Long-term safety and efficacy of etanercept in children and adolescents with plaque psoriasis

Amy S. Paller*, Elaine C. Siegfried, David M. Pariser, Kara Creamer Rice, Mona Trivedi, Jan Iles, David H. Collier, Greg Kricorian, Richard G. Langley

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

50 Scopus citations

Abstract

Background There are no systemic therapies approved in the United States to treat pediatric psoriasis. Objective We sought to evaluate long-term safety and efficacy of etanercept in children and adolescents with moderate to severe plaque psoriasis. Methods This 5-year, open-label extension study enrolled patients aged 4 to 17 years who had participated in a 48-week parent study. End points included occurrence of adverse events (AEs) and serious AEs including infections, and rates of 75% and 90% improvement in Psoriasis Area and Severity Index score and clear/almost clear on static physician global assessment. Results Of 182 patients enrolled, 181 received etanercept and 69 completed 264 weeks. Through week 264, 161 (89.0%) patients reported an AE, most commonly upper respiratory tract infection (37.6%), nasopharyngitis (26.0%), and headache (21.5%). Seven patients reported 8 serious AEs; only 1 (cellulitis) was considered treatment-related. No cases of opportunistic infections or malignancy were reported. Rates of 75% improvement in Psoriasis Area and Severity Index score (∼60%–70%) and 90% improvement in Psoriasis Area and Severity Index score (∼30%–40%) and static physician global assessment status clear/almost clear (∼40%–50%) were maintained through week 264. Limitations The number of patients remaining on study at week 264 was small. Conclusion Etanercept in pediatric patients was generally well tolerated and efficacy was maintained in those who remained in the study for up to 264 weeks.

Original languageEnglish (US)
Pages (from-to)280-287.e3
JournalJournal of the American Academy of Dermatology
Volume74
Issue number2
DOIs
StatePublished - Feb 1 2016

Keywords

  • etanercept
  • long-term safety
  • open-label
  • pediatric population
  • plaque psoriasis

ASJC Scopus subject areas

  • Dermatology

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