PMID- 30221571 OWN - NLM STAT- MEDLINE DCOM- 20190704 LR - 20190704 IS - 1471-1753 (Electronic) IS - 0954-6634 (Linking) VI - 30 IP - 4 DP - 2019 Jun TI - Real-world data on the efficacy and safety of apremilast in Japanese patients with plaque psoriasis. PG - 383-386 LID - 10.1080/09546634.2018.1525480 [doi] AB - Background: Real-world data differ from clinical trial data. Although some real-world data regarding apremilast use for psoriasis treatment has been reported in Western countries, no such data has been reported in Asian countries. Objective: To study the efficacy, including Psoriasis Area and Severity Index (PASI) and drug survival, and safety of apremilast in Japanese patients with psoriasis. Methods: Data on all the patients treated with apremilast in Kurume University Hospital between May 2017 and June 2018 were retrieved, with June 30 2018, as the data lock date. Efficacy was analyzed by PASI50, PASI75, and PASI90; drug survival by Kaplan-Meier analysis; and drug safety by the proportion of adverse events (AEs). Results: Fourteen of 42 (33.3%) patients achieved PASI75/90; 16 (32%) patients had discontinued apremilast by the data lock date. Drug survival at week 28 was 70%. No serious AEs were reported; the most prevalent one was loose stools/diarrhea (60%), followed by nausea (38%). The most common reason for apremilast discontinuation was primary/secondary failure. Conclusions: Apremilast is safe and effective in Japanese patients with psoriasis. Higher occurrence of loose stools/diarrhea was noted in our cohort than that reported in Western real-world studies on apremilast. FAU - Ohata, Chika AU - Ohata C AUID- ORCID: 0000-0001-8341-7300 AD - a Department of Dermatology , Kurume University School of Medicine , Fukuoka , Japan. FAU - Ohyama, Bungo AU - Ohyama B AD - a Department of Dermatology , Kurume University School of Medicine , Fukuoka , Japan. FAU - Kuwahara, Fumi AU - Kuwahara F AD - a Department of Dermatology , Kurume University School of Medicine , Fukuoka , Japan. FAU - Katayama, Eri AU - Katayama E AD - a Department of Dermatology , Kurume University School of Medicine , Fukuoka , Japan. FAU - Nakama, Takekuni AU - Nakama T AD - a Department of Dermatology , Kurume University School of Medicine , Fukuoka , Japan. LA - eng PT - Journal Article DEP - 20181008 PL - England TA - J Dermatolog Treat JT - The Journal of dermatological treatment JID - 8918133 RN - 0 (Anti-Inflammatory Agents, Non-Steroidal) RN - 4Z8R6ORS6L (Thalidomide) RN - UP7QBP99PN (apremilast) SB - IM MH - Adult MH - Anti-Inflammatory Agents, Non-Steroidal/*therapeutic use MH - Female MH - Humans MH - Japan MH - Male MH - Middle Aged MH - Psoriasis/*drug therapy MH - Thalidomide/*analogs & derivatives/therapeutic use MH - Treatment Outcome OTO - NOTNLM OT - Apremilast OT - Japan OT - drug survival OT - psoriasis EDAT- 2018/09/18 06:00 MHDA- 2019/07/05 06:00 CRDT- 2018/09/18 06:00 PHST- 2018/09/18 06:00 [pubmed] PHST- 2019/07/05 06:00 [medline] PHST- 2018/09/18 06:00 [entrez] AID - 10.1080/09546634.2018.1525480 [doi] PST - ppublish SO - J Dermatolog Treat. 2019 Jun;30(4):383-386. doi: 10.1080/09546634.2018.1525480. Epub 2018 Oct 8.