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Gene therapy is a technique where a gene is inserted into a person’s cells to prevent or treat a serious disease. The added gene may be a healthy version of the gene that is mutated in the patient, or it could be a different gene that inactivates or compensates for the patient’s disease-causing gene. For example, in patients with severe combined immunodeficiency (SCID) due to a mutation in the gene for the enzyme adenosine deaminase, a functioning version of the gene can be...
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Related Experiment Video

Updated: Feb 9, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
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New Therapies for Psoriasis.

Bruce E Strober1

  • 1Professor and Chair Department of Dermatology University of Connecticut Health Center Farmington, Connecticut.

Seminars in Cutaneous Medicine and Surgery
|June 1, 2018
PubMed
Summary

Newer psoriasis treatments include interleukin-17A inhibitor secukinumab and phosphodiesterase 4 inhibitor apremilast. Secukinumab shows higher efficacy than adalimumab, while apremilast has lower efficacy and potential side effects like diarrhea and weight loss.

Keywords:
Apremilastefficacypsoriasissafetysecukinumab

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Area of Science:

  • Dermatology
  • Pharmacology
  • Immunology

Background:

  • Psoriasis is a chronic inflammatory skin condition.
  • Newer therapeutic agents are being developed to improve treatment outcomes.
  • Interleukin-17A and phosphodiesterase 4 are key targets in psoriasis pathogenesis.

Purpose of the Study:

  • To compare the efficacy and safety profiles of newer psoriasis medications.
  • To evaluate secukinumab, an interleukin-17A inhibitor.
  • To assess apremilast, a phosphodiesterase 4 inhibitor.

Main Methods:

  • Review of clinical trial data and published literature.
  • Comparison of efficacy between secukinumab, apremilast, and adalimumab (a TNF-α inhibitor).
  • Analysis of adverse events associated with apremilast.

Main Results:

  • Secukinumab demonstrates superior efficacy compared to adalimumab.
  • Apremilast exhibits lower efficacy than biologic therapies for psoriasis.
  • Apremilast is associated with gastrointestinal side effects (diarrhea, nausea), weight loss, and rare depression.

Conclusions:

  • Secukinumab represents a highly effective treatment option for psoriasis.
  • Apremilast offers an alternative oral therapy but with modest efficacy.
  • Understanding the efficacy and safety profiles is crucial for patient selection in psoriasis management.