Evidence map›Paper›PMID 33491259›Full record

ArticleDermatologic therapy2021

Drug survival of ixekizumab, TNF inhibitors, and other IL-17 inhibitors in real-world patients with psoriasis: The Corrona Psoriasis Registry.

Benjamin Lockshin, Angel Cronin, Ryan W Harrison, Robert R McLean, Laura Anatale-Tardiff, Russel Burge, Baojin Zhu, William N Malatestinic, Bilal Atiya, Mwangi J Murage and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Dermatologic therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
3.0field-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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 44 citations in OpenAlex.

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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

13 authors at 5 institutions in 1 country.

Benjamin LockshinUS Dermatology Partners, Rockville, Maryland, USA.
Angel CroninCorrona LLC, Waltham, Massachusetts, USA.
Ryan W HarrisonCorrona LLC, Waltham, Massachusetts, USA.
Robert R McLeanCorrona LLC, Waltham, Massachusetts, USA.
Laura Anatale-TardiffCorrona LLC, Waltham, Massachusetts, USA.
Russel BurgeEli Lilly and Company, Indianapolis, Indiana, USA.
Baojin ZhuEli Lilly and Company, Indianapolis, Indiana, USA.
William N MalatestinicEli Lilly and Company, Indianapolis, Indiana, USA.
Bilal AtiyaEli Lilly and Company, Indianapolis, Indiana, USA.
Mwangi J MurageEli Lilly and Company, Indianapolis, Indiana, USA.
Gaia GalloEli Lilly and Company, Indianapolis, Indiana, USA.
Bruce StroberYale University, New Haven, Connecticut, USA.
Abby Van VoorheesEastern Virginia Medical School, Norfolk, Virginia, USA.
Eli Lilly (United States) · USOptron Systems (United States) · USCentral Dermatology · USEastern Virginia Medical School · USPartners In Care · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To compare drug survival of ixekizumab to other IL-17 inhibitors (IL-17i) and TNF inhibitors (TNFi) among patients with psoriasis (PsO) in a real-world setting. Participants included adult PsO patients enrolled in the Corrona Psoriasis Registry who initiated ixekizumab, TNFi, or other IL-17i between 16 March 2016 to 10 August 2019 and completed ≥1 follow-up visit. Multivariable adjusted hazard ratios (HR) were calculated to estimate the risk for drug discontinuation in the ixekizumab group relative to the other drugs. Among the 1604 drug initiations, 552 initiated ixekizumab, 450 initiated TNFi, and 602 initiated other IL-17i. Mean age was 51 years, 49% were women, and 52% were obese (BMI > 30). Ixekizumab patients had a higher proportion of patients with PASI >12 at drug initiation (24%) than TNFi (15%) and other IL-17i (19%). Over a median of 11 months of follow-up, 723/1604 (45%) drug discontinuations occurred. Persistence of ixekizumab, TNFi, and other IL-17i at 24-months were 68%, 33%, and 46%, among biologic-naïve patients (n = 543), and 46%, 23%, and 36%, for biologic-experienced patients (n = 1061), respectively. Ixekizumab patients had a 64% lower risk of discontinuation vs TNFi (HR = 0.36; 95% CI 0.27-0.47) and a 31% lower risk vs other IL-17i (HR = 0.69, 95% CI 0.55-0.87) after adjustment for biologic experience and other covariates. HRs were similar when limited to patients with moderate-to-severe PsO (BSA > 3, PASI > 3, and IGA > 1, n = 1076) at initiation. In our study of real-world patients with PsO, initiators of ixekizumab had more prolonged drug survival than both initiators of TNFi and other IL-17i up to 2 years of follow-up.

Indexed as

Antibodies, Monoclonal, HumanizedPsoriasisTumor Necrosis Factor InhibitorsAdultFemaleHumansInterleukin-17MaleMiddle AgedRegistriesAntibodies, Monoclonal, HumanizedInterleukin-17ixekizumabTumor Necrosis Factor Inhibitorsbiologicsixekizumabpsoriasisregistriestumor necrosis factor inhibitors

Identifiers

PMID33491259
PMCPMC8047872
OpenAlexW3126106680

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.