Evidence map›Paper›PMID 34950923›Full record

ArticleThe Lancet regional health. Europe2022

Risk of candidiasis associated with interleukin-17 inhibitors: A real-world observational study of multiple independent sources.

Linda Davidson, Juul M P A van den Reek, Mariolina Bruno, Florence van Hunsel, Ron M C Herings, Vasiliki Matzaraki, Collins K Boahen, Vinod Kumar, Hans M M Groenewoud, Frank L van de Veerdonk and 3 more

Open access · goldAbstract read
In one paragraph

Article in The Lancet regional health. Europe, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 2 pooled it
6.7field-weighted citation impact, top 2% 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

63 citing papers in PubMed, 2 syntheses or guidelines pooled it, 113 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. AI-validated fusion proteins for local inhibition of interleukin-17A.Journal of controlled release : official journal of the Controlled Release Society · 2026
    Article
  8. [Biologics and infections: understand and recognize].Dermatologie (Heidelberg, Germany) · 2026
    Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Fungal Reactive Oxygen Species Secreted byJournal of fungi (Basel, Switzerland) · 2026
    Article
  16. Review
  17. mSphere · 2025
    Article
  18. Article
  19. Article
  20. Review

3 more citing papers are in PubMed but not listed here.

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 2 countries.

Linda DavidsonDepartment of Internal Medicine and Radboudumc Center for Infectious diseases (RCI), Radboud University Medical Center, Nijmegen, the Netherlands.
Juul M P A van den ReekDepartment of Dermatology, Radboud University Medical Center, Nijmegen, the Netherlands.
Mariolina BrunoDepartment of Internal Medicine and Radboudumc Center for Infectious diseases (RCI), Radboud University Medical Center, Nijmegen, the Netherlands.
Florence van HunselNetherlands Pharmacovigilance Centre Lareb, 's Hertogenbosch, the Netherlands.
Ron M C HeringsPHARMO Institute for Drug Outcomes Research, Utrecht, the Netherlands.
Vasiliki MatzarakiDepartment of Internal Medicine and Radboudumc Center for Infectious diseases (RCI), Radboud University Medical Center, Nijmegen, the Netherlands.
Collins K BoahenDepartment of Internal Medicine and Radboudumc Center for Infectious diseases (RCI), Radboud University Medical Center, Nijmegen, the Netherlands.
Vinod KumarDepartment of Internal Medicine and Radboudumc Center for Infectious diseases (RCI), Radboud University Medical Center, Nijmegen, the Netherlands.
Hans M M GroenewoudDepartment for Health Evidence, Radboud University Medical Center, Nijmegen, the Netherlands.
Frank L van de VeerdonkDepartment of Internal Medicine and Radboudumc Center for Infectious diseases (RCI), Radboud University Medical Center, Nijmegen, the Netherlands.
Mihai G NeteaDepartment of Internal Medicine and Radboudumc Center for Infectious diseases (RCI), Radboud University Medical Center, Nijmegen, the Netherlands.
Elke M G J de JongDepartment of Dermatology, Radboud University Medical Center, Nijmegen, the Netherlands.
Bart Jan KullbergDepartment of Internal Medicine and Radboudumc Center for Infectious diseases (RCI), Radboud University Medical Center, Nijmegen, the Netherlands.
Radboud University Nijmegen · NLUniversity Medical Center Groningen · NLAmsterdam Neuroscience · NLNetherlands Pharmacovigilance Centre Lareb · NLUniversity of Bonn · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBiologics directed against the T-helper (Th)-17 pathway have been approved for several inflammatory diseases. Interleukin (IL)-17 is involved in anti-

methodsA comprehensive analysis of multiple independent sources reporting

findingsA strong association between IL-17 inhibitors and candidiasis (ROR 10·20) was found in the WHO database, particularly for cutaneous (ROR 12·28), oropharyngeal (ROR 19·18), and esophageal candidiasis (ROR 21·20). Risk was higher relative to TNF-α inhibitors (4-10-fold, depending on candidiasis type), confirmed by EMA reports (16-33-fold), prescriptions registry (2-42-fold), and a psoriasis cohort (3-25-fold). After start of IL-17 inhibitors, patients' risk of candidiasis requiring antifungals increased 2-16 fold. In the psoriasis cohort, 58% of IL-17 treatment episodes were associated with candidiasis. In Th17 inhibitor recipients, proteins involved in anti-

interpretationIL-17 inhibitors are associated with an increased risk of oropharyngeal, esophageal, and cutaneous candidiasis, posing a significant disease burden for IL-17 inhibitor recipients.

fundingRadboudUMC.

Indexed as

CandidiasisDrug safetyIL-12/23 inhibitorsIL-17 inhibitorsixekizumabPharmacovigilancesecukinumabustekinumab

Identifiers

PMID34950923
PMCPMC8671639
OpenAlexW3217684269

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.