Efficacy and safety of risankizumab in psoriasis patients who failedanti-IL-17, anti-12/23 and/or antiIL-23: Preliminary data of a real-life 16-week retrospective study

Up until now, real-life experiences on the efficacy of risankizumab in patients who had previously failed anti-IL17, anti-IL12/23 or anti-IL23 inhibitor are not reported. We carried out a single-center, retrospective study, to evaluate the efficacy, safety and tolerability of patients under risankizumab who previously failed anti-IL17, anti-IL12/23, or anti-IL23 inhibitors in a real-life setting. A total of eight patients were enrolled (four men and four women, mean age 45.8 +/- 14.3 years). Five of them (62.5%) had received ustekinumab, seven (87.5%) at least one anti-IL17, and only one (12.5%) patient guselkumab. Secukinumab had been used in five (62.5%) cases, and ixekizumab in four (50.0%). Baseline mean PASI and BSA were 11.9 +/- 5.5, and 22.9 +/- 13.1, respectively, and 3.3 +/- 1.7 and 7.5 +/- 5 (P < .001 andP < .01) at week 16. Mean baseline NAPSI (18.0 +/- 8.5) reduced to 7 +/- 1.4 at week 16. Palmo-plantar and scalp area showed a reduction of 67.5% and 99.9% at week 16, respectively. No AEs was reported. Real-life preliminary data show risankizumab as a promising therapeutic option in patients who failed anti-IL-17, anti-IL12/23 and even the other anti-IL-23 counterpart, guselkumab.