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EXPRESS: Response Rates at Week 10 0.0 25.6 0 20 40 60 80 100 Placebo (n=77) Infliximab 5 mg/kg (n=301) Per cent of patients Per cent of patients with.

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Presentation on theme: "EXPRESS: Response Rates at Week 10 0.0 25.6 0 20 40 60 80 100 Placebo (n=77) Infliximab 5 mg/kg (n=301) Per cent of patients Per cent of patients with."— Presentation transcript:

1 EXPRESS: Response Rates at Week 10 0.0 25.6 0 20 40 60 80 100 Placebo (n=77) Infliximab 5 mg/kg (n=301) Per cent of patients Per cent of patients with PASI Score of 0 (Clear) 0.0 39.0 Placebo (n=77) Infliximab 5 mg/kg (n=292) Per cent of patients with Physician’s Global Assessment of Cleared 1.3 47.1 Placebo (n=77) Infliximab 5 mg/kg (n=291) Per cent of patients with DLQI of 0 Adapted from presentations during Dermatology Update 2006

2 EXPRESS: Phase III *P<0.001 vs. placebo 0 20 40 60 80 100 Placebo (n=77)Infliximab 5 mg/kg (n=301) Per cent of patients with  75% Improvement in PASI 02610142224 Weeks * * * * * 80.4%82.2% Adapted from presentations during Dermatology Update 2006

3 Efficacy of Systemic Therapies in Psoriasis 21% 27% 34% 49% 80% 0% 20% 40% 60% 80% 100% Alefacept i.m. 15 mgEfalizumab 1 mg/kg/wk Etanercept 25 mg BIWEtanercept 50 mg BIW Infliximab 5 mg/kg 83% 71% 68% 60% 50% 0% 20% 40% 60% 80% 100% PUVACyAUVBMTXFAE Alefacept: Lebwohl et al. Arch Dermatol 2003 Efalizumab: Gordon et al. JAMA 2003 Menter et al. Arch Dermatol 2005 Etanercept: Leonardi et al. N Engl J Med 2003 Infliximab: Reich et al. Lancet 2005 PUVA, UVB: Spuls et al. Br J Dermatol 1997 CyA, MTX: Heydendael et al. N Engl J Med 2003 FAE: Altmeyer et al. J Am Acad Dermatol 1994 PASI 75 or equivalent; induction therapy (10 to 16 weeks) Adapted from presentations during Dermatology Update 2006

4 Treat active TB to resolution New patient office visit PPD test positive and active TB Initiate latent TB treatment Initiate therapy Administer appropriate TB screening test (PPD skin test + CXR + family history) Evaluate test results Test negative Initiate therapy PPD test positive and normal CXR Arend SM et al. Neth J Med 2003;61(4):111-9 Algorithm for TB Testing: European-based Recommendations


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