Evidence map›Paper›PMID 30515970›Full record

Trial reportDermatologic therapy2019

When IL-17 inhibitors fail: Real-life evidence to switch from secukinumab to adalimumab or ustekinumab.

Giovanni Damiani, Rosalynn R Z Conic, Valerio de Vita, Antonio Costanzo, Roberto Regazzini, Paolo D M Pigatto, Nicola L Bragazzi, Alessia Pacifico, Piergiorgio Malagoli

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Dermatologic therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.9field-weighted citation impact, top 14% 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.

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

19 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
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  4. Review
  5. Article
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  8. Article
  9. Use of Biological Drugs for Psoriasis: A Drug-Utilization Study Using Tuscan Administrative Databanks.International journal of environmental research and public health · 2022
    Article
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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 8 institutions in 2 countries.

Giovanni DamianiYoung Dermatologists Italian Network (YDIN), Centro Studi GISED, Bergamo, Italy.ORCID 0000-0002-2390-6505
Rosalynn R Z ConicDepartment of Dermatology, Case Western Reserve University, Cleveland, Ohio.
Valerio de VitaYoung Dermatologists Italian Network (YDIN), Centro Studi GISED, Bergamo, Italy.
Antonio CostanzoUnit of Dermatology, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.
Roberto RegazziniDermatology Unit, Azienda Ospedaliera Sant'Anna, Como, Italy.
Paolo D M PigattoClinical Dermatology, IRCCS Galeazzi Orthopaedic Institute, Milan, Italy.
Nicola L BragazziSchool of Public Health, Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.
Alessia PacificoSan Gallicano Dermatological Institute, IRCCS, Rome, Italy.ORCID 0000-0003-0348-0620
Piergiorgio MalagoliDermatology Unit, Azienda Ospedaliera San Donato Milanese, Milan, Italy.
Centro Studi GISED · ITCase Western Reserve University · USIRCCS Humanitas Research Hospital · ITIRCCS Policlinico San Donato · ITOspedale Sant'Anna · ITSan Gallicano Hospital · ITUniversity of Genoa · ITUniversity of Milan · IT

Funding

Psoriasis Center of Research TranslationP50AR070590 · NIAMS · CASE WESTERN RESERVE UNIVERSITY · PI COOPER, KEVIN D · 2017 to 2021
$6.5M
TRAINING IN INVESTIGATIVE AND MOLECULAR DERMATOLOGYT32AR007569 · NIAMS · CASE WESTERN RESERVE UNIVERSITY · PI COOPER, KEVIN D · 1991 to 2019
$2.7M
NIAMS NIH HHS P50 AR070590NIAMS NIH HHS T32 AR007569
6 · The paper itself

Abstract

Psoriasis is a chronic, systemic inflammatory disease that in the moderate to severe forms may benefit of biologics, namely TNF and IL-12/23 and IL-17 inhibitors. Loss of response, lack of response, or discontinuation due to adverse events represent a concrete therapeutic challenge for dermatologists that have to switch patients to other treatments. Although some evidences already exist toward the switch from IL-12/23 and TNF inhibitors to IL-17 inhibitors, conversely nothing is present toward the switch from IL-17 inhibitors to IL-12/23 and TNF inhibitors. We performed a real-life study enrolling 50 patients randomly switched to adalimuamb, a TNF inhibitor, or ustekinumab, an IL-12/23 inhibitor. Our observational study suggests that switching from IL-17i to TNFi and IL-12/23i is a safe and effective therapeutic strategy.

Indexed as

AdalimumabAdultAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedCohort StudiesDermatologic AgentsFemaleHumansMaleMiddle AgedProspective StudiesPsoriasisSeverity of Illness IndexTreatment OutcomeUstekinumabAdalimumabAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedDermatologic AgentssecukinumabUstekinumabadalimumabDLQIPASIpsoriasisreal-lifesecukinumabswitchingustekinumab

Identifiers

PMID30515970
PMCPMC6445726
OpenAlexW2902200116

What OpenQuestion holds

Textmetadata
LicenceTDM
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.