AI Article Synopsis

  • * Among five available TNF-α inhibitors, certolizumab pegol (CZP) stands out due to its unique structure that lacks the Fc region, making it safe for use during pregnancy as it does not cross the placenta.
  • * Clinical trials indicate that CZP is as effective as other TNF-α inhibitors for treating psoriasis symptoms without significant differences in safety.

Article Abstract

Psoriasis pathogenesis involves TNF-α, IL-23 and IL17, against which biologics have been highly effective. Among the five TNF-α inhibitors available for psoriasis, namely infliximab, adalimumab, etanercept, golimumab and certolizumab pegol (CZP), CZP has a unique mechanism of action due to its structure. As CZP lacks the Fc region, it does not cross the placenta and can be safely used in pregnant women. Its PEGylated nature allows for longer distribution time in tissues, potentially leading to a longer-lasting effect compared with other TNF-α inhibitors. In clinical trials, the efficacy of CZP on psoriasis skin symptoms and joint symptoms was comparable to other TNF-α inhibitors, with no discernible differences in safety profiles.

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Source
http://dx.doi.org/10.2217/imt-2023-0058DOI Listing

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