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Characterization and Outcomes in Patients Treated With Apremilast in Routine Clinical Practice in Spain: Results From
P Herranz1, L Trasobares2, A Mateu3
1Hospital Universitario La Paz, Madrid, España.
Apremilast significantly improved quality of life and reduced disease severity in Spanish psoriasis patients over six months. Over half continued treatment, with notable efficacy and manageable side effects observed in clinical practice.
Area of Science:
- Dermatology
- Pharmacology
- Clinical Practice Research
Background:
- Psoriasis is a chronic inflammatory skin condition impacting quality of life.
- Apremilast is an oral treatment option for moderate to severe plaque psoriasis.
- Real-world data on apremilast use in clinical practice is valuable for understanding its effectiveness and patient experience.
Purpose of the Study:
- To describe characteristics of psoriasis patients treated with apremilast in Spain.
- To evaluate patient and dermatologist perspectives on apremilast therapy.
- To assess apremilast outcomes in a real-world clinical setting.
Main Methods:
- An observational, retrospective, multicenter study design.
- Inclusion of patients with chronic plaque psoriasis treated with apremilast.
- Data collection via medical records and patient/physician questionnaires at 6 months post-initiation.
Main Results:
- 80 patients evaluated; initial mean PASI 8.3, DLQI 8.9.
- 58.8% continued apremilast at 6 months; discontinuation reasons included efficacy and safety.
- Patients continuing treatment achieved PASI75 (36.7%), with significant DLQI improvement (mean reduction >6 points).
- Common adverse events included diarrhea and nausea (56.3% of patients).
Conclusions:
- Apremilast demonstrated substantial improvements in quality of life and disease severity for psoriasis patients in Spanish clinical practice.
- Over one-third of patients achieved PASI75, indicating significant clinical benefit.
- Real-world outcomes suggest apremilast is an effective treatment option, even in patients with less severe skin involvement than seen in clinical trials.
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