Evidence map›Paper›PMID 35445963›Full record

ArticleDermatology and therapy2022

Use of Systemic Therapies for Treatment of Psoriasis in People Living with Controlled HIV: Inference-Based Guidance from a Multidisciplinary Expert Panel.

Kim A Papp, Jennifer Beecker, Curtis Cooper, Mark G Kirchhof, Anton L Pozniak, Juergen K Rockstroh, Jan P Dutz, Melinda J Gooderham, Robert Gniadecki, Chih-Ho Hong and 5 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Dermatology and 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. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 12 institutions in 3 countries.

Kim A PappProbity Medical Research Inc., Waterloo, ON, Canada. kapapp@probitymedical.com.ORCID http://orcid.org/0000-0001-9557-3642
Jennifer Beecker *Probity Medical Research Inc., Waterloo, ON, Canada.ORCID http://orcid.org/0000-0003-0872-3388
Curtis Cooper *University of Ottawa, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0002-3368-3499
Mark G Kirchhof *University of Ottawa, Ottawa, ON, Canada.
Anton L Pozniak *Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.ORCID http://orcid.org/0000-0002-4091-5323
Juergen K Rockstroh *Department of Medicine, University of Bonn, Bonn, Germany.ORCID http://orcid.org/0000-0003-2858-3888
Jan P DutzSkin Care Center, Vancouver, BC, Canada.ORCID http://orcid.org/0000-0003-3035-0522
Melinda J GooderhamProbity Medical Research Inc., Waterloo, ON, Canada.ORCID http://orcid.org/0000-0001-8926-0113
Robert GniadeckiDivision of Dermatology, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.ORCID http://orcid.org/0000-0002-2310-8300
Chih-Ho HongProbity Medical Research Inc., Waterloo, ON, Canada.ORCID http://orcid.org/0000-0001-9963-8319
Charles W LyndeProbity Medical Research Inc., Waterloo, ON, Canada.
Catherine MaariInnovaderm Research Inc, Montreal, QC, Canada.
Yves PoulinCentre de Recherche Dermatologique du Québec Métropolitain, Quebec, QC, Canada.
Ronald B VenderDermatrials Research Inc., Hamilton, ON, Canada.ORCID http://orcid.org/0000-0002-2624-2724
Sharon L WalmsleyToronto General Hospital Research Institute, Toronto, ON, Canada.ORCID http://orcid.org/0000-0002-3959-5692
University of Ottawa · CAUniversity of British Columbia · CACentre de Recherche Dermatologique du Québec Métropolitain · CAChelsea and Westminster Hospital NHS Foundation Trust · GBDermatrials Research · CAInnovaderm (Canada) · CALynde Centre for Dermatology · CAProbity Medical Research · CASKiN Health · CAUniversity Health Network · CAUniversity of Alberta · CAUniversity of Bonn · DE

Funding

AbbVie (CA) Unrestricted educational grantAmgen Canada Unrestricted educational grantJanssen Canada Unrestricted educational grantLEO Pharma (CA) Unrestricted educational grantNovartis Pharmaceuticals Canada Unrestricted educational grantSUN Pharmaceuticals (CA) Unrestricted educational grant
6 · The paper itself

Abstract

backgroundPeople living with human immunodeficiency virus (PLHIV) have a similar prevalence of psoriasis as the general population, though incidence and severity correlate with HIV viral load. Adequately treating HIV early renders the infection a chronic medical condition and allows PLHIV with a suppressed viral load (PLHIV-s) to live normal lives. Despite this, safety concerns and a lack of high-level data have hindered the use of systemic psoriasis therapies in PLHIV-s.

objectivesWe aim to provide a structured framework that supports healthcare professionals and patients discussing the risks and benefits of systemic psoriasis therapy in PLHIV-s. Our goal was to address the primary question, are responses to systemic therapies for the treatment of psoriasis in PLHIV-s similar to those in the non-HIV population?

methodsWe implemented an inference-based approach relying on indirect evidence when direct clinical trial data were absent. In this instance, we reviewed indirect evidence supporting inferences on the status of immune function in PLHIV. Recommendations on systemic treatment for psoriasis in PLHIV were derived using an inferential heuristic.

resultsWe identified seven indirect indicators of immune function informed by largely independent bodies of evidence: (1) functional assays, (2) vaccine response, (3) life expectancy, (4) psoriasis manifestations, (5) rate of infections, (6) rate of malignancies, and (7) organ transplant outcomes.

conclusionsDrug-related benefits and risks when treating a patient with systemic psoriasis therapies are similar for non-HIV patients and PLHIV with a suppressed viral load and normalized CD4 counts. Prior to initiating psoriasis treatment in PLHIV, HIV replication should be addressed by an HIV specialist. Exercise additional caution for patients with a suppressed viral load and discordant CD4 responses on antiretroviral therapy.

Indexed as

Evidence-based dermatologyHIVHuman immunodeficiency virusImmunodeficiencyImmunosuppressionImmunotherapyMedical educationPsoriasis

Identifiers

PMID35445963
PMCPMC9110627
OpenAlexW4224236679

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.