Update on the treatment of psoriasis and psoriatic arthritis – role of apremilast

Stephan Forchhammer, Kamran GhoreschiDepartment of Dermatology, University Medical Center, Eberhard Karls University of Tübingen, Tübingen, GermanyAbstract: Psoriatic arthritis (PsA) is an inflammatory arthritis associated with psoriasis (PsO). The treatment of PsA can be challengi...

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Autores principales: Forchhammer S, Ghoreschi K
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Publicado: Dove Medical Press 2015
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spelling oai:doaj.org-article:c8a288be468e4a1189948c27724236692021-12-02T01:13:44ZUpdate on the treatment of psoriasis and psoriatic arthritis – role of apremilast2230-326Xhttps://doaj.org/article/c8a288be468e4a1189948c27724236692015-09-01T00:00:00Zhttps://www.dovepress.com/update-on-the-treatment-of-psoriasis-and-psoriatic-arthritis-ndash-rol-peer-reviewed-article-PTThttps://doaj.org/toc/2230-326XStephan Forchhammer, Kamran GhoreschiDepartment of Dermatology, University Medical Center, Eberhard Karls University of Tübingen, Tübingen, GermanyAbstract: Psoriatic arthritis (PsA) is an inflammatory arthritis associated with psoriasis (PsO). The treatment of PsA can be challenging and includes non-steroidal anti-inflammatory drugs, synthetic disease modifying antirheumatic drugs, and biologicals. One novel oral compound that has been recently established for the treatment of PsO and PsA is apremilast, a small molecule PDE4 inhibitor. The inhibition of PDE4 results in increased intracellular cAMP levels and modulates the expression of inflammatory mediators critically involved in PsO and PsA pathogenesis like TNF, IL-12, IL-17, and IL-23. Apremilast received US Food and Drug Administration approval for the treatment of PsO and PsA in 2014 and received approval from the European Medicines Agency in early 2015. This article summarizes the pharmacology of apremilast, its efficacy and safety in clinical studies, and its potential position in modern PsO/PsA management.Keywords: apremilast, phosphodiesterase-4-inhibitor, PsO, PsA, systemic therapy, efficacy, safetyForchhammer SGhoreschi KDove Medical PressarticleDermatologyRL1-803ENPsoriasis: Targets and Therapy, Vol 2015, Iss default, Pp 117-124 (2015)
institution DOAJ
collection DOAJ
language EN
topic Dermatology
RL1-803
spellingShingle Dermatology
RL1-803
Forchhammer S
Ghoreschi K
Update on the treatment of psoriasis and psoriatic arthritis – role of apremilast
description Stephan Forchhammer, Kamran GhoreschiDepartment of Dermatology, University Medical Center, Eberhard Karls University of Tübingen, Tübingen, GermanyAbstract: Psoriatic arthritis (PsA) is an inflammatory arthritis associated with psoriasis (PsO). The treatment of PsA can be challenging and includes non-steroidal anti-inflammatory drugs, synthetic disease modifying antirheumatic drugs, and biologicals. One novel oral compound that has been recently established for the treatment of PsO and PsA is apremilast, a small molecule PDE4 inhibitor. The inhibition of PDE4 results in increased intracellular cAMP levels and modulates the expression of inflammatory mediators critically involved in PsO and PsA pathogenesis like TNF, IL-12, IL-17, and IL-23. Apremilast received US Food and Drug Administration approval for the treatment of PsO and PsA in 2014 and received approval from the European Medicines Agency in early 2015. This article summarizes the pharmacology of apremilast, its efficacy and safety in clinical studies, and its potential position in modern PsO/PsA management.Keywords: apremilast, phosphodiesterase-4-inhibitor, PsO, PsA, systemic therapy, efficacy, safety
format article
author Forchhammer S
Ghoreschi K
author_facet Forchhammer S
Ghoreschi K
author_sort Forchhammer S
title Update on the treatment of psoriasis and psoriatic arthritis – role of apremilast
title_short Update on the treatment of psoriasis and psoriatic arthritis – role of apremilast
title_full Update on the treatment of psoriasis and psoriatic arthritis – role of apremilast
title_fullStr Update on the treatment of psoriasis and psoriatic arthritis – role of apremilast
title_full_unstemmed Update on the treatment of psoriasis and psoriatic arthritis – role of apremilast
title_sort update on the treatment of psoriasis and psoriatic arthritis – role of apremilast
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/c8a288be468e4a1189948c2772423669
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