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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Certolizumab pegol &#40;CZP&#41; is an anti-TNF agent that has been recently approved for the treatment of moderate to severe plaque psoriasis in adults&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Rheumatologists&#44; in contrast&#44; have been using the drug in psoriatic arthritis since 2012&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> To assess the effectiveness of CZP in plaque psoriasis&#44; a retrospective observational&#44; multicenter study was conducted in patients treated for psoriatic arthritis who had active plaque psoriasis at the time of treatment initiation&#46; The severity of psoriatic arthritis was assessed using the Disease Activity Score &#40;DAS&#41; 28 while plaque psoriasis was assessed with the 2011 modification of the Investigator Global Assessment &#40;IGA mod 2011&#41; scale &#40;5-point physical global evaluation&#58; 0&#44; clear&#59; 1&#44; almost clear&#59; 2&#44; mild disease&#59; 3&#44; moderate disease&#59; and 4&#44; severe disease&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">The study included 22 adult patients&#44; 16 women &#40;73&#37;&#41; and 6 men &#40;2&#37;&#41;&#44; from 4 hospitals in the same province of Spain&#46; The mean duration of plaque psoriasis and psoriatic arthritis was 16 and 12 years&#44; respectively&#46; All patients were diagnosed with psoriatic arthritis according to the CASPAR criteria<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> and plaque psoriasis&#46; Nineteen patients had &#40;86&#37;&#41; peripheral psoriatic arthritis&#44; 15 &#40;68&#37;&#41; polyarticular psoriatic arthritis&#44; 13 &#40;59&#37;&#41; dactylitis&#44; 12 &#40;55&#37;&#41; axial psoriatic arthritis&#44; and 12 &#40;55&#37;&#41; ungual psoriasis&#46; Eighteen patients &#40;81&#37;&#41; had received prior biologic therapy&#44; and the regimen for CZP was the usual one for psoriatic arthritis in all cases&#58; 400&#8239;mg administered subcutaneously at weeks 0&#44; 2&#44; and 4&#44; followed by 200&#8239;mg every 2 weeks&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">On starting treatment&#44; mean DAS28 was 5&#46;79 and all patients had active plaque psoriasis &#40;IGA mod 2011&#8239;&#8805;&#8239;1&#41;&#58; almost clear in 4 &#40;18&#37;&#41;&#44; mild in 11 &#40;50&#37;&#41;&#44; and moderate-severe in 7 patients &#40;32&#37;&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">After 6 months treatment with CZP&#44; mean DAS28 was 3&#46;4 and the severity of plaque psoriasis improved significantly&#58; 16 patients &#40;72&#37;&#41; were clear or almost clear of lesions&#44; 4 &#40;18&#37;&#41; had mild disease&#44; and 2 &#40;10&#37;&#41; had moderate-severe disease&#46; After 12 months&#44; only 12 patients had an IGA mod 2011 assessment&#58; 9 patients &#40;75&#37;&#41; were clear or almost clear of lesions&#44; 2 &#40;17&#37;&#41; had mild disease&#44; and 1 &#40;8&#37;&#41; had severe disease&#59; and the mean DAS28 was 3&#46;71&#46; The statistical analysis showed significant differences &#40;<span class="elsevierStyleItalic">P</span>&#8239;&#60;&#8239;&#46;05&#41; between baseline IGA mod 2011 and that observed at 6 and 12 months&#44; as well as a correlation between the DAS28 and IGA mod 2011 scales&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">The present study has several biases and limitations&#44; such as a small sample size and a sample comprising patients who had already received prior biologic therapy&#46; In addition&#44; the scale for assessing plaque psoriasis is the IGA mod 2011&#44; given that the Psoriasis Area Severity Index is not a scale used in everyday clinical practice by rheumatologists&#46; Despite these limitations&#44; this study confirms a high degree of effectiveness for CZP in plaque psoriasis in patients with psoriatic arthritis&#44; and so this agent should be considered when treating patients who present with psoriatic arthritis and moderate-severe plaque psoriasis simultaneously&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">Reina D and Vidal D have received speaker fees from <span class="elsevierStyleGrantSponsor" id="gs0005">UCB Pharma</span>&#46;</p></span></span>"
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Case and Research Letters
Effectiveness of Certolizumab Pegol in the Treatment of Psoriasis in a Cohort of Patients With Psoriatic Arthritis
Efectividad de certolizumab pegol en psoriasis en una cohorte de pacientes con artritis psoriásica
D. Reinaa, D. Vidalb,
Corresponding author
david.vidal@sanitatintegral.org

Corresponding author.
a Servicio de Reumatología, Hospital Moisès Broggi de Sant Joan Despí, Barcelona, Spain
b Servicio de Dermatología, Hospital Moisès Broggi de Sant Joan Despí, Barcelona, Spain
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Certolizumab pegol &#40;CZP&#41; is an anti-TNF agent that has been recently approved for the treatment of moderate to severe plaque psoriasis in adults&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Rheumatologists&#44; in contrast&#44; have been using the drug in psoriatic arthritis since 2012&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> To assess the effectiveness of CZP in plaque psoriasis&#44; a retrospective observational&#44; multicenter study was conducted in patients treated for psoriatic arthritis who had active plaque psoriasis at the time of treatment initiation&#46; The severity of psoriatic arthritis was assessed using the Disease Activity Score &#40;DAS&#41; 28 while plaque psoriasis was assessed with the 2011 modification of the Investigator Global Assessment &#40;IGA mod 2011&#41; scale &#40;5-point physical global evaluation&#58; 0&#44; clear&#59; 1&#44; almost clear&#59; 2&#44; mild disease&#59; 3&#44; moderate disease&#59; and 4&#44; severe disease&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">The study included 22 adult patients&#44; 16 women &#40;73&#37;&#41; and 6 men &#40;2&#37;&#41;&#44; from 4 hospitals in the same province of Spain&#46; The mean duration of plaque psoriasis and psoriatic arthritis was 16 and 12 years&#44; respectively&#46; All patients were diagnosed with psoriatic arthritis according to the CASPAR criteria<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> and plaque psoriasis&#46; Nineteen patients had &#40;86&#37;&#41; peripheral psoriatic arthritis&#44; 15 &#40;68&#37;&#41; polyarticular psoriatic arthritis&#44; 13 &#40;59&#37;&#41; dactylitis&#44; 12 &#40;55&#37;&#41; axial psoriatic arthritis&#44; and 12 &#40;55&#37;&#41; ungual psoriasis&#46; Eighteen patients &#40;81&#37;&#41; had received prior biologic therapy&#44; and the regimen for CZP was the usual one for psoriatic arthritis in all cases&#58; 400&#8239;mg administered subcutaneously at weeks 0&#44; 2&#44; and 4&#44; followed by 200&#8239;mg every 2 weeks&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">On starting treatment&#44; mean DAS28 was 5&#46;79 and all patients had active plaque psoriasis &#40;IGA mod 2011&#8239;&#8805;&#8239;1&#41;&#58; almost clear in 4 &#40;18&#37;&#41;&#44; mild in 11 &#40;50&#37;&#41;&#44; and moderate-severe in 7 patients &#40;32&#37;&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">After 6 months treatment with CZP&#44; mean DAS28 was 3&#46;4 and the severity of plaque psoriasis improved significantly&#58; 16 patients &#40;72&#37;&#41; were clear or almost clear of lesions&#44; 4 &#40;18&#37;&#41; had mild disease&#44; and 2 &#40;10&#37;&#41; had moderate-severe disease&#46; After 12 months&#44; only 12 patients had an IGA mod 2011 assessment&#58; 9 patients &#40;75&#37;&#41; were clear or almost clear of lesions&#44; 2 &#40;17&#37;&#41; had mild disease&#44; and 1 &#40;8&#37;&#41; had severe disease&#59; and the mean DAS28 was 3&#46;71&#46; The statistical analysis showed significant differences &#40;<span class="elsevierStyleItalic">P</span>&#8239;&#60;&#8239;&#46;05&#41; between baseline IGA mod 2011 and that observed at 6 and 12 months&#44; as well as a correlation between the DAS28 and IGA mod 2011 scales&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">The present study has several biases and limitations&#44; such as a small sample size and a sample comprising patients who had already received prior biologic therapy&#46; In addition&#44; the scale for assessing plaque psoriasis is the IGA mod 2011&#44; given that the Psoriasis Area Severity Index is not a scale used in everyday clinical practice by rheumatologists&#46; Despite these limitations&#44; this study confirms a high degree of effectiveness for CZP in plaque psoriasis in patients with psoriatic arthritis&#44; and so this agent should be considered when treating patients who present with psoriatic arthritis and moderate-severe plaque psoriasis simultaneously&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">Reina D and Vidal D have received speaker fees from <span class="elsevierStyleGrantSponsor" id="gs0005">UCB Pharma</span>&#46;</p></span></span>"
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">18&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">41&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">50&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">18&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">23&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">5&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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        "texto" => "<p id="par0035" class="elsevierStylePara elsevierViewall">We would like to thank Drs&#46; L&#46; Mateo&#44; A&#46; Prior&#44; A&#46; La&#237;z&#44; and M&#46; Moreno for their collaboration in this study&#46;</p>"
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Article information
ISSN: 15782190
Original language: English
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Idiomas
Actas Dermo-Sifiliográficas
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