Effect of Semaglutide in Patients With Psoriasis and Obesity

Inclusion Criteria: * a clinical diagnosed Psoriatic disease of at least 6 months before signing of informed consent. * Women who are sexually active and not postmenopausal, agreement to remain abstinent or use 2 effective methods of contraception * \>18 years of age, up to 75 years of age * Adult with an initial body mass index (BMI) of 30 kg/m2 or greater (obesity) or 27 kg/m2 or greater (overweight) in the presence of at least one weight-related comorbid condition (e.g., hypertension, type 2 diabetes mellitus, or dyslipidemia) * Moderate to severe psoriasis (PASI score 5-10= moderate, \>10 = severe) * Chinese ethnicity * On stable dose of standard treatment * Ability to comply with stud Exclusion Criteria: * Patients who refuse to give consent * Contraindication to use of GLP1 RA * History of pancreatitis * History of MEN / MTC * Known hypersensitivity to semaglutide or excipients in semaglutide * Type 1 diabetes * Gallbladder disease * Active malignancy or History of malignancy within 5 years * Active chronic or acute infection requiring treatment with systemic antibiotics, antiviral, antiparasitic, antiprotozoal, or antifungals within 4 weeks before baseline visit * Pregnancy or breastfeeding, subjects should inform their healthcare provider of a known or suspected pregnancy * History of allergic reaction assessed as related to investigational product by the investigator * Major psychiatric illness * Treatment with live/ attenuated vaccine within the last 28 days prior to randomisation * History of alcohol or substance abuse within 6 months prior to initial screening * Patients with a history of suicidal attempts or active suicidal ideation