Secukinumab improves psoriasis symptoms in patients with inadequate response to cyclosporine A: A prospective study to evaluate direct switch

• Published in: Journal of dermatology Vol. 44; no. 10; pp. 1105 - 1111
• Main Authors: Ohtsuki, Mamitaro, Morita, Akimichi, Igarashi, Atsuyuki, Imafuku, Shinichi, Tada, Yayoi, Fujita, Hiroyuki, Fujishige, Ayako, Yamaguchi, Masako, Teshima, Rie, Tani, Yumiko, Nakagawa, Hidemi
• Format: Journal Article
• Language: English
• Published: England Wiley Subscription Services, Inc 01-10-2017; John Wiley and Sons Inc
• Subjects: Adult; Antibodies, Monoclonal - therapeutic use; Biological Therapy - adverse effects; Biological Therapy - methods; Cyclosporine - therapeutic use; cyclosporine A; Cyclosporins; Dermatologic Agents - therapeutic use; Drug Substitution - adverse effects; Drug Substitution - methods; Female; Humans; Interleukin-17 - antagonists & inhibitors; interleukin‐17A; Japan; Male; Middle Aged; Monoclonal antibodies; Original; Prospective Studies; Psoriasis; Psoriasis - drug therapy; secukinumab; Severity of Illness Index; switch; Treatment Outcome; interleukin-17A; cyclosporine A; psoriasis; secukinumab; switch
• ISSN: 0385-2407; 1346-8138
• DOI: 10.1111/1346-8138.13911

There are limited data on the safety and efficacy of switching to secukinumab from cyclosporine A (CyA) in patients with psoriasis. The purpose of the present study was to assess the efficacy and safety of secukinumab for 16 weeks after direct switching from CyA in patients with moderate‐to‐severe psoriasis. In this multicenter, open‐label, phase IV study, 34 patients with moderate‐to‐severe psoriasis and inadequate response to CyA received secukinumab 300 mg s.c. at baseline and weeks 1, 2, 3, 4, 8 and 12. The primary end‐point was ≥75% improvement from baseline in Psoriasis Area and Severity Index score (PASI 75) at week 16. The efficacy of secukinumab treatment was evaluated up to week 16, and adverse events (AE) were monitored during the study. The primary end‐point of the PASI 75 response at week 16 was achieved by 82.4% (n = 28) of patients receiving secukinumab. Early improvements were observed with secukinumab, with PASI 50 response of 41.2% at week 2 and PASI 75 response of 44.1% at week 4. AE were observed in 70.6% (n = 24) of patients, and there were no serious AE or deaths reported in the entire study period. Secukinumab showed a favorable safety profile consistent with previous data with no new or unexpected safety signals. The results of the present study show that secukinumab is effective in patients with psoriasis enabling a smooth and safe direct switch from CyA to biological therapy.