Cases and Commentaries in Psoriasis
Release date: January 2011
Expiration date: January 31, 2012
Estimated time to complete activity: 1 hour
This educational initiative is provided by Curatio CME Institute, the University of Chicago, the Dermatology Nurses’ Association, and the Society of Dermatology Physician Assistants. This activity was created in collaboration with the National Psoriasis Foundation and the International Psoriasis Council.
Support for this activity has been provided through an educational grant from Centocor Ortho Biotech.
Learning Objectives
Upon completion of this activity, participants should be able to:
- Formulate a practical plan for the integration of agents with new mechanisms of action into clinical practice
- Develop strategies for managing a diverse set of patients with psoriasis that include consideration of comorbid disease and concomitant conditions
- Explain the pathology of interleukin (IL)-12 immunodeficiency and implement appropriate screening, monitoring, and vaccinations in patients receiving IL-12/23 inhibitors
- Compare safety issues relating to the various systemic therapies used to treat moderate to severe psoriasis
Activity Overview
Guidelines on the management of patients with psoriasis and psoriatic arthritis are primarily based on data from clinical trials. However, clinical trial study populations do not necessarily reflect the patients seen in everyday practice. Clinicians require practical strategies for achieving and maintaining control of psoriatic disease in a wide range of patients. This Biologic Bulletin presents three clinical scenarios and examines the selection and rationale for the best management options for each patient.
Target Audience
This activity has been designed to meet the educational needs of dermatologists, dermatology residents and fellows, dermatology nurses, nurse practitioners, physician assistants, and other health care professionals involved in the care of patients with moderate to severe psoriasis.
Editors
Jerry Bagel, MD
Director
Psoriasis Treatment Center of Central New Jersey
Clinical Associate Professor of Dermatology
College of Physicians & Surgeons of Columbia University
New York, New York
Alan Menter, MD
Chief, Division of Dermatology
Baylor University Medical Center
Clinical Professor of Dermatology
University of Texas Southwestern Medical School
Dallas, Texas
Melodie Young, MSN, RN, A/GNP-C
Nurse Practitioner
Modern Dermatology, a Baylor-Health Texas Affiliate
Adjunct Clinical Instructor
The University of Texas Arlington, Graduate
School of Nursing
Dallas, Texas
Author
Adam Perahia, MD
Medical Writer
Curatio CME Institute
Steering Committee
Alan Menter, MD—Program Chair
Jerry Bagel, MD
Jeffrey J. Crowley, MD
Kenneth B. Gordon, MD
Neil J. Korman, MD, PhD
Kristine Kucera, DHS, MPAS, PA-C
Melodie Young, MSN, RN, A/GNP-C
Accreditation
Physicians and Physician Assistants
The University of Chicago is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The University of Chicago designates this educational activity for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Nurses
The Dermatology Nurses’ Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
Provider approved by the California Board of Registered Nursing, Provider Number CEP5708. Accreditation refers to educational content only.
Method of Participation
There are no fees for participating in this CME/CE activity. To receive credit during the period January 2011 to January 31, 2012, participants must (1) read the learning objectives and disclosure statements, (2) study the educational activity, and (3) complete the postsurvey and activity evaluation, including the certificate information section.
The postsurvey can be accessed at the end of the activity. Please e-mail any questions to cmeinfo@curatiocme.com.
Medium
The Internet was selected as the instructional format to accommodate the learning preferences of a significant portion of the target audience.
Disclosure
In accordance with the ACCME Standards for Commercial Support and the ANCC Standards on Disclosure and Commercial Support, all CME/CE providers are required to disclose to the activity audience the relevant financial relationships of everyone in a position to control content of an educational activity. A relevant financial relationship is a relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the CME activity content over which the individual has control. Relationship information appears below:
Jerry Bagel, MD, has disclosed the following relevant financial relationships:
| Consultant | Abbott |
| Speaker | Abbott, Amgen, Centocor Ortho Biotech, Galderma |
Dr. Bagel discusses the unlabeled or investigational use of a commercial product.
Jeffrey Crowley, MD, has disclosed the following relevant financial relationships:
| Consultant | Abbott, Centocor Ortho Biotech |
| Principal Investigator | Abbott, Amgen, Lilly |
| Speaker | Abbott |
Kenneth B. Gordon, MD, has disclosed the following relevant financial relationships:
| Consultant/Investigator | Abbott, Amgen, Centocor Ortho Biotech |
| Consultant | Merck |
Neil Korman, MD, PhD, has disclosed the following relevant financial relationships:
| Speaker/Consultant | Abbott, Amgen, Astellas, Centocor Ortho Biotech, Genentech |
Kristine Kucera, DHS, MPAS, PA-C, has disclosed the following relevant financial relationships:
| Speaker | Abbott, Amgen, Centocor Ortho Biotech, Warner-Chilcott |
Alan Menter, MD, has disclosed the following relevant financial relationships:
| Advisory Board/Speaker | Abbott, Amgen, Astellas, Centocor Ortho Biotech, Galderma, Genentech, Warner Chilcott, Wyeth |
| Consultant | Abbott, Amgen, Astellas, Centocor Ortho Biotech, Eli Lilly, Galderma, Genentech, Stiefel, Warner Chilcott, Wyeth |
| Investigator | Abbott, Allergan, Amgen, Astellas, Asubio, Celgene, Centocor Ortho Biotech, DUSA, Eli Lilly, Genentech, Novartis, Novo Nordisk, Pfizer, Promius, Stiefel, Syntrix Biosystems, Warner Chilcott, Wyeth |
Dr. Menter discusses the unlabeled or investigational use of a commercial product.
Melodie Young, MSN, RN, A/GNP-C, has disclosed the following relevant financial relationships:
| Consultant | Abbott, Centocor Ortho Biotech, Coria Labs, Ortho |
| Speaker | Abbott, Centocor |
| Subinvestigator | Celgene |
Ms. Young discusses the unlabeled or investigational use of a commercial product.
Curatio CME Institute
The employees of Curatio CME Institute have disclosed no relevant financial relationships.
University of Chicago Center for Continuing Medical Education
The employees of the Center for Continuing Medical Education have disclosed no relevant financial relationships.
Dermatology Nurses’ Association
The employees of the Dermatology Nurses’ Association have disclosed no relevant financial relationships.
Society of Dermatology Physician Assistants
The employees of the Society of Dermatology Physician Assistants have disclosed no relevant financial relationships.
National Psoriasis Foundation
The employees of the National Psoriasis Foundation have disclosed no relevant financial relationships.
International Psoriasis Council
Paul Tebbey, PhD, has disclosed the following relevant financial relationships:
| Consultant | Incyte Pharmaceuticals |
| Employee | Baxter Healthcare |
Disclaimer
The information presented in this activity is for continuing medical education purposes only and is not meant to substitute for the independent medical judgment of a physician regarding diagnosis and treatment of a specific patient’s medical condition.
Hardware/Software Requirements
- JavaScript enabled Internet browser
Unapproved Product Use
This educational activity contains discussion of published and/or investigational uses of agents that are not indicated by the US Food and Drug Administration. Curatio CME Institute, the University of Chicago, the Dermatology Nurses’ Association, the Society of Dermatology Physician Assistants, the National Psoriasis Foundation, the International Psoriasis Council, and Centocor Ortho Biotech do not recommend the use of any agent outside the labeled indications.
The opinions expressed in this educational activity are those of the faculty and do not represent the views of Curatio CME Institute, the University of Chicago, the Dermatology Nurses’ Association, the Society of Dermatology Physician Assistants, the National Psoriasis Foundation, the International Psoriasis Council, or Centocor Ortho Biotech. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
| Generic Name | Trade Name | Approved Use (if any) | Unapproved/ Investigational Use |
| Adalimumab | Humira | Treatment of adult patients (18 years or older) with moderate to severe plaque psoriasis who are candidates for phototherapy or systemic therapy | Use in combination with methotrexate or 40 mg/week dose |
| Briakinumab | N/A | N/A | Investigational agent for the treatment of psoriasis |
| Etanercept | Enbrel | Treatment of adult patients (18 years or older) with moderate to severe plaque psoriasis who are candidates for phototherapy or systemic therapy | Use in combination with methotrexate, cyclosporine, narrowband UVB or as a twice-weekly 50-mg maintenance dose |
| Infliximab | Remicade | Treatment of adult patients (18 years or older) with moderate to severe plaque psoriasis who are candidates for phototherapy or systemic therapy | Use in combination with methotrexate |
| Ustekinumab | Stelara | Treatment of adult patients (18 years or older) with moderate to severe plaque psoriasis who are candidates for phototherapy or systemic therapy | Treatment of psoriatic arthritis |
Contact Information
PsoriasisTx.com
100 Campbell Boulevard
Suite 103
Exton, PA 19341
editor@psoriasistx.com
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