Taltz (ixekizumab) vs Skilarence (dimethyl fumarate)

Taltz (ixekizumab) vs Skilarence (dimethyl fumarate)

Taltz (ixekizumab) is a biologic medication that works by targeting interleukin-17A, a protein involved in the inflammation process, and is primarily used for the treatment of moderate to severe plaque psoriasis and active psoriatic arthritis. Skilarence (dimethyl fumarate) operates differently; it is thought to modulate the immune system, though its exact mechanism in psoriasis is not fully understood, and it is used for the treatment of moderate to severe plaque psoriasis. When deciding between Taltz and Skilarence, one should consider factors such as the severity of their condition, potential side effects, method of administration (Taltz is an injectable medication, while Skilarence is taken orally), and any underlying health conditions, in consultation with their healthcare provider.

Difference between Taltz and Skilarence

Metric Taltz (ixekizumab) Skilarence (dimethyl fumarate)
Generic name Ixekizumab Dimethyl fumarate
Indications Plaque psoriasis, psoriatic arthritis, ankylosing spondylitis Plaque psoriasis, multiple sclerosis
Mechanism of action Interleukin-17A antagonist Nrf2 pathway activator, anti-inflammatory
Brand names Taltz Skilarence, Tecfidera (for multiple sclerosis)
Administrative route Subcutaneous injection Oral
Side effects Injection site reactions, upper respiratory tract infections, nausea, fungal infections Flushing, abdominal pain, diarrhea, nausea
Contraindications Active tuberculosis, hypersensitivity to ixekizumab Known hypersensitivity to dimethyl fumarate or to any of the excipients
Drug class Monoclonal antibody Fumaric acid ester
Manufacturer Eli Lilly and Company Almirall (Skilarence), Biogen (Tecfidera)

Efficacy

Efficacy of Taltz (Ixekizumab) in Treating Psoriasis

Taltz (ixekizumab) is a biologic medication approved for the treatment of moderate to severe plaque psoriasis in adults who are candidates for systemic therapy or phototherapy. Ixekizumab works by targeting interleukin-17A (IL-17A), a cytokine that plays a key role in the pathogenesis of psoriasis. Clinical trials have demonstrated that Taltz can lead to significant skin clearance in many patients. The majority of patients treated with Taltz achieved at least a 75% reduction in the Psoriasis Area and Severity Index (PASI 75) score, with many achieving PASI 90 or even PASI 100, indicating complete clearance of psoriasis plaques. The onset of response with Taltz is typically rapid, with some patients seeing improvement in their symptoms as early as the first few weeks of treatment.

Efficacy of Skilarence (Dimethyl Fumarate) in Treating Psoriasis

Skilarence (dimethyl fumarate) is an oral medication approved for the treatment of moderate to severe plaque psoriasis. Dimethyl fumarate is thought to modulate the immune response and reduce inflammation, although its exact mechanism of action in psoriasis is not fully understood. Clinical studies have shown that Skilarence can effectively reduce the severity of psoriasis symptoms. Patients taking Skilarence have reported improvements in PASI scores, with a significant number achieving PASI 75. Additionally, Skilarence has been found to improve the quality of life for patients with psoriasis by reducing the physical and psychological burden of the disease.

Comparative Efficacy and Considerations

When comparing the efficacy of Taltz and Skilarence, it is important to consider the differences in their modes of administration and potential side effects. Taltz, as an injectable biologic, may be preferred for patients who require rapid and extensive skin clearance or who have not responded adequately to traditional systemic therapies. Skilarence, being an oral treatment, might be favored by patients who prefer oral medication over injections. The choice between these medications should be individualized, taking into account the disease severity, patient preference, comorbidities, and potential side effects.

Conclusion

In conclusion, both Taltz (ixekizumab) and Skilarence (dimethyl fumarate) have been shown to be effective in the treatment of moderate to severe plaque psoriasis. Taltz targets a specific cytokine involved in the inflammatory process of psoriasis and has demonstrated high levels of skin clearance in clinical trials. Skilarence offers an oral treatment option with proven efficacy in improving PASI scores and quality of life. The decision to use either medication should be made in collaboration with a healthcare provider, considering the individual needs and circumstances of the patient.

Regulatory Agency Approvals

Taltz
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia
Skilarence
  • European Medical Agency (EMA), European Union

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If Taltz or Skilarence are not approved or available in your country (e.g. due to supply issues), you can access them via Everyone.org.

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