4.3 Article

The use of ustekinumab in autoimmune disease

Journal

EXPERT OPINION ON BIOLOGICAL THERAPY
Volume 10, Issue 4, Pages 587-604

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.1517/14712591003724670

Keywords

Crohn's disease; multiple sclerosis; psoriasis; psoriatic arthritis; ustekinumab

Funding

  1. Abbott Ireland
  2. Abbott Laboratories
  3. Amgen, Inc.
  4. Astellas
  5. Asubio
  6. Celgene
  7. Centocor
  8. DUSA
  9. Eli Lilly
  10. Galderma
  11. Genentech
  12. Novartis
  13. Novo-Nordisk
  14. Merck-Serone
  15. Pfizer
  16. Stiefel
  17. Warner Chilcott
  18. Wyeth
  19. National Institute for Health Research [CL-2008-06-002] Funding Source: researchfish

Ask authors/readers for more resources

Importance of the field: The advent of biologic therapies has revolutionized the treatment of autoimmune diseases including psoriasis, autoimmune arthritides and inflammatory bowel disease. With recent advances in our understanding of the immunogenetic pathways involved in the pathogenesis of these conditions, newer, more targeted biologic therapies have been developed. Ustekinumab is an antibody to the common p40 subunit of IL-12 and IL-23, which has been studied in the treatment of psoriasis, psoriatic arthritis, Crohn's disease and multiple sclerosis. Areas covered in this review: This review details the efficacy and safety of ustekinumab in all clinical studies to date, using PubMed listed publications and official product websites. What the reader will gain: Readers will gain a comprehensive understanding of the mechanism of action of ustekinuamb, its pharmacodynamic and pharmacokinetic profile, and its clinical efficacy and safety in the treatment of psoriasis, psoriatic arthritis, Crohn's disease and multiple sclerosis. Take home message: Ustekinumab has shown significant efficacy in the treatment of chronic plaque psoriasis in Phase III studies, and promising results in Phase II studies in psoriatic arthritis. Efficacy has been shown in Crohn's disease only in non-responders to infliximab. Ustekinumab did not show benefit in the treatment of multiple sclerosis.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.3
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Dermatology

Effectiveness and persistence of acitretin, ciclosporin, fumaric acid esters and methotrexate for patients with moderate-to-severe psoriasis: a cohort study from BADBIR

Oras A. Alabas, Kayleigh J. Mason, Zenas Z. N. Yiu, Philip J. Hampton, Nick J. Reynolds, Caroline M. Owen, Anthony Bewley, Philip M. Laws, Richard B. Warren, Mark Lunt, Catherine H. Smith, Christopher E. M. Griffiths, BADBIR Study Grp

Summary: This study found that the real-world effectiveness and persistence of acitretin, ciclosporin, fumaric acid esters, and methotrexate were generally low for patients with moderate-to-severe psoriasis. Risk factors associated with treatment ineffectiveness included prior nonbiologic systemic therapies, male sex, comorbidities, and alcohol consumption.

BRITISH JOURNAL OF DERMATOLOGY (2023)

Article Dermatology

Secukinumab long-term efficacy and safety in psoriasis through to year 5 of treatment: results of a randomized extension of the phase III ERASURE and FIXTURE trials

Richard G. Langley, Howard Sofen, Ignacio Dei-Cas, Kristian Reich, Bardur Sigurgeirsson, Richard B. Warren, Carle Paul, Jacek C. Szepietowski, Tsen-Fang Tsai, Isabelle Hampele, Ruquan You, Pascal Charef, Charis Papavassilis

Summary: The 5-year treatment study demonstrated the efficacy of secukinumab in patients with moderate-to-severe plaque psoriasis and improved their quality of life. The most common adverse events were infections and upper respiratory tract infections. The safety profile of secukinumab was consistent with previous clinical development program.

BRITISH JOURNAL OF DERMATOLOGY (2023)

Article Dermatology

Bimekizumab efficacy and safety in patients with moderate-to-severe plaque psoriasis who switched from adalimumab, ustekinumab or secukinumab: results from phase III/IIIb trials

Georgios Kokolakis, Richard B. Warren, Bruce Strober, Andrew Blauvelt, Luis Puig, Akimichi Morita, Melinda Gooderham, Andreas Koerber, Veerle Vanvoorden, Maggie Wang, Dirk de Cuyper, Cynthia Madden, Natalie Nunez Gomez, Mark Lebwohl

Summary: This study evaluated the efficacy and safety of switching to bimekizumab from adalimumab, ustekinumab, and secukinumab. The results showed rapid and durable improvements in clinical responses among nonresponders who switched to bimekizumab. Furthermore, the majority of patients who responded well to previous treatments maintained or improved their response after switching to bimekizumab. Overall, switching to bimekizumab was found to be highly effective and well tolerated for psoriasis patients.

BRITISH JOURNAL OF DERMATOLOGY (2023)

Editorial Material Dermatology

The Relationship of Depression and Systemic Inflammation in Psoriasis: Findings from the UK Biobank

Georgia Lada, Hector Chinoy, Peter S. Talbot, Richard B. Warren, C. Elise Kleyn

JOURNAL OF INVESTIGATIVE DERMATOLOGY (2023)

Article Dermatology

Uptake of tumour necrosis factor-alpha inhibitor biosimilars for psoriasis: a drug utilization study from the British Association of Dermatologists Biologic and Immunomodulators Register (BADBIR)

Duc Binh Phan, Anthony P. Bewley, Catherine H. Smith, Teena Mackenzie, Christopher E. M. Griffiths, Mark Lunt, Richard B. Warren, Zenas Z. N. Yiu

Summary: This study investigated the uptake of TNFi biosimilars in the UK and Ireland and found that the use of biosimilars increased over time and varied across regions. Biosimilars were more commonly used by men and patients with lower disease severity.

BRITISH JOURNAL OF DERMATOLOGY (2023)

Article Dermatology

Imsidolimab, an anti-interleukin-36 receptor monoclonal antibody, for the treatment of generalized pustular psoriasis: results from the phase II GALLOP trial

Richard B. Warren, Adam Reich, Andrzej Kaszuba, Waldemar Placek, Christopher E. M. Griffiths, Jihao Zhou, Bruce Randazzo, Paul Lizzul, Johann E. Gudjonsson

Summary: In this study, the efficacy and safety of the anti-IL-36 receptor antibody imsidolimab in patients with generalized pustular psoriasis (GPP) were evaluated. Rapid and sustained improvement in symptoms and pustular eruptions of GPP were observed after imsidolimab treatment. These findings support imsidolimab as a therapeutic option for GPP.

BRITISH JOURNAL OF DERMATOLOGY (2023)

Article Dermatology

Effectiveness and survival of methotrexate versus adalimumab in patients with moderate-to-severe psoriasis: a cohort study from the British Association of Dermatologists Biologics and Immunomodulators Register (BADBIR)

Oras A. Alabas, Kayleigh J. Mason, Zenas Z. N. Yiu, Richard B. Warren, Mark Lunt, Catherine H. Smith, Christopher E. M. Griffiths, BADBIR Study Grp

Summary: The aim of this study was to determine the real-world effectiveness and survival of methotrexate (MTX) and adalimumab (ADA) in patients with moderate-to-severe psoriasis registered in BADBIR. The study found that patients on ADA were twice as likely to be clear or nearly clear of psoriasis and were less likely to discontinue their medication than patients on MTX.

BRITISH JOURNAL OF DERMATOLOGY (2023)

Article Dermatology

Bimekizumab maintenance of response through 3 years in patients with moderate-to-severe plaque psoriasis: results from the BE BRIGHT open-label extension trial

Bruce Strober, Yayoi Tada, Ulrich Mrowietz, Mark Lebwohl, Peter Foley, Richard G. Langley, Richard B. Warren, Maggie Wang, Veerle Vanvoorden, Balint Szilagyi, Valerie Ciaravino, Carle Paul

Summary: It is important to evaluate the long-term efficacy of new treatments for psoriasis. This study found that the majority of patients who responded to bimekizumab treatment at Week 16 maintained a high level of clinical response after 3 years of treatment. These findings demonstrate the long-term effectiveness of bimekizumab in patients with moderate-to-severe plaque psoriasis and its important benefits for health-related quality of life.

BRITISH JOURNAL OF DERMATOLOGY (2023)

Review Pharmacology & Pharmacy

TYK2 as a novel therapeutic target in psoriasis

Sarah Elyoussfi, Shraddha S. Rane, Steve Eyre, Richard B. Warren

Summary: Tyrosine kinase 2 (TYK2) plays an important role in the pathogenesis of psoriasis, and genome-wide association studies (GWAS) have identified TYK2 as a potential therapeutic target. Recent clinical trials have shown that TYK2 inhibitors have promise in treating psoriasis. Pathway analysis through genetic and genomic means is believed to be crucial for optimizing TYK2 therapy.

EXPERT REVIEW OF CLINICAL PHARMACOLOGY (2023)

Article Dermatology

The risk of venous thromboembolism in atopic dermatitis: a matched cohort analysis in UK primary care

Richard B. Warren, Victoria Basey, Anita Lynam, Charlotte Curtis, Michael R. Ardern-Jones

Summary: A UK study found that people with atopic dermatitis (AD) have a 30% higher risk of deep-vein thrombosis and a 17% higher risk of venous thromboembolism (VTE). The increased VTE risk is lower in younger individuals and those without obesity. Identifying AD patients at higher VTE risk could impact clinical decision-making.

BRITISH JOURNAL OF DERMATOLOGY (2023)

Article Dermatology

Short-, Mid-, and Long-Term Efficacy of Deucravacitinib Versus Biologics and Nonbiologics for Plaque Psoriasis: A Network Meta-Analysis

April W. Armstrong, Richard B. Warren, Yichen Zhong, Joe Zhuo, Allie Cichewicz, Ananth Kadambi, Daniela Junqueira, Tracy Westley, Renata Kisa, Carolin Daamen, Matthias Augustin

Summary: Deucravacitinib, a newly approved oral medication for moderate to severe plaque psoriasis, demonstrated efficacy versus apremilast and placebo. A systematic review and network meta-analysis compared deucravacitinib with other systemic treatments, showing its high PASI 75 response rates that are comparable to first-generation biologics adalimumab and ustekinumab.

DERMATOLOGY AND THERAPY (2023)

Meeting Abstract Dermatology

The impact of the COVID-19 pandemic on people with psoriasis: an update from the PsoProtect and PsoProtectMe global registries

S. Mahil, N. Dand, K. Bechman, E. Cook, T. Tsakok, Z. Yiu, S. Langan, H. McAteer, J. Galloway, K. Mason, R. Warren, F. Capon, P. DiMeglio, F. Meynell, B. Coker, A. Vincent, J. Kelly, D. Urmston, A. Vesty, C. Lancelot, H. Bachelez, C. Contreras, C. de la Cruz, P. Gisondi, D. Jullien, J. Lambert, L. Naldi, S. Norton, L. Puig, P. Spuls, T. Torres, H. Waweru, L. Moorhead, M. Yates, J. Weinman, M. Brown, C. Griffiths, J. Barker, C. Smith

BRITISH JOURNAL OF DERMATOLOGY (2022)

Meeting Abstract Dermatology

Bimekizumab in patients with moderate-to-severe plaque psoriasis by bodyweight: pooled results from phase III trials

A. Pinter, B. Strober, D. Rosmarin, P. Gisondi, V. Vanvoorden, L. Peterson, C. Madden, D. de Cuyper, R. Warren

BRITISH JOURNAL OF DERMATOLOGY (2022)

Meeting Abstract Dermatology

Investigation of the interleukin-23R psoriasis/psoriatic arthritis susceptibility locus

S. Rane, S. Eyre, R. Warren

BRITISH JOURNAL OF DERMATOLOGY (2022)

Meeting Abstract Dermatology

Antibody responses to SARS-CoV-2 vaccination in patients receiving immunomodulators for immune-mediated inflammatory disease

A. Al-Janabi, Z. Littlewood, C. Griffiths, H. Hunter, H. Chinoy, C. Moriarty, Z. Yiu, J. Limdi, R. Warren

BRITISH JOURNAL OF DERMATOLOGY (2022)

No Data Available