Evidence map›Paper›PMID 34378812›Full record

ArticleJournal of the European Academy of Dermatology and Venereology : JEADV2021

Real-world effectiveness of adalimumab in patients with moderate-to-severe hidradenitis suppurativa: the 1-year SOLACE study.

W Gulliver, A Alavi, M C Wiseman, M J Gooderham, J Rao, M S Alam, K A Papp, O Desjardins, C Jean

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the European Academy of Dermatology and Venereology : JEADV, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 6% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Efficacy and safety of biologics for hidradenitis suppurativa: A network meta-analysis of phase III trials.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
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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 6 institutions in 2 countries.

W GulliverNewLab Clinical Research Inc., St. John's, NL, Canada.
A AlaviDepartment of Dermatology, Mayo Clinic, Rochester, MN, USA.
M C WisemanProbity Medical Research Inc., Waterloo, ON, Canada.
M J GooderhamProbity Medical Research Inc., Waterloo, ON, Canada.
J RaoClinical Professor of Medicine, Division of Dermatology, University of Alberta, Edmonton, AB, Canada.
M S AlamProbity Medical Research Inc., Waterloo, ON, Canada.
K A PappProbity Medical Research Inc., Waterloo, ON, Canada.ORCID https://orcid.org/0000-0001-9557-3642
O DesjardinsAbbVie Corporation, Saint-Laurent, QC, Canada.
C JeanAbbVie Corporation, Saint-Laurent, QC, Canada.
Probity Medical Research · CAABB (Canada) · CABarrie Urology Group · CAMemorial University of Newfoundland · CASKiN Health · CAUniversity of Alberta · CA

Funding

AbbVie
6 · The paper itself

Abstract

backgroundLong-term, real-word data are needed to help manage patients with hidradenitis suppurativa (HS) through this recurrent, painful and debilitating disease.

objectivesTo primarily measure real-world effectiveness of adalimumab in HS and to secondarily observe clinical course of HS in the light of patients' response.

methodsIn SOLACE, adults with moderate-to-severe HS in need for change in ongoing therapy were treated with adalimumab for up to 52 weeks as per physician's medical practice. Treatment effectiveness was measured by Hidradenitis Suppurativa Clinical Response (HiSCR). Inflammatory nodules, abscesses and draining fistulas were counted, Hurley stage was assessed, and disease severity was rated using the International HS Severity Scoring System (IHS4). A post hoc analysis further explored the HiSCR response by abscess and inflammatory nodule (AN) count at baseline (low, medium and high) and gender. Spontaneously reported safety events were collected.

resultsFrom 23 Canadian centres, 69% of the 138 patients achieved HiSCR at week 24, which increased to 82% and 75% at week 52 in patients with medium and high AN counts, respectively. Gender (4 times the odds for female) and age at HS onset (5% decrease with each additional year) had an effect on achieving HiSCR. Treatment with adalimumab led to an important decrease in number of lesions in responders, with most gains observed in inflammatory nodules, more frequently in the lower body area of patients in the high AN count group. The IHS4 scores of responders were substantially lowered, with a larger decrease in patients of the high AN count group. No new safety signal was detected.

conclusionsThe effectiveness of adalimumab was maintained during this 1-year period, and an optimal gain was documented for patients with medium and high AN counts. These real-world data support a prompt treatment of HS patients and the use of IHS4 to monitor treatment.

Indexed as

Hidradenitis SuppurativaAdalimumabCanadaFemaleHumansSeverity of Illness IndexTreatment OutcomeAdalimumab

Identifiers

PMID34378812
PMCPMC9291024
OpenAlexW3192610156

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.