PMID- 34157132 OWN - NLM STAT- MEDLINE DCOM- 20220303 LR - 20220721 IS - 1365-2133 (Electronic) IS - 0007-0963 (Print) IS - 0007-0963 (Linking) VI - 185 IP - 6 DP - 2021 Dec TI - Long-term efficacy and safety of risankizumab for the treatment of moderate-to-severe plaque psoriasis: interim analysis of the LIMMitless open-label extension trial beyond 3 years of follow-up. PG - 1135-1145 LID - 10.1111/bjd.20595 [doi] AB - BACKGROUND: Psoriasis is a chronic inflammatory skin disease requiring prolonged treatment. New biologic therapies require long-term evaluation to assess the durability of their efficacy and safety profiles over time. OBJECTIVES: To evaluate the long-term efficacy and safety of risankizumab (RZB) for the treatment of psoriasis. METHODS: LIMMitless is an ongoing, phase III, open-label extension study evaluating the long-term efficacy and safety of RZB in adults with moderate-to-severe plaque psoriasis following multiple phase II/III studies. This analysis assessed efficacy through 172 weeks of continuous RZB treatment by examining the proportion of patients achieving >/= 90% or 100% improvement in Psoriasis Area and Severity Index (PASI 90 and PASI 100), static Physician's Global Assessment of clear or almost clear (sPGA 0/1) and Dermatology Life Quality Index of no effect on quality of life (DLQI 0/1). Safety was assessed by recording adverse events (AEs) through the data cutoff date. The study is registered at ClinicalTrials.gov (identifier: NCT03047395). RESULTS: Of 955 patients randomized to RZB 150 mg in the base studies, 897 patients continued into LIMMitless; 799 patients were still receiving treatment in LIMMitless at the time of data cutoff for this analysis. After 172 weeks of continuous RZB treatment, 85.5% of patients achieved PASI 90, 54.4% achieved PASI 100, 85.2% achieved sPGA 0/1, and 78.4% achieved DLQI 0/1 using modified nonresponder imputation. Rates of AEs leading to discontinuation and AEs of safety interest were low with long-term treatment and comparable with those identified in the base studies. CONCLUSIONS: Overall, long-term continuous RZB was well tolerated and showed high and durable efficacy over 172 weeks. CI - (c) 2021 AbbVie Inc. British Journal of Dermatology published by John Wiley & Sons Ltd on behalf of British Association of Dermatologists. FAU - Papp, K A AU - Papp KA AUID- ORCID: 0000-0001-9557-3642 AD - K Papp Clinical Research and Probity Medical Research, Waterloo, ON, Canada. FAU - Lebwohl, M G AU - Lebwohl MG AD - Icahn School of Medicine at Mount Sinai, New York, NY, USA. FAU - Puig, L AU - Puig L AUID- ORCID: 0000-0001-6083-0952 AD - Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. FAU - Ohtsuki, M AU - Ohtsuki M AD - Jichi Medical University, Tochigi, Japan. FAU - Beissert, S AU - Beissert S AD - Department of Dermatology, University Hospital Carl Gustav Carus, TU Dresden, Dresden, Germany. FAU - Zeng, J AU - Zeng J AD - AbbVie Inc., North Chicago, IL, USA. FAU - Rubant, S AU - Rubant S AD - AbbVie Inc., North Chicago, IL, USA. FAU - Sinvhal, R AU - Sinvhal R AD - AbbVie Inc., North Chicago, IL, USA. FAU - Zhao, Y AU - Zhao Y AD - AbbVie Inc., North Chicago, IL, USA. FAU - Soliman, A M AU - Soliman AM AD - AbbVie Inc., North Chicago, IL, USA. FAU - Alperovich, G AU - Alperovich G AD - AbbVie Inc., Madrid, Spain. FAU - Leonardi, C AU - Leonardi C AD - Central Dermatology, Richmond Heights, MO, USA. LA - eng SI - ClinicalTrials.gov/NCT03047395 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20210921 PL - England TA - Br J Dermatol JT - The British journal of dermatology JID - 0004041 RN - 0 (Antibodies, Monoclonal) RN - 90ZX3Q3FR7 (risankizumab) SB - IM CIN - Br J Dermatol. 2021 Dec;185(6):1086-1087. PMID: 34632571 MH - Adult MH - Antibodies, Monoclonal MH - Double-Blind Method MH - Follow-Up Studies MH - Humans MH - *Psoriasis/drug therapy MH - *Quality of Life MH - Severity of Illness Index MH - Treatment Outcome PMC - PMC9290992 EDAT- 2021/06/23 06:00 MHDA- 2022/03/04 06:00 PMCR- 2022/07/18 CRDT- 2021/06/22 17:23 PHST- 2021/06/17 00:00 [accepted] PHST- 2021/06/23 06:00 [pubmed] PHST- 2022/03/04 06:00 [medline] PHST- 2021/06/22 17:23 [entrez] PHST- 2022/07/18 00:00 [pmc-release] AID - BJD20595 [pii] AID - 10.1111/bjd.20595 [doi] PST - ppublish SO - Br J Dermatol. 2021 Dec;185(6):1135-1145. doi: 10.1111/bjd.20595. Epub 2021 Sep 21.