Evidence map›Paper›PMID 33289075›Full record

Observational studyThe British journal of dermatology2021

Biologic drug survival rates in the era of anti-interleukin-17 antibodies: a time-period-adjusted registry analysis.

T Graier, W Salmhofer, C Jonak, W Weger, C Kölli, B Gruber, P G Sator, K Prillinger, A Mlynek, M Schütz-Bergmayr and 28 more

Open access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in The British journal of dermatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
2.8field-weighted citation impact, top 8% 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

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 62 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

38 authors at 13 institutions in 1 country.

T GraierDepartment of Dermatology and Venereology, Medical University of Graz, Graz, Austria.ORCID 0000-0002-3007-7776
W SalmhoferDepartment of Dermatology and Venereology, Medical University of Graz, Graz, Austria.
C JonakDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.
W WegerDepartment of Dermatology and Venereology, Medical University of Graz, Graz, Austria.
C KölliDepartment of Dermatology and Venereology, State Hospital, Wiener Neustadt, Austria.
B GruberDepartment of Dermatology and Venereology, Hospital of Wels-Grieskirchen, Wels-Grieskirchen, Austria.
P G SatorDepartment of Dermatology, Hietzing Hospital, Vienna, Austria.
K PrillingerDepartment of Dermatology and Venereology, University Hospital St Pölten, St Pölten, Austria.
A MlynekDepartment of Dermatology, Hospital of Elisabethinen, Linz, Austria.
M Schütz-BergmayrDepartment of Dermatology and Venereology, Kepler University Hospital, Linz, Austria.
L RichterDepartment of Dermatology and Venereology, State Hospital of Vienna Rudolfstiftung, Vienna, Austria.
G RatzingerDepartment of Dermatology, Venereology and Allergology, Medical University of Innsbruck, Innsbruck, Austria.
C PainsiDepartment of Dermatology and Venereology, State Hospital, Klagenfurt, Austria.
S SelhoferDepartment of Dermatology and Allergology, Paracelsus Medical University, Salzburg, Austria.
N HäringDepartment of Dermatology and Venereology, Federal Academic Teaching Hospital, Feldkirch, Austria.
K Wippel-SlupetzkyHealth Center Vienna-Nord, Vienna, Austria.
H SkvaraDepartment of Dermatology and Venereology, State Hospital, Wiener Neustadt, Austria.
H TrattnerDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.
A TanewDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.
M InzingerDepartment of Dermatology and Venereology, Medical University of Graz, Graz, Austria.
R TatarskiDepartment of Dermatology and Allergology, Paracelsus Medical University, Salzburg, Austria.
C BangertDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.
C EllersdorferDepartment of Dermatology and Venereology, State Hospital of Vienna Rudolfstiftung, Vienna, Austria.
R LichemDepartment of Dermatology and Venereology, Medical University of Graz, Graz, Austria.
A Gruber-WackernagelDepartment of Dermatology and Venereology, Medical University of Graz, Graz, Austria.
A HoferDepartment of Dermatology and Venereology, Medical University of Graz, Graz, Austria.
F LegatDepartment of Dermatology and Venereology, Medical University of Graz, Graz, Austria.
E SchmiedbergerInstitute for Medical Informatics, Statistics, and Documentation, Medical University of Graz, Graz, Austria.
R StrohalDepartment of Dermatology and Venereology, Federal Academic Teaching Hospital, Feldkirch, Austria.
B Lange-AsschenfeldtDepartment of Dermatology and Venereology, State Hospital, Klagenfurt, Austria.
M SchmuthDepartment of Dermatology, Venereology and Allergology, Medical University of Innsbruck, Innsbruck, Austria.ORCID 0000-0002-4064-1334
I VujicDepartment of Dermatology and Venereology, State Hospital of Vienna Rudolfstiftung, Vienna, Austria.
W HoetzeneckerDepartment of Dermatology and Venereology, Kepler University Hospital, Linz, Austria.
F TrautingerDepartment of Dermatology and Venereology, University Hospital St Pölten, St Pölten, Austria.
W SaxingerDepartment of Dermatology and Venereology, Hospital of Wels-Grieskirchen, Wels-Grieskirchen, Austria.
R MülleggerDepartment of Dermatology and Venereology, State Hospital, Wiener Neustadt, Austria.
F QuehenbergerInstitute for Medical Informatics, Statistics, and Documentation, Medical University of Graz, Graz, Austria.
P WolfDepartment of Dermatology and Venereology, Medical University of Graz, Graz, Austria.ORCID 0000-0001-7777-9444
Medical University of Graz · ATMedical University of Vienna · ATFachhochschule Wiener Neustadt · ATInnsbruck Medical University · ATKepler Universitätsklinikum · ATKlinikum Klagenfurt · ATKlinikum Wels-Grieskirchen · ATLandeskrankenhaus Feldkirch · ATParacelsus Medical University · ATUniversitätsklinikum St. Pölten · ATDiplomatic Academy of Vienna · ATKlinik Hietzing · ATKrankenhaus der Elisabethinen · AT

Funding

PsoRA was supported by unrestricted research grants or educational grants from the following pharmaceutical companies: AbbVie (2015-2020), Amgen GmbH (2019-2020), Almirall (2017-2019), Celgene (2016-2018), Eli Lilly (2015-2020), Janssen (2014-2016), Leo Pharma (2014-2020), Novartis (2019), Merck Sharp & Dohme (2014), Sandoz (2020) and Pfizer (2008-2018).
6 · The paper itself

Abstract

backgroundDrug survival rates reflect efficacy and safety and may be influenced by the availability of alternative treatment options. Little is known about time-dependent drug survival in psoriasis and the effect of increasing numbers of biologic treatment options.

objectivesTo determine whether drug survival is influenced by the availability of treatment options and by factors such as gender, psoriatic arthritis or previous biologic treatment.

methodsThis observational, retrospective, multicentre cohort study analysed data from patients registered in the Austrian Psoriasis Registry (PsoRA) who were treated with biologics between 1 January 2015 and 30 November 2019.

resultsA total of 1572 patients who received 1848 treatment cycles were included in this analysis. The highest long-term Psoriasis Area and Severity Index improvement was observed after treatment with ixekizumab, followed by ustekinumab and secukinumab, adalimumab and etanercept. Overall, ustekinumab surpassed all other biologics in drug survival up to 48 months. However, when adjusted for biologic naïvety, its superiority vanished and drug survival rates were similar for ixekizumab (91·6%), secukinumab (90·2%) and ustekinumab (92·8%), all of them superior to adalimumab (76·5%) and etanercept (71·9%) at 12 months and beyond. Besides biologic non-naïvety (2·10, P < 0·001), the introduction of a new drug such as secukinumab or ixekizumab (relative hazard ratio 1·6, P = 0·001) and female gender (1·50, P = 0·019) increased the risk of treatment discontinuation overall, whereas psoriatic arthritis did not (1·12, P = 0·21).

conclusionsThe time-dependent availability of drugs should be considered when analysing and comparing drug survival. Previous biologic exposure significantly influences drug survival. Women are more likely to stop treatment.

Indexed as

Biological ProductsPsoriasisAdalimumabAustriaCohort StudiesEtanerceptFemaleHumansRegistriesRetrospective StudiesSurvival RateTreatment OutcomeUstekinumabAdalimumabBiological ProductsEtanerceptUstekinumab

Identifiers

PMID33289075
PMCPMC8248155
OpenAlexW3107342060

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Registered trials

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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.