Bimekizumab durability of efficacy through 196 weeks and safety through 4 years in patients with moderate to severe plaque psoriasis: Results from the BE BRIGHT open-label extension trial


Por: Blauvelt, A, Langley, RG, Lebwohl, M, Strober, B, Warren, RB, Puig, L, Morita, A, Gordon, KB, Fernandez-Peña, P, Kavanagh, S, Pinto, JML, Lambert, J, Hoepken, B, Deherder, D, Cross, N, Thaçi, D

Publicada: 1 sep 2025 Ahead of Print: 1 ago 2025
Resumen:
Background: Patients with moderate to severe psoriasis experience significant burden on quality of life. Long-term management with latest-generation biologics can facilitate sustained complete skin clearance and improved patient well-being. Objective: To report 4-year end-of-study bimekizumab efficacy and safety in patients with moderate to severe psoriasis. Methods: Data were pooled from 3 phase 3 trials (BE VIVID, BE READY, and BE SURE) and their open-label extension (OLE; BE BRIGHT). Efficacy is reported for patients who received bimekizumab continuously from baseline into the OLE. Safety is reported for patients who received $1 bimekizumab dose. Results: Seven hundred seventy-one patients received bimekizumab from baseline into the OLE. A high proportion achieved complete skin clearance (100% improvement from baseline in Psoriasis Area and Severity Index) at Week 52 (76.2%) and maintained this to Week 196 (64. 7%). The rate of treatment-emergent adverse events over 4 years was 169.8/100 patient-years (N = 1495) and did not increase with longer exposure. The most common treatment-emergent adverse events were nasopharyngitis, oral candidiasis, and upper respiratory tract infection, consistent with bimekizumab's known safety profile. Limitations: Eligibility criteria and ethnic representation. Conclusion: Almost two-thirds of bimekizumab-treated patients achieved and maintained complete skin clearance through 4 years, making bimekizumab an effective, rapid, and durable long-term treatment option.

Filiaciones:
Blauvelt, A:
 Blauvelt Consulting LLC, Annapolis, MD USA

Langley, RG:
 Dalhousie Univ, Dept Med, Div Clin Dermatol & Cutaneous Sci, Halifax, NS, Canada

Lebwohl, M:
 Icahn Sch Med Mt Sinai, Dept Dermatol, New York, NY USA

Strober, B:
 Yale Univ, Dept Dermatol, New Haven, CT USA

 Cent Connecticut Dermatol Res, Cromwell, CT USA

Warren, RB:
 NHS Fdn Trust, Dermatol Ctr, Northern Care Alliance, Manchester, England

 Univ Manchester, Manchester Acad Hlth Sci Ctr, Div Musculoskeletal & Dermatol Sci, Manchester, England

Puig, L:
 Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Dept Dermatol, Barcelona, Spain

Morita, A:
 Nagoya City Univ, Grad Sch Med Sci, Dept Geriatr & Environm Dermatol, Nagoya, Japan

Gordon, KB:
 Med Coll Wisconsin, Dept Dermatol, Milwaukee, WI USA

Fernandez-Peña, P:
 Univ Sydney, Westmead Hosp, Dept Dermatol, Westmead, NSW, Australia

Kavanagh, S:
 UCB, Morrisville, NC USA

Pinto, JML:
 UCB, Madrid, Spain

Lambert, J:
 UCB, Colombes, France

Hoepken, B:
 UCB, Monheim Am Rhein, Germany

Deherder, D:
 UCB, Braine Lalleud, Belgium

Cross, N:
 UCB, Morrisville, NC USA

Thaçi, D:
 Univ Lubeck, Inst & Comprehens Ctr Inflammat Med, Lubeck, Germany
ISSN: 01909622





JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY
Editorial
MOSBY-ELSEVIER, 360 PARK AVENUE SOUTH, NEW YORK, NY 10010-1710 USA, Estados Unidos America
Tipo de documento: Article
Volumen: 93 Número: 3
Páginas: 644-653
WOS Id: 001603146600008
ID de PubMed: 40286813
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