Psoriasis treatment with adalimumab in clinical practice: long-term experience in a center for biological therapy in the Czech Republic

Background: Adalimumab therapy has an established record of high efficacy in psoriasis treatment. However, only a limited number of studies have investigated long-term results in clinical practice. Objectives: To evaluate the effectiveness and safety of adalimumab in a center for biological therapy...

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Main Authors: Elizabeth Adenubiova, Petr Arenberger, Petra Gkalpakioti, Monika Arenbergerova, Jitka Jircikova, Tomas Dolezal, Spyridon Gkalpakiotis
Format: Article
Language:English
Published: Taylor & Francis Group 2018-08-01
Series:Journal of Dermatological Treatment
Subjects:
Online Access:http://dx.doi.org/10.1080/09546634.2018.1425358
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author Elizabeth Adenubiova
Petr Arenberger
Petra Gkalpakioti
Monika Arenbergerova
Jitka Jircikova
Tomas Dolezal
Spyridon Gkalpakiotis
author_facet Elizabeth Adenubiova
Petr Arenberger
Petra Gkalpakioti
Monika Arenbergerova
Jitka Jircikova
Tomas Dolezal
Spyridon Gkalpakiotis
author_sort Elizabeth Adenubiova
collection DOAJ
description Background: Adalimumab therapy has an established record of high efficacy in psoriasis treatment. However, only a limited number of studies have investigated long-term results in clinical practice. Objectives: To evaluate the effectiveness and safety of adalimumab in a center for biological therapy in the Czech Republic. Methods: Retrospectively, we analyzed 90 patients with moderate to severe psoriasis who were treated with adalimumab between 2008 and 2016. The proportion of patients achieving PASI75, 90, and 100 after 3, 6, 12, 18, 24, 30, and 36 months was determined. Results: The mean period of treatment was 4.4 years (maximum duration reached was 8.6 years). PASI75 was observed in 85.6% of patients after 3 months, PASI90 in 50%, and PASI100 in 23.3%. Throughout the 3-year analysis, PASI90 was persistent in 91.4% and PASI100 in 51.7%. The majority of patients who reached PASI100 showed a trend to maintain the response in the long-term follow-up. No safety issues were identified. Conclusions: Adalimumab is effective and safe in the long-term treatment of psoriatic patients in daily clinical practice. Once patients achieved PASI100, they tended to remain stable in treatment.
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spelling doaj.art-82ad18baf2844199815703b946640ee92023-09-15T14:08:31ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532018-08-0129657958210.1080/09546634.2018.14253581425358Psoriasis treatment with adalimumab in clinical practice: long-term experience in a center for biological therapy in the Czech RepublicElizabeth Adenubiova0Petr Arenberger1Petra Gkalpakioti2Monika Arenbergerova3Jitka Jircikova4Tomas Dolezal5Spyridon Gkalpakiotis6Charles University and Faculty Hospital of Kralovske VinohradyCharles University and Faculty Hospital of Kralovske VinohradyCharles University and Faculty Hospital of Kralovske VinohradyCharles University and Faculty Hospital of Kralovske VinohradyValue outcomes s.r.oValue outcomes s.r.oCharles University and Faculty Hospital of Kralovske VinohradyBackground: Adalimumab therapy has an established record of high efficacy in psoriasis treatment. However, only a limited number of studies have investigated long-term results in clinical practice. Objectives: To evaluate the effectiveness and safety of adalimumab in a center for biological therapy in the Czech Republic. Methods: Retrospectively, we analyzed 90 patients with moderate to severe psoriasis who were treated with adalimumab between 2008 and 2016. The proportion of patients achieving PASI75, 90, and 100 after 3, 6, 12, 18, 24, 30, and 36 months was determined. Results: The mean period of treatment was 4.4 years (maximum duration reached was 8.6 years). PASI75 was observed in 85.6% of patients after 3 months, PASI90 in 50%, and PASI100 in 23.3%. Throughout the 3-year analysis, PASI90 was persistent in 91.4% and PASI100 in 51.7%. The majority of patients who reached PASI100 showed a trend to maintain the response in the long-term follow-up. No safety issues were identified. Conclusions: Adalimumab is effective and safe in the long-term treatment of psoriatic patients in daily clinical practice. Once patients achieved PASI100, they tended to remain stable in treatment.http://dx.doi.org/10.1080/09546634.2018.1425358psoriasisadalimumablong-term efficacy
spellingShingle Elizabeth Adenubiova
Petr Arenberger
Petra Gkalpakioti
Monika Arenbergerova
Jitka Jircikova
Tomas Dolezal
Spyridon Gkalpakiotis
Psoriasis treatment with adalimumab in clinical practice: long-term experience in a center for biological therapy in the Czech Republic
Journal of Dermatological Treatment
psoriasis
adalimumab
long-term efficacy
title Psoriasis treatment with adalimumab in clinical practice: long-term experience in a center for biological therapy in the Czech Republic
title_full Psoriasis treatment with adalimumab in clinical practice: long-term experience in a center for biological therapy in the Czech Republic
title_fullStr Psoriasis treatment with adalimumab in clinical practice: long-term experience in a center for biological therapy in the Czech Republic
title_full_unstemmed Psoriasis treatment with adalimumab in clinical practice: long-term experience in a center for biological therapy in the Czech Republic
title_short Psoriasis treatment with adalimumab in clinical practice: long-term experience in a center for biological therapy in the Czech Republic
title_sort psoriasis treatment with adalimumab in clinical practice long term experience in a center for biological therapy in the czech republic
topic psoriasis
adalimumab
long-term efficacy
url http://dx.doi.org/10.1080/09546634.2018.1425358
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