Efficacy and safety of ustekinumab in the treatment of moderate to severe plaque psoriasis in Singapore
Singapore medical journal
; : 434-438, 2023.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-984205
Responsible library:
WPRO
ABSTRACT
INTRODUCTION@#Ustekinumab is a human monoclonal antibody that binds to the p40 subunit of both interleukin (IL)-12 and IL-23, and it is approved for the treatment of moderate to severe plaque psoriasis. In this study, we assessed the efficacy and safety of patients receiving ustekinumab for psoriasis.@*METHODS@#This retrospective study included all adults with chronic plaque psoriasis who were prescribed ustekinumab in a tertiary dermatologic centre between December 2009 and December 2015. Efficacy end points included a proportion of patients achieving at least 50% and 75% improvement from baseline psoriasis area and severity index (PASI) and body surface area (BSA) at Weeks 4 and 16.@*RESULTS@#A total of 99 patients were prescribed ustekinumab; 69% of these were Chinese, followed by 15% Indians and 9% Malays. 31 patients had documented PASI scores and 55 patients had documented BSA improvements. In patients with recorded PASI scores, 29 (93.5%) of 31 patients achieved PASI 50, and 21 (67.7%) of 31 achieved PASI 75 at week 16. In patients with recorded BSA, 43 (78.2%) of 55 had at least 50% BSA improvement, and 31 (56.4%) of 55 achieved 75% BSA improvement at 16 weeks. Regarding safety, no patient experienced tuberculosis reactivation. A total of 11 (11%) of 99 patients had latent tuberculosis infection and were treated with prophylactic isoniazid. No patient experienced serious adverse events. No cardiovascular events, cutaneous malignancies or deaths were reported over six years.@*CONCLUSION@#Ustekinumab is safe and efficacious in the treatment of patients with moderate to severe plaque psoriasis in a multiethnic Asian population.
Full text:
Available
Health context:
Neglected Diseases
/
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Tuberculosis
/
Skin Diseases
Database:
WPRIM (Western Pacific)
Main subject:
Psoriasis
/
Singapore
/
Severity of Illness Index
/
Double-Blind Method
/
Retrospective Studies
/
Treatment Outcome
/
Ustekinumab
Limits:
Adult
/
Humans
Country/Region as subject:
Asia
Language:
English
Journal:
Singapore medical journal
Year:
2023
Document type:
Article