Evidence map›Paper›PMID 35460018›Full record

ArticleDermatology and therapy2022

Safety of Biologic Therapies in Patients with Moderate-to-Severe Plaque Psoriasis and Concomitant Viral Hepatitis: A Monocentric Retrospective Study.

Luigi Gargiulo, Giulia Pavia, Mario Valenti, Ana Lleo de Nalda, Chiara Perugini, Antonio Costanzo, Alessandra Narcisi

Open 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. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Hepatitis B Virus Reactivation Risk With IL-17, IL-23/IL-12, or JAK Inhibitors: A Systematic Review and Meta-Analysis.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Pooled it
  2. IL-23 Inhibitors in Psoriasis: What Have We Learnt so Far?Journal of inflammation research · 2026
    Review
  3. Article
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  5. Review
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  12. Efficacy and Safety of Tildrakizumab in a Patient with Chronic HBV Infection.Clinical, cosmetic and investigational dermatology · 2023
    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

7 authors at 2 institutions in 1 country.

Luigi GargiuloDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, MI, Italy. luigi.gargiulo@humanitas.it.ORCID http://orcid.org/0000-0002-6051-1676
Giulia PaviaDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, MI, Italy.
Mario ValentiDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, MI, Italy.
Ana Lleo de NaldaDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, MI, Italy.
Chiara PeruginiDermatology Unit, IRCCS Humanitas Research Hospital, Rozzano, MI, Italy.
Antonio CostanzoDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, MI, Italy.
Alessandra NarcisiDermatology Unit, IRCCS Humanitas Research Hospital, Rozzano, MI, Italy.
Humanitas University · ITIRCCS Humanitas Research Hospital · IT

Funding

Ministero della Salute CO-2013-02356463
6 · The paper itself

Abstract

introductionThere are no strong data regarding the treatment with biologics (especially for the most recent anti-IL-17 and anti-IL-23 drugs) of patients with psoriasis and concomitant viral hepatitis. We assessed the safety of biologic drugs in patients with psoriasis who are seropositive for hepatitis B or C and did not receive antiviral prophylaxis.

methodsWe conducted a retrospective single-center study. The efficacy of biologic treatments was evaluated by assessing the Psoriasis Area and Severity Index (PASI) score during all visits, for a minimum follow-up of 52 weeks. All patients were evaluated by a hepatologist before starting the treatment. They were monitored for reactivation of viral hepatitis.

resultsTwenty patients had positive markers of hepatitis B virus (HBV) or hepatitis C virus (HCV). Seventeen patients had positive markers of HBV infection, and four patients had antibodies for HCV (one patient had serologic evidence of both infections). Anti-IL-23 biologics were the most used in our population, with risankizumab being the most prescribed drug. No patient had evidence of viral reactivation during our study. Study limitations include its retrospective nature and our inclusion of patients with different serological status receiving different biologic drugs.

conclusionBiologic therapies (including anti-IL-23 drugs) appear to be safe in patients seropositive for HCV or HBV core antibody who did not receive antiviral prophylaxis.

Indexed as

Anti-IL-17Anti-IL-23BiologicsHepatitis B virusHepatitis C virusPsoriasisReactivation

Identifiers

PMID35460018
PMCPMC9110615
OpenAlexW4224270933

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.