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July 1, 2016Psoriasis Targets and TherapyOpen Access

Combining biologic and phototherapy treatments for psoriasis: safety, efficacy, and patient acceptability

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Authors

BFBenjamin FarahnikVPViraat PatelKBKourosh Beroukhim

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Overview

Literature review reveals enhanced clearance and low severe adverse events in moderate-to-severe psoriasis, suggesting combination biologic and phototherapy is an effective clinical strategy.

Key Points

  • To evaluate the efficacy and safety evidence for combining biologic agents with phototherapy in patients with moderate-to-severe plaque psoriasis.
  • Searched PubMed through January 2016 for English-language studies evaluating combination biologic and phototherapy regimens in moderate-to-severe psoriasis.
  • Identified primary literature encompassing randomized controlled trials, a head-to-head trial, open-label trials, case series, and case reports analyzing agents such as etanercept, adalimumab, infliximab, and ustekinumab.
  • Etanercept was the biologic evaluated in over 50% of reported cases, and narrowband ultraviolet B (NBUVB) radiation was the predominant phototherapy modality.
  • Most reviewed cases demonstrated enhanced clinical clearance when combining biologics with phototherapy relative to monotherapy.
  • Serious adverse events occurred in <3% of patients during study periods, though potential long-term adverse events remain uncharacterized.

Cite This Study

Farahnik et al. (2016) studied this question.

synapsesocial.com/papers/6a70f439f44fa9f079deb5cfhttps://doi.org/10.2147/ptt.s98952
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