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Гуселькумаб в терапии больных бляшечным псориазом средней и тяжелой степени тяжести: эффективность и безопасность блокады интерлейкина-23

https://doi.org/10.25208/0042-4609-2019-95-6-68-77

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Аннотация

Материал и методы. Представлен обзор литературы, в котором рассматривается значение интерлейкина-(ИЛ)-23 в патогенезе бляшечного псориаза и анализируются результаты клинических исследований 1-й и 2-й фаз, а также сравнительных исследований 3-й фазы VOYAGE 1, VOYAGE 2, NAVIGATE и ECLIPSE, в которых оценивалась эффективность и безопасность блокатора субъединицы p19 ИЛ-23 гуселькумаба. Для подготовки обзора были использованы базы данных научной литературы PubMed и РИНЦ.
Результаты. Продемонстрирована высокая эффективность и безопасность гуселькумаба в терапии больных бляшечным псориазом. Значение PASI 90 на 16-й неделе терапии гуселькумабом достигало 73,3 %, на 24-й неделе лечения — 80,2 % (исследование VOYAGE 1). При продолжении лечения в течение 48 недель терапевтический эффект сохранялся. Показана высокая эффективность терапии гуселькумабом больных, у которых ранее была неэффективной терапия другими генноинженерными биологическими препаратами. В сравнительных исследованиях показана более высокая терапевтическая эффективность гуселькумаба по сравнению с блокаторами ФНО-α, субъединицы p40 ИЛ-12/23, ИЛ-17. Частота развития нежелательных явлений во время терапии гуселькумабом и другими биологическими препаратами, использовавшимися в сравнительных исследованиях, была невысокой и сопоставимой.
Заключение: блокатор субъединицы p19 ИЛ-23 гуселькумаб представляет собой эффективное и безопасное средство для лечения больных бляшечным псориазом средней и тяжелой степени тяжести.

Об авторе

В. В. Чикин
Государственный научный центр дерматовенерологии и косметологии Министерства здравоохранения Российской Федерации
Россия

д.м.н., ведущий научный сотрудник отдела дерматологии 

107076, Российская Федерация, г. Москва, ул. Короленко, д. 3, стр. 6



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Для цитирования:


Чикин В.В. Гуселькумаб в терапии больных бляшечным псориазом средней и тяжелой степени тяжести: эффективность и безопасность блокады интерлейкина-23. Вестник дерматологии и венерологии. 2019;95(6):68-77. https://doi.org/10.25208/0042-4609-2019-95-6-68-77

For citation:


Chikin V.V. Guselkumab in the treatment of patients with plaque psoriasis of moderate and severe severity: Efficacy and safety of interleukin-23 blockade. Vestnik dermatologii i venerologii. 2019;95(6):68-77. (In Russ.) https://doi.org/10.25208/0042-4609-2019-95-6-68-77

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