Apremilast for Discoid Lupus Erythematosus: Results of a Phase 2, Open-Label, Single-Arm, Pilot Study

被引:1
|
作者
De Souza, Aieska
Strober, Bruce E.
Merola, Joseph F.
Oliver, Stephen
Franks, Andrew G., Jr. [1 ,2 ]
机构
[1] NYU, Langone Med Ctr, ACC, Ronald O Perelman Dept Dermatol,Sch Med, New York, NY 10016 USA
[2] NYU, Sch Med, Dept Med Rheumatol, New York, NY 10016 USA
关键词
INHIBITOR; PSORIASIS;
D O I
暂无
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Background: Discoid lupus erythematosus (DLE) is a chronic inflammatory disorder mediated by Th1 cells. Apremilast is a novel oral PDE4 enzyme inhibitor capable of blocking leukocyte production of 11,12, 11,23, TNF-a, INF-y with subsequent suppression of Th1 and Th17-mediated immune responses, and proven clinical efficacy for psoriasis as well as rheumatoid and psoriatic arthritis. Observations: Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI) showed a significant (P<0.05) decrease after 85 days of treatment with apremilast 20 mg twice daily in 8 patients with active discoid lupus. The adverse events related to the drug were mild and transient. Conclusions: This is the first open label study to use apremilast as a treatment modality for discoid lupus. Our observations indicate that apremilast may constitute a safe and effective therapeutic option for DLE.
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收藏
页码:1224 / 1226
页数:3
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