PMID- 36751540 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230209 IS - 1642-395X (Print) IS - 2299-0046 (Electronic) IS - 1642-395X (Linking) VI - 38 IP - 2 DP - 2021 Apr TI - Comparing the efficacy and safety of IL-17 inhibitors for treatment of moderate-to-severe psoriasis: a randomized double blind pilot study with a review of literature. PG - 281-288 LID - 10.5114/ada.2019.91496 [doi] AB - INTRODUCTION: Psoriasis is a chronic skin disease in which interleukin-17A (IL-17A) has been found to play an important role. Commercially available anti-IL-17 drugs include brodalumab, ixekizumab (IXE), and secukinumab (SEC). AIM: To compare the safety and efficacy of IXE and SEC in patients with moderate-to-severe plaque psoriasis. MATERIAL AND METHODS: The patients were randomized to the IXE or SEC group. Effectiveness was estimated by Physician's Global Assessment (PGA), Psoriasis Area and Severity Index (PASI), and Dermatology Life Quality Index (DLQI). Safety was assessed by documentation of adverse effects (AEs), routine laboratory values, and injection-site and allergic reactions. RESULTS: There were 155 patients in the IXE group and 158 in the SEC group. At week 12, PASI 75 was 76.77% (IXE) vs. 67.09% (SEC); PASI 90 42.58% (IXE) vs. 32.28% (SEC); PGA score of 0 or 1 at week 40 (79.52% vs. 74.4%) and at week 52 (61.83% vs. 58.12%) (p < 0.001). Also, DLQI score improvement was more pronounced in the IXE group. The rates and types of AEs were similar in both groups. CONCLUSIONS: Although both groups demonstrated a robust clinical response, a significant improvement in patient quality of life, and a satisfactory safety profile, the IXE group scored a notch higher. CI - Copyright (c) 2022 Termedia. FAU - AlMutairi, Nawaf AU - AlMutairi N AD - Department of Medicine, Faculty of Medicine, Kuwait University, Jabriya, Kuwait. FAU - Eassa, Bayoumy Ibrahim AU - Eassa BI AD - Department of Dermatology, Farwaniya Hospital, Kuwait. LA - eng PT - Journal Article DEP - 20200109 PL - Poland TA - Postepy Dermatol Alergol JT - Postepy dermatologii i alergologii JID - 101168357 PMC - PMC9880774 OTO - NOTNLM OT - IL-17 inhibitors OT - ixekizumab OT - plaque psoriasis OT - secukinumab COIS- The authors declare no conflict of interest. EDAT- 2021/04/01 00:00 MHDA- 2021/04/01 00:01 PMCR- 2021/04/01 CRDT- 2023/02/08 01:58 PHST- 2019/10/18 00:00 [received] PHST- 2019/11/18 00:00 [accepted] PHST- 2023/02/08 01:58 [entrez] PHST- 2021/04/01 00:00 [pubmed] PHST- 2021/04/01 00:01 [medline] PHST- 2021/04/01 00:00 [pmc-release] AID - 39535 [pii] AID - 10.5114/ada.2019.91496 [doi] PST - ppublish SO - Postepy Dermatol Alergol. 2021 Apr;38(2):281-288. doi: 10.5114/ada.2019.91496. Epub 2020 Jan 9.