Tremfya (guselkumab) vs Zoryve (roflumilast)

Tremfya (guselkumab) vs Zoryve (roflumilast)

Tremfya (guselkumab) is a biologic medication specifically designed to target interleukin-23 (IL-23), a key cytokine involved in the pathogenesis of psoriasis, making it an effective treatment for moderate-to-severe plaque psoriasis. Zoryve (roflumilast), on the other hand, is a phosphodiesterase-4 (PDE4) inhibitor that can be used to treat plaque psoriasis, including cases that are difficult to treat like scalp and intertriginous areas. When deciding between Tremfya and Zoryve, it is important to consider factors such as the severity and location of psoriasis, potential side effects, the method of administration (Tremfya is an injectable, while Zoryve is a topical cream), and any pre-existing medical conditions that may influence drug choice.

Difference between Tremfya and Zoryve

Metric Tremfya (guselkumab) Zoryve (roflumilast)
Generic name Guselkumab Roflumilast
Indications Plaque psoriasis, Psoriatic arthritis Plaque psoriasis
Mechanism of action IL-23 inhibitor PDE4 inhibitor
Brand names Tremfya Zoryve
Administrative route Subcutaneous injection Topical
Side effects Upper respiratory infections, headache, injection site reactions Diarrhea, headache, nausea, decreased appetite, insomnia, back pain, depression
Contraindications Active tuberculosis, severe infections Hypersensitivity to roflumilast or any component of the formulation
Drug class Monoclonal antibody Phosphodiesterase 4 (PDE4) inhibitor
Manufacturer Janssen Biotech, Inc. Arcutis Biotherapeutics, Inc.

Efficacy

Efficacy of Tremfya (Guselkumab) for Psoriasis

Tremfya (guselkumab) is a biologic medication specifically designed to target interleukin-23 (IL-23), a key cytokine involved in the inflammatory process of psoriasis. Clinical trials have demonstrated the efficacy of Tremfya in the treatment of moderate to severe plaque psoriasis. In these trials, a significant proportion of patients achieved a 90% reduction in the Psoriasis Area and Severity Index (PASI 90) score, which is a measure of the severity and extent of psoriasis. Additionally, many patients treated with Tremfya reported clear or almost clear skin, as assessed by the Investigator's Global Assessment (IGA) score, indicating substantial improvement in psoriasis symptoms.

The long-term efficacy of Tremfya has also been evaluated in extension studies, where the sustained effectiveness of the medication was observed over several years. The safety profile of Tremfya remained consistent throughout the long-term treatment periods, with no new safety signals emerging. This suggests that Tremfya is not only effective in the short term but also maintains its therapeutic benefits over time, making it a reliable option for the long-term management of moderate to severe plaque psoriasis.

Efficacy of Zoryve (Roflumilast) for Psoriasis

Zoryve (roflumilast) is a phosphodiesterase-4 (PDE4) inhibitor that has been studied for its efficacy in treating psoriasis. While roflumilast is traditionally known for its use in the treatment of chronic obstructive pulmonary disease (COPD), recent research has explored its potential benefits for patients with psoriasis. Clinical trials have indicated that roflumilast cream, when applied topically, can lead to significant improvements in psoriasis symptoms, including reductions in plaque thickness, scaling, and erythema (redness).

The efficacy of Zoryve in treating psoriasis has been measured using the PASI score and IGA score, similar to other psoriasis treatments. Results from these trials have shown that patients using roflumilast cream experienced a meaningful improvement in their psoriasis, with a notable percentage of patients achieving clear or almost clear skin. These outcomes suggest that Zoryve has the potential to be an effective topical treatment option for individuals with plaque psoriasis, particularly for those who may prefer or require a non-biologic therapy.

Regulatory Agency Approvals

Tremfya
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan
  • Therapeutic Goods Administration (TGA), Australia
Zoryve
  • Food and Drug Administration (FDA), USA

Access Tremfya or Zoryve today

If Tremfya or Zoryve 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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