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Absolute Psoriasis Area and Severity Index as a valuable marker to determine initial treatment response in psoriasis patients treated with guselkumab in routine clinical care

Dermatologic Therapy Dec 03, 2021

Seidl U, Pinter A, Wilsmann-Theis D, et al. - The absolute Psoriasis Area and Severity Index (PASI) affords a more valuable tool to measure treatment outcome in psoriasis.

  • In this multicenter-retrospective chart review, a total of 74 psoriasis patients who received guselkumab (an anti-interleukin-23p19 monoclonal antibody) treatment were included, and mean PASI at baseline was 13.0 (± 6.7).

  • Post-12 weeks of therapy, 40 patients could be followed up.

  • An absolute PASI ≤5 (55.0% ≤3; 42.5% ≤2) was achieved in 72.5% and a delta PASI reduction of at least 75% was achieved in 57.5% of patients.

  • When the absolute PASI was employed as a treatment goal instead of response rate, a high effectiveness of guselkumab was evident in this real-world setting.

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