Efficacy of anti-interleukin-17A biological agents for palmoplantar psoriasis and palmoplantar pustulosis : A network meta-analysis

Copyright © 2024 Elsevier B.V. All rights reserved..

BACKGROUND: The comparative efficacy of anti-IL (interleukin)-17A biological agents in palmoplantar psoriasis (PP) and palmoplantar pustulosis (PPP) are not well established.

OBJECTIVE: To investigate the efficacy of different dosage regimens of anti-IL-17A biological agents compared with placebo in PP and PPP.

METHODS: A literature search was conducted in PubMed, clinicaltrials.gov, and Embase. Meta-analysis was performed for all outcomes of randomized controlled trials, while network meta-analysis was only performed for the primary outcome.

RESULTS: In total, 21 articles exploring the efficacy of 5 treatment options were included, 4 cohort studies were also reviewed. Meta-analysis demonstrated a statistically significant difference favoring anti-IL-17A biological agents versus placebo (OR = 6.84, 95 %[CI] [5.34, 8.76]). On-label secukinumab was identified as the most effective treatment option for patients with PP (OR = 33.50, 95 %[CI] [4.37,256.86]). PPP treated with secukinumab 300 mg showed benefit in terms of PPPASI 75 responses over 52 weeks.

CONCLUSION: IL-17A biological agents had better PP disease clearance compared with placebo and on-label secukinumab was identified as the most effective treatment option for PP patients. Secukinumab 300 mg showed benefit for PPP patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:130

Enthalten in:

International immunopharmacology - 130(2024) vom: 30. März, Seite 111716

Sprache:

Englisch

Beteiligte Personen:

Xia, RuiYuan [VerfasserIn]
Diao, ZiYue [VerfasserIn]
Chen, DanDan [VerfasserIn]
Wang, YuFei [VerfasserIn]
Zhou, ChaoJing [VerfasserIn]
Gao, YaMei [VerfasserIn]
Yin, ZhiQiang [VerfasserIn]

Links:

Volltext

Themen:

Biological agent
Interleukin-17
Journal Article
Meta-Analysis
Meta-analysis
Psoriasis
Pustulosis
Treatment

Anmerkungen:

Date Completed 25.03.2024

Date Revised 25.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.intimp.2024.111716

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369072855