دورية أكاديمية

Improved Quality of Life in Patients with Psoriasis Receiving Apremilast: Real-World Data from the Netherlands.

التفاصيل البيبلوغرافية
العنوان: Improved Quality of Life in Patients with Psoriasis Receiving Apremilast: Real-World Data from the Netherlands.
المؤلفون: van den Reek JMPA; Radboud University Medical Center, Nijmegen, The Netherlands. Juul.vandenReek@radboudumc.nl., van der Leest RJT; Spaarne Gasthuis Hospital, Haarlem, The Netherlands., Thomas SE; Radboud University Medical Center, Nijmegen, The Netherlands., Prevoo R; Zuyderland Medisch Centrum, Limburg, The Netherlands., Plantenga ME; Amgen B.V., Breda, The Netherlands., de Jong EMGJ; Radboud University Medical Center, Nijmegen, The Netherlands.
المصدر: Advances in therapy [Adv Ther] 2024 Apr; Vol. 41 (4), pp. 1594-1605. Date of Electronic Publication: 2024 Feb 24.
نوع المنشور: Journal Article; Multicenter Study; Observational Study
اللغة: English
بيانات الدورية: Publisher: Health Communications Inc Country of Publication: United States NLM ID: 8611864 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1865-8652 (Electronic) Linking ISSN: 0741238X NLM ISO Abbreviation: Adv Ther
أسماء مطبوعة: Publication: New York : Springer Healthcare Communications, 2008- : Health Communications Inc.
Original Publication: Metuchen, N.J. : Health Communications Inc., c1984-
مواضيع طبية MeSH: Psoriasis*/drug therapy , Quality of Life* , Thalidomide*/analogs & derivatives, Adolescent ; Humans ; Netherlands ; Prospective Studies ; Severity of Illness Index ; Treatment Outcome
مستخلص: Introduction: Psoriasis is a chronic inflammatory condition that can significantly impact the quality of life (QoL), regardless of the level of skin involvement. Apremilast is indicated for the treatment of moderate to severe psoriasis. Real-world data regarding the impact of apremilast on patient-reported outcomes in clinical practice in the Netherlands is lacking.
Methods: The prospective, multicenter observational Apremilast in Real-Life Psoriasis Treatment (APRIL) study enrolled patients ≥ 18 years old with moderate to severe plaque psoriasis receiving apremilast in clinical practice in the Netherlands. Patients were followed-up for 12 months, with assessments scheduled at 6 and 12 months. The primary outcome was Dermatology Life Quality Index (DLQI) response (score ≤ 5 or ≥ 5-point improvement from baseline) at 6 months. Secondary patient-reported outcomes included EQ-5D and skin-specific parameters; exploratory outcomes were Patient Benefit Index (PBI) and Work Productivity and Activity Impairment (WPAI).
Results: Of the 155 patients enrolled (February 2016-June 2019), 153 received apremilast; 69 (45%) and 39 (26%) continued treatment at 6 and 12 months, respectively. Psoriasis in special areas was common (scalp, 65%; nail, 51%; palmoplantar, 27%). Most patients (92%) had received prior systemic antipsoriatic therapies. Of the 151 patients with a baseline DLQI value, 56 (37%) achieved DLQI response at 6 months. Mean (standard deviation) PBI scores were 3.5 (1.2) and 3.8 (1.1) at 6 and 12 months, respectively. Improvements in DLQI, EQ-5D, and WPAI scores and disease signs and symptoms, including itch and special areas, were observed at 6 and 12 months. Adverse events were consistent with the known safety profile.
Conclusions: In the Netherlands, patients with moderate to severe psoriasis receiving apremilast for up to 12 months reported improved disease-related QoL, skin involvement, and patient-reported outcomes. These data add to the growing body of evidence demonstrating apremilast is an effective treatment for psoriasis, itch, and special areas (scalp and palms).
Trial Registration: ClinicalTrials.gov, NCT02652494.
(© 2024. The Author(s), under exclusive licence to Springer Healthcare Ltd., part of Springer Nature.)
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فهرسة مساهمة: Keywords: Apremilast; DLQI; Dermatology Life Quality Index; Patient Benefit Index; Patient-reported outcomes; Psoriasis; Quality of life; Real-world evidence
سلسلة جزيئية: ClinicalTrials.gov NCT02652494
المشرفين على المادة: UP7QBP99PN (apremilast)
4Z8R6ORS6L (Thalidomide)
تواريخ الأحداث: Date Created: 20240224 Date Completed: 20240325 Latest Revision: 20240518
رمز التحديث: 20240519
DOI: 10.1007/s12325-023-02759-9
PMID: 38402373
قاعدة البيانات: MEDLINE
الوصف
تدمد:1865-8652
DOI:10.1007/s12325-023-02759-9