比美珠单抗治疗银屑病:当前知识综述

A. Ruggiero, L. Potestio, E. Camela, G. Fabbrocini, M. Megna
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引用次数: 26

摘要

Bimekizumab是一种新的人源化单克隆IgG1抗体,可中和IL-17A和IL-17F,最近被批准用于治疗中度至重度斑块性银屑病的成人患者,这些患者可能需要全身治疗。Bimekizumab代表了最新的抗IL-17治疗,可用于治疗中度至重度牛皮癣。比美珠单抗的安全性和有效性在四项III期临床试验中进行了评估,这些试验评估了比美珠单抗与安慰剂和ustekinumab (BE VIVID)、与安慰剂(BE READY)、与阿达木单抗(BE SURE)和与secukinumab (BE RADIANT)的对比。总体而言,比美珠单抗在疗效和安全性方面都显示出令人鼓舞的结果,可以在短时间内(最早在第4周)达到PASI90和PASI100,并在长期(52周)维持,具有可接受的安全性。此外,与阿达木单抗、ustekinumab和secukinumab相比,比美珠单抗显示出快速的起效和更高的疗效,具有相当的安全性。在此,我们对比美珠单抗治疗中重度牛皮癣的现有文献资料进行了全面的文献综述。
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Bimekizumab for the Treatment of Psoriasis: A Review of the Current Knowledge
Abstract Bimekizumab, a novel humanized monoclonal IgG1 antibody that neutralizes both IL-17A and IL-17F, was recently approved the treatment of moderate to severe plaque psoriasis in adults who are candidates for systemic therapy. Bimekizumab represents the latest anti IL-17 treatment available for the management of moderate to severe psoriasis. Bimekizumab safety and efficacy profiles were evaluated in four Phase III clinical trials, which evaluated bimekizumab versus placebo and ustekinumab (BE VIVID), versus placebo (BE READY), versus adalimumab (BE SURE), and versus secukinumab (BE RADIANT). Overall, bimekizumab displayed promising results in terms of both efficacy and safety, allowing reach PASI90 and PASI100 in short time (as early as week 4) and maintain it in the long term (52 weeks), with acceptable safety profile. Also, bimekizumab showed a rapid onset of response and a higher efficacy when compared to adalimumab, ustekinumab and secukinumab, with comparable safety profile. Herein, we carried out a comprehensive literature review of the available literature data about bimekizumab in the treatment of moderate to severe psoriasis.
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