赛立奇单抗治疗中重度斑块状银屑病的疗效观察OA
Clinical observation on the efficacy of Xeligekimab in patients with moderate-to-severe plaque psoriasis
目的 评价赛立奇单抗治疗中重度斑块状银屑病患者的临床疗效与安全性.方法 招募38例中重度斑块状银屑病患者,行赛立奇单抗200 mg皮下注射治疗,前12周每2周1次,随后每4周1次,共行16周治疗.于第0、4、8、12、16周评价患者银屑病皮损面积和严重程度指数(PASI)、医师整体评估(PGA)、皮肤病生存质量指数(DLQI),记录不良反应.结果 37例患者完成16周随访,1例因注射部位不良反应及个人原因退出研究.治疗第16周时,达到PASI 75、PASI 90、PASI 100的应答率分别为100%、86.49%、59.46%,达到PGA 0/1的比例为97.30%.DLQI评分在第16周由基线的13.49±5.81明显改善至0.51±0.90.37例患者均未发生严重不良反应.结论 赛立奇单抗治疗中重度银屑病患者显著改善皮损和生活质量,且整体安全性良好.
Objective To assess the therapeutic effectiveness and safety profile of Xeligekimab in patients with moderate-to-severe psoriasis.Methods Thirty-eight patients with moderate-to-se-vere plaque psoriasis were enrolled.Patients received subcutaneous injections of Xeligekimab(200 mg)once every 2 weeks during the first 12 weeks,followed by once every 4 weeks for a total treatment duration of 16 weeks.The psoriasis area and severity index(PASI),physician global assessment(PGA),and dermatology life quality index(DLQI)were evaluated at baseline and at weeks 4,8,12,and 16.Adverse reactions were recorded throughout the study.Results Thirty-seven patients completed the 16-week follow-up,while one patient withdrew due to injection-site reactions and personal reasons.At week 16,the response rates for PASI 75,PASI 90,and PASI 100 were 100%,86.49%,and 59.46%,respectively.The proportion of patients achieving a PGA score of 0 or 1 was 97.30%.The DLQI score improved significantly from a baseline of 13.49±5.81 to 0.51±0.90 at week 16.No serious adverse reactions occurred in any of the 37 patients.Conclusion Xeligekimab significantly improves skin lesions and quality of life in patients with moderate-to-severe plaque psoriasis,demonstrating a favorable overall safety profile.
米泽曦;许瑶函;陈永锋
南方医科大学皮肤病医院,广东 广州 510091南方医科大学皮肤病医院,广东 广州 510091南方医科大学皮肤病医院,广东 广州 510091
赛立奇单抗中重度银屑病临床疗效不良反应
Xeligekimabmoderate-to-severe psoriasisclinical efficacyadverse reac-tions
《皮肤性病诊疗学杂志》 2026 (5)
343-346,4
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