PMID- 32705907 OWN - NLM STAT- MEDLINE DCOM- 20220407 LR - 20220531 IS - 1471-1753 (Electronic) IS - 0954-6634 (Linking) VI - 33 IP - 2 DP - 2022 Mar TI - Guselkumab in moderate to severe psoriasis in routine clinical care: an Italian 44-week real-life experience. PG - 1074-1078 LID - 10.1080/09546634.2020.1800577 [doi] AB - OBJECTIVES: We aimed to evaluate the effectiveness, safety and tolerability of guselkumab in a real-life setting. METHODS: A prospective, observational, single-center, real-life study including patients under guselkumab treatment from October 2018 to January 2020 was conducted. RESULTS: Twenty-three patients with moderate-to-severe psoriasis were enrolled and twenty-two continued the treatment until week 44. One patient discontinued for increase in liver enzymes. At baseline, mean PASI score was 15.1 +/- 6.1, which reduced up to 3.2 +/- 1.9 at week 12 (p < .001) and 0.8 +/- 0.7 at week 44 (p < .001). BSA reduced from 36.4 +/- 13.6 at baseline, to 8.3 +/- 7.4 at week 12 (p < .001), up to 2.2 +/- 1.4 at week 44 (p < .001). A total of 4 patients (17.4%) experienced mild blood tests alterations and 6 subjects (26%) experienced potential adverse events (AEs). No AEs required guselkumab discontinuation. No cases of serious AEs, injection site reaction, candida, malignancy, cardiovascular events were reported. CONCLUSIONS: Patients under guselkumab therapy reach an optimal clinical response, even in a real-life and long-term setting. FAU - Megna, Matteo AU - Megna M AUID- ORCID: 0000-0003-1803-2046 AD - Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Napoli, Italy. FAU - Fabbrocini, Gabriella AU - Fabbrocini G AD - Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Napoli, Italy. FAU - Cinelli, Eleonora AU - Cinelli E AD - Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Napoli, Italy. FAU - Camela, Elisa AU - Camela E AD - Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Napoli, Italy. FAU - Ruggiero, Angelo AU - Ruggiero A AUID- ORCID: 0000-0002-4658-7391 AD - Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Napoli, Italy. LA - eng PT - Journal Article PT - Observational Study DEP - 20200804 PL - England TA - J Dermatolog Treat JT - The Journal of dermatological treatment JID - 8918133 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 089658A12D (guselkumab) SB - IM MH - *Antibodies, Monoclonal/therapeutic use MH - Antibodies, Monoclonal, Humanized MH - Humans MH - Prospective Studies MH - *Psoriasis/chemically induced/drug therapy MH - Severity of Illness Index MH - Treatment Outcome OTO - NOTNLM OT - Guselkumab OT - anti-IL-23 OT - biologics OT - psoriasis OT - real-life EDAT- 2020/07/25 06:00 MHDA- 2022/04/08 06:00 CRDT- 2020/07/25 06:00 PHST- 2020/07/25 06:00 [pubmed] PHST- 2022/04/08 06:00 [medline] PHST- 2020/07/25 06:00 [entrez] AID - 10.1080/09546634.2020.1800577 [doi] PST - ppublish SO - J Dermatolog Treat. 2022 Mar;33(2):1074-1078. doi: 10.1080/09546634.2020.1800577. Epub 2020 Aug 4.