A Single-Center, Open-Label, Prospective Pilot Study of Subcutaneous Efalizumab for Oral Erosive Lichen Planus
March 2007 | Volume 6 | Issue 3 | Original Article | 310 | Copyright © March 2007
Michael P. Heffernan MD, David I. Smith MD, Danette Bentley MD, Mary Tabacchi, Julia E. Graves MD
Objective: To evaluate the efficacy of efalizumab in the treatment of oral erosive lichen planus.
Design: A single-center, open-label, prospective pilot study. The primary efficacy outcome measure was the change in
oral mucosal surface area involvement after 12 weeks of treatment. Secondary outcome measures included the 100-mm
visual analog scale (VAS) for pain and a modified Oral Health Impact Profile (OHIP-14) questionnaire.
Results: Four adult patients with oral erosive lichen planus were enrolled and treated with efalizumab 0.7 mg/kg subcutaneously
at week 0 followed by 1.0 mg/kg weekly from week 1 to week 11. The mean reduction in the affected mucosal
surface area was 71.1% (range 57.3% to 96.8%). The mean improvement in the 100-mm VAS for pain was 82%. The
mean improvement in the OHIP-14 questionnaire was 69.3%. Significant adverse events included hospitalization for
urticaria and a staphylococcal abscess of an artificial hip joint in one patient and drug-induced subacute cutaneous lupus
in another patient.
Conclusion: Efalizumab may be effective in the treatment of oral erosive lichen planus.