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DERMATOLOGY
Review • emjreviews.com
Reviews of the Psoriasis
Treatment Landscape
Contents
Previously published content from
EMJ Dermatology Supplements.
+ SPIN 2019
IL-23 Inhibition as a Key Component in Psoriasis Treatment is 3
Here to Stay
+ WCD 2019
IL-23 Inhibition in Psoriasis: A Novel Approach to Convenient, 11
Consistent Clearance
+ ESDR 2019
Pathways to Silencing Psoriasis: Remission or Cure? 21
+ EADV 2019
IL-23 Inhibition: From Pathophysiological Jungle to Clinical Clearance 28
Latest Highlights from Guselkumab in Psoriasis from EADV 2019 36
Cover Images © Iakov Kalinin, Sergey Dzyuba, eonaya, Sean Pavone / 123RF.com
2
DERMATOL SUPPL • December 2019
DERMATOLOGY Review • emjreviews.com
Contents Previously published content from EMJ D
IL-23 Inhibition as a Key Component in Psorias
He explored VOYAGE 1 data that showed that the IL
show switching between biologics is safe and effe
treated, with updosing effective in some patients
In the reSURFACE 1 trial data for tildrakizumab (
improvements in scalp scores versus 69.2% re
age, sex, and comorbidities from registries to in
VOYAGE 1 trial. J Am Acad Dermatol. 31. 2017
IL-23 Inhibition in Psoriasis: A Novel Approach
and IMMvent for risankizumab. Taken together, the
leads to exacerbation of IBD. This unexpected cli
Patients responding to guselkumab at Week 20 were
PASI 75 response. By Week 28, 74% patients on eit
Patient Profiling in Daily Practice: Which Drug
Table 1: Treatment choices in psoriasis with como
of HBV infections, whereas HBV reactivation has b
taltz-epar-product- information_ en.pdf. Last acc
40. Yiu ZZN et al. Risk of serious infec
Pathways to Silencing Psoriasis: Remission or Cur
Reducing treatment burden for patients, and the p
CVrrisiskffacttorrs Obesity CVD Diabetes Dyslip
psychosocial and lifestyle-associated factors to
5.0 concentration (pg/mL) 2.5 Log 2 0 Lower
common pathways and complex relationships among i
biosimilars for moderate-to-severe 48. p
IL-23 Inhibition: From Pathophysiological
arthritis (PsA) disease domains, and these differ
TNF-α IL-17A/F IL-23 IL-17C/E Figure 1:
EMA Guselkumab November 2017 2017
But how does the efficacy of IL-23 inhibitors com
Therefore, dermatologists play a key role in the
psoriasis. J Allergy Clin Immunol. 2017;139(3):92
arthritis. Clin Cosmet Investig Dermatol. 2015;8:
Latest Highlights from Guselkumab in Psoriasis
clinical trial programme in psoriasis, as present
scores at Week 48 compared with those who receive
achieved IGA 0 regardless of psoriasis treatment
Differential Impact of IL-23 vs IL-1
with guselkumab, while the equivalent cellular po
and tolerability profile of this IL-23 inhib