Before reading, review part 1 here.
The panel delved into the specific needs of patients with melanin-rich skin and provided valuable insights into optimizing psoriasis care for this patient population. They noted that some patients have expressed distrust in the health care system or experience with clinical trials and may prefer topical treatments oversystemic agents.
When it comes to putting [patients with skin of color] on a systemic agent, a lot of them have distrust in the health care system or experience with clinical trials. They dont always want to go on a systemic [treatment], Shahriari said. Theyd rather go on a topical [treatment], and [with] our older-generation special topical corticosteroids, a big concern was hypopigmentation or other pigmentary alterations. In the scalp, the formulations we had werent ideal for tightlycoiled hairs.
The panel also discussed the potential risk of hypopigmentation and other pigmentary alterations with older topical corticosteroids and the need for newer formulations. We want to simplify the treatment regimen. We want to pay attention to skin of color and the hypopigmentation that can come from topical steroids, Stein Gold explained. We want to do a more holistic treatment for the patients [with] psoriasis where we can treat short term as well as a long term. It doesnt mean we wont use combination therapy with these new topicals, combination with topical steroids or systemic agents, but I think theyre [an] important addition to the treatment arm inthis area.
The panelists highlighted the significance of tailored treatment approaches for patients with melanin-rich skin, with Kircik noting, When you look at the statistics, theres so much discordance between the perception of the disease by the provider vs the patient and it doesnt match. This insight underscores the need for health care providers to understand and address the unique experiences and perceptions of psoriasis in patients with melanin-rich skin.
Stein Gold, Shahriari, and Cameron explored emerging oral treatments for the management of plaque psoriasis, emphasizing the novelty of TYK2 inhibition. They discussed the unique POETYK PSO-LTE (NCT04036435) trial design, stressing the importance of the inclusion of an active control arm. Shahriari explained the significance of trials for deucravacitinib (Sotyktu; Bristol Myers Squibb), stating, We had our POETYK PSO trials, which were the pivotal trials for deucravacitinib. And apremilast, our other oral agent on the market, was theactive comparator.
The POETYK PSO-LTE clinical trial assessed the 3-year results of deucravacitinib treatment in adult patients with moderate to severe plaque psoriasis. The trial included 1519 patients who received at least1 dose of deucravacitinib acrossmultiple phases.1
Shahriari provided an overview of the evolution of treatments for plaque psoriasis, stating, After the 2000s, we decided to become more targeted and specific in our treatments for plaque psoriasis, and thats when the era of the biologics started. The panel shared insights into the pivotal role of biologic agents in the shift toward more targeted and specific treatments forplaque psoriasis.
Han discussed diversity within the IL-17 family of biologic agents, stating, Whats interesting to me is that in the IL-17 family, we have so much diversity now: IL-17A inhibitors and IL-17 receptor blockers, a dual IL-17A and IL-17F. This emphasizes the diversity and ongoing development within the IL-17 family of biologic agents, reflecting the evolving landscape ofbiologic treatments.
The panel also discussed the considerations for choosing between biologic and small-molecule treatments and treatment duration. Han also mentioned, I think it makes sense. One of the things that Leon [Kircik] said, to your point of why not just put them on a biologic, with a small-molecule [treatment], you dont have to worry about the half-life, about how long they keep it on board, about developingantidrug antibodies.
Kircik emphasized the importance of topical treatments in combination with systemic therapies and said, I always say that topical treatment is the foundation of dermatologic treatment. No matter what, we have biologics, we have oral treatments, we still use topical treatment for those patients. And we use combination treatment, right? Regardless of what we are doing...oral, systemic, light treatments, I always add topicals. I use biologics in combination with topicals; systemics-topicals; and lighttreatment- topicals.
Reference
See the article here:
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- Psoriasis Treatment, Symptoms, Pictures, Types, Prognosis ... - December 20th, 2013 [December 20th, 2013]
- Psoriasis - National Library of Medicine - PubMed Health - December 20th, 2013 [December 20th, 2013]
- Psoriasis: MedlinePlus - U.S. National Library of Medicine - December 20th, 2013 [December 20th, 2013]
- Psoriasis - Wikipedia, the free encyclopedia - December 20th, 2013 [December 20th, 2013]
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- How to treat psoriasis | In Good Shape - Interview - Video - December 22nd, 2013 [December 22nd, 2013]
- Best Scalp Psoriasis Treatment - Video - December 22nd, 2013 [December 22nd, 2013]
- Sandoz begins Phase III clinical trial for biosimilar adalimumab - December 23rd, 2013 [December 23rd, 2013]
- Psoriasis - Wikipedia, la enciclopedia libre - December 23rd, 2013 [December 23rd, 2013]
- What Is Psoriasis? - December 23rd, 2013 [December 23rd, 2013]
- Psoriasis Treatment Medical Course - Video - December 23rd, 2013 [December 23rd, 2013]
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- Natural Farm cure for Skin Problems like Psoriasis - Video - December 26th, 2013 [December 26th, 2013]
- Psoriasis - 100% Natural Treatment Shivax® - December 27th, 2013 [December 27th, 2013]
- Psoriasis Symptoms, Causes, Treatment - What is psoriasis ... - December 28th, 2013 [December 28th, 2013]
- 79 PSORIASIS SYMPTOMS HOMEOPATHY TREATMENT K N SRIDHAR P3 - Video - December 28th, 2013 [December 28th, 2013]
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- Can Acupuncture treat psoriasis and other scalp disorders? - Video - December 28th, 2013 [December 28th, 2013]
- Psoriasis - Wikipédia - December 31st, 2013 [December 31st, 2013]
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- How to Cure Psoriasis - Psoriasis Symptoms, Treatment, Causes, Medication Information - Video - December 31st, 2013 [December 31st, 2013]
- Psoriasis Chronicles - Dealing with Depression, Anxiety and Anger - Video - January 2nd, 2014 [January 2nd, 2014]
- How to Prevent Psoriasis Flare-Ups - January 4th, 2014 [January 4th, 2014]
- Psoriasis Treatment | Health Plus | Studio N - Video - January 4th, 2014 [January 4th, 2014]
- Ayurvedic Remedy for Psoriasis - By Panditha Elchuri - Video - January 4th, 2014 [January 4th, 2014]
- Silica Gel For Psoriasis / Neurodermatitis - Video - January 4th, 2014 [January 4th, 2014]
- comment traiter son psoriasis détail oubliés - Video - January 4th, 2014 [January 4th, 2014]
- Psoriasis tends to relapse after stopping Methotrexate, shown in a case at Life Force - Video - January 4th, 2014 [January 4th, 2014]
- hiking nevada Health and Wellness Enthusiast Dawn Talks About Managing Plaque Psoriasis hiking watch - Video - January 5th, 2014 [January 5th, 2014]
- Guttate psoriasis - Wikipedia, the free encyclopedia - January 7th, 2014 [January 7th, 2014]
- Biofeedback May Help Control Stress-Related Diseases - January 8th, 2014 [January 8th, 2014]
- Psoriasis can be managed with proper treatment - January 10th, 2014 [January 10th, 2014]
- CNN anchor: How I fight psoriasis - January 10th, 2014 [January 10th, 2014]
- Psoriasis - My Home Remedies - January 10th, 2014 [January 10th, 2014]
- Psoriasis: MedlinePlus en español - January 10th, 2014 [January 10th, 2014]
- Psoriatic arthritis - Wikipedia, the free encyclopedia - January 10th, 2014 [January 10th, 2014]
- CNN anchor Zain Verjee: How I fight psoriasis - January 11th, 2014 [January 11th, 2014]
- Testimonio psoriasis - Video - January 14th, 2014 [January 14th, 2014]
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- Learn about plaque psoriasis, guttate psoriasis, inverse ... - January 16th, 2014 [January 16th, 2014]
- Psoriasis - Symptoms, Triggers, and Causes of Psoriasis on WebMD - January 16th, 2014 [January 16th, 2014]
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- How to treat psoriasis effectively - By Franziska Ringpfeil, Board Certified Dermatologist - Video - January 28th, 2014 [January 28th, 2014]
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- 12 Best and Worst Foods for Psoriasis - January 31st, 2014 [January 31st, 2014]
- Psocial Psoriasis en radio Tagoror - Video - January 31st, 2014 [January 31st, 2014]
- Psocial Psoriasis en Canarias Hoy - Video - January 31st, 2014 [January 31st, 2014]
- Psoriasis Natural Treatment that Workswww savevid com - Video - January 31st, 2014 [January 31st, 2014]