Evidence map›Paper›PMID 34977985›Full record

Observational studyAdvances in therapy2022

Real-Life Effectiveness of Apremilast for the Treatment of Psoriasis in Belgium: Results From the Observational OTELO Study.

Pierre-Dominique Ghislain, Jo Lambert, X L Lam Hoai, Tom Hillary, Pierre-Paul Roquet-Gravy, Michel de la Brassinne, Siegfried Segaert

Erratum issued Registry-linked trialOpen access · hybridAbstract readObservational Study
In one paragraph

Observational study in Advances in therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT03097003 (An Observational Study of the Real-life Management of Psoriasis Patients Treated With Otezla®), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.8field-weighted citation impact, top 33% 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.

NCT03097003 completednot on this map

An Observational Study of the Real-life Management of Psoriasis Patients Treated With Otezla® (Apremilast) in Belgium

TypeobservationalSponsorAmgenRan2017 to 2018Enrolled124ConditionsPsoriasisArmsApremilast
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Observational
  5. Article
  6. Observational
  7. Article
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 1 country.

Pierre-Dominique GhislainDepartment of Dermatology, University Hospitals Saint-Luc, Av. Hippocrate 10, 1200, Brussels, Belgium. pierre-dominique.ghislain@uclouvain.be.
Jo LambertDepartment of Dermatology, Ghent University Hospital, Ghent, Belgium.
X L Lam HoaiDepartment of Dermatology, University Hospital Saint-Pierre, Brussels, Belgium.
Tom HillaryDepartment of Dermatology, University Hospital Leuven, Leuven, Belgium.
Pierre-Paul Roquet-GravyDepartment of Dermatology, Grand Hôpital de Charleroi, Charleroi, Belgium.
Michel de la BrassinneDepartment of Dermatology, CHU de Liège, Liège, Belgium.
Siegfried SegaertConsultant Dermatologist, Bonheiden, Belgium.
Centre Hospitalier Universitaire de Liège · BECentre Hospitalier Universitaire de Saint-Pierre · BEGhent University Hospital · BEGrand Charleroi Hospital · BEImelda Hospital · BEKU Leuven · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionApremilast is approved for the treatment of psoriasis and psoriatic arthritis. However, data on the efficacy and safety of apremilast in clinical practice are limited. We assessed the real-world use and effectiveness of apremilast in patients with moderate to severe plaque psoriasis visiting dermatologist practices in Belgium, from the perspectives of the patient and the physician.

methodsThis prospective observational study enrolled adults aged 18 years or more initiating apremilast between 6 April 2017 and 30 June 2018, per Belgian reimbursement criteria. Primary outcome was the Patient Benefit Index for Skin Diseases (PBI-S). Secondary outcomes included the Patient Global Assessment (PtGA), Dermatology Life Quality Index (DLQI), Psoriasis Area and Severity Index (PASI), and body surface area (BSA). Patients were followed up for up to 18 months.

resultsOverall, 122 enrolled patients received at least one dose of apremilast, of which 89 received treatment for more than 150 days and were included in the reference population. Treatment goals most frequently identified (at least 70% of patients) as "very important" in the PBI-S were related to physical impairments. After 6 months of apremilast treatment, 61-78% of patients reported they had achieved these goals; only 12.5% assessed their disease as severe (PtGA, 53.6% at apremilast initiation) and over half reported a DLQI score of 5 or less, indicating improved quality of life. As assessed by the physician, 68.4% and 35.1% of patients achieved at least a 50% and 75% reduction in PASI, respectively, at month 6. Apremilast was well tolerated with no new safety signals identified.

conclusionsOur real-world data indicate that apremilast fulfils the expectations of Belgian patients with moderate to severe psoriasis, and from the perspectives of both the patient and physician, apremilast has a positive impact on their disease.

trial registrationClinicalTrials.gov Identifier NCT03097003.

Indexed as

PsoriasisQuality of LifeAdolescentAdultAnti-Inflammatory Agents, Non-SteroidalBelgiumHumansSeverity of Illness IndexThalidomideTreatment OutcomeAnti-Inflammatory Agents, Non-SteroidalapremilastThalidomideApremilastPatient Benefit IndexPatient-reported outcomesPsoriasisQuality of life

Identifiers

PMID34977985
PMCPMC8866388
OpenAlexW4205225795

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.