Efficacy and safety of ixekizumab for the treatment of moderate-to-severe plaque psoriasis: Results through 108 weeks of a randomized, controlled phase.

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Presentation transcript:

Efficacy and safety of ixekizumab for the treatment of moderate-to-severe plaque psoriasis: Results through 108 weeks of a randomized, controlled phase 3 clinical trial (UNCOVER-3)  Andrew Blauvelt, MD, MBA, Melinda Gooderham, MD, MSc, Lars Iversen, MD, DMSc, Susan Ball, PhD, Lu Zhang, MS, Noah O. Agada, MD, Kristian Reich, MD  Journal of the American Academy of Dermatology  Volume 77, Issue 5, Pages 855-862 (November 2017) DOI: 10.1016/j.jaad.2017.06.153 Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 Time course of PASI response rates through 108 weeks of treatment with the recommended ixekizumab dosing regimen. PASI 75 (A), PASI 90 (B), and PASI 100 (C) response rates at each postbaseline visit for the ixekizumab every 2 weeks (from weeks 0 to 12) and then ixekizumab every 4 weeks (from weeks 13 to 108) dosing regimen. The as-observed sample size is provided for the 108-week visit. Error bars represent 95% confidence intervals. MI, Multiple imputation; MI, modified multiple imputation; PASI 75/90/100, 75/90/100 percent improvement from baseline in the Psoriasis Area and Severity Index. Journal of the American Academy of Dermatology 2017 77, 855-862DOI: (10.1016/j.jaad.2017.06.153) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 Time course of sPGA response rates through 108 weeks of treatment with the recommended ixekizumab dosing regimen. sPGA (0,1) (A) and sPGA (0) (B) response rates at each postbaseline visit for the ixekizumab every 2 weeks (from weeks 0 to 12) and then ixekizumab every 4 weeks (from weeks 13 to 108) dosing regimen. The as-observed sample size is provided for the 108-week visit. Error bars represent 95% confidence intervals. MI, Multiple imputation; mMI, modified multiple imputation; sPGA (0,1) or (0), static Physician's Global Assessment score of 0 or 1 (0,1) or 0 (0). Journal of the American Academy of Dermatology 2017 77, 855-862DOI: (10.1016/j.jaad.2017.06.153) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 3 Fingernail, scalp, and nonpustular palmoplantar psoriasis clearance rates at 108 weeks with recommended ixekizumab dosing regimen. A, NAPSI = 0 response rate at each postbaseline visit for the ixekizumab every 2 weeks (from weeks 0 to 12) and then ixekizumab every 4 weeks (from weeks 13 to 108) dosing regimen. Only fingernail psoriasis was assessed in UNCOVER-3. B, PSSI = 0 and PPASI 100 response rate at 108 weeks for the ixekizumab every 2 weeks (from weeks 0 to 12) and then ixekizumab every 4 weeks (from weeks 13 to 108) dosing regimen. Response rates are determined for patients with baseline fingernail, scalp, or nonpustular palmoplantar psoriasis. The as-observed sample size for each measure is provided for the 108-week visit. Error bars represent 95% confidence intervals. MI, Multiple imputation, mMI, modified nonresponder imputation; NAPSI = 0, Nail Psoriasis Severity Index score of 0; PPASI 100, 100% improvement from baseline in the Palmoplantar Psoriasis Area and Severity Index; PSSI = 0, Psoriasis Scalp Severity Index score of 0. Journal of the American Academy of Dermatology 2017 77, 855-862DOI: (10.1016/j.jaad.2017.06.153) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 4 Long-term efficacy response rates for the recommended dosing regimen excluding patient visits with increased dose frequency. PASI 75 (A) and sPGA (0,1) (B) response rates for each visit weeks 60-108 for the ixekizumab every 2 weeks (for weeks 0-12) and then ixekizumab every 4 weeks (for weeks 13-108) dosing regimen including (+ IXE Q2W) and excluding (– IXE Q2W) data from visits with patients receiving ixekizumab every 2 weeks. The as-observed sample size is provided for the 108-week visit. Error bars represent 95% confidence intervals. IXE, Ixekizumab; MI, multiple imputation; mMI, modified multiple imputation; PASI 75, 75% improvement from baseline in the Psoriasis Area and Severity Index; Q2W, every 2 weeks; sPGA (0,1), static Physician's Global Assessment score of 0 or 1. Journal of the American Academy of Dermatology 2017 77, 855-862DOI: (10.1016/j.jaad.2017.06.153) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions