Formulary Decisions and the Evolution of Psoriasis Treatment
|
|
- Dwight Murphy
- 5 years ago
- Views:
Transcription
1 perspectives Formulary Decisions and the Evolution of Psoriasis Treatment William Malatestinic, PharmD, MBA; 1 David Amato, MD; 1 Steven R. Feldman, MD, PhD 2 affiliations: 1 Eli Lilly and Company, Indianapolis, IN 2 Wake Forest Baptist Medical, Winston- Salem, NC address correspondence to: William Malatestinic, PharmD, MBA Eli Lilly USA, LLC Indianapolis, IN Phone: malatestinic_bill@lilly.com abstract: Psoriasis is a common and significant illness characterized by systemic inflammation. In its mildest form, psoriasis can often be managed with relatively low-cost topical therapies; but for moderate-to-severe disease, which affects 20% of psoriasis patients, these solutions are neither very effective nor practical. Treatments that provide excellent outcomes for many patients with more severe disease are now available. The development of medications specifically targeting the inflammatory process associated with psoriasis has the potential to change the lives of patients with moderate-to-severe disease. However, access to medications can be challenging due to step-therapy protocols and limited formulary options. Specifically, formulary options for biologic use in psoriasis are often based on a product s market share across multiple indications and resulting rebates. This article provides a comprehensive review of psoriasis and of the practical obstacles encountered in optimizing care of patients with moderate-to-severe disease. Implementing psoriasis-centered coverage policies may give psoriasis patients better access to safer, more clinically effective, and possibly more cost-effective treatment options. key words: psoriasis, biologics, access, formulary, efficacy, safety. citation: Journal of Clinical Pathways. 2015;1(2): Received September 25, 2015; accepted November 16, Psoriasis is an often-debilitating, chronic condition characterized by systemic inflammation that causes thick, red, and scaly skin lesions. Psoriasis affects up to 125 million people worldwide, and its prevalence varies by geography. In the United States, psoriasis affects upwards of 3% of the population. A recent population-based study found that the incidence of psoriasis in the United States is rising and has doubled within the last several decades. Psoriasis often arises in patients between the ages of 15 years and 35 years, although it can occur at any age and affects infants and older adults as well. 1-3 Costs of psoriasis totaled $112 billion in 2013; 4 approximately half of costs were due to direct costs (medication, photo therapy, provider visits, etc), whereas half were due to indirect costs (co-morbid illness, societal productivity, etc). Genetics play an important and complex role in the etiology of psoriasis, with numerous genes identified as being associated with the presence of disease. 5,6 As an inflammatory disease, multiple cell types and cytokines are involved in the pathogenesis of psoriasis. Recent research has identified that activation of a particular T- helper cell, the T H 17 cell, is a key process in the development of psoriasis. 7,8 Specific cytokines, notably interleukin 23 (IL-23) and IL-17A, are essential components of this inflammatory cascade. 9 disclosures: Dr. Malatestinic is an employee and stockowner of Eli Lilly and Company. Dr. Amato is an employee and stockowner of Eli Lilly and Company. Dr. Feldman is a consultant for Novartis, Amgen, AbbVie, Celgene, Janssen, Galderma, and Eli Lilly and Company with research grants from Novartis, Amgen, AbbVie, Janssen, and Galderma. He is also a patent holder at Wake Forest University School of Medicine. acknowledgements: Appreciation is expressed to Tamara Ball, MD, for writing and editorial contributions. Dr. Ball is employed by inventiv Health Clinical, who contracted with Eli Lilly and Company for the technical writing of this manuscript. November/December 2015 Journal of Clinical Pathways 43
2 Figure 1. Skin Lesions of Plaque Psoriasis. Psoriasis can be local in distribution, commonly affecting elbows, knees, or scalp, but it can appear in any location (Figure 1). A Psoriasis Area and Severity Index (PASI) score 10 is a commonly used tool to measure the severity and extent of psoriasis in clinical trials. PASI combines an assessment of the severity of lesions (redness, thickness, scaling) and the percentage of affected area into a single score in the range of 0 (no disease) to 72 (maximal disease). Psoriasis causes itch and pain, with up to 90% of patients experiencing itch 10 and up to 43% of patients experiencing pain. 12 Mild disease (less than 3% of body surface area [BSA] affected) occurs in approximately 80% of patients, while moderate (3 10% BSA) to severe (>10% BSA) disease is present in 20% of patients. 1 Psoriasis impacts quality of life, physical, psychological, and social functioning, regardless of the extent of involvement Prevalence Ratio for Patients with Psoriasis Rheumatoid Arthritis Metabolic syndrome Crohn s Disease Diabetes Mellitus Ulcerative Colitis Ischemic Heart Disease Disease State Hyperlipidemia Arterial Hypertension Obesity All Comorbidities Figure 2. Prevalence Ratios for Disease States in Patients With Psoriasis (N=13,981) versus in Patients Without Psoriasis (N=1,310,090) Journal of Clinical Pathways November/December
3 Psoriasis is associated with an increased prevalence of comorbidities affecting different organ systems (Figure 2), resulting in a decline in overall health and increased risk of early mortality. 17 Aside from cutaneous lesions and associated comorbidities, psoriasis has a significant impact on patients mental health and quality of life. Patients with psoriasis suffer a higher prevalence of depression, anxiety, and thoughts of suicide compared with patients in a general medical population. 15 If complete resolution of psoriasis is achieved, improvements in selfconsciousness, perceived quality of life measures, social activity, relationships, and sexual function occur. 18 In a Phase 3 trial, patients who achieved 90% and 100% improvement in their PASI scores (PASI 90 and PASI 100, respectively) had improvements in quality of life measures that exceeded those of patients with 75 89% or less improvement in their PASI scores. 19 the evolution of psoriasis treatment Dermatologists provide the majority of patient treatment for psoriasis, with rheumatologists providing some overlapping treatment to patients with psoriatic arthropathy. For many years, providers treated patients with more severe disease with systemic drugs, such as cyclosporine and methotrexate, which had significant side effects and only partial, and often variable, efficacy. 20 Advances in psoriasis therapy began with the approval of the tumor necrosis factor (TNF) inhibitor etanercept in Several TNF inhibitors were subsequently approved for moderate-to-severe disease, and initial treatment guidelines were published to assist the practitioner in management of the disease. Advances in therapy have been associated with an increase in the ability to achieve complete clearance of psoriasis in patients (Figure 3). When methotrexate was the gold standard of treatment, achieving an improvement in baseline PASI of 50% (PASI 50) was considered clinically meaningful, and a 25% response (PASI 25) was considered minimal. 22 With the approved use of TNF inhibitors for the treatment of moderateto-severe psoriasis, the primary clinical study objective was to achieve a 75% improvement from baseline PASI score (PASI 75). PASI 75 became the benchmark for adequate response in most studies More recently, molecules that directly target the key cytokines IL-23 and IL-17A have been approved. These more specific, targeted therapies are associated with higher rates of near complete or complete skin clearance (PASI 90, PASI 100) than was previously possible with methotrexate. 26,27 This has led to ongoing consideration of what the benchmark level of response should be (Figure 4). Before the 1990s, the primary unmet need for patients with psoriasis (especially in patients with moderate-to-severe disease) was developing drugs potent and safe enough to control patients disease. Now that more potent drugs with favorable safety profiles are available, these medications must be made available to patients in order to provide the best quality of care. Guidelines for therapy selection are available from organizations such as the American Academy of Dermatology (Figure 5). 28 In its mildest form, psoriasis can be managed with relatively low-cost therapies. Often, dermatologists treat patients with A B C Figure 3. PASI Improvement Scores and Corresponding Disease Severity. A, baseline. B, PASI 75. C, PASI 100. limited psoriasis with topical agents or phototherapy. However, for moderate-to-severe disease, which affects 20% of psoriasis patients, these solutions are neither very effective nor practical. Those with more extensive disease may receive phototherapy, systemic agents, or biologics. 29 paying for psoriasis treatment The development of medications specifically targeting the inflammatory process associated with psoriasis has the potential to change the lives of patients with moderate-to-severe disease. However, cost remains an impediment for patients and the insurance companies that support them. Unfortunately, it is not always easy to obtain medications that can lead to better outcomes. Payers currently utilize a number of strategies to encourage health care providers to select drugs that provide the best outcomes while minimizing the overall costs of treatment. These strategies include the application of evidence-based guidelines, increasing patient cost-sharing, requiring prior authorization, incorporating step-therapy protocols, and excluding some medications from coverage plans. 30 When incorporating these strategies, the need to assure optimal treatment outcomes in a timely manner has not been a primary consideration. A recent review of patient surveys from the National Psoriasis Foundation over an 8-year period found that the inability to obtain adequate insurance coverage was among the top reasons for under-treatment and patient dissatisfaction for those with moderate-to-severe disease. 31 As signs point to a future of health care in the United States in which treatment value is based on an emerging pool of high-quality evidence, 32 present strategies will need to be reassessed for value. Such reassessments will likely reveal that higher initial treatment cost results in lower global costs in the long-term. Given the associated comorbidities and the multi-faceted November/December 2015 Journal of Clinical Pathways 45
4 Goal PASI 50 Clinically Meaningful PASI 75 Significant PASI 90 Nearcomplete PASI 100 Complete Resolution Year Before and beyond Available Therapies MTX TNF IL-12/IL-23 IL-17 Figure 4. Historical View of Anticipated PASI Improvement over Time. 20,21,25 ways psoriasis impacts every aspect of a patient s life, it is inappropriate to categorize this unique, debilitating condition beneath the larger rubric of inflammatory disease. Presently, biologic formularies and step-therapy decisions are often made based on market share, meaning that those agents with a greater number of indications, regardless of efficacy within a specific disease state, are the primary agents of choice. 33 Hence, the needs of patients with psoriasis may not be met by policies and incentives that are largely derived from the care of disease states other than psoriasis (eg, rheumatoid arthritis). Such policies are unlikely to give patients with psoriasis optimal outcomes. Recent studies have demonstrated improved outcomes with newer, more targeted agents compared to a first generation TNF alpha antagonist. 27,34,35 alternative pricing models for psoriasis medications Formulary decision-makers, employers, and patients may benefit from consideration of pricing models beyond drug cost that include total cost for disease treatment, direct and indirect Psoriasis ± Psoriatic Arthritis Yes No Anti-TNF ± MTX Limited Disease Topicals/Targeted Phototherapy Extensive Disease UVB/PUVA Systemic Biologic Lack of Effect Figure 5. Algorithm for Treating Psoriasis Journal of Clinical Pathways November/December
5 (additional provider visits, follow-up labs, quality of life, decreased work productivity, etc). As an example, a recent study considered the cost per patient to achieve PASI 75 and a minimally important difference in quality of life after 12 weeks of treatment. The authors utilized models that included medication dosage, route of administration, laboratory monitoring, and clinical visits per manufacturing guidelines. Non-medical costs and indirect costs to patients were not incorporated into the model. Prices were based on the wholesale price of the drug in 2010, and all FDA-approved biologics for psoriasis at that time were considered. 36 With near-complete resolution (PASI 90) as an accepted improvement goal, 37 the cost to achieve that goal using earlier biologics versus newer agents that specifically target psoriasis will need to be explored. The final cost to achieve a specific outcome is dependent on the number needed to treat (NNT) with an agent to achieve one such outcome. One pharmacoeconomic study examined the NNT to achieve PASI improvements of 75%, 90%, and 100% using four FDA-approved biologics. Though the study was limited by lack of PASI 100 data, there was a consistent increase in price to achieve greater levels of clearance using those agents. 38 Understanding pharmacoeconomic implications of more effective treatments, including the relationship between cost and NNT, may be valuable as an alternative method of evaluation for medications used in psoriasis. conclusion Significant breakthroughs in our understanding of psoriasis have led to a new generation of highly effective therapies. Treatments now exist to provide excellent outcomes, including complete clearance, for many patients with more severe disease. Given the high direct physical, mental, and social costs of this illness and given the potential indirect costs from co-morbid illness, psoriasis treatment decisions should not be made based primarily on disease states other than psoriasis. A formulary limited by decisions regarding the best treatment for inflammatory disorders (e.g. rheumatoid arthritis, Crohn s disease) may not adequately address the needs of the psoriasis patient. References 1. Van Voorhees A, Feldman SR, Koo JYM, Lebwohl MG, Menter A. The Psoriasis and Psoriatic Arthritis Pocket Guide, 3rd edition Accessed Novermber 3, Parisi R, Symmons DP, Griffiths CE, Ashcroft DM, Identification and Management of Psoriasis and Associated ComorbidiTy (IMPACT) project team. Global epidemiology of psoriasis: a systematic review of incidence and prevalence. J Invest Dermatol. 2013;133(2): International Federation of Psoriasis Association. Profile of Psoriasis. Accessed November 3, Huerta C, Rivero E, Rodriguez LA. Incidence and risk factors for psoriasis in the general population. Arch Dermatol. 2007;143(12): Tsoi LC, Spain SL, Knight J, et al. Identification of 15 new psoriasis susceptibility loci highlights the role of innate immunity. Nat Genet. 2012;44(12): Lowes MA, Kikuchi T, Fuentes-Duculan J et al. Psoriasis vulgaris lesions contain discrete populations of Th1 and Th17 T cells. J Invest Dermatol. 2008;128(5): Jariwala SP. The role of dendritic cells in the immunopathogenesis of psoriasis. Arch Dermatol Res. 2007;299(8): Piskin G, Sylva-Steenland RM, Bos JD, Teunissen MB. In vitro and in situ expression of IL-23 by keratinocytes in healthy skin and psoriasis lesions: enhanced expression in psoriatic skin. J Immunol. 2006;176(3): Fredriksson T, Pettersson U. Severe psoriasis oral therapy with a new retinoid. Dermatologica. 1978;157(4): Yosipovitch G, Goon A, Wee J, Chan YH, Goh CL. The prevalence and clinical characteristics of pruritus among patients with extensive psoriasis. Br J Dermatol. 2000;143(5): Ljosaa TM, Stubhaug A, Mork C, Moum T, Wahl AK. Improvement in Psoriasis Area and Severity Index score predicts improvement in skin pain over time in patients with psoriasis. Acta Derm Venereol. 2013;93(3): Bhosle MJ, Kulkarni A, Feldman SR, Balkrishnan R. Quality of life in patients with psoriasis. Health Qual Life Outcomes. 2006;4: Daudén E, Castañeda S, Suárez C, et al. Clinical practice guideline for an integrated approach to comorbidity in patients with psoriasis. J Eur Acad Dermatol Venereol. 2013;27(11): McDonough E, Ayearst R, Eder L, et al. Depression and anxiety in psoriatic disease: prevalence and associated factors. J Rheumatol. 2014;41(5): Finlay AY, Coles EC. The effect of severe psoriasis on the quality of life of 369 patients. Br J Dermatol. 1995;132(2): Gelfand JM, Troxel AB, Lewis JD et al. The risk of mortality in patients with psoriasis: results from a population-based study. Arch Dermatol. 2007;143(12): Mattei PL, Corey KC, Kimball AB. Psoriasis Area Severity Index (PASI) and the Dermatology Life Quality Index (DLQI): the correlation between disease severity and psychological burden in patients treated with biological therapies. J Eur Acad Dermatol Venereol. 2014;28: Revicki DA, Willian MK, Menter A, Saurat JH, Harnam N, Kaul M. Relationship between clinical response to therapy and health-related quality of life outcomes in patients with moderate to severe plaque psoriasis. Dermatology. 2008;216(3): Brezinski EA, Dhillon JS, Armstrong AW. Economic burden of psoriasis in the United States: a systematic review. JAMA Dermatol. 2015;151(6): Warren RB, Smith RL, Campalani E, et al. Outcomes of methotrexate therapy for psoriasis and relationship to genetic polymorphisms. Br J Dermatol. 2009;160(2): Leonardi CL, Powers JL, Matheson RT, et al. Etanercept as monotherapy in patients with psoriasis. N Engl J Med. 2003;349(21): Carlin CS, Feldman SR, Krueger JG, Menter A, Krueger GG. A 50% reduction in the Psoriasis Area and Severity Index (PASI 50) is a clinically significant endpoint in the assessment of psoriasis. J Am Acad Dermatol. 2004;50(6): Gottlieb AB, Matheson RT, Lowe N, et al. A randomized trial of etanercept as monotherapy for psoriasis. Arch Dermatol. 2003;139(12): Gordon KB, Langley RG, Leonardi C, et al. Clinical response to adalimumab treatment in patients with moderate to severe psoriasis: double-blind, randomized controlled trial and open-label extension study. J Am Acad Dermatol. 2006;55(4): Reich K, Nestle FO, Papp K, et al. Infliximab induction and maintenance therapy for moderate-to-severe psoriasis: a phase III, multicentre, double-blind trial. Lancet. 2005;366(9494): Papp KA, Langley RG, Lebwohl M, et al. Efficacy and safety of ustekinumab, a human interleukin-12/23 monoclonal antibody, in patients with psoriasis: 52-week results from a randomised, double-blind, placebo-controlled trial (PHOENIX 2). Lancet. 2008;371(9625): Langley RG, Elewski BE, Lebwohl M, et al. Secukinumab in plaque psoriasis results of two phase 3 trials. N Engl J Med. 2014;371: The American Academy of Dermatology. Treatment of Psoriasis Decision Tree. Accessed November 3, Menter A, Gottlieb A, Feldman SR, et al. Guidelines of care for the management of psoriasis and psoriatic arthritis. J Am Acam Dermatol. 2008;58(5): Pharmaceutical Strategies Group. Understanding Specialty Pharmacy Management and Cost Control. Management_and_Cost_Control_FINAL.pdf. Accessed November 3, Armstrong AW, Robertson AD, Wu J, Schupp C, Lebwohl MG. Undertreatment, treatment trends, and treatment dissatisfaction among patients with psoriasis and psoriatic arthritis in the United States: findings from the National Psoriasis Foundation surveys, JAMA Dermatol. 2013;149(10): McCauley JL. Guidelines and value-based decision making: an evolving role for payers. N C Med J. 2015;76(4): U.S. payers intend to limit preferred coverage to only one immune biologic [press release]. PR Newswire; August 6, html. Accessed November 3, Goren A, Carter C, Lee S. Patient reported health outcomes and non-adherence in psoriasis patients receiving adalimumab or ustekinumab for moderate to severe plaque psoriasis. J Dermatolog Treat. 2015;19: Griffiths CE, Reich K, Lebwohl M, et al. Comparison of ixekizumab with etanercept or placebo in moderate-to-severe psoriasis (UNCOVER-2 and UNCOVER-3): results from two phase 3 randomised trials. Lancet. 2015;386(9993): Ahn CS, Gustafson CJ, Sandoval LF, Davis SA, Feldman SR. Cost effectiveness of biologic therapies for plaque psoriasis. Am J Clin Dermatol. 2013;14(14): Puig L. PASI90 response: the new standard in therapeutic efficacy for psoriasis. J Eur Acad Dermatol Venereol. 2015;29(4): Foster SA, Zhu B, Al Sawah S. Cost per additional responder associated with biologic use in psoriasis [PSY31-Q7]. Poster presented at: International Society for Pharmacoeconomic Research 20th Annual International Meeting; May 16-20, 2015; Philadelphia, PA. November/December 2015 Journal of Clinical Pathways 47
Evaluating Psoriasis: Patient Reported Outcomes and Impact of Disease
Evaluating Psoriasis: Patient Reported Outcomes and Impact of Disease Bruce E. Strober, MD, PhD Professor and Chair Department of Dermatology University of Connecticut Farmington, Connecticut DISCLOSURE
More informationBiologics in Psoriasis. Peter CM van de Kerkhof Department of Dermatology Radboud University Nijmegen Medical Centre
Biologics in Psoriasis Peter CM van de Kerkhof Department of Dermatology Radboud University Nijmegen Medical Centre Disclosures Consultancy services for Celgene, Centocor, Almirall, Amgen, Pfizer, Philips,
More informationApproximately 3% of the US adult population,
Disease Burden and Quality of Life in Psoriasis Patients With and Without Comorbid Psoriatic Arthritis: Results From National Psoriasis Foundation Panel Surveys Emily Edson-Heredia, MPH; Baojin Zhu, PhD;
More informationThe Natural History of Psoriasis and Treatment Goals
The Natural History of Psoriasis and Treatment Goals Psoriasis Epidemiology Prevalence Affects 2 3% of adult population (>7 million in US) Caucasians: 25% 2.5% African Americans: 1.3% (more likely to have
More informationThe role of current biologic therapies in psoriasis
: An Update on and IL-17 Inhibitors Joanna Dong, BA; Gary Goldenberg, MD PRACTICE POINTS The newest biologics for treatment of moderate to severe plaque psoriasis are and IL-17 inhibitors with unprecedented
More informationWhat is Cosentyx (secukinumab)?
What is Cosentyx (secukinumab)? Cosentyx is the first of a new class of medicines called interleukin- 17A (IL- 17A) inhibitors to be approved for the treatment of moderate- to- severe plaque psoriasis,
More informationClinical Policy: Brodalumab (Siliq) Reference Number: CP.PHAR.375 Effective Date: Last Review Date: 05.18
Clinical Policy: (Siliq) Reference Number: CP.PHAR.375 Effective Date: 06.01.18 Last Review Date: 05.18 Line of Business: Medicaid Revision Log See Important Reminder at the end of this policy for important
More informationCost per Responder of Apremilast Versus Etanercept, Adalimumab, and Ustekinumab in Patients With Moderate to Severe Psoriasis
1108 Cost per Responder of Apremilast Versus Etanercept, Adalimumab, and Ustekinumab in Patients With Moderate to Severe Psoriasis Steven R. Feldman, MD, PhD 1 ; Tom Tencer, PhD 2 ; Zoe Clancy, PharmD,
More informationPharmacy Medical Necessity Guidelines: Stelara (ustekinumab)
Pharmacy Medical Necessity Guidelines: Effective: January 1, 2018 Type of Review Care Prior Authorization Required Management Not Covered Type of Review Clinical Review SQ: RX/ Pharmacy (RX) or Medical
More informationPharmacy Medical Necessity Guidelines: Stelara (ustekinumab)
Pharmacy Medical Necessity Guidelines: Effective: November 14, 2017 Prior Authorization Required Type of Review Care Management Not Covered Type of Review Clinical Review SQ: RXUM/ RX / Pharmacy (RX) or
More informationClinical Policy: Ixekizumab (Taltz) Reference Number: ERX.SPA.122 Effective Date:
Clinical Policy: (Taltz) Reference Number: ERX.SPA.122 Effective Date: 10.01.16 Last Review Date: 11.18 Revision Log See Important Reminder at the end of this policy for important regulatory and legal
More informationEconomic Evaluation of Apremilast in the Treatment of Moderate to Severe Psoriasis in the United States
1142 Economic Evaluation of Apremilast in the Treatment of Moderate to Severe Psoriasis in the United States Tom Tencer, PhD 1 ; Zoe Clancy, PharmD, MS 1 ; Vidya Damera, MS 2 ; Frank Zhang MD, MPH 1 ;
More informationBackground AN UPDATED LOOK AT TREATMENTS FOR PLAQUE PSORIASIS JULY 2018 PLAQUE PSORIASIS TARGETED IMMUNOMODULATORS AS A TREATMENT OPTION
JULY 2018 Background PLAQUE PSORIASIS Plaque psoriasis is a common disease affecting 3% of the US population that causes itchy, red, scaly, raised lesions on the skin, most commonly on the elbows, knees,
More informationRESEARCH. What is already known about this subject. What this study adds
RESEARCH Health Care Utilization and Cost Associated with Biologic Treatment Patterns Among Patients with Moderate to Severe Psoriasis: Analyses from a Large U.S. Claims Database Steven R. Feldman, MD,
More informationScottish Medicines Consortium
Scottish Medicines Consortium ustekinumab, 45mg solution for injection (Stelara ) No. (572/09) Janssen-Cilag Ltd 15 January 2010 The Scottish Medicines Consortium (SMC) has completed its assessment of
More informationBruce Strober 1, 2, Chitra Karki 3, Marc Mason 3, Ning Guo 3, Jeffrey D Greenberg 3,4, Mark Lebwohl 5
Characterization of Disease Burden, Comorbidities and Use of Patients with Psoriasis at Enrollment: Results from the Corrona Psoriasis Registry Bruce Strober 1, 2, Chitra Karki 3, Marc Mason 3, Ning Guo
More information(Poster presented on Sunday 05 March, 08:50 08:55; 2017 AAD Meeting, Orlando, Florida, USA)
Secukinumab in Psoriasis Patients with Concurrent Psoriatic Arthritis: Patient-Reported Outcomes in the Corrona Psoriasis Registry AB Gottlieb, B Strober, 2 AW Armstrong, 3 JD Greenberg, 4,5 C Karki, 4
More informationDLQI (ESTEEM
192 Apremilast, an Oral Phosphodiesterase 4 Inhibitor, in Patients With Moderate to Severe Plaque Psoriasis: Pruritus and DLQI Correlations at Week 16 (ESTEEM 1 and 2) Steven R. Feldman, MD, PhD 1 ; Diamant
More informationADDITIONAL RESOURCES
ADDITIONAL RESOURCES CURRENT MODEL OF PSORIASIS IMMUNOPATHOGENESIS IL-17 A/FIL-22 GM-CSF Stressed keratinocytes TNF-α Myeloid dendritic cell Keratinocytes Activation IL-23 IL-12 T cells IL-1 BIL-6 TNF-α
More informationClinical Policy: Ixekizumab (Taltz) Reference Number: CP.PHAR.257 Effective Date: Last Review Date: 05.18
Clinical Policy: (Taltz) Reference Number: CP.PHAR.257 Effective Date: 08.01.16 Last Review Date: 05.18 Line of Business: Medicaid Revision Log See Important Reminder at the end of this policy for important
More informationTargeted Immunomodulators for the Treatment of Moderate-to- Severe Plaque Psoriasis: Effectiveness and Value
Targeted Immunomodulators for the Treatment of Moderate-to- Severe Plaque Psoriasis: Effectiveness and Value Condition Update Final Background and Scope January 9, 2018 Background Psoriasis is a common
More informationDetails of UNCOVER-2 and UNCOVER-3 Study Results Published in The Lancet
June 10, 2015 Eli Lilly and Company Lilly Corporate Center Indianapolis, Indiana 46285 U.S.A. +1.317.276.2000 www.lilly.com For Release: Refer to: Immediately Tim Coulom; tim.coulom@lilly.com; 317-771-2241
More informationIncorporating Biologics Into Your Practice
Incorporating Biologics Into Your Practice Jeffrey M. Sobell MD Tufts University School of Medicine SkinCare Physicians Ora Clinical Research Disclosure Of Relationships With Industry Amgen AbbVie Celgene
More informationSymptom Severity, Quality of Life and Work Productivity of US Psoriasis Patients During Periods of Flare and Remission
Symptom Severity, Quality of Life and Work Productivity of US Psoriasis Patients During Periods of Flare and Remission 93 Korman, NJ 1, Zhao, Y 2, Roberts, J 3 Pike, J 3, Lu, J 2, Tran, MH 2 (Please see
More informationClinical Policy: Ixekizumab (Taltz) Reference Number: CP.PHAR.257 Effective Date: Last Review Date: 11.18
Clinical Policy: (Taltz) Reference Number: CP.PHAR.257 Effective Date: 08.01.16 Last Review Date: 11.18 Line of Business: Medicaid Revision Log See Important Reminder at the end of this policy for important
More informationP4081 Secukinumab skin clearance is associated with greater improvements in patient-reported pain, itching, and scaling
P4081 Secukinumab skin clearance is associated with greater improvements in patient-reported pain, itching, and scaling Mark Lebwohl, 1 Andrew Blauvelt, 2 Matthias Augustin, 3 Yang Zhao, 4 Isabelle Gilloteau,
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Cosentyx, Cosentyx Sensoready) Reference Number: HIM.PA.SP29 Effective Date: 05/17 Last Review Date: Line of Business: Health Insurance Marketplace Coding Implications Revision Log See
More informationUpdate on systemic therapies and emerging treatments How do I choose a systemic agent?
Update on systemic therapies and emerging treatments How do I choose a systemic agent? Amy S. Paller, M.D. Walter J. Hamlin Professor and Chair of Dermatology Professor of Pediatrics Northwestern University
More informationAnti-TNF biologic agents Dr Lluís Puig
Department of Dermatology Hospital de la Santa Creu i Sant Pau IPC NOVARTIS PSORIASIS PRECEPTORSHIP Anti-TNF biologic agents Dr Lluís Puig Barcelona, July 9th-10th, 2013 Anti-TNF therapy in the pathophysiology
More informationSecukinumab is superior to ustekinumab in clearing skin of subjects with moderate to severe plaque psoriasis: CLEAR, a randomized controlled trial
Secukinumab is superior to ustekinumab in clearing skin of subjects with moderate to severe plaque psoriasis: CLEAR, a randomized controlled trial Diamant Thaçi, MD, a Andrew Blauvelt, MD, MBA, b Kristian
More informationThe Cosentyx clinical trial programme 1-11
The Cosentyx clinical trial programme 1-11 There are eight pivotal trials (four in psoriasis, two in psoriatic arthritis, two in ankylosing spondylitis) There are two head-to-head trials in psoriasis showing
More informationREVEALING A CLEAR PATH TOWARDS A NEW ERA IN THE MANAGEMENT OF PSORIASIS
REVEALING A CLEAR PATH TOWARDS A NEW ERA IN THE MANAGEMENT OF PSORIASIS Summary of Presentations from the Novartis-Supported Satellite Symposium, held at the 23 rd EADV Congress, Amsterdam, the Netherlands,
More informationClinical Policy: Apremilast (Otezla) Reference Number: CP.PHAR.245 Effective Date: 08/16 Last Review Date 08/17
Clinical Policy: (Otezla) Reference Number: CP.PHAR.245 Effective Date: 08/16 Last Review Date 08/17 Line of Business: Medicaid Revision Log See Important Reminder at the end of this policy for important
More informationClinical Policy: Secukinumab (Cosentyx) Reference Number: CP.PHAR.261 Effective Date: 08/16 Last Review Date: 08/17
Clinical Policy: (Cosentyx) Reference Number: CP.PHAR.261 Effective Date: 08/16 Last Review Date: 08/17 Line of Business: Medicaid Revision Log See Important Reminder at the end of this policy for important
More informationDERMATOLOGY. The Changing Landscape of Psoriasis Treatment ABSTRACT
WHITE PAPER PRESENTED BY PREMIER RESEARCH The Changing Landscape of Psoriasis Treatment ABSTRACT Over the past two decades, biologic therapies have revolutionized the treatment of psoriasis, with more
More informationClinical Policy: Secukinumab (Cosentyx) Reference Number: ERX.SPA.165 Effective Date:
Clinical Policy: (Cosentyx) Reference Number: ERX.SPA.165 Effective Date: 10.01.16 Last Review Date: 11.17 Revision Log See Important Reminder at the end of this policy for important regulatory and legal
More informationClinical Policy: Secukinumab (Cosentyx) Reference Number: CP.PHAR.261 Effective Date: Last Review Date: Line of Business: HIM, Medicaid
Clinical Policy: (Cosentyx) Reference Number: CP.PHAR.261 Effective Date: 08.16 Last Review Date: 11.18 Line of Business: HIM, Medicaid Coding Implications Revision Log See Important Reminder at the end
More informationClinical Policy: Ustekinumab (Stelara) Reference Number: ERX.SPMN.167
Clinical Policy: (Stelara) Reference Number: ERX.SPMN.167 Effective Date: 10/16 Last Review Date: 12/16 Coding Implications Revision Log See Important Reminder at the end of this policy for important regulatory
More informationPsoriasis: Therapeutic goals
Psoriasis: Therapeutic goals I want to die 50 45 impetiginization infliximab 600 40 35 30 400 25 20 15 200 10 5 0 22-ene 21-feb 23-mar 22-abr 22- may Efalizumab 6 doses: flare + REBOUND CSA 3 21-jun 21-jul
More informationMark G. Lebwohl 1 Arthur Kavanaugh
Am J Clin Dermatol (2016) 17:87 97 DOI 10.1007/s40257-015-0169-x ORIGINAL RESEARCH ARTICLE US Perspectives in the Management of Psoriasis and Psoriatic Arthritis: Patient and Physician Results from the
More informationThe Harvard community has made this article openly available. Please share how this access benefits you. Your story matters. doi: /bjd.
Impact of brodalumab treatment on psoriasis symptoms and health-related quality of life: use of a novel patient-reported outcome measure, the Psoriasis Symptom Inventory The Harvard community has made
More informationClinical Policy: Apremilast (Otezla) Reference Number: CP.PHAR.245 Effective Date: Last Review Date: Line of Business: HIM, Medicaid
Clinical Policy: (Otezla) Reference Number: CP.PHAR.245 Effective Date: 08.16 Last Review Date: 11.18 Line of Business: HIM, Medicaid Revision Log See Important Reminder at the end of this policy for important
More informationUnitedHealthcare Pharmacy Clinical Pharmacy Programs
UnitedHealthcare Pharmacy Clinical Pharmacy Programs Program Number 2018 P 2104-4 Program Prior Authorization/Medical Necessity Medication Taltz (ixekizumab) P&T Approval Date 8/2016, 5/2017, 2/2018 Effective
More informationClinical Policy: Secukinumab (Cosentyx) Reference Number: ERX.SPA.165 Effective Date:
Clinical Policy: (Cosentyx) Reference Number: ERX.SPA.165 Effective Date: 10.01.16 Last Review Date: 11.18 Revision Log See Important Reminder at the end of this policy for important regulatory and legal
More informationJashin J Wu, 1 Alexander Egeberg, 2 James A Solomon, 3,4,5 Olawale Osuntokun, 6 Orin Goldblum, 6 Susan R Moriarty, 6 Fangyi Zhao, 6 Neil Korman 7
4662 Ixekizumab Treatment Shows a Neutral Impact on the Glucose and Lipid Profile of Patients with Moderate-to-Severe Psoriasis: Results from UNCOVER-1, -2, and -3 Jashin J Wu, 1 Alexander Egeberg, 2 James
More informationPGA x BSA as a PASI Surrogate
PGA x BSA as a PASI Surrogate Alice Bendix Gottlieb MD, PhD Professor of Dermatology New York Medical College Metropolitan Hospital New York, NY, USA DISCLOSURE OF RELEVANT RELATIONSHIPS WITH INDUSTRY
More informationPsoriasis Disease Severity Affects Patient Satisfaction With Therapy
82 Psoriasis Disease Severity Affects Patient Satisfaction With Therapy Korman NJ 1, Zhao Y 2, Tran MH 2, Lu J 2 (Please see authors affiliations on the last panel) Background Psoriasis is a chronic, immune
More informationDisclosures. Activity Information. Updates in Psoriasis Therapy. Ustekinumab Guselkumab Tildrakizumab. Secukinumab Ixekizumab Brodalumab
Disclosures Faculty: Teri Greiling, MD, PhD, has disclosed the following conflicts of interest: research funding: Eli Lilly. Updates in Psoriasis Therapy 12 October 2018 St. Charles Medical Center Teri
More informationUstekinumab (Stelara) for psoriatic arthritis second line after disease modifying anti rheumatic drugs (DMARDs)
Ustekinumab (Stelara) for psoriatic arthritis second line after disease modifying anti rheumatic drugs (DMARDs) January 2010 This technology summary is based on information available at the time of research
More informationUSTEKINUMAB Generic Brand HICL GCN Exception/Other USTEKINUMAB STELARA GUIDELINES FOR USE
Generic Brand HICL GCN Exception/Other USTEKINUMAB STELARA 36187 GUIDELINES FOR USE INITIAL CRITERIA (NOTE: FOR RENEWAL CRITERIA SEE BELOW) 1. Does the patient have a diagnosis of psoriatic arthritis (PsA)
More informationUstekinumab for severe treatment-resistant psoriasis: a 24-week pilot study in Hong Kong Chinese
Hong Kong J. Dermatol. Venereol. (2011) 19, 59-64 Original Article Ustekinumab for severe treatment-resistant psoriasis: a 24-week pilot study in Hong Kong Chinese Ustekinumab SKF Loo, KH Lau, KM Ho Introduction:
More informationPsoriasis. Dr. Pablo de la Cueva Hospital Universitario Infanta Leonor Madrid
Psoriasis Dr. Pablo de la Cueva Hospital Universitario Infanta Leonor Madrid PSORIASIS Psoriasis News. Topical treatment Calcipotriene/Betamethasone Dipropionate (Cal/BD) foam: In the real-world, Cal/BD
More informationBody Region Involvement and Quality of Life in Psoriasis: Analysis of a Randomized Controlled Trial of Adalimumab
Am J Clin Dermatol (16) 17:691 699 DOI 1.7/s257-16-229-x ORIGINAL RESEARCH ARTICLE Body Region Involvement and Quality of Life in Psoriasis: Analysis of a Randomized Controlled Trial of Adalimumab April
More informationClinical Policy: Ustekinumab (Stelara) Reference Number: CP.PHAR.264
Clinical Policy: (Stelara) Reference Number: CP.PHAR.264 Effective Date: 08/16 Last Review Date: 05/16 Coding Implications Revision Log See Important Reminder at the end of this policy for important regulatory
More informationCADTH CANADIAN DRUG EXPERT COMMITTEE FINAL RECOMMENDATION
CADTH CANADIAN DRUG EXPERT COMMITTEE FINAL RECOMMENDATION IXEKIZUMAB (Taltz Eli Lilly Canada Inc.) Indication: Moderate to Severe Plaque Psoriasis Recommendation: The CADTH Canadian Drug Expert Committee
More informationEffect of Apremilast on Patient-Reported Outcomes in Patients With Moderate to Severe Plaque Psoriasis in the ESTEEM 1 Trial
1152 Effect of Apremilast on Patient-Reported Outcomes in Patients With Moderate to Severe Plaque Psoriasis in the ESTEEM 1 Trial April W. Armstrong, MD, MPH 1 ; Christopher E.M. Griffiths, MD 2 ; Tom
More informationTranslating Knowledge of IL-23 Targeting into New Solutions for Psoriasis Treatment
Translating Knowledge of IL-23 Targeting into New Solutions for Psoriasis Treatment This symposium took place on 12 th October 2018, as part of the 2 nd European Workshop on Skin Immune Mediated Inflammatory
More informationTreatment Changes in PaMents with Moderate-to- Severe Psoriasis: A RetrospecMve Chart Review
Treatment Changes in PaMents with Moderate-to- Severe Psoriasis: A RetrospecMve Chart Review 4052 Jaclyn A. Smith 1, BS, Brooke Wehausen 1, BS, Irma Richardson 1, MHA, Yang Zhao 4, PhD, Yunfeng Li 4, PhD,
More informationUstekinumab Treatment of Erythrodermic Psoriasis Occurring after Physical Stress: A Report of Two Cases
Published online: September 26, 2013 1662 6567/13/0053 0254$38.00/0 This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC)
More informationixekizumab 80mg solution for injection (Taltz ) SMC No. (1223/17) Eli Lilly and Company Ltd.
ixekizumab 80mg solution for injection (Taltz ) SMC No. (1223/17) Eli Lilly and Company Ltd. 10 March 2017 The Scottish Medicines Consortium (SMC) has completed its assessment of the above product and
More information1 Introduction. Kim A. Papp 1 April W. Armstrong. Wendell Valdecantos 4
Am J Clin Dermatol (216) 17:79 86 DOI 1.17/s4257-15-161-5 ORIGINAL RESEARCH ARTICLE Efficacy in Patients with Psoriasis Who Received or Did Not Respond to Prior Systemic Therapy: A Pooled Post Hoc Analysis
More informationchemotherapeutic agents in
Use of biologics and chemotherapeutic agents in cutaneous emergencies: Focus on lifethreatening forms of psoriasis Alice Bendix Gottlieb MD, PhD Professor of Dermatology New York Medical College Metropolitan
More informationTHE THERAPY OF THE REBEL SEVERE PSORIAZIS WITH BIOLOGICAL PREPARATS
Bulletin of the Transilvania University of Braşov Series VI: Medical Sciences Vol. 5 (54) No. 2-2012 THE THERAPY OF THE REBEL SEVERE PSORIAZIS WITH BIOLOGICAL PREPARATS Mădălina FRÎNCU 1 Abstract: Biological
More informationSingle Technology Appraisal (STA) Tildrakizumab for treating moderate to severe plaque psoriasis
Single Technology Appraisal (STA) Tildrakizumab for treating moderate to severe plaque psoriasis Response to consultee and commentator comments on the draft remit and draft scope (pre-referral) Please
More informationBiologic Therapy in Psoriasis: Navigating the Options
CLINICAL REVIEW Biologic Therapy in Psoriasis: Navigating the Options Cather McKay, MD; Katherine E. Kondratuk, BS; John P. Miller, BS; Brittany Stumpf, MD; Erin Boh, MD, PhD PRACTICE POINTS Psoriasis
More informationA Phase 2 Trial of Guselkumab versus Adalimumab for Plaque Psoriasis
The new england journal of medicine Original Article A Phase 2 Trial of versus Adalimumab for Plaque Psoriasis Kenneth B. Gordon, M.D., Kristina Callis Duffin, M.D., Robert Bissonnette, M.D., Jörg C. Prinz,
More informationContemporary Management of Moderate to Severe Plaque Psoriasis
SUPPLEMENT THE AMERICAN JOURNAL OF MANAGED CARE December 2017 Vol. 23 No. 21, Sup. Contemporary Management of Moderate to Severe Plaque Psoriasis HIGHLIGHTS Effect of Plaque Psoriasis on Physical, Cardiovascular,
More informationCigna Drug and Biologic Coverage Policy
Cigna Drug and Biologic Coverage Policy Subject Apremilast Table of Contents Coverage Policy... 1 General Background... 2 Coding/Billing Information... 4 References... 4 Effective Date... 1/1/2018 Next
More informationBJD. Summary. British Journal of Dermatology THERAPEUTICS
THERAPEUTICS BJD British Journal of Dermatology Efficacy of psoralen plus ultraviolet A therapy vs. biologics in moderate to severe chronic plaque psoriasis: retrospective data analysis of a patient registry
More informationInsights from the Kaiser Permanente database
Insights from the Kaiser Permanente database Jashin J. Wu, M.D. Founding Director of Dermatology Research Director, Psoriasis Clinic Department of Dermatology Kaiser Permanente Los Angeles Medical Center
More informationPharmacy Accreditation
EASING THE PATIENT BURDEN OF PSORIASIS AND PSORIATIC ARTHRITIS: THE ROLE OF THE SPECIALTY PHARMACIST Claire Lee, PharmD, CSP, CPHQ Clinical Quality Improvement Supervisor Diplomat Flint, Michigan Pharmacy
More informationBrodalumab for treating moderate to severe plaque psoriasis [ID878]
Brodalumab for treating moderate to severe plaque psoriasis [ID878] Thank you for agreeing to give us your organisation s views on this technology and its possible use in the NHS. You can provide a unique
More informationInitiation and evaluation of the effect of biologic treatment. ActaDV ActaDV
CLINICAL REPORT 1 Correlation Between Dermatology Life Quality Index and Psoriasis Area and Severity Index in Patients with Psoriasis Treated with Ustekinumab Jeanette Halskou HESSELVIG, Alexander EGEBERG,
More informationUC Davis Dermatology Online Journal
UC Davis Dermatology Online Journal Title Increased severity of itching, pain, and scaling in psoriasis patients is associated with increased disease severity, reduced quality of life, and reduced work
More informationResearch Developments in Psoriasis Treatment A CME Activity
Overview Research Developments in Psoriasis Treatment A CME Activity Mark Lebwohl, MD, Waldman Chair of Dermatology at the Icahn School of Medicine at Mount Sinai in New York, provides his perspectives
More informationTRANSPARENCY COMMITTEE OPINION. 26 April 2006
TRANSPARENCY COMMITTEE OPINION 26 April 2006 REMICADE 100 mg powder for concentrate for solution for infusion Box of 1 (CIP code: 562 070.1) Applicant : laboratoires Schering Plough List I Drug for hospital
More informationBiologics and Psoriasis: The Beat Goes On
Biologics and Psoriasis: The Beat Goes On Mark Lebwohl, MD Waldman Professor And Chairman Kimberly and Eric J. Waldman Department of Dermatology Icahn School of Medicine at Mount Sinai Mark Lebwohl is
More informationActual use of medications is important for payers
ORIGINAL RESEARCH and Dosing for Plaque Psoriasis and Psoriatic Arthritis Machaon Bonafede, PhD, MPH; Derek H. Tang, PhD, BSPharm; Kathleen Wilson, MPH; Alice Huang, MS; David J. Harrison, PhD; and Bradley
More informationBiologic Therapies for Psoriasis. A Systematic Review
Biologic Therapies for Psoriasis. A Systematic Review WOLF-HENNING BOEHNCKE, JÖRG PRINZ, and ALICE B. GOTTLIEB ABSTRACT. Alefacept, efalizumab, etanercept, and infliximab are currently approved for the
More informationUSTEKINUMAB and BRIAKINUMAB
USTEKINUMAB and BRIAKINUMAB Andrew Blauvelt, M.D. Professor, Dept. of Dermatology and Dept. of Molecular Microbiology & Immunology Oregon Health & Science University Chief, Dermatology Service Veteran
More informationWhen researchers discovered in 1979 that the immunosuppressant
The Evolving Landscape of Psoriasis Treatment April W. Armstrong, MD, MPH,* Kenneth B. Gordon, MD, M. Alan Menter, MD, and Jashin J. Wu, MD Abstract The process of discovering new drugs for plaque psoriasis
More informationClinical Policy: Ustekinumab (Stelara) Reference Number: ERX.SPA.01 Effective Date:
Clinical Policy: (Stelara) Reference Number: ERX.SPA.01 Effective Date: 04.01.17 Last Review Date: 11.17 Revision Log See Important Reminder at the end of this policy for important regulatory and legal
More informationIntroduction , International Society for Pharmacoeconomics and Outcomes Research (ISPOR) /08/
Volume 11 Number 3 2008 VALUE IN HEALTH Patient-Reported Outcomes and Health-Care Resource Utilization in Patients with Psoriasis Treated with Etanercept: Continuous versus Interrupted Treatment Joel M.
More informationClinical Policy: Ustekinumab (Stelara) Reference Number: CP.PHAR.264 Effective Date: Last Review Date: Line of Business: HIM, Medicaid
Clinical Policy: (Stelara) Reference Number: CP.PHAR.264 Effective Date: 08.16 Last Review Date: 05.18 Line of Business: HIM, Medicaid Coding Implications Revision Log See Important Reminder at the end
More informationRheumatology journal club October 20, 2017 Presented by: Matthew Stoll MD,PhD,PSCS
Efficacy and safety of abatacept, a T-cell modulator, in a randomised, double-blind, placebo-controlled, phase III study in psoriatic arthritis (Mease et al., 2017) Rheumatology journal club October 20,
More informationUse of Biologic Agents in Combination with Other Therapies for the Treatment of Psoriasis
Am J Clin Dermatol (2014) 15:467 478 DOI 10.1007/s40257-014-0097-1 LEADING ARTICLE Use of Biologic Agents in Combination with Other Therapies for the Treatment of Psoriasis Jennifer C. Cather Jeffrey J.
More informationC. Assess clinical response after the first three months of treatment.
Government Health Plan (GHP) of Puerto Rico Authorization Criteria Tumor Necrosis Factor Alpha (TNFα) Adalimumab (Humira ) Managed by MCO Section I. Prior Authorization Criteria A. Physician must submit
More informationWhat's Now, What's Next: Individualizing the Treatment of Patients With Moderate to Severe Psoriasis for the Dermatologist Presentation 1
The following is a transcript from a web-based CME-certified multimedia activity. Interactivity applies only when viewing the activity online. This activity is supported by educational grants from Celgene
More informationMichael P. Heffernan, M.D San Luis Dermatology & Laser Clinic Director, US Probity Medical Research
Michael P. Heffernan, M.D San Luis Dermatology & Laser Clinic Director, US Probity Medical Research mpheffernanmd@gmail.com DISCLOSURES Consultant, Speaker, Investigator: Abbvie, Amgen, Brickell Biotech,
More informationPrimary Results Citation 2
Table S1. Adalimumab clinical trials 1 ClinicalTrials.gov Rheumatoid Arthritis 3 NCT00195663 Breedveld FC, Weisman MH, Kavanaugh AF, et al. The PREMIER study. A multicenter, randomized, double-blind clinical
More information75th AAD Annual Meeting
75th AAD Annual Meeting Poster nº 4873 A phase 3 randomized, double-blind, trial comparing the efficacy and safety of the fixed combination calcipotriene 0.005% (Cal) and betamethasone dipropionate 0.064%
More informationUvA-DARE (Digital Academic Repository) Innovative therapies and new targets in psoriasis de Groot, M. Link to publication
UvA-DARE (Digital Academic Repository) Innovative therapies and new targets in psoriasis de Groot, M. Link to publication Citation for published version (APA): de Groot, M. (2011). Innovative therapies
More informationRequest for Special Authorization Enbrel
Certain prescription drugs call for a more detailed assessment to help ensure that they represent reasonable treatment. Special Authorization requires that you request approval from Great-West Life for
More informationustekinumab (Stelara )
Applies to all products administered or underwritten by Blue Cross and Blue Shield of Louisiana and its subsidiary, HMO Louisiana, Inc.(collectively referred to as the Company ), unless otherwise provided
More informationBJD. Summary. British Journal of Dermatology THERAPEUTICS
THERAPEUTICS BJD British Journal of Dermatology Efficacy and safety of infliximab vs. methotrexate in patients with moderate-to-severe plaque psoriasis: results of an open-label, active-controlled, randomized
More informationKenneth Gordon, 1 Kim A. Papp, 2 Kara Creamer Rice, 3 Mona Trivedi, 3 David H. Collier, 3 Greg Kricorian 3
American Academy of Dermatology 75 th Annual Meeting, Orlando, FL; March 3 7, 2017 Poster 4563 Novel Evaluation of Psoriasis Area and Severity Index (PASI) Data: Distribution of PASI Improvements in a
More information1. Background: Infliximab is administered parenterally; therefore, it is not covered under retail pharmacy benefits.
Subject: Infliximab (Remicade ) Original Original Committee Approval: October 13, 2006 Revised Last Committee Approval: December 3, 2008 Last Review: October 19, 2007 1. Background: Infliximab is a genetically
More informationEfficacy and Safety of Apremilast in Patients With Moderate Plaque Psoriasis (UNVEIL Phase IV Study)
4892 Efficacy and Safety of Apremilast in Patients With Moderate Plaque Psoriasis ( Phase IV Study) Bruce Strober, MD 1 ; Jerry Bagel, MD 2 ; Mark Lebwohl, MD 3 ; Linda Stein Gold, MD 4 ; J. Mark Jackson,
More informationFROM REGISTRY DATA TO REAL-LIFE EXPERIENCES: A HOLISTIC PERSPECTIVE OF PSORIASIS TREATMENT
FROM REGISTRY DATA TO REAL-LIFE EXPERIENCES: A HOLISTIC PERSPECTIVE OF PSORIASIS TREATMENT This symposium took place on 15 th September 2017 as a part of the 26th European Academy of Dermatology and Venereology
More information