Perspectives in Psoriasis: Assessing Treatment Efficacy—Which Measures, What Do They Tell Us?

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Presentation transcript:

Perspectives in Psoriasis: Assessing Treatment Efficacy—Which Measures, What Do They Tell Us?

Psoriasis Area Severity Index (PASI)

PASI 50, 75, 90

Calculation of PASI

Severity of Psoriatic Lesions

Dermatology Life Quality Index (DLQI)

Scoring DLQI

Physician’s Global Assessment (PGA)

PASI 75 and 90 Responses Achieved With Biologics (2014): Data From Pivotal Phase 3 Studies

Secukinumab Superior to Ustekinumab in Clearing Skin in Moderate-to-Severe Plaque Psoriasis: CLEAR Study 16-Week Results

Secukinumab Phase 3: Robust and Sustained Responses to Week 52

Ixekizumab for Treatment of Moderate-to-Severe Plaque Psoriasis

Improving Magnitude of Response: QoL Is Maximized in Patients Who Achieve PASI 90-100 Response

Secukinumab Phase 3: PASI 90 Provides Rapid and Sustained QoL Improvement Compared With PASI 75-89

Ixekizumab Phase 3 Trials: PASI 100 and PASI 90 Associated With Significantly Improved DLQI vs PASI 75

Improving Long-term Response: Sustained Remission Is a Key Treatment Goal

Some Issues With PASI

Multiple Dimensions

Historical Dimension

Temporal Dimension

Other Factors to Consider

Some Issues With DLQI

DLQI Over a Lifetime Is Worse Than at a Given Point in Time

What Is CLCI?

5 Key Components to CLCI

Coping Strategies Mediate the Effects of Psoriasis

Fundamental Requirements of a New Tool

Simplified Psoriasis Index (SPI)

Learning Points

Abbreviations