Evidence map›Paper›PMID 35793473›Full record

ArticleJournal of the European Academy of Dermatology and Venereology : JEADV2022

Switches between biologics in patients with moderate-to-severe psoriasis: results from the French cohort PSOBIOTEQ.

R Curmin, S Guillo, Y De Rycke, H Bachelez, M Beylot-Barry, N Beneton, O Chosidow, A Dupuy, P Joly, D Jullien and 7 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Journal of the European Academy of Dermatology and Venereology : JEADV, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

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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

17 authors at 8 institutions in 1 country.

R Curmin *Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Paris, France.ORCID https://orcid.org/0000-0002-1272-5813
S Guillo *INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, AP-HP, Hôpital Pitié Salpêtrière, Département de Santé Publique, Centre de Pharmacoépidémiologie (Cephepi), Sorbonne Université, Paris, France.
Y De RyckeINSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, AP-HP, Hôpital Pitié Salpêtrière, Département de Santé Publique, Centre de Pharmacoépidémiologie (Cephepi), Sorbonne Université, Paris, France.
H BachelezDermatologie, AP-HP Hôpital Saint Louis, Paris, France.
M Beylot-BarryDermatologie CHU Bordeaux & INSERM U 1053, Bordeaux University, Bordeaux, France.ORCID https://orcid.org/0000-0001-6150-1229
N BenetonDermatologie, CH Le Mans, Le Mans, France.
O ChosidowDermatologie, AP-HP, Hôpitaux universitaires Henri Mondor, Département de Dermatologie, UPEC, INSERM, Centre d'Investigation Clinique 1430, EA 7379 EpidermE, Université Paris-Est Créteil, UPEC, Créteil, France.ORCID https://orcid.org/0000-0002-8400-4310
A DupuyDermatologie, CHU Pontchaillou, Rennes, France.
P JolyDermatologie, CHU Rouen, Rouen, France.ORCID https://orcid.org/0000-0002-5734-0255
D JullienDermatologie, Hospices Civils de Lyon, Hôpital E. Herriot, Université Lyon-1, Lyon, France.ORCID https://orcid.org/0000-0002-2995-7928
M A RichardDermatologie, EA 3279: CEReSS - Health Service Research and Quality of Life Center, Timone Hospital, Assistance Publique Hôpitaux de Marseille, Aix-Marseille University, Marseille, France.ORCID https://orcid.org/0000-0002-0870-9132
M ViguierDermatologie-Vénéréologie, Hôpital Robert Debré, Reims, France.
E SbidianDermatologie, AP-HP, Hôpitaux universitaires Henri Mondor, Département de Dermatologie, UPEC, INSERM, Centre d'Investigation Clinique 1430, EA 7379 EpidermE, Université Paris-Est Créteil, UPEC, Créteil, France.ORCID https://orcid.org/0000-0002-1267-5270
C PaulDermatologie, CHU and Toulouse University, Toulouse, France.
E MahéDermatologie, Hôpital Victor Dupouy, Argenteuil, France.ORCID https://orcid.org/0000-0001-5780-1827
F TubachINSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, AP-HP, Hôpital Pitié Salpêtrière, Département de Santé Publique, Centre de Pharmacoépidémiologie (Cephepi), Sorbonne Université, Paris, France.
PSOBIOTEQ Study Group
Inserm · FRAix-Marseille Université · FRCentre Hospitalier du Mans · FRCentre Hospitalier Universitaire de Rouen · FRCentre Hospitalier Victor Dupouy · FRHôpital Pontchaillou · FRHôpital Robert-Debré · FRUniversité Claude Bernard Lyon 1 · FR

Funding

AbbVieAgence Nationale de Sécurité du Médicament et des Produits de SantéAmgenCelgeneEli Lilly and CompanyFrench Ministry of Health PHRC AOM 09 195Janssen PharmaceuticalsLEO Pharma Research FoundationMerckNovartisPfizer
6 · The paper itself

Abstract

backgroundBiologics are the cornerstone of treatment of patients with moderate-to-severe plaque psoriasis and switches between biologics are frequently needed to maintain clinical improvement over time.

objectivesThe main purpose of this study was to describe precisely switches between biologics and how their pattern changed over time with the recent availability of new biologic agents.

methodsWe included patients receiving a first biologic agent in the Psobioteq multicenter cohort of adults with moderate-to-severe psoriasis receiving systemic treatment. We described switches between biologics with chronograms, Sankey and Sunburst diagrams, assessed cumulative incidence of first switch by competing risks survival analysis and reasons for switching. We assessed the factors associated with the type of switch (intra-class - i.e. within the same therapeutic class - vs. inter-class) in patients switching from a TNF-alpha inhibitor using multivariate logistic regression.

resultsA total of 2153 patients was included. The cumulative incidence of switches from first biologic was 34% at 3 years. Adalimumab and ustekinumab were the most prescribed biologic agents as first and second lines of treatment. The main reason for switching was loss of efficacy (72%), followed by adverse events (11%). Patients receiving a TNF-alpha inhibitor before 2016 mostly switched to ustekinumab, whereas those switching in 2016 or after mostly switched to an IL-17 inhibitor. Patients switching from a first-line TNF-alpha inhibitor before 2016 were more likely to switch to another TNF-alpha inhibitor compared with patients switching since 2018. Patients switching from etanercept were more likely to receive another TNF-alpha inhibitor rather than another therapeutic class of bDMARD compared with patients switching from adalimumab.

conclusionThis study described the switching patterns of biologic treatments and showed how they changed over time, due to the availability of the new biologic agents primarily IL-17 inhibitors.

Indexed as

Biological ProductsPsoriasisAdalimumabAdultEtanerceptHumansInterleukin-17Severity of Illness IndexTumor Necrosis Factor-alphaUstekinumabAdalimumabBiological ProductsEtanerceptInterleukin-17Tumor Necrosis Factor-alphaUstekinumab

Identifiers

PMID35793473
PMCPMC9796114
OpenAlexW4284703342

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.