Efficacy and safety of ixekizumab over 4 years of open-label treatment in a phase 2 study in chronic plaque psoriasis

Research output: Contribution to journalJournal articleResearchpeer-review

Claus Zachariae, Kenneth Gordon, Alexandra B Kimball, Mark Lebwohl, Andrew Blauvelt, Craig Leonardi, Daniel Braun, Missy McKean-Matthews, Russel Burge, Gregory Cameron

BACKGROUND: Ixekizumab has demonstrated improvement in patients with moderate-to-severe psoriasis by selectively targeting interleukin-17A, which is a proinflammatory cytokine that is important in the pathogenesis of psoriasis.

OBJECTIVE: To report 4-year efficacy and safety results from the open-label extension (OLE) of this phase 2 trial.

METHODS: Analysis was by last observation carried forward. Patients received ixekizumab, 120 mg, and then 80 mg subcutaneously once every 4 weeks.

RESULTS: Of the patients who completed the randomized placebo-controlled trial, 93% entered the OLE. A 75% reduction in the Psoriasis Area Severity Index score was reported in 82% of patients at week 208 of the OLE. A static Physician's Global Assessment score of 0 or 1 was reported in 64% of patients, and a score of 0 was reported in 45% at week 208. Patients' Dermatology Life Quality Index and Itch Visual Analog Scale scores decreased when compared with baseline. Improvements were observed in other efficacy and health outcome measures. Serious adverse events were observed in 16.7% of patients, and 87% had 1 or more treatment-emergent adverse events. Three patients had serious infections. One patient reported 2 major cardiovascular events.

LIMITATIONS: The study was unblinded and lacked a placebo or active comparator.

CONCLUSIONS: Efficacy was shown to be maintained for up to 4 years of ixekizumab treatment.

Original languageEnglish
JournalJournal of the American Academy of Dermatology
Volume79
Issue number2
Pages (from-to)294-301.e6
ISSN0190-9622
DOIs
Publication statusPublished - 2018

    Research areas

  • Adult, Antibodies, Monoclonal, Humanized/administration & dosage, Chronic Disease, Dermatologic Agents/administration & dosage, Female, Humans, Injections, Subcutaneous, Interleukin-17/antagonists & inhibitors, Male, Middle Aged, Pruritus/prevention & control, Psoriasis/complications, Quality of Life, Severity of Illness Index, Treatment Outcome

ID: 217512985