A retrospective, observational multicenter study of 141 patients treated with ustekinumab 90 mg.

Abstract:

:A change of pricing policy in Spain have made both doses of ustekinumab (UST), 45 and 90 mg, recently available at the same price. Our primary objective was to evaluate effectiveness of UST 90 mg at 52 and 104 weeks in psoriasis patients in clinical practice; secondary objectives were to study the reasons for using this dose and to delineate its efficacy in patients previously treated with anti-IL17 drugs. 91.8% of the 141 patients treated with UST 90 started with 45 mg and later increased their dose. Clinicians changed dose due to weight over 100 kg in 20.6% of the cases and all the other dose changes were off-label to improve partial cutaneous or articular response or due to a previous failure of anti-IL17 therapy. After 12 months of UST 90 treatment, absolute PASI was lower than 3 in 87.5% of patients and lower than 1 in 72.2%. Efficacy data were even better for patients with body mass index (BMI) <25. UST 90 can be effective in patients with previous use of anti-IL17 drugs. It appears to be an alternative treatment option not only for high BMI patients, but also to increase the cutaneous or articular efficacy of the drug in patients with normal BMI.

journal_name

Dermatol Ther

journal_title

Dermatologic therapy

authors

Llamas-Velasco M,Baniandrés O,Rivera R,Reymundo Jimenez A,Hospital M,García Zamora E,González-Cantero Á,Andrés Lencina JJ,Daudén E,de la Cueva P

doi

10.1111/dth.13678

subject

Has Abstract

pub_date

2020-07-01 00:00:00

pages

e13678

issue

4

eissn

1396-0296

issn

1529-8019

journal_volume

33

pub_type

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