PMID- 37474877 OWN - NLM STAT- MEDLINE DCOM- 20240130 LR - 20240206 IS - 1600-0625 (Electronic) IS - 0906-6705 (Linking) VI - 33 IP - 1 DP - 2024 Jan TI - Effectiveness and safety of secukinumab in Chinese patients with moderate to severe plaque psoriasis in real-world practice. PG - e14890 LID - 10.1111/exd.14890 [doi] AB - A number of randomized controlled trials and real-world studies have demonstrated the effectiveness and safety of secukinumab in the treatment of moderate to severe psoriasis, whereas data on a large cohort of Chinese patients in long-term real-world practice are limited. This was a single-centre, uncontrolled, single-arm, prospective, observational cohort study that included 254 psoriatic patients treated with secukinumab between September 2019 and December 2022. Demographic and clinical characteristics of patients, clinical response and adverse events were evaluated. The 75% improvement in Psoriasis Area and Severity Index score (PASI 75), PASI 90, and PASI 100 in the 300 mg secukinumab group at 12 weeks were 91.7%, 74.0% and 39.7% respectively, increasing to 94.5%, 74.5% and 47.6% at 52 weeks. High body mass index (BMI), previous exposure to biologic therapies and history of previous conventional systemic therapies were associated with lower rates of PASI response. During the study period, 68 patients reported 83 adverse events (AEs) and the most frequent AEs were eczematous lesions. Up to 14.5% patients withdrew treatment due to disease remission combined with inconvenient transportation during the COVID-19 pandemic at 52 weeks. The rate of psoriasis exacerbation after COVID-19 infection in patients treated with secukinumab was 24.3% (17/70). This real-world study confirmed the high effectiveness of secukinumab in Chinese patients with moderate to severe plaque psoriasis, with an acceptable safety profile. CI - (c) 2023 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Zhou, Jian AU - Zhou J AD - Department of Dermatology, Xijing Hospital, Fourth Military Medical University, Xi'an, P. R. China. FAU - Yuan, Yuan AU - Yuan Y AD - Department of Dermatology, Xijing Hospital, Fourth Military Medical University, Xi'an, P. R. China. FAU - Liu, Yanhua AU - Liu Y AD - Department of Dermatology, Xijing Hospital, Fourth Military Medical University, Xi'an, P. R. China. FAU - Chu, Mengyang AU - Chu M AD - Department of Dermatology, Xijing Hospital, Fourth Military Medical University, Xi'an, P. R. China. FAU - Liu, Huan AU - Liu H AD - Department of Dermatology, Xijing Hospital, Fourth Military Medical University, Xi'an, P. R. China. FAU - Liu, Qian AU - Liu Q AD - Department of Dermatology, Xijing Hospital, Fourth Military Medical University, Xi'an, P. R. China. FAU - Wang, Rui AU - Wang R AD - Department of Dermatology, Xijing Hospital, Fourth Military Medical University, Xi'an, P. R. China. FAU - Shao, Shuai AU - Shao S AD - Department of Dermatology, Xijing Hospital, Fourth Military Medical University, Xi'an, P. R. China. FAU - Wang, Gang AU - Wang G AD - Department of Dermatology, Xijing Hospital, Fourth Military Medical University, Xi'an, P. R. China. FAU - Yu, Chen AU - Yu C AUID- ORCID: 0000-0001-7387-1198 AD - Department of Dermatology, Xijing Hospital, Fourth Military Medical University, Xi'an, P. R. China. LA - eng GR - 82003342/National Natural Science Foundation of China/ PT - Journal Article PT - Observational Study DEP - 20230720 PL - Denmark TA - Exp Dermatol JT - Experimental dermatology JID - 9301549 RN - DLG4EML025 (secukinumab) RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) SB - IM MH - Humans MH - *Antibodies, Monoclonal/adverse effects MH - Prospective Studies MH - Pandemics MH - Treatment Outcome MH - Severity of Illness Index MH - *Psoriasis/pathology MH - China MH - *Antibodies, Monoclonal, Humanized OTO - NOTNLM OT - effectiveness OT - psoriasis OT - real-world OT - safety OT - secukinumab EDAT- 2023/07/21 01:11 MHDA- 2024/01/30 12:44 CRDT- 2023/07/20 23:37 PHST- 2023/06/19 00:00 [revised] PHST- 2023/03/30 00:00 [received] PHST- 2023/07/09 00:00 [accepted] PHST- 2024/01/30 12:44 [medline] PHST- 2023/07/21 01:11 [pubmed] PHST- 2023/07/20 23:37 [entrez] AID - 10.1111/exd.14890 [doi] PST - ppublish SO - Exp Dermatol. 2024 Jan;33(1):e14890. doi: 10.1111/exd.14890. Epub 2023 Jul 20.