Evidence map›Paper›PMID 36076145›Full record

ArticleDermatology and therapy2022

A Retrospective Real-World Study of the Effectiveness and Tolerability of Tildrakizumab in UK Adults with Moderate-to-Severe Chronic Plaque Psoriasis.

Gabrielle Becher, Sophia Conner, Jennifer A Ingram, Karen E Stephen, Alison C McInnes, Adrian H Heald, Paul A Riley, Mark Davies, Arnau Domenech, Ismail Kasujee

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 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 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

10 authors at 6 institutions in 2 countries.

Gabrielle BecherWest Glasgow Ambulatory Care Hospital, NHS Greater Glasgow and Clyde, Glasgow, Scotland, UK.ORCID http://orcid.org/0000-0001-9836-2787
Sophia ConnerWest Glasgow Ambulatory Care Hospital, NHS Greater Glasgow and Clyde, Glasgow, Scotland, UK.
Jennifer A IngramDepartment of Dermatology, The Princess Alexandra Hospital NHS Trust, Harlow, England, UK.
Karen E StephenDepartment of Dermatology, NHS Tayside, Dundee, Scotland, UK.
Alison C McInnesDermatology Unit, Royal Cornwall Hospitals NHS Trust, Truro, England, UK.
Adrian H HealdSchool of Medical Sciences, Manchester University, Manchester, England, UK.
Paul A RileyRes Consortium, Fosse House, East Anton Court, Icknield Way, Andover, SP10 5RG, England, UK.
Mark DaviesRes Consortium, Fosse House, East Anton Court, Icknield Way, Andover, SP10 5RG, England, UK.
Arnau DomenechAlmirall SA, Ronda General Mitre, 151, 08022, Barcelona, Spain.
Ismail KasujeeAlmirall SA, Ronda General Mitre, 151, 08022, Barcelona, Spain. ismail.kasujee@almirall.com.
Almirall (Spain) · ESNHS Greater Glasgow and Clyde · GBNHS Tayside · GBPrincess Alexandra Hospital NHS Trust · GBRoyal Cornwall Hospital Trust · GBUniversity of Manchester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAs with most medicines historically, clinicians prescribing tildrakizumab have relied on information derived from registration studies undertaken in a prospective controlled clinical trial setting. More recently, clinicians, policymakers, and commissioners increasingly rely on real-world data to inform both policy and practice.

methodsA retrospective real-world data study was undertaken at four specialist dermatology departments in the United Kingdom. All adult patients treated with tildrakizumab for moderate-to-severe plaque psoriasis were included, with data being collected for 122 patients.

resultsPsoriatic patients on tildrakizumab tended to be overweight (median body mass index of 32 (range 19-59) (n = 61); 26/68 (38%) < 90 kg, 32/68 (47%) between 90 and 120 kg, and 10/68 (15%) > 120 kg). The study population had high levels of comorbidities (83/116, 72%), multiple special sites (39/117, 33%), and histories of biological treatments (81/100, 81%). Most patients (61/80, 76%) initiated on tildrakizumab were switched from another biological treatment. Tildrakizumab was effective, with 91/122 (75%) patients remaining on treatment for the duration of the study-a median of 12 months per patient (range 1-29 months)-and achieving a change in median Psoriasis Area and Severity Index (PASI) from 12 to 0.35 and in Dermatology Life Quality Index (DLQI) from 20 to 0. The response rate was 57/66 (86%) when tildrakizumab was used as the first- or second-line biologic compared to 19/31 (61%) when used as the third- to seventh-line. Thirty-three (78.6%) patients over 90 kg of weight received the 200-mg dose of tildrakizumab. All but one (n = 8) patient with body weight over 120 kg maintained response over time. There was one treatment discontinuation; a patient who had a local sensitivity reaction.

conclusionsIn UK clinical practice, tildrakizumab was well tolerated and effective at doses of 100 mg or 200 mg in a range of patient phenotypes.

Indexed as

Plaque psoriasisReal worldTildrakizumab

Identifiers

PMID36076145
PMCPMC9458480
OpenAlexW4295077823

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.