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2. Biologics are so-called "designer"
drugs. Traditional drugs have not been specifically
developed for the treatment of psoriasis. For example,
cyclosporine was initially developed as an organ transplantation
drug and was found by chance to work for psoriasis while
treating patients for a different condition. By contrast,
biologic molecules are custom made, using a technique
called recombinant technology, to target key abnormalities
in the immune system that result in the red, scaly,
raised skin of psoriasis and the tender, swollen joints
of psoriatic arthritis. By specifically targeting key
steps in the immune system, biologics are able to correct
imbalances in the immune system and therefore improve
psoriasis. While existing therapies such as cyclosporine
and methotrexate also target the immune system, the
new therapies are much more specific in correcting the
imbalance of the immune response in psoriasis. It is
hoped that this specific, targeted action will result
in safer and effective new drugs.
3. Biologic drugs are given in
a different manner than traditional drugs. Traditional
drugs are usually delivered by mouth. Biologic drugs
are usually made of proteins and cannot be taken orally
because the digestion process would destroy them. Instead,
biologics are given by injection under the skin, into
the muscle or by intravenous infusion.
4. Biologic drugs are very expensive.
Biologic drugs are complicated molecules that are difficult
to make. The agents go through extensive testing to
prove they are safe and effective. Partly for these
reasons, biologic drugs tend to be costly.
How Do Biologics Work?
Activated T cells can travel to
the surface of the skin and start an inflammatory reaction
in which skin cells multiply much faster than normal—resulting
in the formation of psoriatic plaques. Biologic drugs
work by interfering with specific components of the
autoimmune response and can target those chemicals involved
in causing psoriasis.
Alefacept
(a-LEH-fa-sep-t)
Alefacept is a fully human biologic
agent that targets the activated T cells, which are
believed to cause the skin lesions of psoriasis. It
works to prevent the T cell from becoming overactive
and reduces the number of activated T cells in your
body. It is the first biologic agent approved in Canada
and the United States for the treatment of psoriasis.
How Alefacept
Works Ps
Alefacept reduces the number
of activated T cells in the body's circulation and in
the skin, thereby inhibiting the release of the chemicals
(cytokines) that are partly responsible for causing
the lesions of psoriasis. In doing so, alefacept can
inhibit key steps in the overactive immune system that
results in psoriasis.
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