Article
作者: Stingeni, Luca ; Galluzzo, Marco ; Pallotta, Sabatino ; Megna, Matteo ; Corazza, Monica ; Argenziano, Giuseppe ; Lasagni, Claudia ; Piaserico, Stefano ; Costanzo, Antonio ; Fargnoli, Maria Concetta ; Bardazzi, Federico ; Offidani, Annamaria ; Richetta, Antonio Giovanni ; Bonifati, Claudio ; Potenza, Concetta ; Atzori, Laura ; Saibene, Federico ; Gramiccia, Talia ; Papini, Manuela ; Giofrè, Claudia ; Bongiorno, Maria Rita ; Dapavo, Paolo ; Di Lernia, Vito Giuseppe ; Prignano, Francesca ; Lembo, Serena ; Savoia, Paola ; Satolli, Francesca ; Guarneri, Claudio ; Burlando, Martina ; Zichichi, Leonardo ; Rongioletti, Franco ; Loconsole, Francesco ; Micali, Giuseppe ; Peris, Ketty ; Donini, Massimo ; Romanelli, Marco ; Stinco, Giuseppe ; Carrera, Carlo Giovanni
OBJECTIVES:Facial and genital plaques are common manifestations of psoriasis, are challenging to treat, and significantly impact patients' quality of life (QoL).
METHODS:GULLIVER is a prospective, non-interventional study conducted in 2020-2023 in Italy, aimed at examining the effectiveness, safety and QoL impact of guselkumab through 52 weeks of treatment in patients with facial and/or genital psoriasis. The primary endpoint was the percentage of patients achieving a static Physician Global Assessment (sPGA) score of ≤1 and a minimum 2-grade improvement in sPGA score at Week 52.
RESULTS:Of 351 enrolled patients, 88.6% remained on guselkumab treatment at Week 52. The proportions of patients achieving the sPGA targets in the facial and genital groups, respectively, were 83.3% and 76.5% at week 12, increasing to 93.8% and 97.9% at Week 52. Mean Dermatology Life Quality Index score improved from 12.0 ± 7.5 at baseline to 1.1 ± 2.0 at Week 52 for patients with facial psoriasis (p-value <0.001) and from 12.0 ± 6.9 to 1.6 ± 3.5 for those with genital psoriasis (p-value <0.001). Guselkumab was well-tolerated and no new safety signals were identified.
CONCLUSIONS:This Italian real-world study demonstrated the high effectiveness and a good safety profile of guselkumab in treating facial and genital psoriasis.