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News > New Drug for Psoriasis
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New Biologic Drug Approved to Treat Plaque Psoriasis

By Jennifer Davis

9/25/09 The Food and Drug Administration has approved a new biologic drug called ustekinumab (Stelara) to help adults with moderate to severe plaque psoriasis. Compared to other weekly treatments currently on the market, this new medication requires just four to five injections a year.

The FDA estimates 6 million Americans suffer from plaque psoriasis, an immune system disorder that causes a chronic, painful skin condition. In psoriasis, the body rapidly overproduces skin cells, resulting in thickened patches of red and inflamed skin, often covered with silvery scales. 

Because ustekinumab, a monoclonal antibody that blocks two inflammatory proteins, works in a slightly different way than other drugs currently approved to treat psoriasis, it may help those who have not seen relief from other treatments.

The medication is delivered by injection, and the FDA says a health-care provider must administer it. Patients get one starter shot, another shot four weeks later and then one shot every 12 weeks after that. Other drugs used to treat psoriasis, including etanercept (Enbrel) and adalimumab (Humira) are generally injected every one to two weeks.

FDA approval follows three studies of 2,266 patients. The drug’s manufacturer says that after just two doses, 70 percent of patients taking the drug saw a 75 percent clearance of skin that was maintained for a year with continued treatment.

But the FDA also cautions the medication reduces the immune system’s ability to fight infection, which caused some patients to be hospitalized for tuberculosis and infections caused by bacteria, fungi or viruses. Lower immunity could also increase the risk for certain types of cancer. Other side effects included upper respiratory infections, headache and fatigue.

The drug is also approved in the European Union, U.K. and Canada, and the company says the price is comparable to other biologic agents approved for the treatment of moderate to severe plaque psoriasis.

A spokesman for Johnson & Johnson, the company that makes the drug, says ustekinumab is also being studied for the treatment of psoriatic arthritis, Crohn’s disease and sarcoidosis. 

Psoriatic arthritis is a condition where people have both psoriasis and arthritis. The Arthritis Foundation estimates that psoriatic arthritis affects between 5 and 8 percent of people who have psoriasis.

conrad
05 Feb 2012, 07:50
non of these medication you guys mentioned is available in dubai... and im really really hopeless
emy
19 Nov 2011, 21:07
i am from the philippines and i've been suffering from this disease for 15 years,at first i had allergic renitis and had cured for a year,but later on i had this disease.it just started as a small dot in my head and had spread all over my head and body.i've consulted 4 dermatologist already and no one of them could cure my disease.they give ointment such as clobetazole,dermalin,dermovate,divonex and a lot more,they also give me tetracycline,roxithromycin claritin and other more.i also tried injecting sulucortef.i had severe case already and wanted to get cured caused it affects me to much especially at night and during my days in school while teaching.i'm so ashamed of my skin,everytime my student noticed that i feel itchy don't know what to say whenever they ask me already.i think i need that PUVA,HUMIRA or any other extra strength medication that could help me,i had no enough money to have this medication,could you please help me.
C H
15 Nov 2011, 10:32
I have had psoriasis since i was 13 years old, it went away for a couple years and started returning when i was 16. i havent worn a par of shorts or short sleeves since i was 17, i am now 28 years old. i teared up reading everyones post and am tearing up now as im typing this. I have been on 3 cremes at once and done UV light and nothing seems to work longer then 2 months. at one time i asked my Doc about other meds like enebrl but she brushed me off, said oh its to risky its not worth it...i asked myself...(not worth it to who? her? but well worth it to me). she doesnt have psorasis and has no idea the effects it has on your life. i have not yet tried Stelara but will ASAP i will schedule an appointment with my NEW doc and see how it goes. thanks for all the positive posts it has giving me some motivation to stay positive and not to give up when i look at my skin in the mirror.
marc jacques
13 Nov 2011, 13:34
i have psoriasis for 20 years i am looking for somting to clear it up tired of taking medication
Kathy
03 Jun 2011, 08:45
In response to Darlene, I've had severe psoriasis and severe psoriatic arthritis for many years. I've been on everything there is to be on. I've had light treatments 2-3 times a week since 2009 and that is not the first stint of light treatments in my life. I was on 4 different creams daily and nothing was working...I had new spots popping up daily. I started Stelara & I've had my two initial starter doses. My next one is in July. To say that I'm shocked at the results is an understatement. My psoriasis has dramatically, and I mean dramatically improved. My doctor and all of the nurses at my dermatology clinic are in awe. My scalp is not clear yet but has improved greatly and I'm told that the scalp takes longer. Nails take 6 months to a year to grow out but I already have normal nail at the nail bed. So far so good. I can actually wear short sleeved shirts without feeling embarrassed or self concious!! It is scary taking a drug that we don't know the long term affects of but one also has to weigh our quality of life. Just wanted to give you my results. Good luck to you and I hope it works as well for you as it has so far for me!!
darlene cromwell
27 May 2011, 21:10
ive had plaque psorias since i was 18 , im now 52.ive had every cream you can think of, nothing has ever worked they were all temporary solutions to a permanant problem.im am supposed to start on injection soon ( not sure yet which one)im excited but scared at the same time.i have severe psorias so what else is there.wish me luck all,and also,,has anyone out there that had these injections for plaque psorias? if so , please let me know how things went.... thank you.
shari
04 Apr 2011, 17:34
Bioscript (maker of the drug) has a program for people that have no insurance, ask your doctor. I have no insurance and it costs me $50.00. This is a wonder drug I am killing two birds taking this. I have had no side effects. Believe me I have tried everything on the market. I have been in a study with my doctors office for 8 years now.
shari
04 Apr 2011, 17:29
I have had this skin condition for 35 years I have trie humeria, embrel, raptiva, rema cade, I have two diffrent types of pscorasis, blisters on my feet and hands this drug worked for me, I also has chrons both are assoicated. It took one years 4 shots but I am completey clear. Don't give up it works.
Maria
25 Mar 2011, 22:57
I am wondering how they find out if you have psoriasis in your joints? I have servere pains in my hips that feel like labor and makes my legs go out on me sometimes.. I also have Guttate psoriasis, its everywhere! I need to know what is the best thing to take because ive tried everything over the counter!
jason follwell
20 Mar 2011, 10:39
do not use stelera i used it for four months with no results and i mean no improvent what so ever company didnt give a shit so think twice before using
Kathy
01 Mar 2011, 09:21
Alex, could you elaborate on the side affects you've suffered from Stelera? I'm waiting for insurance approval for this drug and am very interested in as much information as I can. Thank you!
Christy
27 Feb 2011, 12:39
I have been on methotrexate for psoriasis which is the only thing that has really helped.. i have also used embral and cyclosporine, which have not helped much. I also had remicade injections done which also helpe,d but i became pregnant and our insurence changed. We are getting better insurence soon and want to try the injections, does anyone know how much the cost is and does it work? How about for your scalp?
Alex
03 Feb 2011, 18:58
I was in one of the double blind studies for Stelara/, it worked great until I had to stop taking it, then my disease became 90% worse than prior to taking this drug, I almost died and have continued severe damage from this drug every day of my life. I have filed several complaints with the FDA but it got approval anyway. Be careful and do your homework. It may help you or ruin your life like with me.
santhi
19 Jan 2011, 23:41
im santhi from malaysia
how and where to buy this medicine?
gaylen
06 Jan 2011, 17:07
I have been taking Enbrel for about 5 yrs now and it has worked great. you can get a discount card from your dermatoligist for a co-pay reduction for example mine was $800 month and with the co-pay assistance card it was $10 dollars and they didnt ask about my income just had to have insurance then when my insurance ran out i freaked out. I called the Encourage Foundation and they are paying for it for the next year. Thank GOD. Good luck. I am going to ask my Dr. about stelara becaus I would really appreciate taking shots less and less.
S Lindsay
28 Nov 2010, 23:18
I have had full body psoriasis since I was 10 years old. I am now 60! I have been treated by the dermotologists with librium to arsnic prescribed when I was aprox. 12 years old. I am on cyclosporine to date but can't take enough of the drug to clear it up any more. 350 miligrams will clear it but the migrains make it impossible to tolerate. When I was a child it was diagnosed as a nerve disfunction, now auto immune. I'm ready for the cure!
Coral
01 Nov 2010, 08:35
My husband took Enbrel for nearly 3 years, and it was great on both his plaque psoriasis and his rheumatoid arthritis. To "take a break" from the Enbrel because its effects were waning on the psoriasis, he went on Stelera, which seems to be partially helping over the past 5 months. Meanwhile, his back pain has become severe and he wants to get back to Enbrel to relieve it. Can these two drugs be taken simultaneously?
Jamie
30 Oct 2010, 08:47
roger, I was just at my derm yesterday, im starting stelar as soon as my insurance approves it. My doc told me not to take humira and stelara together, so talk to your doctor first.
Roger
07 Oct 2010, 13:34
I've been in embrel humara they both work wonders but there is no possible way I can pay for it both Companys say I make to much money hahahahaha!!!!!! I am now on stelera just started it yesterday so I don't know if it works yet
My question is my aunt sent me a bunch of humara and I was wondering if it's ok to take it with the stelera? I can't find any info on it and I don't want to ask my dr in fear that my aunt is getting it and then giving it to me!
Vera
26 Jul 2010, 11:52
I would like to find out the approximate cost of Stelara. Also, are any of these medications available in pill form or in injection kits which may be administered by the patient? I have sculp, nail and plague psoriasis and a rather severe psoriatric arthritis. Thank you.
DR Raj MD
23 Jul 2010, 11:18
We can cure most difficult cases of psoriasis in just 2 months time by ayuvedic medicine without any side effects. believe it
Mike Kan3
27 Jun 2010, 14:32
If this doesn't work--try dovenex - i clear up 75% with no side effects. Use a sweatshirt at night if you feel more comfortable. I have been using since since it as approved in Curacao-about 5 years before the US and Canada. However many doctors do suggested it since the rep who calls on them don't take them out for golf etc.
shishir nath
31 Mar 2010, 14:41
hello I m suffering with Psoriasis disease leg foot whole over about 12 years.from the begingin i took many treatment by skin specialist's but i doesn't get cure by treatment..doctor give me Triamcilone inject:. I feel so pain in walking. so i need advise from u for the better treatment for my cure disease...
thnak u ...
Rewa
22 Mar 2010, 11:08
Thanks of this good information I have dermatological psoriasis and I went to many doctors and all they gave me topical treatment and two of them advise me for injection but they told me it have side effect because Iam 65 years old Please I want your advice because of your experience and if I take the injection should I need to stay in hospital.Thanks alot
shirleyminarovich
04 Feb 2010, 12:59
I suffer badly from artritis Icurrently have insurance however I have a 3000 a year limit on prescriptions which isnt even enough to cover the costs of my heart medications per year is their any way i can get help from your company to try your product thank you shirley
diane tirendi
27 Jan 2010, 08:19
My son just lost his RX plan under my employer and has severe arthritic psoriasis. His dermatologist thinks this new medication Stelara (Embrel didnt work and he had too many negative side affect from Humara) would be the answer to his sufferings of 5 years. Our concern is the cost. How can we get relief and help for our son to try this new RX? He is so down and feels so hopeless to getting any relief and it would be a sin if he woulnd't be able to try this new medication because of not being able to afford it. Please help him.
steph scott
02 Nov 2009, 23:15
So what has the out come of this med. does it destroy you liver or any other parts of your body my husband has been suffering for years it hurts me so bad about the pain and the burring just want him well and a have the confadence he yous to have. i hate that wwhat he has been going through for almost 10 yrs i cant imaging what is loke he has been on everything nothing seems to help! I HOPE THIS IS THE ANSWERE TO OUR PRAYES AMD HE CAN BE WELL AGAIN, I LOVE HIM SO MUCH HATE TO SEE HIM HURTING. HIS WONDREFULL WIFE.
Lina
18 Oct 2009, 20:03
I have an osteoarthritis. My nail is not growing properly. It started like a blister and what's inside is a crystal clear gel. When it harden my finger bent sideways. Is there anything I can do to prevent this. Sometimes it bothers me like a throbbing pain. Can you help me? Thanks.
Brenda Goodman, medical editor
08 Oct 2009, 16:50
Hi Joel,

I just checked www.clinicaltrials.gov to see if there might be any ongoing studies of this drug in psoriatic arthritis patients. It looks like there was one, but it has been completed.

If you're interested in finding other clinical trials for PA, that website is an excellent resource.

Good luck!

Brenda Goodman
joel
08 Oct 2009, 09:41
are there any clinical studies upcoming for using ustekinumab for treatment of psoriatic arthritis? i am currently on combo treatment of methotrexate and enbrel. while cycles of pain have are far better than prior to treatment, the frequency of the cycles has increased somewhat. any info on upcoming clinical trials would be greatly appreciated
lindagrass
07 Oct 2009, 15:22
please send me information on psoratic arthritis.
Joyce
06 Oct 2009, 15:54
I would like to know the cost of this program. We are Senior's and don't have much money. Do you know the cost?
Tammi
06 Oct 2009, 09:23
I'm one of those special 5-8% who has psoriatic arthritis. What a blessing Enbrel has been for me. Not only is all the pain from my arthritis gone but also all my psoriasis as well. I can walk, run and play now without pain! Wear short sleeve shirts and the best part my head doesn't itch. Woohoo! But a shot every 3 months vs. every week would be golden!! I'll be talking with my Doc about this!!

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