Daily Archives: April 19, 2021

Is There an Association Between Psoriasis and Thyroid Disease? – Dermatology Advisor

Posted: April 19, 2021 at 7:00 am

Several research articles have shown a positive association between psoriasis and thyroid diseases, including Hashimotos thyroiditis (hypothyroidism) and Graves disease (hyperthyroidism), but the limited number of studies do not provide a complete explanation to prove this association, according to a review study published in Cureus.

This review study included 45 articles that featured psoriasis, hypothyroidism, thyroid function tests, propylthiouracil, and psoriatic arthritis as inclusion keywords. Medical Subject Headings keywords psoriasis, hypothyroidism, and autoimmunity were also imputed into PubMed to identify the relevant articles for review.

A total of 39 of the 45 articles included in this review study demonstrated a positive association between psoriasis and thyroid diseases, although 6 articles found no association.

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In 5 articles, researchers showed that thyroid hormones had an effect on the development of psoriasis. Other articles demonstrated that genetic, immunological, and inflammation were involved in the associations. Reactive oxygen species-related pathogenesis was also reported in 2 articles. In 5 articles, there were reports of positive thyroid peroxidase antibodies, thyroglobulin antibodies, and Hashimotos thyroiditis ultrasound features in patients with psoriasis.

Marked improvement was observed in psoriatic skin lesions following thyroidectomy in 2 articles. In addition, the investigators of this review found that first-line propylthiouracil for hyperthyroidism reportedly clears psoriatic lesions, according to findings in 6 articles. Propylthiouracil did not appear to induce clinical hypothyroidism or lead to any serious adverse effects. The researchers of this review study suggest propylthiouracil could be prescribed as an alternative therapy for patients with psoriasis due to its side effects compared with existing psoriasis treatments that are typically toxic and expensive.

The investigators also noted that a higher prevalence of the association between psoriasis and thyroid diseases in women was reported in some of the articles. However, some articles found no sex preference involved in the prevalence of the association.

Limitations of this study included the small number of articles available for review as well as the lack of a pooled meta-analysis of the data.

The investigators concluded that additional studies are required to establish a connection between these diseases because these findings have a significant impact on both the clinical and research sides.

Eapi S, Chowdhury R, Lawal OS, Mathur N, Malik BH. Etiological association between psoriasis and thyroid diseases. Cureus. 2021;13(1):e12653. Published 2021 Jan 12. doi:10.7759/cureus.12653

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SpaceX Drive for Profit Led to Road Crash Death, Family Says – Bloomberg

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The SpaceX South Texas launch site in Boca Chica Village in Brownsville, Texas.

Photographer: Veronica G. Cardenas/Bloomberg

Photographer: Veronica G. Cardenas/Bloomberg

Billionaire Elon Musks company thats preparing to land people on the moon was too cheap to make a Texas roadway safe, leading to a traffic accident that killed a local man, the victims attorney claims in a lawsuit.

Carlos Venegas, 35, was driving his family home from a beach camping trip around 4 a.m. on July 7, 2020, when he slammed into the back of an idling eighteen-wheeler trying to enter a one-lane, unlit access road to Space Exploration Technologies Corp.s rocket launch facility at Boca Chica, Texas, according to the complaint.

Commercial truckers have difficulty navigating the access road at the southernmost tip of Texas even during daylight hours, claims Tony Buzbee, the victims family lawyer. SpaceX shouldve widened the road, installed safety lighting and installed warnings to beachgoers that there could be trucks stopped there, Buzbee said in the complaint. Instead, SpaceX skimped on safety to push its development timeline, he said.

Venegas died from head injuries, while his wife and three children suffered serious injuries to their spines and legs, according to the complaint, which moved from state court to federal court in nearby Brownsville on Friday. The family seeks more than $20 million in damages.

This was no accident, Buzbee said in the complaint, which also names Dogleg Park, a Texas partnership that owns the SpaceX property.

Defendants are multibillion-dollar corporations owned and operated by some of Americas most successful minds, Buzbee said. It is inconceivable that defendants are qualified to fly rocket ships to the International Space Station but cannot adequately outfit the access points in and around their Cape-Canaveral-like enterprise.

NASA announced Friday that SpaceX had won a $2.9 billion contract to build the first commercial human lander to carry a pair of U.S. astronauts to the moons surface by 2024.

David G. Olveira and Rene Oliveira, two of SpaceXs lawyers, didnt immediately return phone or emailed requests for comment. SpaceXs media department also didnt immediately respond to an emailed request for comment.

The case is Venegas v Space Exploration Technologies Corp., 1:21-cv-54, U.S. District Court, Southern District of Texas (Brownsville).

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I Tried the Whole30 for Psoriatic Arthritis and This Is What Happened – Healthline

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Learning about the relationship between diet and inflammation helped me make long-term changes and have fewer flare-ups.

After suffering from early-onset arthritis and thick, scaly, itchy patches of skin on my hands for years, some recent unexplained changes in my fingernails led me to request a referral to a rheumatologist.

X-rays and bloodwork confirmed my suspicions I have psoriatic arthritis (PsA).

While my 20-year search for an answer was over, the fight to reduce the inflammation causing my pain was just beginning.

I knew from experience that sugar was a trigger for my joint pain, and for years Id eaten a healthy Mediterranean diet.

But were there other foods that might be contributing to the sudden flare-ups that I experienced?

After reading about the success of others who had tried Whole30, a popular elimination diet, I decided it was worth finding out.

Whole30 isnt a weight loss diet. Its a short-term eating program, created by Melissa Hartwig Urban in 2009, to help people change their relationship with food and determine whether specific foods may be negatively impacting their health.

For 30 days, the following foods are off-limits:

Whats left is whole foods that come from an animal or plant, such as meat, fish, fruit, vegetables, healthy fats like olive oil, and herbs and spices.

After youve been on the plan for a full 30 days comes the reintroduction period. One food is reintroduced at a time, allowing several days to pass between eating the food and reintroducing another food.

This is intended to give your body time to let you know if that particular food causes any unwanted symptoms.

Whole30 is very restrictive, so it isnt recommended as a long-term diet. And while there arent any scientific studies touting health benefits of the Whole30 program, it is similar to though stricter than the popular paleo diet, which has some research to back it up.

To be safe, I asked my provider if she recommended the program, and she gave me the green light to get started.

I decided to take the program one step further and removed nightshades from my diet. Nightshades, including tomatoes and peppers, are packed full of nutrition but I suspected they were triggering some of my joint pain.

There is no scientific evidence that nightshades increase inflammation, but some people do find that their joints hurt more when they eat them.

I found the program fairly easy to follow, as long as I cooked most of my own food. The easiest meals were breakfast and lunch.

I eat the same thing almost every morning: eggs, spinach, and avocado. If I added a sweet potato and some extra olive oil, I was satisfied for 4 hours.

Lunch for me is usually a simple salad, or fruit, prosciutto, and olives, or both. As long as the dressing was on-plan, this was still a good option.

My favorite time hack involved preparing extra food for dinner that I could repurpose the next day for lunch.

I found dinner to be the most challenging meal. Since I was no longer eating nightshades, I reworked some of my favorite recipes. I found a wonderful nightshade-free taco seasoning recipe online that made Mexican night possible.

Since I didnt want to cook every single night for a month, I needed to find a takeout restaurant that could accommodate my restrictions.

A local Mediterranean restaurant listed their ingredients online, and I was able to get a meal that was Whole30 compliant. Having this option available felt like a life saver.

Snacks are generally discouraged on the Whole30 program, but as long as the snack is just a smaller version of a meal, its allowed. On-plan turkey slices and mayo layered with lettuce and sprouts became my go-to afternoon pick-me-up.

After being on the program for about a week, I noticed I wasnt in as much pain.

On the other hand, about halfway through the month, I had a moment of weakness. I ate a bite of white potato and some takeout food that had been seasoned with red pepper flakes.

By the time I went to bed that night, I had developed full-body joint pain. These foods are nightshades, so I was pretty sure Id identified one of my triggers.

After getting back on track and completing the 30 days, my pain had improved so much that I cut my anti-inflammatory medication back to once a week.

I saw my rheumatologist while I was completing the Whole30 program to discuss whether I would need another medication for psoriatic arthritis. I told him that I had cut back on my NSAID and that the rough patches on my skin had smoothed out and were no longer cracked and peeling.

My doctor knew that I was doing a Whole30 round and credited my improved symptoms to the elimination of inflammatory foods. He also said I was doing so well that I didnt need to go on medication.

To kick off the reintroduction phase of the program, I had a glass of wine on day 31 with dinner. While it didnt trigger any pain, it also wasnt the feel-good end-of-day solace I remembered.

Next I added sourdough bread and a small amount of sugar in the form of honey. Again, I found I didnt enjoy them as much as I used to. And the joint pain was back.

The last food I officially reintroduced was spicy pepper seasonings and spices, like red pepper flakes. Maybe I didnt need to test nightshades again, but I love spicy foods. And yes, I had a flare-up of full-body joint pain.

At this point, I went off plan. I had already identified a few foods that were causing me pain, and it was time for a break from all the restrictions. But I felt so good after finishing my first Whole30 that I knew I would go through the program again.

The reintroduction phase not only cemented my belief that some foods cause inflammation in my body, but also that my relationship with certain foods was built on habit, rather than need or joy.

I have hereditary high cholesterol and find it hard to keep my numbers in a good range. At the end of my Whole30 round, my total cholesterol was down 60 points and my triglycerides were finally within normal range.

While weight loss wasnt my goal, I was thrilled to discover that Id lost 5 pounds. My clothes were fitting looser and I felt lighter.

The no snacking rule made it easier to fall asleep at night, and I had more energy in the evenings.

As a short-term eating program designed to reset both the body and the mind, I feel the Whole30 program was a success.

It also worked very well as an elimination diet. I felt less pain and had more energy by the end of the Whole30 program.

If you want to explore the Whole30 program, I recommend reading over the official website and having a conversation with your doctor to make sure the program is appropriate for your situation.

Cindy Blye is a nurse and health writer/journalist in North Carolina. Her works have appeared in various nursing blogs and online health news websites. Shes passionate about helping people live a healthier and more energetic life. When she isnt writing, you can find her gardening, cooking, hiking, biking, reading, or eating dark chocolate.

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How Elon Musks Starbase plans are influencing the Texas housing market – Inman

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A tweet from Elon Musk was enough to push one Atlanta man to hop into his car, drive a thousand miles west to Texas and put an offer on a house. The Brownsville/South Padre Island area is home to Starbase, the rocket production facility and launch site of Musks company SpaceX, and the development has propelled the formerly sleepy border towns into a flurry of media and investor attention.

Bruno Zavaleta

Bruno Zavaleta, the owner of Zavaleta Realty in Brownsville, has been inundated with phone calls from both locals and out-of-towners ever since Musk sent a tweet encouraging his 50 million followers to consider moving to Starbase or greater Brownsville/South Padre area for the slew of highly specialized jobs that he promises to bring to the area through SpaceX.

Im seeing multiple offers everywhere and everything going over asking price, Zavaleta told Inman. You hear about Austin, California, Seattle having those kind of markets, but I would have never expected it to happen here in Brownsville.

Located in the southernmost tip of the Lone Star State, Cameron County, which holds both the towns of Brownsville and South Padre Island, is a four-hour drive from the nearest big city of San Antonio, but is just over the border from Matamoros, Mexico.

Prior to Musk setting his sights on the area for space development and the rocket launch, Zavaleta described it as a quiet border town. The school district and customs made up the largest bulk of jobs while most of the people living there were locals with roots in the area going back generations.

But since Musk first started building a base for his rocket production facility and spaceport in Boca Chica, a small village in Brownsville on the Gulf Coast, in 2019, there has been an influx of out-of-owners and would-be investors with an eye on real estate. The interest amplified even more in recent weeks in March alone, the median price for a single-family home went up 14.2 percent to $177,000 while the number of active listings dropped 51.2 percent from the same time last year, according to data from the Brownsville/South Padre Island Board of Realtors.

Brownsville, Texas

Zavaleta, who was only used to working with the occasional out-of-town buyer needing to move to Brownsville for work, started getting calls from all over Texas as well as California, Georgia and even Wisconsin. A local agent told celebrity news outlet TMZ that he had sold over seven homes since Musks tweet and had received calls from investors as far away as Kenya.

Many people have been living out here for a while but it wasnt the last year that they really started seeing that these guys are coming down here and theyre buying, Zavaleta said. The concern that a lot of us have had is whats going to happen next? Are people going to get priced out of the rental market? Are property taxes going to increase? For someone who lives in a $75,000 home, a lot can happen that would very much affect them.

Christine Breeden-Grove

Christine Breeden-Grove, the president-elect of the Womens Council of Realtors Cameron County, said that a number of SpaceX engineers have been reaching out and asking for homes to buy. Because inventory is low all over the country and Texas in particular, it is not unusual to see five or six offers on any house that she puts up within 24 hours.

We were already in a sellers market and inventory was low, but once Musk came out with that tweet, we just got bombarded with more calls from people out of state, she said. Its making it a little bit more difficult for us with our because our inventory is too low.

Musk has a history of making fantastical claims and having them not come to fruition, or play out to a much lesser extent. Just last month, a rocket launched out of Boca Chica landed but then exploded on site. While Musk promised to hire several thousand workers in the next two years, there are currently around 100 job listings on the company website.

According to local agents, it is too early to say just how much of an effect his interest in Starbase and Brownsville will have on the local housing market. Last week, Cameron County Judge Eddie Trevio confirmed that a representative from SpaceX inquired about incorporating Boca Chica Village into Starbase but stressed that there are regulations to follow and sending a tweet doesnt make it so.

SpaceX In Boca Chica | Reddit (RGV Aerial Photography)

But as when Amazon announced plans to open a second headquarters, a mere expression of interest in an area from Musk can send investors aflutter. Bredeen said that builders and developers are already moving in and preparing for the boon.

We have a lot of builders and new subdivisions going up, Bredeen said. Were going to get a lot of outside developers coming in and building homes, so thats a positive for the area.

Brownsville residents had for years, according to Zavaleta, felt a bit of an inferiority complex and friendly rivalry with the nearby city of McAllen, which is where they have to go to the popular restaurant chain PF Changs or larger shopping plazas. The national and global attention has been a source of pride for many locals and a reason for some homeowners to sit tight while waiting for values to rise but also a cause for apprehension that the quiet area could soon transform into something they dont quite recognize.

If you had told me that we were going to get a Tesla service center a few years ago, I would have thought you were completely crazy, Zavaleta said. And now we have one thats about to officially open.

Email Veronika Bondarenko

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How Elon Musks Starbase plans are influencing the Texas housing market - Inman

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Dermavant Announces Tapinarof Data Presentations at the AAD VMX 2021 – Business Wire

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LONG BEACH, Calif. & BASEL, Switzerland--(BUSINESS WIRE)--Dermavant Sciences, a clinical-stage biopharmaceutical company dedicated to developing and commercializing innovative therapeutics in immuno-dermatology, today announced that two abstracts from Dermavants two pivotal Phase 3 trials for tapinarof for the treatment of psoriasis in adults, PSOARING 1 and PSOARING 2, will be presented during the upcoming American Academy of Dermatology Virtual Meeting Experience 2021 (AAD VMX 2021), on April 23-25, 2021.

Tapinarof is being developed as a novel, once-daily therapeutic aryl hydrocarbon receptor modulating agent (TAMA), cosmetically elegant, steroid-free topical cream for the treatment of plaque psoriasis and atopic dermatitis.

The following posters will be viewable on the conference platform for the entirety of the conference:

Title: Tapinarof Cream 1% Once Daily for Plaque Psoriasis: Secondary Efficacy Outcomes from Two Pivotal Phase 3 Trials

This poster contains secondary efficacy outcomes, including Physician Global Assessment (PGA) scores, percent body surface area (%BSA) affected, and 90% reduction in Psoriasis Area and Severity Index (PASI90) an endpoint more commonly used to assess systemic agents.

Authors: Linda Stein Gold, MD; Andrew Blauvelt, MD, MBA; April Armstrong, MD, MPH; Seemal R. Desai, MD; Howard Sofen, MD; Lawrence J. Green, MD; Stephen K. Tyring, MD, PhD; Laura K. Ferris, MD, PhD; Philip M. Brown, MD, JD; David S. Rubenstein, MD, PhD; Stephen C. Piscitelli, PharmD; Anna M. Tallman, PharmD; Leon Kircik, MD

Title: Tapinarof Cream 1% Once Daily for Plaque Psoriasis: Patient-reported Outcomes from Two Pivotal Phase 3 Trials

This poster contains patient-reported outcomes data, including itch and quality of life measurements.

Authors: Robert Bissonnette, MD; Bruce Strober, MD, PhD; Mark Lebwohl, MD; Jerry Bagel, MD; James Del Rosso, DO; Joseph F. Merola, MD, MMSc; Neal Bhatia, MD; Paul Yamauchi, MD, PhD; Philip M. Brown, MD, JD; David S. Rubenstein, MD, PhD; Anna M. Tallman, PharmD; Stephen C. Piscitelli, PharmD

About Dermavants Phase 3 Program for Tapinarof in Psoriasis

Dermavants pivotal Phase 3 clinical program for tapinarof in adult plaque psoriasis consists of PSOARING 1 (NCT03956355) and PSOARING 2 (NCT03983980), as well as PSOARING 3 (NCT04053387), the ongoing long-term safety study.

PSOARING 1 and PSOARING 2, which collectively enrolled 1,025 patients, were two identically designed, multi-center, randomized, vehicle-controlled, double-blind, parallel group studies conducted in North America that evaluated the safety and efficacy of tapinarof cream, 1% dosed once daily (QD) for 12 weeks versus vehicle QD in adult patients aged 18-75 years diagnosed with plaque psoriasis. The primary endpoint of both studies was a PGA score of clear (0) or almost clear (1) with a minimum 2-grade improvement from baseline at Week 12.

PSOARING 3 is a long-term, open-label, extension study to evaluate the safety and efficacy of tapinarof cream, 1% for the treatment of plaque psoriasis in adults. Subjects in the study had previously completed treatment with tapinarof or vehicle in either the PSOARING 1 or PSOARING 2 Phase 3 pivotal efficacy and safety studies. PSOARING 3 consists of up to 40 weeks of tapinarof cream, 1%, and a 4-week safety follow-up period. As such, subjects who received drug during PSOARING 1 and PSOARING 2, completed PSOARING 3 having received treatment with tapinarof cream for up to 52 weeks. Greater than 90% of eligible patients who completed PSOARING 1 and PSOARING 2 enrolled in PSOARING 3.

About Psoriasis

Psoriasis is a chronic, systemic, inflammatory skin disease characterized by red patches and plaques with silvery scales on the skin. Psoriasis affects approximately 8 million people in the United States and 125 million worldwide.

Psoriasis can begin at any age, but typically has two peaks of onset, the first at age 20 to 30 years and the second at age 50 to 60 years. People with psoriasis are at an increased risk of developing other chronic and serious health conditions. Comorbidities include psoriatic arthritis, inflammatory bowel disease, hypertension, diabetes, obesity, and depression. Psoriasis has a significant impact on quality of life and on psychological health.

About Dermavant

Dermavant Sciences, a subsidiary of Roivant Sciences, is a clinical-stage biopharmaceutical company dedicated to developing and commercializing innovative therapeutics in immuno-dermatology. Dermavants focus is to develop therapies that have the potential to address high unmet medical needs while driving greater efficiency in research and clinical development. The companys robust medical dermatology pipeline includes both late-stage and earlier-stage-development product candidates the company believes could address important immuno-dermatological conditions, including psoriasis, atopic dermatitis, vitiligo, primary focal hyperhidrosis, and acne. Dermavant is developing its lead product candidate, tapinarof (DMVT-505), as a novel therapeutic aryl hydrocarbon receptor modulating agent (TAMA) topical cream for the treatment of plaque psoriasis and atopic dermatitis, which affect approximately 8 million and 26 million people in the United States, respectively. The company reported positive Phase 3 results for tapinarof cream in adult patients with plaque psoriasis. For more information, please visit http://www.dermavant.com, and follow us on Twitter (@dermavant) and LinkedIn (Dermavant Sciences).

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Biologic Treatment Algorithms for Moderate-to-Severe Psoriasis with Comorbid Conditions and Special Populations: A Review – DocWire News

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This article was originally published here

Am J Clin Dermatol. 2021 Apr 16. doi: 10.1007/s40257-021-00603-w. Online ahead of print.

ABSTRACT

The emergence of data from clinical trials of biologics, the approval of new biologics, and our improved understanding of psoriasis pathogenesis have increased the therapeutic possibilities for the treatment of moderate-to-severe psoriasis. Biologics currently approved for the treatment of psoriasis include tumor necrosis factor inhibitors, interleukin (IL)-17 inhibitors, ustekinumab (an IL-12/23 inhibitor), and IL-23 inhibitors. Data from clinical trials and studies of the safety and efficacy of biologics provide essential information for the personalization of patient care. We discuss the benefits and disadvantages of biologics as a first-line treatment choice, update treatment recommendations according to current evidence, and propose psoriasis treatment algorithms. Our discussion includes the following comorbid conditions: psoriatic arthritis, multiple sclerosis, congestive heart failure, inflammatory bowel disease, hepatitis B, nonmelanoma skin cancer, lymphoma, and latent tuberculosis. We make evidence-based treatment recommendations for special populations, including pediatric patients, patients with coronavirus 2019 (COVID-19), and pregnant and breastfeeding patients with psoriasis. Ultimately, individualized recommendations that consider patient preferences, disease severity, comorbid conditions, and additional risk factors should be offered to patients and updated as new trial data emerges.

PMID:33861409 | DOI:10.1007/s40257-021-00603-w

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Biologic Treatment Algorithms for Moderate-to-Severe Psoriasis with Comorbid Conditions and Special Populations: A Review - DocWire News

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Relative efficacy and safety of secukinumab and guselkumab for the treatment of active psoriatic arthritis: A network meta-analysis – DocWire News

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This article was originally published here

Int J Clin Pharmacol Ther. 2021 Apr 16. doi: 10.5414/CP203906. Online ahead of print.

ABSTRACT

OBJECTIVE: To determine the relative effectiveness and safety of doses of secukinumab and guselkumab in patients with active psoriatic arthritis (PsA).

MATERIALS AND METHODS: A Bayesian network meta-analysis was performed incorporating data from randomized controlled trials (RCTs) to evaluate the effectiveness and safety of secukinumab 150 mg, secukinumab 300 mg, and guselkumab 100 mg every 4 weeks (Q4W) and guselkumab every 8 weeks (Q8W).

RESULTS: Six RCTs, including 2,385 patients, fulfilled the inclusion criteria. The surface under the cumulative ranking curve (SUCRA) revealed that secukinumab 300 mg had the highest probability of reaching a 20% American College of Rheumatology (ACR20) response rate, followed by secukinumab 150 mg, guselkumab 100 mg Q4W, guselkumab 100 mg Q8W, and placebo. The ACR50 response rate revealed the same distribution pattern as the ACR20 response rate. The SUCRA rating, dependent on the psoriasis area and severity index of at least 75% (PASI75) response rate, showed that guselkumab 100 mg Q4W had the highest possibility of achieving the PASi75 response, followed by guselkumab 100 mg Q8W, secukinumab 300 mg, secukinumab 150 mg, and placebo. Safety analyses focused on serious adverse events (SAEs), adverse events (AEs), and withdrawals attributable to AEs that did not have statistically relevant variation in the respective intervention categories.

CONCLUSION: Based on the ACR20 and ACR50 response rates, secukinumab 300 mg had the strongest response effectiveness, whereas guselkumab 100 mg Q4W was the most effective treatment strategy for PsA based on PASI75. However, there was little disparity between the treatment options with regard to SAEs.

PMID:33860750 | DOI:10.5414/CP203906

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Long-Term Efficacy and Safety of Tofacitinib in Patients With Psoriatic Arthritis Analyzed – Rheumatology Advisor

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In patients with active psoriatic arthritis (PsA), treatment with tofacitinib is associated with long-term efficacy (up to 36 months) and safety (up to 48 months), according to results of an analysis published in Lancet Rheumatology.

Researchers sought to evaluate the long-term safety and efficacy of tofacitinib in adult patients with active PsA.

The open-label, long-term extension study the final analysis of the Oral Psoriatic Arthritis Trial (OPAL) Balance study (ClinicalTrials.gov Identifier: NCT01976364) was conducted at 124 centers in 16 countries.

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Primary study endpoints included incidence of clinical laboratory abnormalities, changes from baseline in laboratory parameters up to 48 months in patients from the long-term extension study and substudy, and incidence and severity of adverse events (AEs). Eligible patients in OPAL Balance study had also participated in the OPAL Broaden or the OPAL Beyond phase 3 trials.

In the OPAL Balance study, all participants received open-label tofacitinib 5 mg twice daily, with dose escalations to 10 mg twice daily at month 1 for inadequate symptom control, as well as reductions to 5 mg twice daily thereafter for safety. All participants could continue to receive concomitant treatment with specific conventional synthetic disease-modifying antirheumatic drugs. Eligible patients could also enter the randomized, double-blind methotrexate withdrawal substudy, in which participants received open-label tofacitinib 5 mg twice daily plus either masked methotrexate or masked placebo.

A total of 686 participants were enrolled in OPAL Balance study, between February 17, 2014, and March 28, 2016, who received treatment with tofacitinib and were enrolled in the all-tofacitinib group for the safety and efficacy analyses. Ultimately, 66% (n=453) of participants completed this study and 34% (n=233) discontinued their participation in either the long-term extension study or the methotrexate withdrawal substudy. In the all-tofacitinib group, the mean duration of tofacitinib treatment was 794.6 days and the total duration of treatment was 1492.4 person-years in the long-term extension study. Mean age of the participants in the all-tofacitinib group was 48.8 years; 54% of the participants were women; mean duration of PsA was 7.6 years.

Up to month 48, 84% (n=574) of participants reported the occurrence of all-cause AEs, with 17% experiencing serious AEs and 11% discontinuing treatment because of an AE. Overall, 6 patients died, among whom 1 was within the risk period (incidence of death was 0.1 patients with events [95% CI, 0.0-0.3] per 100 person-years). Incidences of AEs of special interest, which was defined as the number of patients with events per 100 person-years, included the following: 1.7 (95% CI, 1.2-2.5) for herpes zoster; 1.0 (95% CI, 0.6-1.6) for serious infections; 0.4 (95% CI, 0.1-0.8) for opportunistic infections; 0.7 (95% CI, 0.4-1.2) for malignancies other than nonmelanoma skin cancer (NMSC); 0.9 (95% CI, 0.5-1.5) for NMSC; 0.2 (95% CI, 0.1-0.6) for major adverse cardiovascular events; 0.4 (95% CI, 0.1-0.8) for arterial thromboembolism; and 0.1 (95% CI, 0.0-0.3) for pulmonary embolism. Efficacy was sustained for up to 36 months.

A major limitation of the current study included the lack of generalizability to patients who are new to tofacitinib treatment. Further, the long-term extension study was open-label and had no placebo group; the analyses used observed values; and evaluations of dose-related effects were conducted post hoc.

Researchers concluded that the data reported in this trial support the use of tofacitinib in the long-term treatment of active [PsA].

Disclosure: This analysis was supported by Pfizer. Please see the original reference for a full list of authors disclosure.

Nash P, Coates LC, Fleishaker D, et al. Safety and efficacy of tofacitinib up to 48 months in patients with active psoriatic arthritis: final analysis of the OPAL Balance long-term extension study. Lancet Rheumatol. 2021;3:270-283. doi:10.1016/S2665-9913(21)00010-2

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Pediatric Psoriasis Market Compound Annual Growth Rate of 21.38% | Market Trend Growing demand for biologics and natural remedies for child…

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The promising drug pipeline will further propel the demand for the advanced medication in the long run. This trend is expected to propel over the forecast period as the prevalence rate has been increasing. Hence, a thorough understanding approach is required for disease management, which would certainly help manage childhood psoriasis better. However, lack of awareness in emerging economies and insufficient research funding may hamper the market.

The global Pediatric Psoriasisreport studies the prudent tactics undertaken by the leading market players, such as partnerships and collaborations, mergers & acquisitions, new product launches, and joint ventures. The global Pediatric Psoriasisis highly consolidated due to the presence of a large number of companies across this industry. These companies are known to make hefty investments in research and development projects. Also, they control a considerable portion of the overall market share, thus limiting the entry of new players into the sector.

To get leading market solutions, visit the link below: https://www.emergenresearch.com/industry-report/pediatric-psoriasis-market

The global Pediatric Psoriasisstudy covers the current COVID-19 scenario that has turned the global business sphere upside down. The coronavirus has resulted in a major economic downturn worldwide, while also adversely impacting the growth of this industrial sector. The pandemic has brought about drastic changes in market conditions. Therefore, the latest report elaborates on the rapidly changing market scenario and conducts preliminary, as well as the future assessment of COVID-19 impact on the market. Moreover, the document contains a broad analysis of prime aspects of the market, with expert opinions on the current market standing and historical data.

Key highlights of the Global Pediatric Psoriasisreport:

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Pediatric Psoriasis Market Compound Annual Growth Rate of 21.38% | Market Trend Growing demand for biologics and natural remedies for child...

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Psoriasis Therapeutics Market 2021 Will Reflect Significant Growth in Future with Size, Share, Growth, and Key Companies Analysis- Astellas Pharma…

Posted: at 6:59 am

Up Market Research (UMR) has included a latest report on the Global Psoriasis Therapeutics Market into its archive of market research studies. The report is an amalgamation of detailed market overview based on the segmentations, applications, trends and opportunities, mergers and acquisitions, drivers, and restraints. The report showcases the current and forthcoming technical and financial details of the Psoriasis Therapeutics market. The research study attracts attention to a detailed synopsis of the market valuation, revenue estimation, and market statistics. The study on the emerging trends in the global and regional spaces on all the significant components, such as market capacity, cost, price, demand and supply, production, profit, and competitive landscape. The report also explores all the key factors affecting the growth of the global market, consisting of the demand-supply scenario, pricing structure, profit margins, production, and value chain analysis.

Some of the major companies that are covered in this report:

Astellas Pharma Inc.AstraZeneca plcBoehringer Ingelheim GmbHF. Hofffmann-La RocheGlaxoSmithKline plcMerck & Co.Inc.Valeant Pharmaceuticals InternationalInc.Biocon LimitedEli Lilly and CompanyG & W Laboratories Inc.

*Note: Additional companies can be included on request

Get a free exclusive sample report of Psoriasis Therapeutics market @ https://www.upmarketresearch.com/home/requested_sample/11821

Impact of COVID-19

The report also talks about the impact of the ongoing global crisis i.e., COVID-19 on the Psoriasis Therapeutics market and explains how the future is going to unfold for the global market. Our analysts have researched thoroughly about the effects of the pandemic on the global economy. The outbreak has directly affected production and demand disrupted the demand and supply chain. The report also computes the financial impact on firms and financial markets. Up Market Research (UMR) has accumulated insights from several delegates of the industry and got involved in the primary and secondary research to offer the clients data & strategies to combat the market challenges during and after the COVID-19 pandemic.

Highlights of the report:

Our research analysts who are the building blocks of the company have worked extensively to fabricate the research report which will give that extra edge to our clients business in the competitive market. The market research report can be customized as per you and your needs. This means that Up Market Research (UMR) can cover a particular product, application, or can offer a detailed analysis in the report. You can also buy a separate report for a specific region.

You can buy the complete report in PDF format: @ https://www.upmarketresearch.com/buy/psoriasis-therapeutics-market

The market scenario is likely to be fairly competitive. To analyze any market with simplicity the market is fragmented into the following segments:

By Applications:

OralParenteralTopical

By Types:

TNF InhibitorsPDE4 InhibitorsInterleukin BlockersOthers

By Regions:

Segmenting the market into smaller components helps in analyzing the dynamics of the market with more clarity. Another key component that is integrated into the report is the regional analysis to assess the global presence of the Psoriasis Therapeutics market. You can also opt for a yearly subscription of all the updates on the Psoriasis Therapeutics market.

If you have any questions on this report, feel free to reach us! @ https://www.upmarketresearch.com/home/enquiry_before_buying/11821

Below is the TOC of the report:

Executive Summary

Assumptions and Acronyms Used

Research Methodology

Psoriasis Therapeutics Market Overview

Global Psoriasis Therapeutics Market Analysis and Forecast by Type

Global Psoriasis Therapeutics Market Analysis and Forecast by Application

Global Psoriasis Therapeutics Market Analysis and Forecast by Sales Channel

Global Psoriasis Therapeutics Market Analysis and Forecast by Region

North America Psoriasis Therapeutics Market Analysis and Forecast

Latin America Psoriasis Therapeutics Market Analysis and Forecast

Europe Psoriasis Therapeutics Market Analysis and Forecast

Asia Pacific Psoriasis Therapeutics Market Analysis and Forecast

Asia Pacific Psoriasis Therapeutics Market Size and Volume Forecast by Application

Middle East & Africa Psoriasis Therapeutics Market Analysis and Forecast

Competition Landscape

About Up Market Research (UMR):

Up Market Research (UMR) has a vast experience in making customized market research reports in a number of industry verticals. We strive for complete client satisfaction. We cover in-depth market analysis, which consists of stipulating lucrative business strategies, especially for the new entrants and the emerging players of the market. Our team makes sure that each report goes through intensive primary, secondary research, interviews, and consumer surveys before final dispatch.

We invest in our analysts to ensure that we have a full roster of experience and expertise in any field we cover. Our team members are selected for stellar academic records, specializations in technical fields, and exceptional analytical and communication skills. We also provide ongoing training and knowledge sharing to keep our analysts tapped into industry best practices and loaded with information.

Contact Info UpMarketResearchName Alex MathewsEmail [emailprotected]search.comWebsite https://www.upmarketresearch.comAddress 500 East E Street, Ontario, CA 91764, United States.

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Psoriasis Therapeutics Market 2021 Will Reflect Significant Growth in Future with Size, Share, Growth, and Key Companies Analysis- Astellas Pharma...

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