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FOR ADULTS WITH MODERATE TO SEVERE PLAQUE PSORIASIS

Complete clearance data from head-to-toe1-9

Challenging Body Areas

Patients with nail and scalp PsO have a 3x and 4x greater risk of developing PsA4,8

At week 12, 73% of patients taking Taltz vs 8% of patients taking placebo in IXORA-Q achieved the primary endpoint of sPGA-G 0,1 n=75.9

Nail, scalp, and palmoplantar data are from UNCOVER-3 and are post hoc, subgroup analyses of patients who had nail, scalp, and palmoplantar psoriasis at baseline. sPGA-G 0 was a prespecified, exploratory endpoint from IXORA-Q.

The open-label phase of the studies after week 12 has limitations (e.g., no placebo comparison, patients remaining in the extension phase may be those with better results).

At week 12, 10% of patients on placebo achieved PSSI=0 (observed); mNRI=9% (Nx=167 for observed population, n=176 for mNRI, mean baseline=18). At week 12, 4% of patients on placebo achieved NAPSI=0 (observed); mNRI=4% (Nx=113 observed population, n=116 for mNRI, mean baseline=25). At week 12, 29% of patients on placebo achieved PPASI=100 (observed), mNRI=30% (Nx=51 for observed population, n=54 for mNRI, mean baseline=11). At week 12, 5% of patients on placebo achieved sPGA-G=0 (n=74).10

Even a 6-month delay in PsA diagnosis can cause irreversible structural damage and worse long-term physical function10

UNCOVER-1, -2, and -3 and IXORA-Q trial designs.

SELECT IMPORTANT SAFETY INFORMATION: CONTRAINDICATIONS
Taltz is contraindicated in patients with a previous serious hypersensitivity reaction, such as anaphylaxis, to ixekizumab or to any of the excipients.

PsO=psoriasis; Nx=observed population; PSSI=Psoriasis Scalp Severity Index; NAPSI=Nail Psoriasis Severity Index; sPGA=static Physician’s Global Assessment; sPGA-G=static Physician’s Global Assessment of Genitalia; NRI=nonresponder imputation; PPASI=Palmoplantar Psoriasis Area Severity Index; PsA=psoriatic arthritis; IL-17A=interleukin-17A; mNRI=modified nonresponder imputation.

Recognizing Predictors of Psoriatic Arthritis in Plaque Psoriasis Patients

Please see below for full data on challenging body areas.

References: 1. Blauvelt A, Lebwohl MG, Mabuchi T, et al. Long-term efficacy and safety of ixekizumab: a 5-year analysis of the UNCOVER-3 randomized controlled trial. J Am Acad Dermatol. 2021;85:360-368. 2. Blauvelt A, Lebwohl MG, Mabuchi T, et al. Long-term efficacy and safety of ixekizumab: a 5-year analysis of the UNCOVER-3 randomized controlled trial. Supplementary material. J Am Acad Dermatol. 2021;85:360-368. 3. Guenther L, Potts Bleakman A, Weisman J, et al. Ixekizumab results in persistent clinical improvement in moderate-to-severe genital psoriasis during a 52 week, randomized, placebo-controlled, phase 3 clinical trial. Acta Derm Venereol. 2020;100:adv00006. 4. Ventura A, Mazzeo M, Gaziano R, Galluzzo M, Bianchi L, Campione E. New insight into the pathogenesis of nail psoriasis and overview of treatment strategies. Drug Des Devel Ther. 2017;11:2527-2535. 5. Data on file. Lilly USA, LLC. DOF-IX-US-0121. 6. Data on file. Lilly USA, LLC. DOF-IX-US-0122. 7. Data on file. Lilly USA, LLC. DOF-IX-US-0123. 8. Data on file. Lilly USA, LLC. DOF-IX-US-0124. 9. Data on file. Lilly USA, LLC. DOF-IX-US-0125. 10. Haroon M, Gallagher P, FitzGerald O. Diagnostic delay of more than 6 months contributes to poor radiographic and functional outcome in psoriatic arthritis. Ann Rheum Dis. 2015;74:1045-1050. 11. Data on file. Lilly USA, LLC. DOF-IX-US-0264. 12. Data on file. Lilly USA, LLC. DOF-IX-US-0259. 13. Data on file. Lilly USA, LLC. DOF-IX-US-0258. 14. Data on file. Lilly USA, LLC. DOF-IX-US-0263.

IMPORTANT SAFETY INFORMATION

CONTRAINDICATIONS:

Taltz is contraindicated in patients with a previous serious hypersensitivity reaction, such as anaphylaxis, to ixekizumab or to any of the excipients.

WARNINGS AND PRECAUTIONS

Infections
Taltz may increase the risk of infection. Serious infections have occurred. In clinical trials of adult patients with plaque psoriasis, the Taltz group had a higher rate of infections than the placebo group (27% vs 23%). A similar increase in risk of infection was seen in placebo controlled trials of adult patients with psoriatic arthritis, ankylosing spondylitis, non-radiographic axial spondyloarthritis, and pediatric patients with plaque psoriasis. In the post-marketing setting, serious bacterial, viral, and fungal opportunistic infections have been reported in patients receiving IL-17 inhibitors, including Taltz. Instruct patients to seek medical advice if signs or symptoms of clinically important chronic or acute infection occur. If a patient develops a serious infection or is not responding to standard therapy, monitor the patient closely and discontinue Taltz until the infection resolves.

Pre-Treatment Evaluation for Tuberculosis
Evaluate patients for tuberculosis (TB) infection prior to initiating treatment with Taltz. Do not administer to patients with active TB infection. Initiate treatment of latent TB prior to administering Taltz. Consider anti-TB therapy prior to initiating Taltz in patients with a past history of latent or active TB in whom an adequate course of treatment cannot be confirmed. Patients receiving Taltz should be monitored closely for signs and symptoms of active TB during and after treatment.

Hypersensitivity
Serious hypersensitivity reactions, including angioedema and urticaria (each ≤0.1%), occurred in the Taltz group in clinical trials. Anaphylaxis, including cases leading to hospitalization, has been reported in post-marketing use with Taltz. If a serious hypersensitivity reaction occurs, discontinue Taltz immediately and initiate appropriate therapy.

Eczematous Eruptions
In the postmarketing setting, cases of severe eczematous eruptions, including atopic dermatitis-like eruptions, dyshidrotic eczema, and erythroderma were reported in patients receiving Taltz; some cases resulted in hospitalization. The onset of eczematous eruptions was variable, ranging from days to months after the first dose of Taltz. Treatment may need to be discontinued to resolve the eczematous eruption. Some patients with limited psoriasis treatment options were successfully treated for eczema while continuing Taltz.

Inflammatory Bowel Disease
Patients treated with Taltz may be at an increased risk of inflammatory bowel disease. In clinical trials, Crohn's disease and ulcerative colitis, including exacerbations, occurred at a greater frequency in the Taltz group than the placebo group. During Taltz treatment, monitor patients for onset or exacerbations of inflammatory bowel disease and if IBD occurs, discontinue Taltz and initiate appropriate medical management.

Immunizations
Prior to initiating therapy with Taltz, consider completion of all age-appropriate immunizations according to current immunization guidelines. Avoid use of live vaccines in patients treated with Taltz.

ADVERSE REACTIONS

Most common adverse reactions (≥1%) associated with Taltz treatment are injection site reactions, upper respiratory tract infections, nausea, and tinea infections. Overall, the safety profiles observed in adult patients with psoriatic arthritis, ankylosing spondylitis, non-radiographic axial spondyloarthritis, and pediatric patients with plaque psoriasis were consistent with the safety profile in adult patients with plaque psoriasis, with the exception of influenza and conjunctivitis in psoriatic arthritis and conjunctivitis, influenza, and urticaria in pediatric psoriasis.

Please see Prescribing Information and Medication Guide. Please see Instructions for Use included with the device.

Taltz is available as an 80 mg/mL, 40 mg/0.5mL, 20 mg/0.25mL injection.

IX HCP ISI 20AUG2024

INDICATIONS

Taltz is indicated for patients aged 6 years or older with moderate-to-severe plaque psoriasis (PsO) who are candidates for systemic therapy or phototherapy. Taltz is also indicated for adults with active psoriatic arthritis (PsA), for adults with active ankylosing spondylitis (AS), and for adults with active non-radiographic axial spondyloarthritis (nr-axSpA) with objective signs of inflammation.