Clinical Experience with Sekukinumab and Evaluation of Inflammatory Parameters in Psöriatic Arthritis

Öz

Objective: Secukinumab is a human immunoglobulin G1 kappa monoclonal antibody that binds to Interleukin-17A. The objective of this study was to evaluate the dermographic, clinical and inflammatory parameters, treatment duration and side effect profile of patients with psoriatic arthritis who were treated with secukinumab. Material-method: Patients diagnosed with PsA according to 2006 CASPAR classification criteria and receiving secukinumab treatment were included in the study. The efficacy and safety of the treatment were evaluated. Drug survival was analyzed.The pre- and post-treatment monocyte/lymphocyte ratio (MLR), neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR), systemic immune inflammation index (SII) (platelet count x neutrophil count / lymphocyte count), and systemic inflammatory response index (SIRI) (neutrophil count x monocyte count / lymphocyte count) were calculated as inflammatory parameters. Results: Of the 41 patients with PsA who were included in the study, 29 (70.7%) continued with secukinumab treatment for 45 months. Twelve patients (29.3%) discontinued treatment. The most common reason for discontinuation was drug ineffectiveness, and dyspeptic complaints and gastrointestinal side effects were found to be side effects. No statistically significant difference was identified in the inflammatory parameters analysed before and after treatment. Conclusion: In the present study, despite the fact that the majority of patients had previously undergone treatment with a biological agent, the survival rates observed in those receiving secukinumab were found to be relatively high. Secukinumab is currently being employed in clinical practice as an efficacious treatment option for the management of PsA.

Anahtar Kelimeler

• Secukinumab
• Interleukin-17A
• psoriatic arthritis

Psoriatik Artritte Sekukinumab Klinik Deneyimi ve Enflamatuvar Parametrelerin Değerlendirilmesi

Öz

Amaç: Sekukinumab İnterlökin-17A’ ya bağlanan insan immünoglobulin G1 kappa monoklonal antikorudur. Bu çalışmada sekukinumab tedavisi kullanan psöriyatik artrit (PsA) hastalarının dermografik, klinik ve inflamatuvar paremetrelerini, tedaviye devam sürelerini ve yan etki profilini değerlendirmeyi amaçladık. Materyal-Metot: Çalışmaya 2006 CASPAR sınıflandırma kriterlerine göre PsA tanısı almış ve sekukinumab tedavisi kullanan hastalar dahil edildi. Tedavinin etkinliği ve güvenliği değerlendirildi. İlaç sağkalımı analiz edildi. Tedavi öncesi ve sonrası monosit/lenfosit oranı (MLO), nötrofil/lenfosit oranı (NLO), platelet/lenfosit oranı (PLO), sistemik immün inflamasyon indeksi(SII) (trombosit sayısı x nötrofil sayısı/ lenfosit sayısı), sistemik inflamatuvar cevap indeksi (SIRI) (nötrofil sayısı x monosit sayısı / lenfosit sayısı) inflamatuvar paremetreleri hesaplandı. Bulgular: Çalışmaya dahil edilen 41 PsA hastasının 45 ay süresince 29 (%70,7)’ unun sekukinumab tedavisine devam ettiği görüldü. Hastaların 12 (%29,3) tedaviyi bıraktı. Tedaviyi en sık bırakma nedeninin ilaç etkisizliği olduğu, yan etki olarak da dispeptik yakınmalar ve gastrointestinal yan etkiler olduğu tespit edildi. Tedavi öncesi ve sonrasında bakılan inflamatuvar paremetrelerde istatiksel olarak anlamlı bir farklılık saptanmadı. Sonuç: Çalışmamızda hastaların büyük bir kısmında daha önce bir biyolojik ajan kullanmış olmasına rağmen sekukinumab tedavisinde kalım oranlarının oldukça yüksek olduğu saptanmıştır. Sekukinumab, PsA tedavisinde etkili bir tedavi seçeneği olarak klinik kullanımımızda yer almaktadır.

Anahtar Kelimeler

• Sekukinumab
• İnterlökin-17A
• psöriyatik artrit

Kaynakça

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