Evidence map›Paper›PMID 40317400›Full record

ArticleDermatology and therapy2025

Efficacy and Safety of Apremilast Over 52 Weeks in Patients with Plaque Psoriasis in High-Impact Areas and Impaired Quality of Life.

Matthias Augustin, Jonathan Barker, Curdin Conrad, Denis Jullien, Jose-Manuel Carrascosa, Jyotsna Reddy, Hamid Amouzadeh, Stephen Colgan, Henry Zou, Ulrich Mrowietz

Registry-linked trialAbstract read
In one paragraph

Article in Dermatology and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03774875 (A Phase 4, Multi-center, Randomized, Double-blind, Placebo-controlled Study of the Impact of Apremilast), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03774875 phase4completednot on this map

A Phase 4, Multi-center, Randomized, Double-blind, Placebo-controlled Study of the Impact of Apremilast (CC-10004) on Quality of Life, Efficacy, and Safety in Subjects With Manifestations of Plaque Psoriasis and Impaired Quality of Life

TypeinterventionalSponsorAmgenRan2019 to 2021Enrolled277ConditionsPsoriasisArmsApremilast, Placebo
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Matthias AugustinInstitute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf (UKE), Eppendorf, Martinistr. 52, 20246, Hamburg, Germany. m.augustin@uke.de.ORCID http://orcid.org/0000-0002-4026-8728
Jonathan BarkerSt John's Institute of Dermatology of King's College, London, UK.ORCID http://orcid.org/0000-0002-9030-183X
Curdin ConradDepartment of Dermatology, Lausanne University Hospital CHUV, Lausanne, Switzerland.ORCID http://orcid.org/0000-0002-2547-3440
Denis JullienEdouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France.ORCID http://orcid.org/0000-0002-2995-7928
Jose-Manuel CarrascosaDepartment of Dermatology, Hospital Universitari Germans Trias i Pujol, Universitat Autònoma of Barcelona, IGTP, Badalona, Barcelona, Spain.ORCID http://orcid.org/0000-0003-4266-0771
Jyotsna ReddyAmgen Inc., Thousand Oaks, CA, USA.
Hamid AmouzadehAmgen Inc., Thousand Oaks, CA, USA.
Stephen ColganAmgen Inc., Thousand Oaks, CA, USA.
Henry ZouAmgen Inc., Thousand Oaks, CA, USA.ORCID http://orcid.org/0009-0003-1035-6772
Ulrich MrowietzPsoriasis-Center at the Department of Dermatology, University Medical Center Schleswig-Holstein, Campus Kiel, Kiel, Germany.ORCID http://orcid.org/0000-0002-9539-0712

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn EMBRACE, significant benefits were seen with apremilast versus placebo on quality of life (QoL) and clinical outcomes after 16 weeks in patients with chronic plaque psoriasis in ≥ 1 high-impact area, limited skin involvement, and impaired QoL, in a European population previously unstudied with apremilast. Our objective was to evaluate the 52-week efficacy and safety of apremilast.

methodsEMBRACE was a phase 4, multicenter, randomized, placebo-controlled, double-blind study. Eligible patients had chronic plaque psoriasis for ≥ 6 months prior to baseline; involvement in ≥ 1 high-impact area; a Psoriasis Area and Severity Index score ≥ 3 to ≤ 10; and a Dermatology Life Quality Index score > 10. Patients were randomized (2:1) to receive apremilast 30 mg twice daily or placebo from weeks 0 to 16; after that, all patients continued with apremilast (apremilast/apremilast) or switched from placebo to apremilast (placebo/apremilast) until week 52.

resultsOf 277 patients randomized (apremilast: 185, placebo: 92), 158 (apremilast/apremilast: 105; placebo/apremilast: 53) completed 52 weeks. Improvements in QoL, itch, skin discomfort/pain, patient-reported treatment benefits, and skin outcomes at week 16 were maintained over 52 weeks in patients continuing apremilast treatment. Similar improvements were seen at week 52 in patients who switched from placebo to apremilast at week 16. No new safety signals were observed.

conclusionsImprovements in QoL and disease severity at week 16 were maintained through week 52 with continued apremilast treatment in EMBRACE, with no new safety signals. TRIAL REGISTRATION CLINICALTRIALS. GOV IDENTIFIER: NCT03774875.

Indexed as

ApremilastHigh-impact areasPsoriasisQuality of lifeSpecial areas

Identifiers

PMID40317400
PMCPMC12126424

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.