메뉴 건너뛰기
소속 기관 / 학교 인증
인증하면 논문, 학술자료 등을  무료로 열람할 수 있어요.
한국대학교, 누리자동차, 시립도서관 등 나의 기관을 확인해보세요
(국내 대학 90% 이상 구독 중)
고객센터 ENG
주제분류

논문 기본 정보

저자정보
출처
Wiley JEADV Clinical Practice 4(5)
오류 신고하기
표지

검색

    초록·키워드

    ABSTRACT Background The management of moderate to severe hidradenitis suppurativa (HS) is complex with secondary failure of monoclonal antibodies frequent. Real‐world evidence regarding the treatment landscape before starting biologic therapy has been well‐documented, however, the role of switching between biologic agents is less well‐described. Objectives We aimed to describe real‐world data regarding the use of biologics and small‐molecule inhibitors in patients with HS. Methods Data from the TriNETX platform a deidentified global database of over 330 million patients from healthcare networks and institutions was queried. Results A total of 214,229 patients with a diagnosis of HS were identified, of whom 15,689 had exposure to the biologic and small molecule therapies listed (7.32%). Of this biologic and small molecule therapy‐experienced cohort, the average age was 41.8 years with 72.8% cohort being female. Patients had median follow‐up time of 1014 days (IQR = 1916 days). Of the 15,689 patients included, 919 progressed to a second‐line agent (5.9%). The longest median time on first‐line treatment was Certolizumab at 715 days ( n = 141 patients) and the shortest was for Secukinumab at 180 days ( n = 1745 patients). The most prevalent second‐line therapies were ‘Other’ nonbiologic therapies ( n = 476, 51.8%) followed by infliximab ( n = 91, 9.8%), adalimumab ( n = 187, 20.3%) and secukinumab ( n = 134, 14.6%). Conclusions The highest rates of long‐term single treatment persistence were seen in secukinumab (90.3%), upadacitinib (89.1%) and adalimumab (82.5%).

    본문·목차

    최근 본 자료 전체보기