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Thinking About Biologics?
Try Out These Links*

Amevive
Enbrel
Humira
Raptiva
Remicade

AMEVIVE (alefacept) — Astellas Pharma US, Inc.

Astellas Pharma US, Inc. purchased Amevive from Biogen Idec.  Sections of this web site include "About Amevive," "Patient Safety and Prescribing Information" (stuff that typically is printed and packaged with the drug), "Amevive Start Assistance Program" (ASAP) for help with securing insurance coverage for some or all of the drug, and a section for "Healthcare Professionals."
  • Consumer site:  "Psoriasis Support" - none at this time
  • Administration:  Intramuscular injection given at your doctor's office once a week for 12 weeks.  If necessary, a second course of 12 weeks injections can be prescribed after about 12 weeks "off treatment."

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ENBREL (etanercept) — Amgen, Wyeth

Main pages include:  "Enbrel Explained," "Considering Enbrel," "Your Condition," "Voices of Experience," "Patient Support Services," "Health Care Professionals," "Prescribing Information."

  • "Enliven Services" is a patient-support service available through toll-free phone number 1-888-436-2735.  Web sign up for patients:

http://www.enbrel.com/enliven/enbrel-enliven.jsp  

  • Consumer site:  "Psoriasis Connection" - http://www.psoriasisconnect.com

    Main pages include:  "What is psoriasis?" "How your immune system causes psoriasis," "Psoriasis and joint pain — symptoms of psoriatic arthritis," "Psoriasis Treatments — from topical psoriasis treatments to phototherapy psoriasis treatments and systemic medications for psoriasis including biological medications for psoriasis," "When you're looking for a partner, psoriasis can feel like a barrier to closeness. Dr. Robert H. Reiner offers advice on psoriasis and dating," "When you are living with psoriasis, choosing clothes is like an exercise in camouflage. Don't let psoriasis stop your style. Here are tips for men's and women's fashion," "Tired of messy coal tar hair? Learn about off-shelf shampoos for scalp psoriasis. What are your hair color options will the chemical affect your scalp psoriasis," "Stress and Psoriasis. Here are concrete tips for relaxing your body and your mind," "Dave, a DJ in New York, talks about his psoriasis," "Talking about psoriasis with your co-workers."
     

  • Administration:  Depending on need, weekly or twice weekly self-administered subcutaneous injections into midsection using a prefilled "injector" or a more conventional syringe. Duration unlimited (barring adverse reactions).

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HUMIRA (adalimumab) — Abbot

A sub-page on the main Humira site, this page deals with its use for psoriatic arthritis.  (Humira is not yet approved for skin psoriasis, though some dermatologists and rheumatologists prescribe it off-label for skin P as well as P-arthritis.)  This page has some good general information about Psoriatic Arthritis with sections titled "Causes of Psoriatic Arthritis," "Signs and Symptoms..." "Long Term Effects of..." "How Psoriatic Arthritis is Diagnosed."

  • Consumer FAQ sheet: http://www.humira.com/hu/hustore/cgi-bin/psa_Cat_415_NavRoot_401.htm

    You can download the prescribing information sheet (may require Adobe Acrobat Reader) from this page.
     

  • Administration:   Typically a twice-a-month (every OTHER week) subcutaneous injection using a "pen" or syringe.  Both versions come prepackaged and ready for use (no mixing or filling the injector required).  For particularly recalcitrant cases, some rheumys are prescribing weekly dosages.

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RAPTIVA (efalizumab) — Genentech, Xoma

Main pages include:  "About Raptiva," "Understanding Psoriasis," "Is Raptiva Right for Me?" "For Raptiva Patients," "Living with Psoriasis," "How Do I Get Raptiva?" "Safety Information," "For Healthcare Professionals."

Main pages include:  "An educational support program."  Brought to you in partnership with NPF, Dermatology Nurses' Association and Genentech.

There are four sections devoted to coping with psoriasis.  The sections are "Social," "Workplace," "Relationships," and "Self-Esteem."   Each contains "coping tips" and "testimonials." 

  • Consumer "FAQ" sheet:  Raptiva FAQ (requires Adobe Acrobat)


  • Administration:  Once weekly self-administered subcutaneous injection.  Duration unlimited (barring adverse reactions).

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REMICADE (inflimiximab) — Centocor  

This site doesn't discuss psoriasis, yet (it covers FDA-approved treatment for Crohn's disease and rheumatoid arthritis).  Studies are underway to obtain FDA approval for Remicade as a psoriasis treatment; however, in the meantime some derms are prescribing it "off label" based on the number of cases that have accumulated where the drug has helped Crohn's or RA patients improve their psoriasis conditions.  There is an Adobe Acrobat version of a fact sheet about Remicade for psoriasis at the National Foundation web site:  

http://www.psoriasis.org/files/pdfs/factsheets/200404_remicade.pdf

  • Administration: (Data not published specifically for psoriasis — the following information pertains to administration for rheumatoid arthritis and may or may not be significantly different for psoriasis and psoriatic arthritis.)  Intravenous (IV) infusion at doctor's office or Infusion Center.  Infusions take about two hours and, after the initial three infusions, more infusions come at 8-week intervals.  No more than 6 are given during the course of a year.

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* Fact sheets for these biologic drugs are also available at the National Psoriasis Foundation web site:  http://www.psoriasis.org/connect/factsheets.  Also search the FlakeHQ Archives for correspondence regarding each of these biologics.

Contents

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