Brodalumab for the Treatment of Moderate-to-Severe Psoriasis: An Expert Delphi Consensus Statement

Author:

Fargnoli Maria Concetta12ORCID,Bardazzi Federico3,Bianchi Luca45,Dapavo Paolo6,Fabbrocini Gabriella7,Gisondi Paolo8ORCID,Micali Giuseppe9,Offidani Anna Maria10,Pellacani Giovanni11,Skroza Nevena12ORCID,Angileri Rosa Giuseppa13,Burlando Martina14ORCID,Campanati Anna15ORCID,Carrera Carlo Giovanni16,Chiricozzi Andrea1718ORCID,Conti Andrea19,Simone Clara De1718ORCID,Di Lernia Vito20,Errichetti Enzo21,Galluzzo Marco45ORCID,Guarneri Claudio22ORCID,Lasagni Claudia23,Lembo Serena24,Loconsole Francesco2526,Megna Matteo7ORCID,Musumeci Maria Letizia9,Prignano Francesca27ORCID,Richetta Antonio Giovanni28,Trovato Emanuele29ORCID,Venturini Marina30,Peris Ketty1718,Pinton Piergiacomo Calzavara30

Affiliation:

1. Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, 67100 L’Aquila, Italy

2. Dermatology Unit, Ospedale San Salvatore, 67100 L’Aquila, Italy

3. Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola Malpighi, 40126 Bologna, Italy

4. Department of Systems Medicine, University of Rome “Tor Vergata”, 00133 Rome, Italy

5. Dermatology Unit, Azienda Ospedaliera Universitaria “Policlinico Tor Vergata”, 00133 Rome, Italy

6. Dermatology Clinic, Department of Medical Sciences, University of Turin, 10124 Turin, Italy

7. Section of Dermatology, Department of Clinical, Medicine and Surgery, University of Naples Federico II, 80138 Naples, Italy

8. Section of Dermatology and Venereology, Department of Medicine, University of Verona, 37129 Verona, Italy

9. Department of Dermatology, University of Catania, 95123 Catania, Italy

10. Department of Clinical and Molecular Sciences, Dermatology Unit, Polytechnic Marche University, 60121 Ancona, Italy

11. Dermatology Clinic, Department of Clinical Internal, Anesthesiologic and Cardiovascular Sciences, Sapienza Medical School, Sapienza University of Rome, 00185 Rome, Italy

12. Dermatology Unit “D. Innocenzi”, Department of Medical and Surgical Sciences and Biotechnologies, Sapienza University of Rome-Polo Pontino, 04100 Latina, Italy

13. UOC Dermatologia, ARNAS Civico Di Palermo, 90127 Palermo, Italy

14. Clinica Dermatologica, DissaL, Ospedale Policlinico San Martino-IRCCS, 16132 Genova, Italy

15. Department of Clinical and Molecular Sciences, Dermatology Clinic, Polytechnic Marche University, 60121 Ancona, Italy

16. Dermatology Unit, Department of Internal Medicine, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy

17. Dermatologia, Dipartimento di Medicina e Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, 00168 Rome, Italy

18. UOC di Dermatologia, Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A. Gemelli–IRCCS, 00168 Rome, Italy

19. Dermatologic Unit, Department of Surgery, Infermi Hospital, AUSL Romagna, 47923 Rimini, Italy

20. Dermatology Unit, Arcispedale S. Maria Nuova, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy

21. Institute of Dermatology, Azienda Sanitaria Universitaria Friuli Centrale (ASU FC), University of Udine, 33100 Udine, Italy

22. Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, 98122 Messina, Italy

23. Clinica Dermatologica, Dipartimento delle Medicine Specialistiche AOU Policlinico di Modena, 41121 Modena, Italy

24. Department of Medicine, Surgery and Dentistry, “Scuola Medica Salernitana”, University of Salerno, 84084 Fisciano, Italy

25. Department of Biomedical Sciences and Human Oncology, University of Bari Aldo Moro, 70121 Bari, Italy

26. Azienda Ospedaliero Universitaria Consorziale Policlinico di Bari, 70124 Bari, Italy

27. Department of Health Sciences, Section of Dermatology, University of Florence, 50125 Florence, Italy

28. Unit of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University of Rome, 00185 Rome, Italy

29. Section of Dermatology, Department of Medical, Surgical and Neurological Science, S. Maria alle Scotte Hospital, University of Siena, 53100 Siena, Italy

30. Dermatology Department, University of Brescia, 25121 Brescia, Italy

Abstract

Brodalumab is a recombinant, fully human immunoglobulin IgG2 monoclonal antibody specifically targeted against interleukin-17RA that has been approved for the treatment of moderate-to-severe psoriasis in Europe. We developed a Delphi consensus document focused on brodalumab for the treatment of moderate-to-severe psoriasis. Based on published literature and their clinical experience a steering committee drafted 17 statements covering 7 domains specific to the treatment of moderate-to-severe psoriasis with brodalumab. A panel of 32 Italian dermatologists indicated their level of agreement using a 5-point Likert scale (from 1 = “strongly disagree” to 5 = “strongly agree”) using an online modified Delphi method. After the first round of voting (32 participants), positive consensus was reached for 15/17 (88.2%) of the proposed statements. Following a face-to-face virtual meeting, the steering committee decided that 5 statements would form “main principles” and 10 statements formed the final list. After a second round of voting, consensus was reached in 4/5 (80%) of the main principles and 8/10 (80%) for consensus statements. The final list of 5 main principles and 10 consensus statements identify key indications specific to the use of brodalumab in the treatment of moderate-to-severe psoriasis in Italy. These statements aid dermatologists in the management of patients with moderate-to-severe psoriasis.

Funder

Leo Pharma

Publisher

MDPI AG

Subject

General Medicine

Reference80 articles.

1. The multidimensional burden of psoriasis;Gisondi;Br. J. Dermatol.,2018

2. Italian guidelines on the systemic treatments of moderate-to-severe plaque psoriasis;Gisondi;J. Eur. Acad. Derm. Venereol,2017

3. Psoriasis;Boehncke;Lancet,2015

4. The Challenge of Managing Psoriasis: Unmet Medical Needs and Stakeholder Perspectives;Feldman;Am. Health Drug Benefits,2016

5. Gisondi, P., Del Giglio, M., and Girolomoni, G. (2017). Treatment Approaches to Moderate to Severe Psoriasis. Int. J. Mol. Sci., 18.

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3