دورية أكاديمية
Izokibep for the treatment of moderate-to-severe plaque psoriasis : a phase II, randomized, placebo-controlled, double-blind, dose-finding multicentre study including long-term treatment
| العنوان: | Izokibep for the treatment of moderate-to-severe plaque psoriasis : a phase II, randomized, placebo-controlled, double-blind, dose-finding multicentre study including long-term treatment |
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| المؤلفون: | Gerdes, Sascha, Staubach, Petra, Dirschka, Thomas, Wetzel, Dieter, Weirich, Oliver, Niesmann, Johannes, da Mota, Rodrigo, Rothhaar, Alex, Ardabili, Michael, Vlasitz, Gerda, Feldwisch, Joachim, Koskinen, Lisa Osterling, Ohlman, Sven, Peloso, Paul M., Brun, Nikolai C., Frejd, Fredrik Y. |
| بيانات النشر: | Uppsala universitet, Institutionen för immunologi, genetik och patologi Univ Hosp Schleswig Holstein, Psoriasis Ctr, Dept Dermatol, Kiel Campus Kiel, Germany. Med Univ Ctr, Med Ctr, Dept Dermatol, Mainz, Germany. Germany Private Practice Dermatol, Wuppertal, Germany. Toclinco GmbH, Freiburg, Germany. Rosenpark Res, Darmstadt, Germany. Private Practice Dermatol, Bochum, Germany. Private Practice Dr Hilton & Partner Dermatol, Dusseldorf, Germany. Rothhaar Studien GmbH, Berlin, Germany. Derma Ctr Bochum, Bochum, Germany. Affibody AB, Solna, Sweden. ACELYRIN Inc, Agoura Hills, CA USA. Oxford University Press (OUP) |
| سنة النشر: | 2023 |
| المجموعة: | Uppsala University: Publications (DiVA) |
| مصطلحات موضوعية: | Dermatology and Venereal Diseases, Dermatologi och venereologi |
| الوصف: | Background: Monoclonal antibodies to interleukin (IL)-17 have shown strong efficacy in patients with psoriasis. Izokibep is a unique IL-17A inhibitor with a small molecular size and favourable distribution to sites of inflammation.Objectives To evaluate the dose response, efficacy and safety of izokibep in patients with plaque psoriasis. Methods: In this double-blind, randomized, phase II dose-finding study (AFFIRM-35) in adults with moderate-to-severe plaque psoriasis and inadequate response to two or more standard therapies, patients were randomized (1:1:1:1:1) to placebo or izokibep 2, 20, 80 or 160 mg every 2 weeks for 12 weeks. During the remainder of the 52-week core study, patients given placebo were switched to izokibep 80 mg, and dosing intervals were adapted based on Psoriasis Area and Severity Index (PASI) scores for all patients. The core study was followed by two optional consecutive 1-year extension periods for a total duration of 3 years. The primary endpoint was a 90% reduction in PASI score (PASI 90) at week 12. Additional efficacy outcomes and adverse event (AE) rates were evaluated.Results In total, 109 patients were randomized [safety set, n = 108 (one exclusion criteria failure); full analysis set, n = 106]. At week 12, PASI 90 response rates were 0%, 5%, 19%, 71% and 59% for the placebo, 2-, 20-, 80- and 160-mg izokibep groups, respectively. Rapid dose-dependent improvements were also observed across other efficacy outcomes. During the placebo-controlled period, AEs in the izokibep groups were similar to placebo except for mild injection site reactions. AEs were generally mild to moderate and the drug was well tolerated. Izokibep maintained efficacy at the higher dosage groups for up to 3 years, with no new safety signals. Conclusions: Data from this phase II study indicate that izokibep is well tolerated and efficacious in the treatment of plaque psoriasis. Higher doses or more frequent dosing could be explored to further enhance response rates. We conducted a randomized, ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| العلاقة: | British Journal of Dermatology, 0007-0963, 2023, 189:4, s. 381-391; orcid:0000-0002-6421-4142; http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-512856Test; PMID 37697683; ISI:001064937300001 |
| DOI: | 10.1093/bjd/ljad186 |
| الإتاحة: | https://doi.org/10.1093/bjd/ljad186Test http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-512856Test |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.1D5D1BC3 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1093/bjd/ljad186 |
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