Optimal Biologic Selection for Treatment of Psoriatic Arthritis: the Approach to Precision Medicine

  • Ippei Miyagawa
  • Shingo Nakayamada
  • Yoshiya TanakaEmail author
Spondyloarthritis (M Khan, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Spondyloarthritis


Purpose of Review

This review describes previously reported findings on optimal biologic agent selection for psoriatic arthritis (PsA) treatment and outlines our approach to developing precision medicine techniques for targeted treatment of this disease.

Recent Findings

Clinical trials have reported the effectiveness of numerous biologics with different targets, such as tumor necrosis factor-α, interleukin (IL)-17A, IL-17 receptor, IL-12/23(p40), and IL-23(p19) for the treatment of PsA. Although several studies have suggested specific predictors of treatment responses to each biologic, how biologics are differentially chosen in each patient remains unclear. Recent reports indicate the possibility of treating PsA using precision medicine based on individual immunological phenotypes.


Because PsA exhibits numerous symptoms, selecting an optimal biologic for each patient may be important. The establishment of appropriate selection guidelines will require further clinical trials.


Psoriatic arthritis Biologics Treatment T cells Precision medicine 



This work was supported in part by Research on rare and intractable diseases and Research Grant-In-Aid for Scientific Research by the Ministry of Health, Labor and Welfare of Japan, the Ministry of Education, Culture, Sports, Science and Technology of Japan, the Japan Agency for Medical Research and Development, and the University of Occupational and Environmental Health, Japan, and UOEH Grant for Advanced Research.

Compliance with Ethical Standards

Conflict of Interest

Y. Tanaka received speaking fees and/or honoraria from Daiichi-Sankyo, Astellas, Eli Lilly, Chugai, Sanofi, AbbVie, Pfizer, YL Biologics, Bristol-Myers, Glaxo-SmithKline, UCB, Mitsubishi-Tanabe, Novartis, Eisai, Takeda, Janssen, and Asahi-kasei, and research grants from Mitsubishi-Tanabe, Bristol-Myers, Eisai, Chugai, Takeda, Abbvie, Astellas, Daiichi-Sankyo, Ono, MSD, Taisho-Toyama. S. Nakayamada received speaking fees and/or honoraria from Bristol-Myers, Sanofi, Abbvie, Eisai, Eli Lilly, Chugai, Asahi-kasei and Pfizer (less than $10,000 each), and also research grants from Mitsubishi-Tanabe, Takeda, Novartis and MSD.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Ippei Miyagawa
    • 1
  • Shingo Nakayamada
    • 1
  • Yoshiya Tanaka
    • 1
    Email author
  1. 1.The First Department of Internal MedicineUniversity of Occupational and Environmental Health, JapanKitakyushuJapan

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