医学
银屑病
皮肤科生活质量指数
银屑病面积及严重程度指数
白细胞介素23
内科学
不利影响
皮肤病科
白细胞介素17
胃肠病学
细胞因子
作者
Matteo Megna,Luca Potestio,Angelo Ruggiero,Elisa Camela,Gabriella Fabbrocini
标识
DOI:10.1080/09546634.2022.2036674
摘要
Interleukin (IL)23/Th17 axis is the leading actor of psoriasis pathogenesis. Guselkumab is the first anti-IL23 approved for psoriasis. Anti-IL23 and anti-IL17 partially share their therapeutic target currently appearing as the most efficacious available psoriasis treatments. Real-life data on guselkumab performance in anti-IL17 failure patients are scant.A 52-week real-life single-center retrospective study was performed to evaluate the long-term efficacy and safety of guselkumab in patients who previously failed anti-IL17.A total of 44 patients were enrolled (28 male, 63.6%; mean age 59.0 ± 10.2 years). A statistically significant improvement of Psoriasis Area Severity Index (PASI) and Body Surface Area (BSA) was assessed at each follow-up (PASI decreased from 13.9 ± 8.1 to 0.9 ± 0.7 at week52 while BSA from 24.3 ± 19.6 to 1.3 ± 1.4, p < .001). Nail Psoriasis Severity Index (NAPSI) improvement was collected as well, even if being statistically significative only at week28 and thereafter [2.9 ± 6.2 at baseline, 0.9 ± 1.5 at week28, (p < .05)]. Only 3 (6.8%) patients discontinued guselkumab due to secondary inefficacy. No cases of serious Adverse Events were assessed.Our real-life study confirmed the efficacy and safety of guselkumab in daily clinical practice suggesting it as a valuable weapon also in psoriasis patients who previously failed anti-IL17 treatments.
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