Abstract
To the Editor: Biologics are highly efficacious biologic for treating moderate-to-severe plaque psoriasis, particularly brodalumab.1 However, the use of brodalumab has been severely limited due to a black box warning and an associated Risk Evaluation and Mitigation Strategies program indicating a possible increased risk of suicidality. This warning was applied due to 4 possible suicides during phase III clinical trials, of which only 3 were verified. Closer examination of these cases shows that all 3 had significant life stressors and no chronological relationship between drug administration and suicide was present.
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