Vol 7, No 3 (2021)
Review paper
Published online: 2021-09-30
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A graphical guide on adalimumab treatment in outpatient clinic: a patient with psoriasis

Aleksandra Lesiak1, Joanna Narbutt1, Agnieszka Owczarczyk-Saczonek2, Witold Owczarek3, Adam Reich4, Lidia Rudnicka5, Jacek Szepietowski6, Irena Walecka7, Julia Feldman8
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Forum Dermatologicum 2021;7(3):61-67.
Affiliations
  1. Katedra i Klinika Dermatologii, Dermatologii Dziecięcej i Onkologicznej Uniwersytetu Medycznego w Łodzi
  2. Katedra i Klinika Dermatologii, Chorób Przenoszonych Drogą Płciową i Immunologii Uniwersytetu Warmińsko-Mazurskiego w Olsztynie
  3. Klinika Dermatologii, Wojskowy Instytut Medyczny w Warszawie
  4. Zakład i Klinika Dermatologii Uniwersytetu Rzeszowskiego w Rzeszowie
  5. Katedra i Klinika Dermatologii Warszawskiego Uniwersytetu Medycznego
  6. Katedra i Klinika Dermatologii, Wenerologii i Alergologii Uniwersytetu Medycznego we Wrocławiu
  7. Klinika Dermatologii, Centrum Medyczne Kształcenia Podyplomowego, Centralny Szpital Kliniczny MSWiA, Warszawa
  8. Sandoz Polska sp. z o. o. Warszawa

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Vol 7, No 3 (2021)
Special articles
Published online: 2021-09-30

Abstract

According to the guidelines of Polish Dermatological Society biological drugs from TNF-alpha inhibitor group (including adalimumab) should not be treated as innovative drugs but as a therapeutic standard, which results from many years of experience of specialists in use of this group of drugs. Treatment with biological drugs from the group of TNF-alpha inhibitors, including adalimumab, can be carried out in outpatient conditions, also in open treatment, outside of therapeutic programs. The eligibility and subsequent monitoring scheme for adalimumab treatment in the outpatient setting should be based on data from the patient’s medical history, provisions of current clinical guidelines, and the summary of product characteristics. According to its registration, adalimumab may be used in adult patients with moderate to severe plaque psoriasis who are candidates for systemic therapy. This provision allows adalimumab to be used both as a first-line generic treatment and after failure (or intolerance) of treatment with another systemic therapy (e.g., methotrexate, cyclosporine, or PUVA).

Abstract

According to the guidelines of Polish Dermatological Society biological drugs from TNF-alpha inhibitor group (including adalimumab) should not be treated as innovative drugs but as a therapeutic standard, which results from many years of experience of specialists in use of this group of drugs. Treatment with biological drugs from the group of TNF-alpha inhibitors, including adalimumab, can be carried out in outpatient conditions, also in open treatment, outside of therapeutic programs. The eligibility and subsequent monitoring scheme for adalimumab treatment in the outpatient setting should be based on data from the patient’s medical history, provisions of current clinical guidelines, and the summary of product characteristics. According to its registration, adalimumab may be used in adult patients with moderate to severe plaque psoriasis who are candidates for systemic therapy. This provision allows adalimumab to be used both as a first-line generic treatment and after failure (or intolerance) of treatment with another systemic therapy (e.g., methotrexate, cyclosporine, or PUVA).

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Keywords

adalimumab; psoriasis; ambulatory care

About this article
Title

A graphical guide on adalimumab treatment in outpatient clinic: a patient with psoriasis

Journal

Forum Dermatologicum

Issue

Vol 7, No 3 (2021)

Article type

Review paper

Pages

61-67

Published online

2021-09-30

Page views

4844

Article views/downloads

63

DOI

10.5603/FD.2021.0014

Bibliographic record

Forum Dermatologicum 2021;7(3):61-67.

Keywords

adalimumab
psoriasis
ambulatory care

Authors

Aleksandra Lesiak
Joanna Narbutt
Agnieszka Owczarczyk-Saczonek
Witold Owczarek
Adam Reich
Lidia Rudnicka
Jacek Szepietowski
Irena Walecka
Julia Feldman

References (6)
  1. Reich A, Adamski Z, Chodorowska G, et al. Psoriasis. Diagnostic and therapeutic recommendations of the Polish Dermatological Society. Part 1. Dermatology Review. 2020; 107(2): 92–108.
  2. Reich A, Adamski Z, Chodorowska G, et al. Psoriasis. Diagnostic and therapeutic recommendations of the Polish Dermatological Society. Part 2. Dermatology Review. 2020; 107(2): 110–137.
  3. Charakterystyka Produktu Leczniczego Hyrimoz 06.2021.
  4. Amatore F, Villani AP, Tauber M, et al. Groupe de recherche sur le psoriasis de la Société française de dermatologie, Groupe de recherche sur le psoriasis de la Société française de dermatologie, Psoriasis Research Group of the French Society of Dermatology (Groupe de Recherche sur le Psoriasis de la Société Française de Dermatologie). French guidelines on the use of systemic treatments for moderate-to-severe psoriasis in adults. J Eur Acad Dermatol Venereol. 2019; 33(3): 464–483.
  5. Menter A, Thaçi D, Wu JJ, et al. Long-Term Safety and Effectiveness of Adalimumab for Moderate to Severe Psoriasis: Results from 7-Year Interim Analysis of the ESPRIT Registry. Dermatol Ther (Heidelb). 2017; 7(3): 365–381.
  6. Blauvelt A, Lacour JP, Fowler JF, et al. Phase III randomized study of the proposed adalimumab biosimilar GP2017 in psoriasis: impact of multiple switches. Br J Dermatol. 2018; 179(3): 623–631.

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