Evidence map›Paper›PMID 31163241›Full record

Trial reportJournal of the American Academy of Dermatology2019

Patient-reported outcomes of adalimumab, phototherapy, and placebo in the Vascular Inflammation in Psoriasis Trial: A randomized controlled study.

Megan H Noe, Marilyn T Wan, Daniel B Shin, April W Armstrong, Kristina Callis Duffin, Zelma C Chiesa Fuxench, Robert E Kalb, Alan Menter, Eric L Simpson, Junko Takeshita and 4 more

Registry-linked trialOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Academy of Dermatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01553058 (A Trial to Determine the Effect of Psoriasis Treatment on Cardiometabolic Disease), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 36% 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.

NCT01553058 phase4completednot on this map

A Trial to Determine the Effect of Psoriasis Treatment on Cardiometabolic Disease

TypeinterventionalSponsorUniversity of PennsylvaniaRan2012 to 2016Enrolled97ConditionsPsoriasis, Cardiovascular DiseaseArmsAdalimumab (Humira), Placebo Injection, NB-UVB phototherapy
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Tumor necrosis factor (TNF) inhibitors for psoriatic arthritis.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Insights from a trial of narrowband UVB for early multiple sclerosis.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2026
    Review
  3. Article
  4. Article
  5. Utility of FDG-PET/CT in clinical psoriasis grading: the PET-PASI scoring system.American journal of nuclear medicine and molecular imaging · 2020
    Article
  6. Review
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 8 institutions in 1 country.

Megan H NoeDepartment of Dermatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania. Electronic address: Megan.Noe@pennmedicine.upenn.edu.
Marilyn T WanDepartment of Dermatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Daniel B ShinDepartment of Dermatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
April W ArmstrongDepartment of Dermatology, Keck School of Medicine of University of Southern California, Los Angeles, California.
Kristina Callis DuffinDepartment of Dermatology, University of Utah, Salt Lake City, Utah.
Zelma C Chiesa FuxenchDepartment of Dermatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Robert E KalbDepartment of Dermatology, University of Buffalo, Williamsville, New York.
Alan MenterDepartment of Dermatology, Baylor University Medical Center, Dallas, Texas.
Eric L SimpsonDepartment of Dermatology, Oregon Health and Science University, Portland, Oregon.
Junko TakeshitaDepartment of Dermatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania; Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Stephen K TyringDepartment of Dermatology, University of Texas, McGovern Medical School, Dallas, Texas.
Abby S Van VoorheesDepartment of Dermatology, Eastern Virginia Medical School, Norfolk, Virginia.
Nehal N MehtaCardiopulmonary Branch, National Heart, Lung, and Blood Institute, Bethesda, Maryland.
Joel M GelfandDepartment of Dermatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania; Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania. Electronic address: Joel.Gelfand@pennmedicine.upenn.edu.
University of Pennsylvania · USBaylor University Medical Center · USEastern Virginia Medical School · USNational Heart Lung and Blood Institute · USOregon Health & Science University · USUniversity at Buffalo, State University of New York · USUniversity of Southern California · USUniversity of Utah · US

Funding

Study Design and Data AnalysisP30AR069589 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI Elizabeth Anne Grice · 2016 to 2026
$8.6M
A trial to determine the effect of psoriasis treatment on cardiometabolic diseaseR01HL111293 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI GELFAND, JOEL M · 2012 to 2017
$3.8M
Respiratory infections and vaccination behaviors in patients with chronic inflammatory skin diseasesK23AR073932 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI NOE, MEGAN H · 2018 to 2022
$766k
NHLBI NIH HHS R01 HL111293NIAMS NIH HHS K23 AR073932NIAMS NIH HHS P30 AR069589
6 · The paper itself

Abstract

backgroundThere are limited data about the impact of narrowband ultraviolet B phototherapy on patient-reported measures of health-related quality of life.

objectiveTo evaluate the impact of adalimumab and phototherapy on health-related quality of life.

methodsWe examined patient-reported outcomes from a multicenter, randomized, placebo-controlled trial (ClinicalTrials.gov no. NCT01553058). The Dermatology Life Quality Index and EQ-5D-3L were evaluated every 4 weeks.

resultsWe enrolled 97 patients: 30.9% were female, mean age was 43.5 years (standard deviation, 14.0), and median Psoriasis Area and Severity Index score was 16.7 (interquartile range, 13.9-21.6). At week 12, patients being treated with adalimumab (odds ratio [OR], 2.88; 95% confidence interval [CI], 1.02-8.17) and phototherapy (OR, 8.83; 95% CI, 2.47-31.57) were more likely to achieve the minimal clinically important difference in the Dermatology Life Quality Index compared with those receiving placebo. There were higher odds of achieving the minimal clinically important difference for the EQ-5D-3L Index score when comparing phototherapy versus placebo (OR, 9.78; 95% CI, 2.99-31.95) and phototherapy versus adalimumab (OR, 4.07; 95% CI, 1.42-11.70). LIMITATIONS: Small sample size, secondary analysis, generalizability.

conclusionPhototherapy and adalimumab both improve skin-related quality of life and overall health-related quality of life compared with placebo in patients with psoriasis; however, patients treated with phototherapy achieved more improvement in overall health-related quality of life compared with patients treated with adalimumab.

Indexed as

Quality of LifeUltraviolet TherapyAdalimumabAdultAnti-Inflammatory AgentsFemaleHumansMaleMiddle AgedMinimal Clinically Important DifferencePatient Reported Outcome MeasuresPsoriasisSeverity of Illness IndexAdalimumabAnti-Inflammatory AgentsadalimumabDLQIEQ5Dpatient-reported outcomesphototherapypsoriasisrandomized controlled trials

Identifiers

PMID31163241
PMCPMC6746579
OpenAlexW2946948895

What OpenQuestion holds

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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.