Apremilast for the treatment of moderate‐to‐severe palmoplantar psoriasis: results from a double‐blind, placebo‐controlled, randomized study
Background Palmoplantar psoriasis is a variant of psoriasis vulgaris which can severely impair quality of life. Objectives The main objectives of this double‐blind, placebo‐controlled, randomized study were to assess the efficacy and impact on quality of life and work productivity of apremilast for...
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Published in | Journal of the European Academy of Dermatology and Venereology Vol. 32; no. 3; pp. 403 - 410 |
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Main Authors | , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
England
01.03.2018
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Subjects | |
Online Access | Get full text |
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Summary: | Background
Palmoplantar psoriasis is a variant of psoriasis vulgaris which can severely impair quality of life.
Objectives
The main objectives of this double‐blind, placebo‐controlled, randomized study were to assess the efficacy and impact on quality of life and work productivity of apremilast for the treatment of moderate‐to‐severe palmoplantar psoriasis.
Methods
A total of 100 patients with moderate‐to‐severe palmoplantar psoriasis were randomized to either apremilast 30 mg bid or placebo for 16 weeks. At Week 16, all patients received apremilast 30 mg bid until Week 32. The primary endpoint was the proportion of patients who achieved a Palmoplantar Psoriasis Physician Global Assessment (PPPGA) of 0/1 at Week 16.
Results
There was no significant difference in the proportion of patients who achieved a PPPGA of 0/1 at Week 16 between patients randomized to apremilast (14%) and placebo (4%; P = 0.1595). After 32 weeks of treatment with apremilast, 24% of patients achieved a PPGA of 0/1. In addition, apremilast was superior to placebo in achieving Palmoplantar Psoriasis Area Severity Index (PPPASI) 75 (apremilast: 22%; placebo: 8%; P = 0.0499), in improving PPPASI (apremilast: −7.4 ± 7.1; placebo: −3.6 ± 5.9; P = 0.0167), Dermatology Life Quality Index score (apremilast: −4.3 ± 5.1; placebo: −0.8 ± 4.5; P = 0.0004) and in reducing activity impairment (apremilast: −11.0 ± 22.3; placebo: 2.5 ± 25.5; P = 0.0063).
Conclusion
Despite the absence of a significant difference between apremilast and placebo in proportion of patients achieving a PPPGA of 0/1, the presence of significant differences observed for several secondary endpoints suggests that apremilast may have a role in the treatment of moderate‐to‐severe palmoplantar psoriasis. |
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Bibliography: | Conflicts of interest Funding sources Dr. Robert Bissonnette has received grants, and research support, served as a consultant or received honoraria from Abbvie, Amgen, Apopharma, Boehringer Ingelheim, Celgene, Dermira, Eli Lilly, Galderma, GSK‐Stiefel, Incyte, Janssen, Kineta, Leo Pharma, Merck, Novartis, Pfizer, Regeneron, Tribute and Xenoport. He is a shareholder of Innovaderm Research. Dr. Richard Haydey has received grants, and research support, served as a consultant or received honoraria from Abbvie, Amgen, Celgene, Janssen, Eli Lilly, Novartis and Leo Pharma. Dr. Leslie Andrew Rosoph has performed clinical research for Celgene as well as Amgen, Janssen, Abbvie, Pfizer, Merck, Lilly, Galderma, Genentech, Novartis, Cipher and Leo Pharma. Dr. Charles W. Lynde has received grants, and research support, served as a consultant or received honoraria from AbbVie, Amgen, Boehringer, Celgene, Dermira, Eli Lilly, Galderma, GSK, InCyte, Janssen, Leo Pharma, Merck, Novartis, Pfizer, Tribute and Valeant. Dr. Michael Bukhalo has received honoraria for consultant services for the following companies: Novartis, LeoPharma, MedImmune, Boehringer Ingelheim. Dr. Michael Bukhalo has also received honoraria for speaker engagements for Novartis and patient‐based grants as an Investigator for the following companies: Eli Lilly, Novartis, LeoPharma, Boehringer Ingelheim, Celgene, Merck, DUSA Pharmaceuticals, Allergan, Galderma and Centocor. Dr. Joseph F. Fowler Jr has received grants, and research support, served as a consultant or received honoraria from Abbvie, Accuitis, Amgen, Celgene, Chugai, Galderma, Genentech, IntraDerm, Janssen, Johnson & Johnson, Lilly, Merck, Novartis, SmartPractice, Pfizer, Regeneron, Ralexar, Sandoz, Taisho, Taro and Valeant. Dr. Isabelle Delorme has received grants, and research support, served as a consultant or received honoraria from Abbvie, Actellion, Amgen, Celgene, Dermira, Dignity Science, Eli Lilly, GSK, Innovaderm Research, Janssen, Leo Pharma, Moberg Pharma, Novartis, Regeneron and Vitae. Dr. Angélique Gagné‐Henley has received grants, and research support, served as a consultant or received honoraria from Abbvie, Celgene, Eli Lilly, Galderma, Janssen, Leo Pharma, Novartis, Sanofi and Xenon. Dr. Melinda Gooderham has been a speaker, investigator or received honoraria from Abbvie, Amgen, Boehringer Ingelheim, Celgene, Dermira, Eli Lilly, Galderma, GSK‐Stiefel, Incyte, Janssen, Kyowa Kirin Pharma, Leo Pharma, Merck, Novartis, Pfizer, UCB and Valeant. Dr. Yves Poulin has received grants, and research support, served as a consultant or received honoraria from AbbVie, Amgen, Baxalta, Biogen, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Dermira, Eli Lilly, EMD Serono, Galderma, GlaxoSmithKline, Incyte, Janssen/Centocor, Leo Pharma, MedImmune, Merck, Novartis, Pfizer, Takeda, UCB Pharma and Valeant. Dr. Kirk Barber has received grants, and research support, served as a consultant or received honoraria from Abbvie, Amgen, Boehringer Ingelheim, Celgene, Dermira, Eli Lilly, Galderma, GSK‐Stiefel, Janssen, Leo Pharma, Merck, Novartis and Pfizer. Dr. Peter Jenkin has performed clinical research for Celgene. Dr. Ian Landells has served as a consultant, conducted clinical research or received honoraria from Abbvie, Amgen, Boehringer Ingelheim, Celgene, Eli Lilly, Galderma, GSK‐Stiefel, Janssen, Leo Pharma, Merck, Novartis, Pfizer and Valeant. Dr. David M. Pariser has received grants, and research support, served as a consultant or received honoraria from Abbott, Amgen, Bickel Biotechnology, Biofrontera AG, Celgene, Dermira, DUSA Pharmaceuticals Inc., Eli Lilly, GSK‐Stiefel Leo Pharma, Novartis, Novo Nordisk A/S, Ortho Dermatologics, Peplin, Pfizer, Photocure ASA, Promius Pharmaceuticals, Regeneron, Sanofi, TheraVida and Valeant. This study was funded, and medication was provided by an investigator grant from Celgene. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-News-2 ObjectType-Feature-3 content type line 23 |
ISSN: | 0926-9959 1468-3083 |
DOI: | 10.1111/jdv.14647 |