Psoriatic arthritis

Active Ingredient: Guselkumab

Indication for Guselkumab

Population group: only adults (18 years old or older)
Therapeutic intent: Curative procedure

Guselkumab, alone or in combination with methotrexate (MTX), is indicated for the treatment of active psoriatic arthritis in adult patients who have had an inadequate response or who have been intolerant to a prior disease-modifying antirheumatic drug (DMARD) therapy.

For this indication, competent medicine agencies globally authorize below treatments:

100 mg at weeks 0 and 4 and thereafter 100 mg once every 8 weeks

For:

Dosage regimens

Subcutaneous, 100 milligrams guselkumab, once every 4 weeks, 2 doses in total. Afterwards, subcutaneous, 100 milligrams guselkumab, once every 8 weeks.

Detailed description

The recommended dose is 100 mg by subcutaneous injection at weeks 0 and 4, followed by a maintenance dose every 8 weeks. For patients at high risk for joint damage according to clinical judgement, a dose of 100 mg every 4 weeks (q4w) may be considered.

Consideration should be given to discontinuing treatment in patients who have shown no response after 24 weeks of treatment.

Elderly (≥65 years)

No dose adjustment is required.

There is limited information in subjects aged ≥65 years and very limited information in subjects aged ≥75 years.

Dosage considerations

Subcutaneous use. If possible, areas of the skin that show psoriasis should be avoided as injection sites.

Active ingredient

Guselkumab

Guselkumab is a human IgG1λ monoclonal antibody (mAb) that binds selectively to the interleukin 23 (IL-23) protein with high specificity and affinity. IL-23 is a cytokine that is involved in inflammatory and immune responses. By blocking IL-23 from binding to its receptor, guselkumab inhibits IL-23-dependent cell signalling and release of proinflammatory cytokines.

Read more about Guselkumab

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