圣利卓（佩索利单抗）是一款新型人源化选择性抗体，可阻断白介素<\/span>-36受体 (IL-36R)的激活。IL-36通路是免疫系统内的一种信号通路，已被证明与GPP等多种自身炎症性疾病的发病机制有关^{[3],[5],[6]<\/sup>。佩索利单抗已获得包括美国、日本、中国大陆和欧盟等多国监管机构批准，用于治疗成人GPP发作。<\/span><\/p> \n}

关于泛发性脓疱型银屑病（<\/span><\/b>GPP）<\/span><\/b><\/p> \n

GPP是一种罕见的、异质性的、可危及生命的嗜中性粒细胞性皮肤病，临床上与斑块状银屑病不同^{[2],[3]<\/sup>。GPP是由中性粒细胞（一种白细胞）在皮肤中积聚引起的，会在全身广泛爆发疼痛性的无菌性脓疱^{[2],[3]<\/sup>。GPP患者的临床病程各不相同，有些患者可反复发作，而另一些患者则表现为疾病持续存在且间歇性发作^{[2]<\/sup>。虽然GPP发作的严重程度各不相同，但若不及时治疗，可能会出现败血症和多系统器官衰竭等并发症，可能会危及生命^{[3]<\/sup>。这种慢性全身性疾病会对患者的生活质量产生重大影响，并增加医疗负担^{[13]<\/sup>。GPP在不同区域的患病率各不相同，女性患者多于男性患者^{[3],[13],[14]<\/span>,[15]<\/span>,[16]<\/span><\/sup>。对于能够快速解决GPP发作症状并能预防复发，且具有可接受的安全性的疗法存在着高度未满足的需求^{[4],[17]<\/span><\/sup>。<\/span><\/p> \n}}}}}}}

GPP的发作可导致住院并可能发生严重并发症，包括心力衰竭、肾衰竭和败血症，而疾病发作的不可预测性和严重程度极大地影响了患者的生活质量^{[3],[4]<\/sup>。<\/span><\/p> \n}

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[1] 《我国泛发性脓疱型银屑病的患病率和疾病负担调查：一项基于全国2012-2016年城镇医疗保险数据的估算》，中华医学会第二十七次全国皮肤性病学学术年会，2021年6月<\/span><\/p> <\/td> \n <\/tr> \n
[2] Navarini AA, et al. European consensus statement on phenotypes of pustular psoriasis. JEADV. 2017;31:1792-1799.<\/span><\/p> <\/td> \n <\/tr> \n
[3] Crowley JJ, et al. A brief guide to pustular psoriasis for primary care providers, Postgraduate Medicine. 2021;133(3):330-344.<\/span><\/p> <\/td> \n <\/tr> \n
[4] Puig L, Choon SE, Gottlieb AB, et al. Generalized pustular psoriasis: a global Delphi consensus on clinical course, diagnosis, treatment goals, and disease management. J Eur Acad Dermatol Venereol. 2023 Jan 6. doi: 10.1111\/jdv.18851.<\/span><\/p> <\/td> \n <\/tr> \n
[5] Furue K, et al. Highlighting Interleukin-36 Signalling in plaque psoriasis and pustular psoriasis. Acta Derm Venereol. 2018;98:5–13.<\/span><\/p> <\/td> \n <\/tr> \n
[6] Bachelez H, et al. Inhibition of the Interleukin-36 Pathway for the Treatment of Generalized Pustular Psoriasis. N Engl J Med. 2019; 380:981-983.<\/span><\/p> <\/td> \n <\/tr> \n
[7] Morita A, Choon SE, Bachelez H et al. Design of EffisayilTM 2: A randomized, double-blind, placebo-controlled study of spesolimab in preventing flares in patients with generalized pustular psoriasis. Dermatol Ther (Heidelb) (2023) 13:347–359.<\/span><\/p> <\/td> \n <\/tr> \n
[8] A study to test whether BI 655130 (spesolimab) prevents flare-ups in patients with generalized pustular psoriasis. www.clinicaltrials.gov\/ct2\/show\/study\/NCT04399837?term=Boehringer. Last accessed January 2023.<\/span><\/p> <\/td> \n <\/tr> \n
[9] Bachelez H et al. Trial of spesolimab for generalized pustular psoriasis. NEJM. 2021;385:2431-40.<\/span><\/p> <\/td> \n <\/tr> \n
[10] Federal Drug Administration. New Drug Approvals for 2022. Available at: https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2022\/761244s000lbl.pdf. Accessed January 2023.<\/span><\/p> <\/td> \n <\/tr> \n
[11] EC approval statement (data on file).<\/span><\/p> <\/td> \n <\/tr> \n
[12] Effisayil ON: An open-label, long term extension study to assess the safety and efficacy of spesolimab treatment in patients with generalized pustular psoriasis (GPP). https:\/\/clinicaltrials.gov\/ct2\/show\/NCT03886246?term=Effisayil&draw=2&rank=1. Last accessed January 2023.<\/span><\/p> <\/td> \n <\/tr> \n
[13] Hanna M, et al. Economic burden of generalized pustular psoriasis and palmoplantar pustulosis in the United States. Curr Med Res Opin. 2021. 37(5):735-742.<\/span><\/p> <\/td> \n <\/tr> \n
[14] Augey F, et al. Generalized pustular psoriasis (Zumbusch): a French epidemiological survey. Eur J Derm. 2006; 16(6):669-673.<\/span><\/p> <\/td> \n <\/tr> \n
[15] Ohkawara A et al. Generalized pustular psoriasis in Japan: two distinct groups formed by differences in symptoms and genetic background. Acta Derm Venereol. 1996 Jan;76(1):68–71.<\/span><\/p> <\/td> \n <\/tr> \n
[16] Jin H, et al. Clinical features and course of generalized pustular psoriasis in Korea. J Dermatol. 2015; 42(7):674-678.<\/span><\/p> <\/td> \n <\/tr> \n
[17] Bachelez, H. Pustular psoriasis: the dawn of a new era. Acta Derm Venereol. 2020;100(3):adv000343<\/span><\/p> <\/td> \n <\/tr> \n <\/tbody> \n <\/table> \n<\/div> \n
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