Skip to main content
Erschienen in: Journal of Cutaneous Medicine and Surgery 6/2005

01.12.2005

Safety of Efalizumab in Patients with Moderate to Severe Chronic Plaque Psoriasis: Review of Clinical Data. Part II

verfasst von: Kim A. Papp, Charles Camisa, Stephen P. Stone, Ivor Caro, Xiaolin Wang, Peter Compton, Patricia A. Walicke, Alice B. Gottlieb

Erschienen in: Journal of Cutaneous Medicine and Surgery | Ausgabe 6/2005

Einloggen, um Zugang zu erhalten

Abstract

Background

The efficacy and safety of efalizumab have been evaluated in multiple clinical trials.

Objective

The purpose of this review is to provide an overview of the safety profile of efalizumab during the clinical trials.

Methods

Twelve-week data from four placebo-controlled trials were pooled and analyzed. Data from patients receiving 13–60 weeks of efalizumab therapy were pooled to evaluate longer-term safety.

Results

The most common adverse events were mild to moderate, self-limiting, flu-like symptoms that were most frequent following the first two efalizumab doses; by the third dose the incidence was comparable to placebo. Serious adverse events were observed in 2.2% and 1.7% of efalizumab- and placebo-treated patients, respectively. Nonserious adverse events leading to withdrawal were infrequent and similar to placebo (2.8% vs 1.8%). There does not appear to be increased risk of end-organ toxicity, infection, or malignancy in efalizumab-treated patients.

Conclusion

Efalizumab was well tolerated, with a favorable safety profile.
Literatur
1.
Zurück zum Zitat Koo J. Population-based epidemiologic study of psoriasis with emphasis on quality of life assessment. Dermatol Clin 1996; 14:485–496PubMedCrossRef Koo J. Population-based epidemiologic study of psoriasis with emphasis on quality of life assessment. Dermatol Clin 1996; 14:485–496PubMedCrossRef
2.
Zurück zum Zitat Tristani-Firouzi P, Krueger GG. Efficacy and safety of treatment modalities for psoriasis. Cutis 1998; 61:11–21PubMed Tristani-Firouzi P, Krueger GG. Efficacy and safety of treatment modalities for psoriasis. Cutis 1998; 61:11–21PubMed
3.
Zurück zum Zitat Lebwohl M, Ellis C, Gottlieb A, et al. Cyclosporine consensus conference: with emphasis on the treatment of psoriasis. J Am Acad Dermatol 1998; 39:464–475PubMedCrossRef Lebwohl M, Ellis C, Gottlieb A, et al. Cyclosporine consensus conference: with emphasis on the treatment of psoriasis. J Am Acad Dermatol 1998; 39:464–475PubMedCrossRef
4.
5.
Zurück zum Zitat Wollina U, Stander K, Barta U. Toxicity of methotrexate treatment in psoriasis and psoriatic arthritis—short- and long-term toxicity in 104 patients. Clin Rheumatol 2001; 20:406–410PubMedCrossRef Wollina U, Stander K, Barta U. Toxicity of methotrexate treatment in psoriasis and psoriatic arthritis—short- and long-term toxicity in 104 patients. Clin Rheumatol 2001; 20:406–410PubMedCrossRef
6.
Zurück zum Zitat Nijsten TE, Stern RS. The increased risk of skin cancer is persistent after discontinuation of psoralen+ultraviolet A: a cohort study. J Invest Dermatol 2003; 121:252–258PubMedCrossRef Nijsten TE, Stern RS. The increased risk of skin cancer is persistent after discontinuation of psoralen+ultraviolet A: a cohort study. J Invest Dermatol 2003; 121:252–258PubMedCrossRef
7.
Zurück zum Zitat Lebwohl M, Ali S. Treatment of psoriasis. Part 2. Systemic therapies. J Am Acad Dermatol 2001; 45:649–661PubMedCrossRef Lebwohl M, Ali S. Treatment of psoriasis. Part 2. Systemic therapies. J Am Acad Dermatol 2001; 45:649–661PubMedCrossRef
8.
Zurück zum Zitat Weinstein GD, White GM. An approach to the treatment of moderate to severe psoriasis with rotational therapy. J Am Acad Dermatol 1993; 28:454–459PubMedCrossRef Weinstein GD, White GM. An approach to the treatment of moderate to severe psoriasis with rotational therapy. J Am Acad Dermatol 1993; 28:454–459PubMedCrossRef
9.
Zurück zum Zitat Griffiths CE, Dubertret L, Ellis CN, et al. Ciclosporin in psoriasis clinical practice: an international consensus statement. Br J Dermatol 2004; 150(suppl 67):11–23PubMedCrossRef Griffiths CE, Dubertret L, Ellis CN, et al. Ciclosporin in psoriasis clinical practice: an international consensus statement. Br J Dermatol 2004; 150(suppl 67):11–23PubMedCrossRef
10.
Zurück zum Zitat Singri P, West DP, Gordon KB. Biologic therapy for psoriasis: the new therapeutic frontier. Arch Dermatol 2002; 138:657–663PubMedCrossRef Singri P, West DP, Gordon KB. Biologic therapy for psoriasis: the new therapeutic frontier. Arch Dermatol 2002; 138:657–663PubMedCrossRef
11.
Zurück zum Zitat Werther WA, Gonzalez TN, O’Connor SJ, et al. Humanization of an anti-lymphocyte function-associated antigen (LFA)-1 monoclonal antibody and reengineering of the humanized antibody for binding to rhesus LFA-1. J Immunol 1996; 157:4986–4995PubMed Werther WA, Gonzalez TN, O’Connor SJ, et al. Humanization of an anti-lymphocyte function-associated antigen (LFA)-1 monoclonal antibody and reengineering of the humanized antibody for binding to rhesus LFA-1. J Immunol 1996; 157:4986–4995PubMed
12.
Zurück zum Zitat Gottlieb A, Krueger JG, Bright R, et al. Effects of administration of a single dose of a humanized monoclonal antibody to CD11a on the immunobiology and clinical activity of psoriasis. J Am Acad Dermatol 2000; 42:428–435PubMedCrossRef Gottlieb A, Krueger JG, Bright R, et al. Effects of administration of a single dose of a humanized monoclonal antibody to CD11a on the immunobiology and clinical activity of psoriasis. J Am Acad Dermatol 2000; 42:428–435PubMedCrossRef
13.
Zurück zum Zitat Gottlieb AB, Krueger JG, Wittkowski K, et al. Psoriasis as a model for T-cell-mediated disease: immunobiologic and clinical effects of treatment with multiple doses of efalizumab, an anti-CD11a antibody. Arch Dermatol 2002; 138:591–600PubMedCrossRef Gottlieb AB, Krueger JG, Wittkowski K, et al. Psoriasis as a model for T-cell-mediated disease: immunobiologic and clinical effects of treatment with multiple doses of efalizumab, an anti-CD11a antibody. Arch Dermatol 2002; 138:591–600PubMedCrossRef
14.
Zurück zum Zitat Papp K, Bissonnette R, Krueger JG, et al. The treatment of moderate to severe psoriasis with a new anti-CD11a monoclonal antibody. J Am Acad Dermatol 2001; 45:665–674PubMedCrossRef Papp K, Bissonnette R, Krueger JG, et al. The treatment of moderate to severe psoriasis with a new anti-CD11a monoclonal antibody. J Am Acad Dermatol 2001; 45:665–674PubMedCrossRef
15.
Zurück zum Zitat Gottlieb AB, Miller B, Lowe N, et al. Subcutaneously administered efalizumab (anti-CD11a) improves signs and symptoms of moderate to severe plaque psoriasis. J Cutan Med Surg 2003; 7:198–207PubMedCrossRef Gottlieb AB, Miller B, Lowe N, et al. Subcutaneously administered efalizumab (anti-CD11a) improves signs and symptoms of moderate to severe plaque psoriasis. J Cutan Med Surg 2003; 7:198–207PubMedCrossRef
16.
Zurück zum Zitat Leonardi CL, Papp KA, Gordon KB, et al. Extended efalizumab therapy improves chronic plaque psoriasis: results from a randomized phase III trial. J Am Acad Dermatol 2005; 52:425–433PubMedCrossRef Leonardi CL, Papp KA, Gordon KB, et al. Extended efalizumab therapy improves chronic plaque psoriasis: results from a randomized phase III trial. J Am Acad Dermatol 2005; 52:425–433PubMedCrossRef
17.
Zurück zum Zitat Lebwohl M, Tyring SK, Hamilton TK, et al. A novel targeted T-cell modulator, efalizumab, for plaque psoriasis. N Engl J Med 2003; 349:2004–2013PubMedCrossRef Lebwohl M, Tyring SK, Hamilton TK, et al. A novel targeted T-cell modulator, efalizumab, for plaque psoriasis. N Engl J Med 2003; 349:2004–2013PubMedCrossRef
18.
Zurück zum Zitat Gottlieb AB, Gordon KB, Lebwohl MG, et al. Extended efalizumab therapy sustains efficacy without increasing toxicity in patients with moderate to severe chronic plaque psoriasis. J Drugs Dermatol 2004; 3:614–624PubMed Gottlieb AB, Gordon KB, Lebwohl MG, et al. Extended efalizumab therapy sustains efficacy without increasing toxicity in patients with moderate to severe chronic plaque psoriasis. J Drugs Dermatol 2004; 3:614–624PubMed
19.
Zurück zum Zitat Gordon KB, Papp KA, Hamilton TK, et al. Efalizumab for patients with moderate to severe plaque psoriasis: A randomized controlled trial. JAMA 2003; 290:3073–3080PubMedCrossRef Gordon KB, Papp KA, Hamilton TK, et al. Efalizumab for patients with moderate to severe plaque psoriasis: A randomized controlled trial. JAMA 2003; 290:3073–3080PubMedCrossRef
20.
Zurück zum Zitat Menter A, Gordon K, Carey W, et al. Efficacy and safety observed during 24 weeks of efalizumab therapy in patients with moderate to severe plaque psoriasis. Arch Dermatol 2005; 141:31–38PubMedCrossRef Menter A, Gordon K, Carey W, et al. Efficacy and safety observed during 24 weeks of efalizumab therapy in patients with moderate to severe plaque psoriasis. Arch Dermatol 2005; 141:31–38PubMedCrossRef
21.
Zurück zum Zitat Stern RS, Laird N. The carcinogenic risk of treatments for severe psoriasis. Photochemotherapy Follow-up Study. Cancer 1994; 73:2759–2764 Stern RS, Laird N. The carcinogenic risk of treatments for severe psoriasis. Photochemotherapy Follow-up Study. Cancer 1994; 73:2759–2764
22.
Zurück zum Zitat Raptiva® (efalizumab) package insert. South San Francisco, Genentech, Inc., June 2005 Raptiva® (efalizumab) package insert. South San Francisco, Genentech, Inc., June 2005
23.
Zurück zum Zitat Menter A, Kardatzke D, Rundle AC, et al. Incidence and prevention of rebound upon abrupt efalizumab discontinuation. Poster presented at: 10th Annual International Psoriasis Symposium, June, 10–13, 2004, Toronto, Ontario, Canada Menter A, Kardatzke D, Rundle AC, et al. Incidence and prevention of rebound upon abrupt efalizumab discontinuation. Poster presented at: 10th Annual International Psoriasis Symposium, June, 10–13, 2004, Toronto, Ontario, Canada
24.
Zurück zum Zitat Papp KA, Mease PJ, Garovoy MR, et al. Efalizumab in patients with psoriatic arthritis: Results of a phase II, randomized, double-blind, placebo-controlled study. Poster presented at: 10th International Psoriasis Symposium, June 10–13, 2004, Toronto, Ontario, Canada Papp KA, Mease PJ, Garovoy MR, et al. Efalizumab in patients with psoriatic arthritis: Results of a phase II, randomized, double-blind, placebo-controlled study. Poster presented at: 10th International Psoriasis Symposium, June 10–13, 2004, Toronto, Ontario, Canada
25.
Zurück zum Zitat Diepgen TL, Mahler V. The epidemiology of skin cancer. Br J Dermatol 2002; 146(suppl 61):1–6PubMedCrossRef Diepgen TL, Mahler V. The epidemiology of skin cancer. Br J Dermatol 2002; 146(suppl 61):1–6PubMedCrossRef
26.
Zurück zum Zitat Harris RB, Griffith K, Moon TE. Trends in the incidence of nonmelanoma skin cancers in southeastern Arizona, 1985–1996. J Am Acad Dermatol 2001; 45:528–536PubMedCrossRef Harris RB, Griffith K, Moon TE. Trends in the incidence of nonmelanoma skin cancers in southeastern Arizona, 1985–1996. J Am Acad Dermatol 2001; 45:528–536PubMedCrossRef
27.
Zurück zum Zitat Marcil I, Stern RS. Squamous-cell cancer of the skin in patients given PUVA and ciclosporine: nested cohort crossover study. Lancet 24756; 358:1042–1045 Marcil I, Stern RS. Squamous-cell cancer of the skin in patients given PUVA and ciclosporine: nested cohort crossover study. Lancet 24756; 358:1042–1045
Metadaten
Titel
Safety of Efalizumab in Patients with Moderate to Severe Chronic Plaque Psoriasis: Review of Clinical Data. Part II
verfasst von
Kim A. Papp
Charles Camisa
Stephen P. Stone
Ivor Caro
Xiaolin Wang
Peter Compton
Patricia A. Walicke
Alice B. Gottlieb
Publikationsdatum
01.12.2005
Erschienen in
Journal of Cutaneous Medicine and Surgery / Ausgabe 6/2005
Print ISSN: 1203-4754
Elektronische ISSN: 1615-7109
DOI
https://doi.org/10.1007/s10227-005-0117-0

Weitere Artikel der Ausgabe 6/2005

Journal of Cutaneous Medicine and Surgery 6/2005 Zur Ausgabe

Leitlinien kompakt für die Dermatologie

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Dermatologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.