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Farmacia Hospitalaria

versão On-line ISSN 2171-8695versão impressa ISSN 1130-6343

Resumo

DAVID GIL-SIERRA, Manuel; RIOS-SANCHEZ, Esmeralda  e  BRICENO-CASADO, María del Pilar. Use of ustekinumab after other biological therapies in moderate-severe psoriasis: Real long-term data. Farm Hosp. [online]. 2020, vol.44, n.5, pp.218-221.  Epub 26-Jul-2021. ISSN 2171-8695.  https://dx.doi.org/10.7399/fh.11420.

Objective:

Ustekinumab is used in moderate-severe plaque psoriasis with inadequate response to anti-tumour necrosis factor α drugs. Recent studies support the need to assess real long-term data. The aim of this study was to evaluate the real long-term effectiveness and safety of uste kinumab in moderate-severe plaque psoriasis refractory to 2 anti-tumour necrosis factor α drugs.

Method:

Retrospective descriptive study from January 2010 to March 2019. The study included patients with moderate-severe plaque psoriasis previously treated with at least 2 anti-tumour necrosis factor α biologic drugs. The effectiveness endpoints were Psoriasis Area and Severity Index 90 and 75 response rates at weeks 24, 48, 72, and 96. Safety was assessed using adverse effects and treatment withdrawal.

Results:

A total of 36 patients were included (men, 61%). Ustekinumab was used after treatment with 2 anti-tumour necrosis factor α drugs in 88.9% of patients. The biologic drugs most frequently administered prior to ustekinumab were infliximab (94.4%) and etanercept (91.7%). It was ob served that at least 66.7% of patients reached Psoriasis Area and Severity Index 90 at weeks 24, 48, 72, and 96. Adverse effects were recorded in 6 patients. There were no treatment withdrawals.

Conclusions:

Ustekinumab showed real long-term effectiveness and safety in moderate-severe plaque psoriasis with inadequate response to 2 previous anti-tumour necrosis factor α drugs.

Palavras-chave : Ustekinumab; Psoriasis treatment; Retrospective study; Clinical outcome; Real-world study; Drug switching; Long-term care.

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