Abstract
Ustekinumab (Stelara®), the only approved biological agent that acts as an antagonist of interleukin-12/23, is an effective and generally well tolerated option for the treatment of adolescents with moderate to severe plaque psoriasis. In a phase 3 trial in this patient population, subcutaneous ustekinumab improved symptoms and health-related quality of life, and had a tolerability profile similar to that observed in adults. Based on the results of this trial, the approved indication of ustekinumab in the EU was recently expanded to include the treatment of moderate to severe plaque psoriasis in adolescents aged ≥12 years who are inadequately controlled by or intolerant to other systemic therapies or phototherapies.
Similar content being viewed by others
References
Boehncke W-H, Schön MP. Psoriasis. Lancet. 2015;386(9997):983–94.
Fotiadou C, Lazaridou E, Ioannides D. Management of psoriasis in adolescents. Adolesc Health Med Ther. 2014;5:25–34.
Landells I, Marano C, Hsu M-C, et al. Ustekinumab in adolescent patients age 12 to 17 years with moderate-to-severe plaque psoriasis: results of the randomized phase 3 CADMUS study. J Am Acad Dermatol. 2015;73(4):594–603.
Keating GM, Croxtall JD. Ustekinumab: a guide to its use in plaque psoriasis. Drugs Ther Perspect. 2012;38(8):6–10.
McKeage K. Ustekinumab: a review of its use in psoriatic arthritis. Drugs. 2014;74(9):1029–39.
Ustekinumab (Stelara): summary of product characteristics. London: European Medicines Agency; 2015.
Lewis-Jones MS, Finlay AY. The Children’s Dermatology Life Quality Index (CDLQI): initial validation and practical use. Br J Dermatol. 1995;132(6):942–9.
Leonardi CL, Kimball AB, Papp KA, et al. Efficacy and safety of ustekinumab, a human interleukin-12/23 monoclonal antibody, in patients with psoriasis; 76-week results from a randomized, double-blind, placebo-controlled trial (PHOENIX 1). Lancet. 2008;371(9625):1665–74.
Papp KA, Langley RG, Lebwohl M, et al. Efficacy and safety of ustekinumab, a human interleukin-12/23 monoclonal antibody, in patients with psoriasis: 52-week results from a randomized, double-blind, placebo-controlled trial (PHOENIX 2). Lancet. 2008;37(9625):1675–84.
Griffiths CE, Strober BE, van de Kerkhof P, et al. Comparison of ustekinumab and etanercept for moderate-to-severe psoriasis. N Engl J Med. 2010;362(2):118–28.
EDF in cooperation with EADV and IPC. European S3-Guidelines on the sytemic treatment of psoriasis vulgaris: update 2015. www.euroderm.org/. Accessed 17 Nov 2015.
Acknowledgments
This article was reviewed by: A. D. Akkaya, V. K. Foundation American Hospital of Istanbul, Istanbul, Turkey; S. Feldman, Wake Forest University School of Medicine, Winston-Salem, NC, USA; Y. Yeniay, Gölcük Military Hospital, Gölcük, Turkey. During the peer review process, the manufacturer of ustekinumab was also offered an opportunity to review this article. Changes resulting from comments received were made on the basis of scientific and editorial merit.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Funding
The preparation of this review was not supported by any external funding.
Conflicts of interest
K. McKeage and K. A. Lyseng-Williamson are salaried employees of Adis/Springer, are responsible for the article content and declare no conflicts of interest.
Rights and permissions
About this article
Cite this article
McKeage, K., Lyseng-Williamson, K.A. Ustekinumab in adolescents with moderate to severe plaque psoriasis: a guide to its use. Drugs Ther Perspect 32, 138–142 (2016). https://doi.org/10.1007/s40267-016-0287-4
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40267-016-0287-4