Long-Term efficacy and safety analysis of secukinumab in the treatment of pediatric generalized pustular psoriasis: a real-world study

Purpose: To evaluate the long-term efficacy and safety of secukinumab in pediatric patients with generalized pustular psoriasis (GPP).Materials and methods: A retrospective study was conducted from July 2021 to July 2024, including 10 children with GPP. Patients were divided into two age groups: chi...

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Main Authors: Lu Xing, Lingsheng Long, Tao Wu, Lingrui Yin, Li Yu, Jingnan Wu, Danchen Li, Limin Miao, Hong Shu
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Journal of Dermatological Treatment
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Online Access:https://www.tandfonline.com/doi/10.1080/09546634.2024.2443121
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author Lu Xing
Lingsheng Long
Tao Wu
Lingrui Yin
Li Yu
Jingnan Wu
Danchen Li
Limin Miao
Hong Shu
author_facet Lu Xing
Lingsheng Long
Tao Wu
Lingrui Yin
Li Yu
Jingnan Wu
Danchen Li
Limin Miao
Hong Shu
author_sort Lu Xing
collection DOAJ
description Purpose: To evaluate the long-term efficacy and safety of secukinumab in pediatric patients with generalized pustular psoriasis (GPP).Materials and methods: A retrospective study was conducted from July 2021 to July 2024, including 10 children with GPP. Patients were divided into two age groups: children aged 0–3 years received 75 mg of secukinumab, while those aged 3–12 years received 150 mg. Secukinumab was administered subcutaneously at weeks 0, 1, 2, 3, and 4, followed by maintenance every 4 weeks. Treatment response was evaluated using the Generalized Pustular Psoriasis Area and Severity Index (GPPASI), Japanese Dermatological Association (JDA) score, and Infants’/Children’s Dermatology Life Quality Index (IDLQI/CDLQI).Results: By week 1, all patients achieved GPPASI-50 and mild JDA scores. By week 2, eight patients reached GPPASI-100, and nine achieved JDA scores of 0/1. Between weeks 12 and 70, all patients maintained GPPASI-100 and JDA scores of 0. Minimal relapses occurred in four patients, and one experienced five flares. The mean IDLQI/CDLQI improved from 21.8 at baseline to 0.4 by week 4, with sustained improvements throughout.Conclusions: Secukinumab demonstrated long-term efficacy and safety in pediatric GPP, significantly improving clinical outcomes and quality of life, with no serious adverse events reported.
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1471-1753
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spelling doaj-art-c61de4e65d8e4b95b26e9d992de87b8a2025-01-07T00:58:11ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532025-12-0136110.1080/09546634.2024.2443121Long-Term efficacy and safety analysis of secukinumab in the treatment of pediatric generalized pustular psoriasis: a real-world studyLu Xing0Lingsheng Long1Tao Wu2Lingrui Yin3Li Yu4Jingnan Wu5Danchen Li6Limin Miao7Hong Shu8Department of Dermatology, Children’s Hospital Affiliated to Kunming Medical University, Kunming, ChinaDepartment of Dermatology, Children’s Hospital Affiliated to Kunming Medical University, Kunming, ChinaDepartment of Colorectal Surgery, Third Affiliated Hospital of Kunming Medical University, Tumor Hospital of Yunnan Province, Kunming, ChinaDepartment of Dermatology, Children’s Hospital Affiliated to Kunming Medical University, Kunming, ChinaDepartment of Dermatology, Children’s Hospital Affiliated to Kunming Medical University, Kunming, ChinaDepartment of Dermatology, Children’s Hospital Affiliated to Kunming Medical University, Kunming, ChinaDepartment of Dermatology, Children’s Hospital Affiliated to Kunming Medical University, Kunming, ChinaDepartment of Dermatology, Children’s Hospital Affiliated to Kunming Medical University, Kunming, ChinaDepartment of Dermatology, Children’s Hospital Affiliated to Kunming Medical University, Kunming, ChinaPurpose: To evaluate the long-term efficacy and safety of secukinumab in pediatric patients with generalized pustular psoriasis (GPP).Materials and methods: A retrospective study was conducted from July 2021 to July 2024, including 10 children with GPP. Patients were divided into two age groups: children aged 0–3 years received 75 mg of secukinumab, while those aged 3–12 years received 150 mg. Secukinumab was administered subcutaneously at weeks 0, 1, 2, 3, and 4, followed by maintenance every 4 weeks. Treatment response was evaluated using the Generalized Pustular Psoriasis Area and Severity Index (GPPASI), Japanese Dermatological Association (JDA) score, and Infants’/Children’s Dermatology Life Quality Index (IDLQI/CDLQI).Results: By week 1, all patients achieved GPPASI-50 and mild JDA scores. By week 2, eight patients reached GPPASI-100, and nine achieved JDA scores of 0/1. Between weeks 12 and 70, all patients maintained GPPASI-100 and JDA scores of 0. Minimal relapses occurred in four patients, and one experienced five flares. The mean IDLQI/CDLQI improved from 21.8 at baseline to 0.4 by week 4, with sustained improvements throughout.Conclusions: Secukinumab demonstrated long-term efficacy and safety in pediatric GPP, significantly improving clinical outcomes and quality of life, with no serious adverse events reported.https://www.tandfonline.com/doi/10.1080/09546634.2024.2443121Generalized pustular psoriasisGPPinterleukin 17pediatriclong-termsecukinumab
spellingShingle Lu Xing
Lingsheng Long
Tao Wu
Lingrui Yin
Li Yu
Jingnan Wu
Danchen Li
Limin Miao
Hong Shu
Long-Term efficacy and safety analysis of secukinumab in the treatment of pediatric generalized pustular psoriasis: a real-world study
Journal of Dermatological Treatment
Generalized pustular psoriasis
GPP
interleukin 17
pediatric
long-term
secukinumab
title Long-Term efficacy and safety analysis of secukinumab in the treatment of pediatric generalized pustular psoriasis: a real-world study
title_full Long-Term efficacy and safety analysis of secukinumab in the treatment of pediatric generalized pustular psoriasis: a real-world study
title_fullStr Long-Term efficacy and safety analysis of secukinumab in the treatment of pediatric generalized pustular psoriasis: a real-world study
title_full_unstemmed Long-Term efficacy and safety analysis of secukinumab in the treatment of pediatric generalized pustular psoriasis: a real-world study
title_short Long-Term efficacy and safety analysis of secukinumab in the treatment of pediatric generalized pustular psoriasis: a real-world study
title_sort long term efficacy and safety analysis of secukinumab in the treatment of pediatric generalized pustular psoriasis a real world study
topic Generalized pustular psoriasis
GPP
interleukin 17
pediatric
long-term
secukinumab
url https://www.tandfonline.com/doi/10.1080/09546634.2024.2443121
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