Dermatology and Therapy (Sep 2024)

Secukinumab in the Treatment of Psoriasis: A Narrative Review on Early Treatment and Real-World Evidence

  • Piergiorgio Malagoli,
  • Paolo Dapavo,
  • Paolo Amerio,
  • Laura Atzori,
  • Anna Balato,
  • Federico Bardazzi,
  • Luca Bianchi,
  • Angelo Cattaneo,
  • Andrea Chiricozzi,
  • Maurizio Congedo,
  • Maria Concetta Fargnoli,
  • Claudia Giofrè,
  • Paolo Gisondi,
  • Claudio Guarneri,
  • Serena Lembo,
  • Francesco Loconsole,
  • Giampiero Mazzocchetti,
  • Santo Raffaele Mercuri,
  • Pietro Morrone,
  • Anna Maria Offidani,
  • Giovanni Palazzo,
  • Aurora Parodi,
  • Giovanni Pellacani,
  • Stefano Piaserico,
  • Concetta Potenza,
  • Francesca Prignano,
  • Marco Romanelli,
  • Paola Savoia,
  • Luca Stingeni,
  • Massimo Travaglini,
  • Emanuele Trovato,
  • Marina Venturini,
  • Leonardo Zichichi,
  • Antonio Costanzo

DOI
https://doi.org/10.1007/s13555-024-01255-4
Journal volume & issue
Vol. 14, no. 10
pp. 2739 – 2757

Abstract

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Abstract Psoriasis is a chronic, immune-mediated, inflammatory skin disease, associated with multiple comorbidities and psychological and psychiatric disorders. The quality of life of patients with this disease is severely compromised, especially in moderate-to-severe plaque psoriasis. Secukinumab, a fully humanized monoclonal antibody, was the first anti-interleukin (IL)-17 biologic approved for treating psoriasis. Secukinumab demonstrated long-lasting efficacy and a good safety profile in individuals with plaque psoriasis, and it is associated with an improvement in health-related quality of life. While there is evidence that early treatment with systemic therapy can affect disease progression and improve long-term outcomes in other autoimmune diseases, evidence is limited in psoriasis, especially in real-world settings. This review provides an overview of studies describing the effectiveness of secukinumab in the treatment of psoriasis summarizing the literature and focusing on real-world evidence and early intervention.

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