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2015 ; 8
(3
): 3156-72
Nephropedia Template TP
gab.com Text
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English Wikipedia
Efficacy and safety of secukinumab in the treatment of moderate to severe plaque
psoriasis: a meta-analysis of randomized controlled trials
#MMPMID26064205
Xiong HZ
; Gu JY
; He ZG
; Chen WJ
; Zhang X
; Wang JY
; Shi YL
Int J Clin Exp Med
2015[]; 8
(3
): 3156-72
PMID26064205
show ga
Psoriasis is a chronic inflammatory skin disease with high rate of recurrence.
New anti-interleukin-17 (IL-17) and anti-IL17RA biologics are in Phase 3 clinical
trials and may prove to be more effective than existing biologic drugs. Now we
perform a meta-analysis on efficacy and safety of secukinumab in the treatment of
moderate-to-severe plaque psoriasis. In this meta-analysis, data analysis was
performed with the Cochrane Collaboration's RevMan 5.0 software. Eight randomized
controlled trials (RCTs) with a total of 3,213 psoriasis cases were included in
the meta-analysis. Co-primary endpoints (week 12) were ? 75%/90% improvement in
psoriasis area and a score of 0 (clear) or 1 (almost clear) on a 5-point
Investigator's Global Assessment scale (IGA mod 2011 0/1) versus placebo [1]. The
overall efficacy in the meta-analysis was as follows: PASI 75: for secukinumab
150 mg versus placebo, fixed-effects OR = 49.25, 95% CI: 33.67-72.06, Z = 20.07,
P < 0.00001; PASI 90: for secukinumab 150 mg versus placebo, fixed-effects OR =
44.92, 95% CI: 24.72-81.62, Z = 12.49, P < 0.00001; IGA mod 2011 0/1: for
secukinumab 150 mg versus placebo, random-effects OR = 22.25, 95% CI: 7.63-64.84,
Z = 5.68, P < 0.00001; Compared with placebo, there were no significant adverse
effects in the secukinumab groups, demonstrating safety in the treatment of
moderate to severe plaque psoriasis. The proportion of patients who achieved 75%,
90% and IGA mod 2011 0/1 reductions respectively was significant in the
secukinumab groups, demonstrating a rapid clinical improvement accompanied by a
favorable short-term safety profile.