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Use of fumaric acid derivatives (FADs) in Italian reference centres for psoriasis

Damiani, Giovanni ; Cazzaniga, Simone and Naldi, Luigi (2021) In Giornale italiano di dermatologia e venereologia : organo ufficiale, Societa italiana di dermatologia e sifilografia 156(1). p.36-41
Abstract

BACKGROUND: Several therapies are available for psoriasis, including in some countries oral fumaric acid derivatives (FADs). Even if FADs are not available in the Italian market, they can be prescribed and reimbursed by the National Health Service, on request from the treating physician, when considered as a valuable option in selected patient.

METHODS: We performed a retrospective analysis of the PsoReal registry data, restricted to adult psoriatic patients enrolled between 2009 and 2017. Demographic and clinical data were collected together with information on systemic therapies prescribed for psoriasis, drug shifts and adverse effects. We focused our analysis on FADs compared with other systemic drugs.

RESULTS: From the... (More)

BACKGROUND: Several therapies are available for psoriasis, including in some countries oral fumaric acid derivatives (FADs). Even if FADs are not available in the Italian market, they can be prescribed and reimbursed by the National Health Service, on request from the treating physician, when considered as a valuable option in selected patient.

METHODS: We performed a retrospective analysis of the PsoReal registry data, restricted to adult psoriatic patients enrolled between 2009 and 2017. Demographic and clinical data were collected together with information on systemic therapies prescribed for psoriasis, drug shifts and adverse effects. We focused our analysis on FADs compared with other systemic drugs.

RESULTS: From the registry data, a total of 17,064 patients were extracted, and 11,592 patients (67.9%), fulfilled inclusion criteria. The majority of them had chronic plaque psoriasis, the mean disease duration was 17.1 ± 12.6 years, and the mean PASI was 17.8 ± 10.9, with 51.5% presenting a moderate Ps (PASI between 10 and 20). A total of 36 patients (0.3%) were treated by FADs. The average treatment duration of conventional (9.0 ± 10.0 months) and biological agents (13.7 ± 11.6 months) was lower compared to the duration of FADs (28.1 ± 20.1, p-value<0.001). FADs were used at an average dosage of 361.0 ± 146.3 mg/day and FADs treated patients displayed an overall lower healthcare cost compared with other drugs.

CONCLUSIONS: The current study confirms previous European data about efficacy and safety of FADs, and suggests a decrease of healthcare costs for FADs treated patients as compared to other treatments.

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author
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LU
author collaboration
publishing date
type
Contribution to journal
publication status
published
subject
in
Giornale italiano di dermatologia e venereologia : organo ufficiale, Societa italiana di dermatologia e sifilografia
volume
156
issue
1
pages
36 - 41
publisher
Edizioni Minerva Medica S.p.A.
external identifiers
  • pmid:30636394
  • scopus:85105600682
ISSN
0392-0488
DOI
10.23736/S0392-0488.18.06032-7
language
English
LU publication?
no
id
2a7ed98b-22a1-471f-b698-290bd0512177
alternative location
https://www.minervamedica.it/en/journals/Ital-J-Dermatol-Venereol/article.php?cod=R23Y2021N01A0036
date added to LUP
2019-07-23 15:40:39
date last changed
2024-03-29 21:04:45
@article{2a7ed98b-22a1-471f-b698-290bd0512177,
  abstract     = {{<p>BACKGROUND: Several therapies are available for psoriasis, including in some countries oral fumaric acid derivatives (FADs). Even if FADs are not available in the Italian market, they can be prescribed and reimbursed by the National Health Service, on request from the treating physician, when considered as a valuable option in selected patient.</p><p>METHODS: We performed a retrospective analysis of the PsoReal registry data, restricted to adult psoriatic patients enrolled between 2009 and 2017. Demographic and clinical data were collected together with information on systemic therapies prescribed for psoriasis, drug shifts and adverse effects. We focused our analysis on FADs compared with other systemic drugs.</p><p>RESULTS: From the registry data, a total of 17,064 patients were extracted, and 11,592 patients (67.9%), fulfilled inclusion criteria. The majority of them had chronic plaque psoriasis, the mean disease duration was 17.1 ± 12.6 years, and the mean PASI was 17.8 ± 10.9, with 51.5% presenting a moderate Ps (PASI between 10 and 20). A total of 36 patients (0.3%) were treated by FADs. The average treatment duration of conventional (9.0 ± 10.0 months) and biological agents (13.7 ± 11.6 months) was lower compared to the duration of FADs (28.1 ± 20.1, p-value&lt;0.001). FADs were used at an average dosage of 361.0 ± 146.3 mg/day and FADs treated patients displayed an overall lower healthcare cost compared with other drugs.</p><p>CONCLUSIONS: The current study confirms previous European data about efficacy and safety of FADs, and suggests a decrease of healthcare costs for FADs treated patients as compared to other treatments.</p>}},
  author       = {{Damiani, Giovanni and Cazzaniga, Simone and Naldi, Luigi}},
  issn         = {{0392-0488}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{36--41}},
  publisher    = {{Edizioni Minerva Medica S.p.A.}},
  series       = {{Giornale italiano di dermatologia e venereologia : organo ufficiale, Societa italiana di dermatologia e sifilografia}},
  title        = {{Use of fumaric acid derivatives (FADs) in Italian reference centres for psoriasis}},
  url          = {{http://dx.doi.org/10.23736/S0392-0488.18.06032-7}},
  doi          = {{10.23736/S0392-0488.18.06032-7}},
  volume       = {{156}},
  year         = {{2021}},
}