Table 2.

Summary of clinical PsA trials evaluating the efficacy of biologics and apremilast on signs and symptoms of PsO.

DrugDosing RegimenEfficacy (study reference)Approved forEfficacy in PsO (per Nast 2012)1
PsAPsO
Adalimumab40 mg SC every other week for 48 weeksPASI75: 58% after 48 weeks18YesYesPASI75: about 70%
Certolizumab pegol200 mg every 2 weeks or 400 mg every 4 weeksPASI75 at week 24: 47%19YesNoPASI75: 75% (200 mg every other week), 83% (400 mg every other week29)
Etanercept25 mg SC twice weeklyPASI75 at week 24: 23%20YesYes30–70%
Golimumab50 or 100 mg SC every 4 weeksPASI75 at week 14: 40% (50 mg); 58% (100 mg)21YesNoNo published data from PsO trials in the public domain
Infliximab5 mg/kg IV at weeks 0, 2, 6, 14, and 22PASI75 at week 14: 64%22YesYes70–90%
Ustekinumab45 or 90 mg SC at weeks 0, 4, and 16PASI75 at week 24: 57.2% (45 mg); 62.4% (90 mg)23YesYesAbout 70%
Abatacept3, 10, or 30 mg/kg IV at days 1, 15, 19 (except 30 mg group), and then every 4 weeksPASI75 at day 169: 38% (3 mg), 14% (10 mg), 10% (30 mg)24NoNoNo published data from PsO trials in the public domain
Brodalumab*70, 140, or 210 mg SC at day 1 and then at weeks 1, 2, 4, 6, 8, and 10; 280 mg at day 1 and at weeks 4 and 8PASI75 at week 12: 33% (70 mg), 77% (140 mg), 82% (210 mg), 67% (280 mg)25NoNoNA
Ixekizumab*10, 27, 75, and 150 mg every other weekPASI75 at week 12: 29% (10 mg), 77% (27 mg), 83% (75 mg), 82% (150 mg)27NoNoNA
Secukinumab*75 or 150 mg SC at weeks 0, 4, and 8PASI75 at week 12: 57% (75 mg), 82% (150 mg)26NoNoNA
Apremilast20 or 30 mg orally twice daily for 24 weeksPASI50 at week 16: 33.8% (20 mg), 50.6% (30 mg)28YesNoPASI75: 24.4% (20 mg twice daily)30
  • * Data for this agent are from PsO clinical trials. PsO: psoriasis; IV: intravenously; PASI: Psoriasis Area and Severity Index; SC: subcutaneously; NA: not applicable.