Evidence map›Paper›PMID 35664977›Full record

ArticleSkin health and disease2021

Efficacy and safety of secukinumab for the treatment of severe ABCA12 deficiency-related ichthyosis in a child.

J Yogarajah, C Gouveia, J Iype, S Häfliger, A Schaller, J M Nuoffer, M Fux, M Gautschi

Open access · goldAbstract readCase Reports
In one paragraph

Article in Skin health and disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 3% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. A Review of the Safety of Interleukin-17A Inhibitor Secukinumab.Pharmaceuticals (Basel, Switzerland) · 2022
    Review
  9. Review
  10. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

J YogarajahDivision of Paediatric Endocrinology, Diabetology and Metabolism Department of Paediatrics University Hospital Bern Inselspital Bern Switzerland.
C GouveiaDivision of Paediatric Endocrinology, Diabetology and Metabolism Department of Paediatrics University Hospital Bern Inselspital Bern Switzerland.
J IypeUniversity Institute of Clinical Chemistry University Hospital Bern Inselspital Bern Switzerland.
S HäfligerDivision of Paediatric Endocrinology, Diabetology and Metabolism Department of Paediatrics University Hospital Bern Inselspital Bern Switzerland.
A SchallerDepartment of Human Genetics University Hospital Bern Inselspital Bern Switzerland.
J M NuofferDivision of Paediatric Endocrinology, Diabetology and Metabolism Department of Paediatrics University Hospital Bern Inselspital Bern Switzerland.
M FuxUniversity Institute of Clinical Chemistry University Hospital Bern Inselspital Bern Switzerland.
M GautschiDivision of Paediatric Endocrinology, Diabetology and Metabolism Department of Paediatrics University Hospital Bern Inselspital Bern Switzerland.ORCID https://orcid.org/0000-0003-1358-1759
University Hospital of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patients with severe autosomal recessive congenital ichthyosis (ARCI) show a T helper 17/interleukin 17 (Th17/IL17) skewing in their skin and serum, resembling the inflammatory profile of psoriatic patients. Secukinumab, an IL-17A inhibitor, has shown clinical efficacy in patients with moderate-to-severe plaque psoriasis. Aims: To test the clinical efficacy and safety of secukinumab in a paediatric patient with ATP-binding cassette subfamily A member 12 deficiency-related severe erythrodermic ARCI. Materials & Methods: 6-months therapeutic trial. During the first 4-weeks induction period, the patient received weekly subcutaneous injections of 150 mg secukinumab (five injections in total). During the following 20-weeks maintenance period, the patient was given a subcutaneous injection of 150 mg secukinumab every 4 weeks. Result & Discussion: After the 6-months therapy period, there was a 48% reduction from the baseline Ichthyosis-Area-Severity-Index (-Erythema/-Scaling) score. The treatment was well tolerated. Moreover, cytokine analysis revealed a reduction of keratinocyte-derived proinflammatory cytokines and an abrogation of Th17-skewing during therapy. Conclusion: Further studies are needed to evaluate the effects of the use of IL-17A inhibition in ARCI patients.

Identifiers

PMID35664977
PMCPMC9060064
OpenAlexW3157829990

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Registered trials

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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.