Chinese Journal of Dermatology ›› 2024, Vol. 57 ›› Issue (11): 976-997.doi: 10.35541/cjd.20240294

• Guidelines and Consensus • Previous Articles     Next Articles

Guidelines for the treatment of psoriasis with biologics and small-molecule drugs in China (2024)

Chinese Society of Dermatology; China Dermatologist Association; Dermatology & Venereology Specialized Committee of Chinese Association of Integrative Medicine   

  1. Chinese Society of Dermatology; China Dermatologist Association; Dermatology & Venereology Specialized Committee of Chinese Association of Integrative Medicine
  • Received:2024-05-31 Revised:2024-09-06 Online:2024-11-15 Published:2024-10-31
  • Contact: Wang Gang; Zhang Xuejun E-mail:xjwgang@fmmu.edu.cn; ayzxj@vip.sina.com

Abstract: 【Abstract】 The treatment of psoriasis has entered an era of targeted therapy, and the application of biologics and small-molecule drugs has markedly improved the quality of life of patients, especially in the treatment of moderate to severe, refractory, and special types of psoriasis. In China, biologics that have been approved for marketing and used in the treatment of psoriasis include 9 agents belonging to 5 major categories, namely tumor necrosis factor-α inhibitors, interleukin-12/23 inhibitors, interleukin-23 inhibitors, interleukin-17A inhibitors, and interleukin-36 inhibitors; small-molecule drugs include 4 drugs belonging to 2 categories that inhibit different steps in the inflammatory cytokine pathways, namely phosphodiesterase 4 and Janus kinases (including tyrosine kinase 2). How to use biologics and small-molecule drugs in a rational, effective and safe way has become an issue of great concern in clinical practice. To this end, experts in the field of diagnosis and treatment of psoriasis and related fields in China developed this guideline based on Chinese and international research data, clinical experience, as well as characteristics of Chinese patients with psoriasis after in-depth discussions. This guideline provides specific guidance for clinicians in terms of application principles and methods of major biologics and small-molecule drugs, efficacy and safety profiles, patient screening and monitoring, common problems and solutions, as well as considerations for their application in special populations.

Key words: Psoriasis, Biological products, Therapeutics, Biologic agents, Small-molecule drugs, Guidelines