%0 Journal Article
%T Adalimumab Dose Tapering in Psoriasis: Predictive Factors for Maintenance of Complete Clearance
%A Francesco Lanza
%A Katharina Hansel
%A Leonardo Bianchi
%A Luca Stingeni
%A Vittorio Bini
%J -
%@ 1651-2057
%D 2017
%R 10.2340/00015555-2571
%X Psoriasis can be managed successfully with long-term biologics. Real-life clinical practice may require dose tapering as a therapeutic option to reduce the risk of drug-exposure and to increase cost-effectiveness. The responsiveness to extended intervals between adalimumab doses and the possible predictive factors of maintenance of complete clearance were studied in a retrospective 7-year single-centre analysis. Thirty patients who achieved complete clearance with adalimumab underwent dose tapering, progressively extending between-dose intervals (to 21¨C28 days). Sixty percent of subjects (group A) maintained complete clearance, whereas 40.0% (group B) relapsed and were switched back to the standard dosage to re-achieve complete clearance. Body mass index (BMI) and time to achieve Psoriasis Area Severity Index (PASI-100) with adalimumab standard treatment before dose tapering were significantly lower in group A than in group B (multivariate Cox regression: p£¿<£¿0.05, Kaplan¨CMeier analysis: p£¿<£¿0.001, respectively). This study suggests that patients with lower BMI and shorter time to achieve PASI-100 with adalimumab standard dose were significantly more likely to be candidates for dose tapering.
%U http://www.medicaljournals.se/acta/content/abstract/10.2340/00015555-2571