The efficacy and safety of etanercept when used with as-needed adjunctive topical therapy in a randomised, double-blind study in subjects with moderate-to-severe psoriasis (the PRISTINE trial)
Abstract:Both etanercept regimens were efficacious in moderate-to-severe psoriasis, although the BIW/QW regimen consistently provided higher response rates than the QW/QW regimen. More potent topical medications were used electively in <25% of subjects in each group.
“…This posology saves costs while maintaining efficacy. Although efficacy is greater in patients who do the induction cycle with the dose of 50 mg twice weekly, the improvement in the PASI is only 11% different with regard to those who use half the dose in the first 24 weeks, as asserted by Strohal et al in the Pristine study (70.7% versus 81.3%, p50.05, for the groups with and without induction at the beginning, respectively) (15).…”
We present our experience in regular clinical practice with etanercept, showing it to be an effective, safe, and versatile drug that permits patient-tailored treatment, delivering a frankly satisfactory control of our psoriasis patients.
“…This posology saves costs while maintaining efficacy. Although efficacy is greater in patients who do the induction cycle with the dose of 50 mg twice weekly, the improvement in the PASI is only 11% different with regard to those who use half the dose in the first 24 weeks, as asserted by Strohal et al in the Pristine study (70.7% versus 81.3%, p50.05, for the groups with and without induction at the beginning, respectively) (15).…”
We present our experience in regular clinical practice with etanercept, showing it to be an effective, safe, and versatile drug that permits patient-tailored treatment, delivering a frankly satisfactory control of our psoriasis patients.
“…1): screening, treatment period 1 (weeks 0-12), treatment period 2 (weeks [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] and an extension phase (weeks 31-52). In treatment period 1, patients were randomized 1 : 1 to self-administer 50 mg GP2015 or 50 mg ETN (Enbrel â ; Amgen Inc., Thousand Oaks, CA, U.S.A.; European Union authorized) twice weekly, subcutaneously.…”
SummaryBackground GP2015 is a proposed etanercept biosimilar. Objectives To demonstrate equivalent efficacy, and comparable safety and immunogenicity of GP2015 and the etanercept originator (ETN, Enbrel â ) in patients with
“…The Medical Outcomes Study (MOS)‐Sleep questionnaire and health‐related QoL measures were administered at baseline and weeks 12 and 24. Efficacy and safety evaluations have been previously described …”
This study confirms that most patients with moderate-to-severe psoriasis have impaired sleep which is associated with impaired QoL. Treatment with etanercept significantly improved sleep, with most improvement occurring before a broad range of topicals were allowed. Sleep improvement was associated with improved QoL.
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