Evidence map›Paper›PMID 30465321›Full record

ReviewDermatology and therapy2018

Impact of Ixekizumab Treatment on Itch and Psoriasis Area and Severity Index in Patients with Moderate-to-Severe Plaque Psoriasis: An Integrated Analysis of Two Phase III Randomized Studies.

Gil Yosipovitch, Adam Reich, Martin Steinhoff, Anke Beselin, Toby Kent, Martin Dossenbach, Lovisa Berggren, Carsten Henneges, Thomas Luger

2 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Dermatology and therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.3field-weighted citation impact, top 11% 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.

NCT01597245 phase3completednot on this map

A Multicenter, Randomized, Double-Blind, Placebo-Controlled Study Comparing the Efficacy and Safety of LY2439821 to Etanercept and Placebo in Patients With Moderate-to-Severe Plaque Psoriasis

TypeinterventionalSponsorEli Lilly and CompanyRan2012 to 2019Enrolled1,224ConditionsPsoriasisArms80 mg ixekizumab Dosing Regimen, 50 mg etanercept, Placebo
NCT01646177 phase3completednot on this map

A 12-Week Multicenter, Randomized, Double-Blind, Placebo-Controlled Study Comparing the Efficacy and Safety of LY2439821 to Etanercept and Placebo in Patients With Moderate to Severe Plaque Psoriasis With a Long-Term Extension Period

TypeinterventionalSponsorEli Lilly and CompanyRan2012 to 2019Enrolled1,346ConditionsPsoriasisArmsPlacebo, 50 mg etanercept, 80 mg ixekizumab
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Emerging Therapeutic Options for Chronic Pruritus.American journal of clinical dermatology · 2020
    Review
  9. Article
  10. Article
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

9 authors at 6 institutions in 5 countries.

Gil YosipovitchDepartment of Dermatology and Cutaneous Surgery, Itch Center, University of Miami, Miami, FL, USA.
Adam ReichDepartment of Dermatology, University of Rzeszow, Rzeszow, Poland.
Martin SteinhoffDepartment of Dermatology & Venereology & Translational Research Institute, Weill Cornell Medicine-Qatar, Hamad Medical Corporation, Qatar University, Doha, Qatar.
Anke BeselinLilly Deutschland GmbH, Bad Homburg vor der Höhe, Germany. beselin_anke@lilly.com.
Toby KentEli Lilly and Company UK, Hampshire, United Kingdom.
Martin DossenbachEli Lilly Regional Operations GmbH, Vienna, Austria.
Lovisa BerggrenLilly Deutschland GmbH, Bad Homburg vor der Höhe, Germany.
Carsten HennegesLilly Deutschland GmbH, Bad Homburg vor der Höhe, Germany.
Thomas LugerDepartment of Dermatology, University of Muenster, Muenster, Germany.
Eli Lilly (Germany) · DEEli Lilly (United Kingdom) · GBHamad Medical Corporation · QARzeszów University · PLUniversity of Miami · USUniversity of Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe evaluated baseline itch and its impact on the efficacy of ixekizumab (IXE) in clearing psoriasis and improving quality-of-life measures, and we explored the relationship between itch and psoriatic skin improvement.

methodsData were analyzed from two double-blind, randomized, controlled phase III studies (UNCOVER-2/3) comparing etanercept (ETN), IXE, and placebo (PBO) in patients with moderate-to-severe plaque psoriasis. Long-term analysis included UNCOVER-3 data from week 0 to week 156.

resultsAt week 12, a clinically meaningful improvement in itch [Itch Numeric Rating Scale (NRS) reduction ≥ 4] was seen in 70.0%, 88.6%, and 90.8% of the IXE-treated patients in the baseline Itch NRS 4-6, 7-8, and 9-10 groups, respectively (all itch severity groups p < 0.001 versus ETN and PBO). Also, 68.9%, 67.1%, and 73.6% of the IXE-treated patients in the baseline Itch NRS 4-6, 7-8, and 9-10 groups, respectively, showed an improvement of ≥ 90.0% in the Psoriatic Area and Severity Index (PASI) at week 12 as compared to the baseline (PASI 90) (all itch severity groups p < 0.001 versus ETN and PBO). For most patients, itch reduction preceded psoriatic plaque improvement. Sustained effects of IXE on itch and PASI were observed during 3 years of treatment.

conclusionsRegardless of baseline itch severity, IXE treatment provided a rapid improvement in itch followed by clinically meaningful improvements in psoriasis.

fundingEli Lilly and Company.

trial registrationClinicalTrials.gov identifiers, NCT01597245 and NCT01646177.

Indexed as

IL-17AItchIxekizumabPsoriasis

Identifiers

PMID30465321
PMCPMC6261114
OpenAlexW2900779851

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.