Evidence map›Paper›PMID 37804472›Full record

ArticleAmerican journal of clinical dermatology2024

Guselkumab-Treated Patients with Plaque Psoriasis Who Achieved Complete Skin Clearance for ≥ 156 Consecutive Weeks: A Post-Hoc Analysis From the VOYAGE 1 Clinical Trial.

Luis Puig, Antonio Costanzo, Elke M G J de Jong, Tiago Torres, Richard B Warren, Robert Wapenaar, Sven Wegner, Patricia Gorecki, Talia Gramiccia, Maria Jazra and 2 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in American journal of clinical dermatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02207231 (Phase 3, Multicenter, Randomized, Double-blind, Placebo and Active Comparator-controlled Study Evaluating the Efficacy and Safety of Guselkumab in the Treatment of Subjects With Moderate to Severe Plaque-type Psoriasis), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 24% 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.

NCT02207231 phase3completednot on this map

Phase 3, Multicenter, Randomized, Double-blind, Placebo and Active Comparator-controlled Study Evaluating the Efficacy and Safety of Guselkumab in the Treatment of Subjects With Moderate to Severe Plaque-type Psoriasis

TypeinterventionalSponsorJanssen Research & Development, LLCRan2014 to 2020Enrolled837ConditionsPsoriasisArmsGuselkumab 100 mg, Placebo for guselkumab, Adalimumab, Placebo for adalimumab
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Predictors of clinical response to biologics in psoriasis: A systematic review and meta-analysis.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Pooled it
  2. Article
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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

12 authors at 12 institutions in 9 countries.

Luis PuigDepartment of Dermatology, IIB Sant Pau, Hospital de Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain. LPuig@santpau.cat.ORCID http://orcid.org/0000-0001-6083-0952
Antonio CostanzoDermatology, Department of Biomedical Sciences, Humanitas University, Milan, Italy.
Elke M G J de JongDepartment of Dermatology, Radboud University Medical Center, Nijmegen, The Netherlands.
Tiago TorresCentro Hospitalar Universitário do Porto, Porto, Portugal.
Richard B WarrenDermatology Centre, Salford Royal NHS Foundation Trust, National Institute for Health Research Manchester Biomedical Research Centre, The University of Manchester, Manchester, UK.
Robert WapenaarJanssen-Cilag BV, Breda, The Netherlands.
Sven WegnerJanssen-Cilag GmbH, Neuss, Germany.
Patricia GoreckiJanssen-Cilag Ltd, High Wycombe, UK.
Talia GramicciaJanssen-Cilag SpA, Milan, Italy.
Maria JazraJanssen-Cilag, Paris, France.
Jozefien BuyzeJanssen Pharmaceutica NV, Beerse, Belgium.
Curdin ConradDepartment of Dermatology, Lausanne University Hospital CHUV and University of Lausanne, Lausanne, Switzerland.
Humanitas University · ITJanssen (Belgium) · BEJanssen (France) · FRJanssen (Germany) · DEJanssen (Italy) · ITJanssen (Netherlands) · NLJanssen (United Kingdom) · GBRadboud University Nijmegen · NLSalford Royal NHS Foundation Trust · GBUniversidade do Porto · PTUniversitat Autònoma de Barcelona · ESUniversity of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreatment of moderate-to-severe plaque psoriasis with biologics, such as guselkumab, has demonstrated greater efficacy over traditional non-biologic treatments. However, given patient diversity, greater understanding of the relationship between patient characteristics, positive clinical outcomes, and long-term response to biologics is crucial for optimizing treatment choices. MATERIALS AND

methodsThis post-hoc analysis of the 5-year VOYAGE 1 clinical trial compares baseline characteristics of patients maintaining a Psoriasis Area and Severity Index (PASI) score of 0 at all visits for ≥ 156 consecutive weeks (PASI = 0 group) with those that never achieve PASI = 0 (comparator group), using descriptive statistics and a multiple logistic regression model. Guselkumab plasma trough concentrations in both response groups were assessed from Weeks 4-156.

resultsOf patients who started guselkumab treatment at Week 0 or at Week 16 after switching from placebo, 22.7% (112/494) maintained PASI = 0 for ≥ 156 consecutive weeks. Numerical differences in baseline characteristics, including age, obesity, diabetes, PASI score, disease duration, smoking status, and psoriatic arthritis comorbidity, were identified between the PASI = 0 group and comparator group. Plasma guselkumab levels were consistently higher in the PASI = 0 group. Multiple logistic regression analysis revealed absence of diabetes, lower Dermatology Life Quality Index score at baseline, and higher Week 4 guselkumab plasma concentration as significantly (p < 0.05) associated with the PASI = 0 group.

conclusionA substantial (22.7%) number of guselkumab-treated patients in the VOYAGE 1 clinical trial maintained complete skin clearance for a consecutive period of ≥ 156 weeks. Factors associated with this outcome may suggest clinical benefits of holistic treatment approaches.

trial registrationNCT02207231.

Indexed as

Antibodies, Monoclonal, HumanizedBiological ProductsDiabetes MellitusPsoriasisAntibodies, MonoclonalDouble-Blind MethodHumansSeverity of Illness IndexTreatment OutcomeAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedBiological Productsguselkumab

Identifiers

PMID37804472
PMCPMC10866772
OpenAlexW4387425841

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.