermatological Quality of Life Index (DIQL) and the HADS Hospital Anxiety and Depression Scale.

Results. All 140 patients completed the study. At week 12 of therapy, complete clinical remission was achieved in 40% of patients receiving ixekizumab. In the group of patients receiving adalimumab, complete remission was achieved in 7%.

Conclusion. Ixekizumab showed higher efficacy rates in the treatment of vulgar PS than adalimumab, and therefore can be recommended for the treatment of vulgar PS.

全文:

受限制的访问

作者简介

Sh. Sarsur

Kabardino-Balkarian State University n.a. Kh.M. Berbekov

编辑信件的主要联系方式.
Email: Dr.shadi.sarsour@gmail.com
ORCID iD: 0000-0002-9565-5469

Postgraduate Student, Department of Infectious Diseases, Faculty of Medicine

俄罗斯联邦, Nalchik

N. Rudneva

Tula Regional Clinical Dermatovenerological Dispensary; Medical Institute of Tula State University

Email: pharmateca@yandex.ru
ORCID iD: 0000-0002-0621-5518
俄罗斯联邦, Tula; Tula

参考

  1. Parisi R., Iskandar I.Y.K., Kontopantelis E., et al. Global Psoriasis Atlas. National, regional, and worldwide epidemiology of psoriasis: systematic analysis and modelling study. BMJ. 2020;369:m1590. doi: 10.1136/bmj.m1590.
  2. Gran F., Kerstan A., Serfling E., et al. Current Developments in the Immunology of Psoriasis. Yale J Biol Med. 2020;93(1):97–110.
  3. Raharja A., Mahil S.K., Barker J.N. et al. Psoriasis: a brief overview. Clin. Med. (Lond). 2021;21(3):170–73. doi: 10.7861/clinmed.2021-0257.
  4. Hawkes J.E., Chan T.C., Krueger J.G. Psoriasis pathogenesis and the development of novel targeted immune therapies. J Allergy Clin Immunol. 2017;140(3):645–53.
  5. Singh R., Koppu S., Perche P.O., et al. The Cytokine Mediated Molecular Pathophysiology of Psoriasis and Its Clinical Implications. Int J Mol Sci. 2021;22(23):12793. doi: 10.3390/ijms222312793.
  6. Gianfredi V., Casu G., Bricchi L., et al. Epidemiology of psoriasis in Italy: burden, cost, comorbidities and patients’ satisfaction. Acta Biomed. 2022;93(6):e2022332. doi: 10.23750/abm.v93i6.13177.
  7. Loft N., Skov L., Richardson C., et al. A nationwide population-based cohort study of the incidence of severe and rare infections among adults with psoriasis in Denmark. Br J Dermatol. 2022;187(3):353–63. doi: 10.1111/bjd.21595.
  8. Grodner C., Sbidian E., Weill A., et al. Epidemiologic study in a real-world analysis of patients with treatment for psoriasis in the French national health insurance database. J Eur Acad Dermatol Venereol. 2021;35(2):411–16. doi: 10.1111/jdv.16566.
  9. Кунгуров Н.В., Кениксфест Ю.В., Гришаева Е.В., Кохан М.М. Клинический опыт применения препарата иксекизумаб в терапии пациентки с тяжелым псориазом и псориатическим артритом, резистентными к терапии. Лечащий врач. 2020;5:42. [Kungurov N.V., Keniksfest Yu.V., Grishaeva E.V., Koxan M.M. Clinical experience with the use of ixekizumab in the treatment of a patient with severe psoriasis and psoriatic arthritis resistant to therapy. Lech Vrach. 2020;5:42.].
  10. Коротаева Т.В. Результаты прямого сравнения клинической эффективности иксекизумаба и адалимумаба: данные исследования SPIRIT H2H. Современная ревматология. 2020;14(3):50–6. [Korotaeva T.V. Results of a direct comparison of the clinical efficacy of ixekizumab and adalimumab: data from the SPIRIT H2H trial. Sovrem Revmatol. 2020;14(3):50–6.].
  11. Reich K., Kristensen L.E., Smith S.D., et al. Efficacy and Safety of Ixekizumab Versus Adalimumab in Biologic-naive Patients With Active Psoriatic Arthritis and Moderate-to-severe Psoriasis: 52-week Results From the Randomized SPIRIT-H2H Trial. Dermatol Pract Concept. 2022;12(2):e2022104. doi: 10.5826/dpc.1202a104.

补充文件

附件文件
动作
1. JATS XML
2. Рис. 1. Результаты клинической эффективности препаратов на 4-й неделе терапии

下载 (73KB)
3. Рис. 2. Результаты клинической эффективности препаратов на 8-й неделе терапии

下载 (73KB)
4. Рис. 3. Результаты клинической эффективности препаратов на 12-й неделе терапии

下载 (73KB)
5. Рис. 4. Динамика показателей индексов PASI, BSA и sPGA в группе 1 на фоне терапии

下载 (80KB)
6. Рис. 5. Динамика показателей индексов PASI, BSA и sPGA в группе 2 на фоне терапии

下载 (81KB)
7. Рис. 6. Число рецидивов в течение двух лет (%)

下载 (70KB)

版权所有 © Bionika Media, 2023
##common.cookie##