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Experts Discuss:
Patient Phenotypes Within the Risankizumab PsA Clinical Program

Dr. Ogdie and Dr. Khattri discuss a new analysis of patient phenotypes in PsA from risankizumab clinical trials, and the potential implications for patient care across different patterns of disease manifestation

Video

The experts

Alexis Ogdie, MD

Alexis Ogdie, MD

Rheumatologist
University of Pennsylvania
Philadelphia, Pennsylvania

Saakshi Khattri, MD, Profile image

Saakshi Khattri, MD

Rheumatologist and
Dermatologist
Icahn School of Medicine at
Mount Sinai
New York, New York

Key information

Post hoc analysis of bio-naïve patients from the KEEPsAKE trials of risankizumab in PsA identified patient clusters that were defined by different patterns of disease manifestation1

Safety in the KEEPsAKE trials

TEAEs of interest through Week 24 in KEEPsAKE 1 and 22-8
aOne participant, who was 81 years of age with dementia and was hospitalized for pneumonia, developed urosepsis and complications resulting in death

Most common AEs through controlled periods in risankizumab trials

Click to view common AEs for each trial
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The overall safety profile observed in participants with PsA treated with risankizumab is generally consistent with the safety profile in participants with plaque PsO, with the addition of hepatic events and hypersensitivity reactions.

Abbreviations:
AE, adverse event; ALT, alanine aminotransferase; AST, aspartate aminotransferase; b, biologic; COVID-19, coronavirus disease of 2019; cs, conventional synthetic; DMARD, disease-modifying antirheumatic drug; E, event; HZ, herpes zoster; IR, inadequate responder; MACE, major adverse cardiovascular event; NMSC, nonmelanoma skin cancer; PBO, placebo; PsA, psoriatic arthritis; PsO, psoriasis; PY, patient-year; RZB, risankizumab; TB, tuberculosis; TEAE, treatment-emergent adverse event.

Indications

Risankizumab is indicated for the treatment of moderate to severe plaque psoriasis in adults who are candidates for systemic therapy or phototherapy.
Risankizumab is indicated for the treatment of active psoriatic arthritis in adults.

Important safety considerations

Risankizumab is contraindicated in patients with a history of serious hypersensitivity reaction to risankizumab or any of the excipients. Serious hypersensitivity reactions, including anaphylaxis, may occur. If a serious hypersensitivity reaction occurs, discontinue risankizumab and initiate appropriate therapy immediately. Risankizumab may increase the risk of infections. Instruct patients to seek medical advice if signs or symptoms of clinically important infection occur. If such an infection develops, discontinue risankizumab until the infection resolves. Evaluate patients for tuberculosis infection prior to initiating treatment with risankizumab. Avoid use of live vaccines in patients treated with risankizumab. The most common adverse reactions (≥1%) are upper respiratory infections, headache, fatigue, injection site reactions, and tinea infections.

Review accompanying risankizumab-rzaa full Prescribing Information for additional information, visit www.rxabbvie.com or contact AbbVie Medical Information at 1-800-633-9110.
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How well does the moderate PsA phenotype discussed in this video align with your clinical experience?

Not well Very well

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From the data discussed in this video, which is most helpful in informing your treatment selection in PsA?

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How frequently do you consider an IL-23 inhibitor for bio-naïve patients with moderate, active PsA?

Rarely Very frequently

Resource

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Find out more about patient phenotypes in KEEPsAKE trials

Explore more information about risankizumab in PsA

References:
  1. Gossec L et al. ACR Convergence 2024. Abstract 2355.
  2. Kristensen LE et al. Ann Rheum Dis. 2022;81(2):225-231.
  3. Kristensen LE et al. ACR Convergence 2022. Abstract 2145.
  4. Data on file, AbbVie Inc. ABVRRTI73417.
  5. Kristensen LE, et al. Poster presented at: Fall Clinical Dermatology Conference; October 21-24, 2021; Las Vegas, NV.
  6. Data on file, AbbVie Inc. ABVRRTI74973.
  7. Östör A, et al. Poster presented at: Fall Clinical Dermatology Conference; October 21-24, 2021; Las Vegas, NV.
  8. Östör A et al. Ann Rheum Dis. 2022;81(3):351-358.
  9. SKYRIZI (risankizumab-rzaa) [package insert]. North Chicago, IL: AbbVie Inc.
  10. Strober B et al. AAD 2019. Abstract P9876
  11. Data on file, AbbVie Inc. ABVRRTI68139.

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