Apremilast, an oral phosphodiesterase-4 inhibitor, in the treatment of palmoplantar psoriasis: Results of a pooled analysis from phase II PSOR-005 and.

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Apremilast, an oral phosphodiesterase-4 inhibitor, in the treatment of palmoplantar psoriasis: Results of a pooled analysis from phase II PSOR-005 and phase III Efficacy and Safety Trial Evaluating the Effects of Apremilast in Psoriasis (ESTEEM) clinical trials in patients with moderate to severe psoriasis  Robert Bissonnette, MD, David M. Pariser, MD, Norman R. Wasel, MD, FRCPC, Joana Goncalves, MD, Robert M. Day, PhD, Rongdean Chen, PhD, Michael Sebastian, MD  Journal of the American Academy of Dermatology  Volume 75, Issue 1, Pages 99-105 (July 2016) DOI: 10.1016/j.jaad.2016.02.1164 Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 Patient disposition for the PSOR-005, Efficacy and Safety Trial Evaluating the Effects of Apremilast in Psoriasis (ESTEEM) 1, and ESTEEM 2 clinical studies. PPPGA, Palmoplantar Psoriasis Physician Global Assessment. Journal of the American Academy of Dermatology 2016 75, 99-105DOI: (10.1016/j.jaad.2016.02.1164) Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 Achievement of Palmoplantar Psoriasis Physician Global Assessment (PPPGA) score of 0 (clear) or 1 (almost clear) at week 16 in patients with a PPPGA score 3 or higher at baseline, indicating moderate or severe palmoplantar psoriasis. Missing values were handled using nonresponder imputation. n/N, number of patients with response/sufficient data for evaluation. *P = .021 by Fisher exact test versus placebo. Journal of the American Academy of Dermatology 2016 75, 99-105DOI: (10.1016/j.jaad.2016.02.1164) Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions

Fig 3 Effect of apremilast 30 mg twice daily in a patient with palmoplantar psoriasis at baseline (Palmoplantar Psoriasis Physician Global Assessment [PPPGA] score = 3) (A) and week 16 (PPPGA score = 0) (B). Journal of the American Academy of Dermatology 2016 75, 99-105DOI: (10.1016/j.jaad.2016.02.1164) Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions

Fig 4 Achievement of Palmoplantar Psoriasis Physician Global Assessment (PPPGA) score of 0 (clear) at week 16 in patients with a PPPGA score 1 or higher at baseline, indicating the presence of any palmoplantar psoriasis. *P < .001 by Fisher exact test versus placebo. BID, Twice a day. Journal of the American Academy of Dermatology 2016 75, 99-105DOI: (10.1016/j.jaad.2016.02.1164) Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions

Fig 5 Achievement of Palmoplantar Psoriasis Physician Global Assessment (PPPGA) score of 0 (clear) or 1 (almost clear) with 1-point or more improvement at week 16 in patients with a PPPGA score 1 or higher at baseline, indicating the presence of any palmoplantar psoriasis. *P < .001 by Fisher exact test versus placebo. BID, Twice a day. Journal of the American Academy of Dermatology 2016 75, 99-105DOI: (10.1016/j.jaad.2016.02.1164) Copyright © 2016 American Academy of Dermatology, Inc. Terms and Conditions