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Adalimumab vs Methotrexate for the Treatment of Chronic Plaque Psoriasis
Jonathan M. Batchelor, BMedSci, BM BS, MRCP(UK);
John R. Ingram, DM, MRCP(UK);
Hywel Williams, MSc, PhD, FRCP
Arch Dermatol. 2009;145(6):704-706.
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Commentary on: Efficacy and safety results from the randomized controlled comparative study of adalimumab vs. methotrexate vs. placebo in patients with psoriasis (CHAMPION) Saurat JH, Stingl G, Dubertret L, et al Br J Dermatol. 2008;158(3):558-566
Question: How effective and safe is adalimumab compared with methotrexate in patients with moderate to severe psoriasis?
Design: Noninferiority randomized controlled trial.
Setting: Multicenter trial performed in hospitals in Europe and Canada.
Participants: A total of 271 patients with moderate to severe psoriasis were randomized. Moderate to severe psoriasis was defined as affecting 10% or more of the body surface area and giving a Psoriasis Area and Severity Index (PASI) of 10 or higher. All patients were naive to tumor necrosis factor (TNF)–antagonist therapies and to methotrexate. Fifteen patients were lost to follow-up after randomization, and 256 . . . [Full Text of this Article] COMMENT
AUTHOR INFORMATION
Department of Dermatology, Addenbrooke's Hospital, Cambridge, England (Dr Batchelor); Department of Dermatology, University Hospital of Wales, Heath Park, Cardiff (Dr Ingram); Centre of Evidence-Based Dermatology, University of Nottingham, King's Meadow Campus, Nottingham, England (Dr Williams)
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