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Bimekizumab maintenance therapy for patients with moderate-to-severe plaque psoriasis: 4-year results from BE BRIGHT

By Dylan Barrett

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Oct 30, 2024

Learning objective: After reading this article, learners will be able to cite a new clinical development in psoriasis.



An analysis of data pooled from the 52-week phase III BE VIVID trial (NCT03370133), the 56-week phase III BE SURE (NCT03412747) and BE READY (NCT03410992) trials, and their OLE BE BRIGHT (NCT03598790) assessed the maintenance of response in 771 patients with moderate-to-severe plaque psoriasis treated with bimekizumab through 4 years.1 Patients received bimekizumab 320 mg Q4W until Week 16, then either Q4W or Q8W until OLE entry and during the OLE. Results from this analysis were presented at the EADV Congress 2024 by Gordon.1


Key learnings
At Year 1, 90.7% of patients had a PASI 90 response; 96.5%, 93.7%, and 87.9% of patients maintained their responses at Years 2, 3, and 4, respectively. 
At Year 1, 75.6% of patients were PASI 100 responders; at Years 2, 3, and 4, 87.3%, 80.9%, and 74.3% of patients, respectively, continued to respond. 
An IGA 0/1 response was achieved by 88.8% of patients at Year 1, and 96.4%, 93.3%, and 89.5% of patients maintained their responses at Years 2, 3, and 4, respectively. 
At Year 1, 80.5% of patients were DLQI 0/1 responders, and the responses were maintained by 92.4%, 88.3%, and 82.9% of patients at Years 2, 3, and 4, respectively. 
These findings demonstrate the benefit of bimekizumab maintenance therapy in patients who responded to treatment after 1 year, with a high proportion of patients maintaining these responses through 4 years. 

Abbreviations: DLQI, Dermatology Life Quality Index; EADV, European Academy of Dermatology and Venereology; IGA, Investigators Global Assessment; OLE, open-label extension; PASI, Psoriasis Area and Severity Index; Q4W, every 4 weeks; Q8W, every 8 weeks. 

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