Evidence map›Paper›PMID 25754330›Full record

Trial reportNature2015

Clinical improvement in psoriasis with specific targeting of interleukin-23.

Tamara Kopp, Elisabeth Riedl, Christine Bangert, Edward P Bowman, Elli Greisenegger, Ann Horowitz, Harald Kittler, Wendy M Blumenschein, Terrill K McClanahan, Thomas Marbury and 8 more

Abstract readClinical Trial, Phase IMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Nature, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

85 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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25 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Tamara Kopp1] Department of Dermatology, Division of Immunology, Allergy and Infectious Diseases, University of Vienna Medical School, 1090 Vienna, Austria [2] Juvenis Medical Center, 1010 Vienna, Austria.
Elisabeth RiedlDepartment of Dermatology, Division of General Dermatology, University of Vienna Medical School, 1090 Vienna, Austria.
Christine BangertDepartment of Dermatology, Division of Immunology, Allergy and Infectious Diseases, University of Vienna Medical School, 1090 Vienna, Austria.
Edward P BowmanMerck &Co., Inc., Whitehouse Station, New Jersey 08889, USA.
Elli GreiseneggerDepartment of Dermatology, Division of Immunology, Allergy and Infectious Diseases, University of Vienna Medical School, 1090 Vienna, Austria.
Ann HorowitzMerck &Co., Inc., Whitehouse Station, New Jersey 08889, USA.
Harald KittlerDepartment of Dermatology, Division of General Dermatology, University of Vienna Medical School, 1090 Vienna, Austria.
Wendy M BlumenscheinMerck &Co., Inc., Whitehouse Station, New Jersey 08889, USA.
Terrill K McClanahanMerck &Co., Inc., Whitehouse Station, New Jersey 08889, USA.
Thomas MarburyOrlando Clinical Research Center, Orlando, Florida 32809, USA.
Claus ZachariaeDepartment of Dermato-allergology, Gentofte Hospital, University of Copenhagen, Kildegaardsvej 28, DK-2900 Hellerup, Denmark.
Danlin XuMerck &Co., Inc., Whitehouse Station, New Jersey 08889, USA.
Xiaoli Shirley HouMerck &Co., Inc., Whitehouse Station, New Jersey 08889, USA.
Anish MehtaMerck &Co., Inc., Whitehouse Station, New Jersey 08889, USA.
Anthe S ZandvlietMerck &Co., Inc., Whitehouse Station, New Jersey 08889, USA.
Diana MontgomeryMerck &Co., Inc., Whitehouse Station, New Jersey 08889, USA.
Frank van AarleMerck &Co., Inc., Whitehouse Station, New Jersey 08889, USA.
Sauzanne KhaliliehMerck &Co., Inc., Whitehouse Station, New Jersey 08889, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Psoriasis is a chronic inflammatory skin disorder that affects approximately 2-3% of the population worldwide and has severe effects on patients' physical and psychological well-being. The discovery that psoriasis is an immune-mediated disease has led to more targeted, effective therapies; recent advances have focused on the interleukin (IL)-12/23p40 subunit shared by IL-12 and IL-23. Evidence suggests that specific inhibition of IL-23 would result in improvement in psoriasis. Here we evaluate tildrakizumab, a monoclonal antibody that targets the IL-23p19 subunit, in a three-part, randomized, placebo-controlled, sequential, rising multiple-dose phase I study in patients with moderate-to-severe psoriasis to provide clinical proof that specific targeting of IL-23p19 results in symptomatic improvement of disease severity in human subjects. A 75% reduction in the psoriasis area and severity index (PASI) score (PASI75) was achieved by all subjects in parts 1 and 3 (pooled) in the 3 and 10 mg kg(-1) groups by day 196. In part 2, 10 out of 15 subjects in the 3 mg kg(-1) group and 13 out of 14 subjects in the 10 mg kg(-1) group achieved a PASI75 by day 112. Tildrakizumab demonstrated important clinical improvement in moderate-to-severe psoriasis patients as demonstrated by improvements in PASI scores and histological samples.

Indexed as

ImmunotherapyMolecular Targeted TherapyAdolescentAdultAgedAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedDouble-Blind MethodEpitheliumGene Expression RegulationHumansInterleukin-23Middle AgedProtein SubunitsPsoriasisSkinAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedInterleukin-23Protein Subunitstildrakizumab

Identifiers

PMID25754330

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.