Evidence map›Paper›PMID 34931346›Full record

ArticlePediatric dermatology2022

Higher rates of skin clearance and efficacy in challenging body areas are associated with better health-related quality of life following ixekizumab maintenance treatment in pediatric patients with plaque psoriasis.

Adelaide A Hebert, Margaret A Bobonich, Claudia Rodriguez Capriles, Gaia Gallo, Lingnan Li, Najwa Somani, Terri Ridenour, Yan Wang, Emily Edson-Heredia, Emily M Becker

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Pediatric dermatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03073200 (Multicenter, Double-Blind, Randomized, Placebo-Controlled Study to Evaluate Safety, Tolerability, and Efficacy of Ixekizumab in Patients From 6 to Less Than 18 Years of Age With Moderate-to-Severe Plaque Psoriasis), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 44% 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.

NCT03073200 phase3completednot on this map

Multicenter, Double-Blind, Randomized, Placebo-Controlled Study to Evaluate Safety, Tolerability, and Efficacy of Ixekizumab in Patients From 6 to Less Than 18 Years of Age With Moderate-to-Severe Plaque Psoriasis

TypeinterventionalSponsorEli Lilly and CompanyRan2017 to 2021Enrolled201ConditionsPlaque PsoriasisArmsIxekizumab, Placebo, Etanercept
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. The Burden of Pediatric Psoriasis: A Systematic Review.American journal of clinical dermatology · 2025
    Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
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

10 authors at 4 institutions in 1 country.

Adelaide A HebertThe UTHealth McGovern Medical School, Houston, Texas, USA.
Margaret A BobonichCWRU Schools of Medicine and Nursing, Case Western Reserve University Cleveland, Cleveland, Ohio, USA.
Claudia Rodriguez CaprilesEli Lilly and Company, Indianapolis, Indiana, USA.
Gaia GalloEli Lilly and Company, Indianapolis, Indiana, USA.
Lingnan LiEli Lilly and Company, Indianapolis, Indiana, USA.
Najwa SomaniEli Lilly and Company, Indianapolis, Indiana, USA.
Terri RidenourEli Lilly and Company, Indianapolis, Indiana, USA.
Yan WangEli Lilly and Company, Indianapolis, Indiana, USA.
Emily Edson-HerediaEli Lilly and Company, Indianapolis, Indiana, USA.
Emily M BeckerUniversity of Texas Health Science Center San Antonio, San Antonio, Texas, USA.
Eli Lilly (United States) · USCase Western Reserve University · USThe University of Texas Health Science Center at Houston · USThe University of Texas Health Science Center at San Antonio · US

Funding

Eli Lilly and Company
6 · The paper itself

Abstract

BACKGROUND/

objectivesInformation is limited on the relationship between skin clearance, resolution of challenging body areas, and improvement of patient-reported outcomes (PROs) in pediatric psoriasis. Ixekizumab, a high-affinity monoclonal antibody that selectively targets interleukin-17A, is approved for the treatment of moderate-to-severe psoriasis in patients aged 6 to <18 years. This study examines improvement in psoriasis clearance in challenging body areas in pediatric patients relative to health-related quality of life.

methodsData from the IXORA-PEDS trial (NCT03073200) were analyzed, and changes from baseline were measured for overall Psoriasis Area and Severity Index (PASI), static Physicians' Global Assessment of psoriasis (sPGA), Psoriasis Scalp Severity Index (PSSI), Palmoplantar Psoriasis Area and Severity Index (PPASI), and Nail Psoriasis Severity Index. Rates of Dermatology Life Quality Index (DLQI), or Children's DLQI (CDLQI), scores of 0 or 1 were evaluated using the Cochran-Armitage trend test.

resultsHigher rates of DLQI/CDLQI (0,1) scores were significantly associated with greater PASI and PSSI responses at both Week 12 and Week 48 (p < .0001). A significant association was also observed between DLQI/CDLQI (0,1) and sPGA scores (p < .0001). Significantly higher rates of DLQI/CDLQI (0,1) scores were achieved in patients with greater levels of palmoplantar clearance as measured by PPASI at Week 12 (p = .0139), but significance was not sustained at Week 48 (p = .0896).

conclusionsGreater skin clearance and scalp resolution are associated with better PROs over a short-term (12-week) and long-term (48-week) period. This demonstrates that greater improvement of skin clearance and scalp resolution may benefit quality of life in pediatric patients with psoriasis.

Indexed as

PsoriasisQuality of LifeAntibodies, Monoclonal, HumanizedChildDouble-Blind MethodHumansSeverity of Illness IndexTreatment OutcomeAntibodies, Monoclonal, Humanizedixekizumabixekizumabpediatricplaque psoriasisquality of life

Identifiers

PMID34931346
PMCPMC9299936
OpenAlexW4200531789

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.