Evidence map›Paper›PMID 27027388›Full record

ArticleJournal of the European Academy of Dermatology and Venereology : JEADV2016

Drug survival of biologic therapy in a large, disease-based registry of patients with psoriasis: results from the Psoriasis Longitudinal Assessment and Registry (PSOLAR).

A Menter, K A Papp, M Gooderham, D M Pariser, M Augustin, F A Kerdel, S Fakharzadeh, K Goyal, S Calabro, W Langholff and 4 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Journal of the European Academy of Dermatology and Venereology : JEADV, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07642544 (Effects of Different Secukinumab Maintenance Regimens on Long-Term Outcomes in Patients With Psoriasis), which is not on this map. Cited by 77 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 4 pooled it
17.6field-weighted citation impact, top 1% of its field
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.

NCT07642544 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Effects of Different Secukinumab Maintenance Regimens on Long-Term Outcomes in Patients With Psoriasis: A Single-Center Real-World Cross-Sectional Retrospective Study

TypeobservationalSponsorThe Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical SchoolRan2026 to 2027Enrolled120ConditionsPsoriasis, Psoriasis (PsO)ArmsStandard Maintenance, Non-standard Maintenance
3 · Its place in the literature

Who cites it

77 citing papers in PubMed, 4 syntheses or guidelines pooled it, 241 citations in OpenAlex.

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17 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

14 authors at 9 institutions in 4 countries.

A MenterBaylor University Medical Center, Dallas, TX, USA.
K A PappK Papp Clinical Research and Probity Medical Research, Inc., Waterloo, Ontario, Canada.
M GooderhamSKIN Centre for Dermatology and Probity Medical Research, Peterborough, Ontario, Canada.
D M PariserEastern Virginia Medical School and Virginia Clinical Research, Norfolk, VA, USA.
M AugustinUniversity Medical Center, Hamburg-Eppendorf, Hamburg, Germany.
F A KerdelFlorida Academic Dermatology Centers, Miami, FL, USA.
S FakharzadehJanssen Scientific Affairs, LLC, Horsham, PA, USA.
K GoyalJanssen Scientific Affairs, LLC, Horsham, PA, USA.
S CalabroJanssen Scientific Affairs, LLC, Horsham, PA, USA.
W LangholffJanssen Research & Development, LLC, Horsham, PA, USA.
S ChaversJanssen Research & Development, LLC, Titusville, NJ, USA.
D NaessensJanssen-Cilag NV, Beerse, Belgium.
J SermonJanssen-Cilag NV, Beerse, Belgium.
G G KruegerUniversity of Utah School of Medicine, Salt Lake City, UT, USA.
Janssen (United States) · USJanssen (Belgium) · BEProbity Medical Research · CABaylor University Medical Center · USEastern Virginia Medical School · USFlorida Academic Dermatology Center · USJanssen Scientific Affairs (United States)University Medical Center Hamburg-Eppendorf · DEUniversity of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDrug survival is a marker for treatment sustainability in chronic diseases such as psoriasis.

objectiveThe aim of these analyses was to assess survival of biologic treatments in the PSOriasis Longitudinal Assessment and Registry (PSOLAR).

methodsPSOLAR is a large, prospective, international, disease-based registry of patients with psoriasis receiving (or eligible for) systemic therapy in a real-world setting. Drug survival is defined as the time from initiation to discontinuation (stop/switch) of biologic therapy on registry. The number of patients who discontinued each treatment and the duration of therapy were recorded. Using Kaplan-Meier survival curves and Cox-regression analyses [hazard ratios (HR) and 95% confidence intervals (CIs)], time to discontinuation was compared across cohorts undergoing first-, second- or third-line treatment with ustekinumab, infliximab, adalimumab or etanercept.

resultsAs of the 2013 data cut, 12 095 patients with psoriasis were enrolled in PSOLAR. Of the 4000 patients initiating any new biologic therapy, approximately 3500 started a first-line, second-line or third-line biologic therapy during the registry. Lack of effectiveness was the most common reason for discontinuation across biologic therapies. Based on the multivariate analysis, significantly shorter times to discontinuation were observed for infliximab [HR (95%CI) = 2.73 (1.48-5.04), P = 0.0014]; adalimumab [4.16 (2.80-6.20), P < 0.0001]; and etanercept [4.91 (3.28-7.35) P < 0.0001] compared with ustekinumab [reference treatment]) for first-line biologic use; results were similar for treatment effects for second/third-line therapies. Although limited in power, analyses in patients with concurrent psoriatic arthritis confirmed by a rheumatologist reflect observations in the overall psoriasis population.

conclusionDrug survival was superior for ustekinumab compared with infliximab, adalimumab and etanercept in patients with psoriasis.

Indexed as

RegistriesAdultBiological ProductsDermatologic AgentsFemaleHumansLongitudinal StudiesMaleMiddle AgedPsoriasisBiological ProductsDermatologic Agents

Identifiers

PMID27027388
PMCPMC5071685
OpenAlexW2323925800

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.