PMID- 31354244 OWN - NLM STAT- MEDLINE DCOM- 20200206 LR - 20200225 IS - 1177-8881 (Electronic) IS - 1177-8881 (Linking) VI - 13 DP - 2019 TI - Evaluating guselkumab: an anti-IL-23 antibody for the treatment of plaque psoriasis. PG - 1993-2000 LID - 10.2147/DDDT.S137588 [doi] AB - The approval of guselkumab marks the entry of the IL-23 inhibitor class into the therapeutic armamentarium for patients with moderate-to-severe plaque psoriasis. This class specifically targets the upstream portion of the type 17 helper T (Th17) axis, which has been implicated as a key driver of the abnormal inflammatory state observed in psoriasis. Guselkumab is highly efficacious, with over 85% of the patients achieving >/=75% reduction in Psoriasis Area and Severity Index from baseline (PASI 75) and over 70% of the patients achieving PASI 90 response in its Phase III clinical trials. Additionally, this medication is well-tolerated, with non-serious infections such as nasopharyngitis and upper respiratory infections (URIs) being the most common adverse events (AEs) reported in its clinical trials. Guselkumab offers yet another effective treatment option in the rapidly growing list of available biological therapies for moderate-to-severe plaque psoriasis. FAU - Yang, Eric J AU - Yang EJ AD - Department of Dermatology, University of California San Francisco, San Francisco, CA, USA; ericjyang@outlook.com. AD - Chicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA; ericjyang@outlook.com. FAU - Smith, Mary Patricia AU - Smith MP AD - Department of Dermatology, University of California San Francisco, San Francisco, CA, USA; ericjyang@outlook.com. AD - Icahn School of Medicine at Mount Sinai, New York, NY, USA. FAU - Ly, Karen AU - Ly K AD - Department of Dermatology, University of California San Francisco, San Francisco, CA, USA; ericjyang@outlook.com. AD - School of Medicine, Wayne State University, Detroit, MI, USA. FAU - Bhutani, Tina AU - Bhutani T AD - Department of Dermatology, University of California San Francisco, San Francisco, CA, USA; ericjyang@outlook.com. LA - eng PT - Journal Article PT - Review DEP - 20190618 PL - New Zealand TA - Drug Des Devel Ther JT - Drug design, development and therapy JID - 101475745 RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Interleukin-23) RN - 089658A12D (guselkumab) SB - IM MH - Antibodies, Monoclonal, Humanized/*pharmacology/*therapeutic use MH - Clinical Trials, Phase III as Topic MH - Humans MH - Interleukin-23/*antagonists & inhibitors MH - Psoriasis/*drug therapy/physiopathology PMC - PMC6587972 OTO - NOTNLM OT - IL-23 inhibitor OT - biologic selection OT - biologics OT - guselkumab OT - plaque psoriasis COIS- Disclosure T Bhutani is an investigator for AbbVie, Janssen, Merck, Eli Lilly, and Strata Skin Sciences and an advisor for Regeneron. The other authors report no conflicts of interest in this work. EDAT- 2019/07/30 06:00 MHDA- 2020/02/07 06:00 PMCR- 2019/06/18 CRDT- 2019/07/30 06:00 PHST- 2019/07/30 06:00 [entrez] PHST- 2019/07/30 06:00 [pubmed] PHST- 2020/02/07 06:00 [medline] PHST- 2019/06/18 00:00 [pmc-release] AID - dddt-13-1993 [pii] AID - 10.2147/DDDT.S137588 [doi] PST - epublish SO - Drug Des Devel Ther. 2019 Jun 18;13:1993-2000. doi: 10.2147/DDDT.S137588. eCollection 2019.