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Chinese Journal of Clinical Pharmacology and Therapeutics ›› 2020, Vol. 25 ›› Issue (12): 1395-1407.doi: 10.12092/j.issn.1009-2501.2020.12.012

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Advances in the management of psoriatic arthritis

TAI Yu 1, ZHANG Zixuan 2, ZHANG Lingling 1   

  1. 1 The Institute of Clinical Pharmacology, Anhui Medical University, Key Lab of Anti-inflammatory and Immune Medicine, Ministry of Education, Anhui Collaborative Innovation Center of Anti-inflammatory and Immune Medicine, Anhui Anti-inflammatory and Immune Medicine Innovation Team, Hefei 230032, Anhui, China; 2 CSPC OUYI Pharmaceutical CO., LTD., Shijiazhuang 050000, Hebei, China
  • Received:2020-05-22 Revised:2020-08-19 Online:2020-12-26 Published:2021-01-04

Abstract: Psoriatic arthritis (PsA), which affects musculoskeletal structures, skin and nails, is a chronic inflammatory disease. The treatment of PsA has changed tremendously over the past decade owing to the improvement in early diagnosis and treatment strategies. TNF-α blockers, including adalimumab, etanercept, golimumab and infliximab, are representatives of a revolution in the treatment of PsA. Certolizumab (a new anti-TNF agent) and ustekinumab (a fully human monoclonal antibody against IL-12 and IL-23) are approved for the treatment of active PsA. In recent years, multiple small molecule drugs targeting Janus kinase/signal transducers and activators of transcription signaling pathway have been developed and applied to treat PsA in clinic. Developing better targeted drugs is an important research direction for the treatment of psA in the future.

Key words: psoriatic arthritis, TNF blocker, targeted therapy, IL-17 inhibitors

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