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The U.S.
Food and Drug Administration (FDA) has approved the use of Enbrel
(etanercept) in the treatment of psoriatic arthritis -- a type
of arthritis which develops in nearly 25 percent of people diagnosed
with psoriasis.
Although other
treatments are available, Enbrel is the first to receive FDA approval
for "reducing the signs and symptoms" of the disease, and may
be used alone, or in combination with methotrexate. Originally
approved for rheumatoid arthritis in 1998, the drug is injected
under the skin.
The last
phase III trial before submission to the FDA included 205 patients
at 17 clinics across the country.
Sixty-two
percent of those taking a combination of Enbrel with low doses
of methotrexate achieved at least a 20 percent improvement in
swelling, tenderness, pain, and other symptoms of psoriatic arthritis
after three months.
Fifty-eight
percent of patients who took Enbrel without methotrexate showed
a 20 percent improvement in the disease as well. All patients
were compared to an equal number of patients who did not receive
the drug.
In addition,
almost half the patients noticed improvement in skin condition.
Forty-three percent of patients with moderate to severe psoriatic
arthritis realized a 50 percent improvement in typical lesions,
while 47 percent saw improvement in their psoriasis overall.
Other
sources: National Psoriasis Foundation, FDA
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