Evidence map›Paper›PMID 38137572›Full record

ArticleJournal of clinical medicine2023

Interclass Switch between IL17 and IL23 Inhibitors in Psoriasis: A Real-Life, Long-Term, Single-Center Experience.

Silvia Giordano, Paolo Dapavo, Michela Ortoncelli, Elena Stroppiana, Anna Verrone, Pietro Quaglino, Simone Ribero, Luca Mastorino

Abstract read
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Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

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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

8 authors.

Silvia GiordanoDermatology Clinic, Medical Sciences Department, University of Turin, 10121 Torino, Italy.
Paolo DapavoDermatology Clinic, Medical Sciences Department, University of Turin, 10121 Torino, Italy.
Michela OrtoncelliDermatology Clinic, Medical Sciences Department, University of Turin, 10121 Torino, Italy.
Elena StroppianaDermatology Clinic, Medical Sciences Department, University of Turin, 10121 Torino, Italy.
Anna VerroneDermatology Clinic, Medical Sciences Department, University of Turin, 10121 Torino, Italy.
Pietro QuaglinoDermatology Clinic, Medical Sciences Department, University of Turin, 10121 Torino, Italy.
Simone RiberoDermatology Clinic, Medical Sciences Department, University of Turin, 10121 Torino, Italy.ORCID 0000-0002-0098-1406
Luca MastorinoDermatology Clinic, Medical Sciences Department, University of Turin, 10121 Torino, Italy.ORCID 0000-0001-7386-3219

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInterleukin 23 (IL-23) inhibitors, such as guselkumab, risankziumab, and tildrakizumab, have proved to be highly effective and safe for psoriasis treatment either in bio-naïve or bio-experienced patients. A substantial proportion of patients show a primary or secondary inefficacy to IL-17 inhibitors and can benefit from an alternative line of treatment, like IL-23 inhibitors. To date, no sufficient data are available on the effectiveness of IL-23 inhibitors after an anti-IL-17 agent.

methodsOur study includes 48 patients with moderate to severe psoriasis undergoing a switch from IL-17 to IL-23 inhibitors. This trial is registered with SS_DERMO_20.

resultsThe mean PASI (Psoriasis Area Severity Index) decreases from 11.6 to 3.3 at week 16, with responses maintained at weeks 28 and 52 (2 and 1.4, respectively), and a PASI100 achievement in more than 24% of patients at 16 weeks and 61.9 at 48 weeks, with no occurrence of serious adverse events. However, almost one in six patients interrupted the IL-23 inhibitors mainly due to primary ineffectivenss.

conclusionsOur data support the evidence that an interclass switch among IL-17 inhibitors is a safe and effective therapeutic option for these patients.

Indexed as

IL17 inhibitorsIL23 inhibitorsPASIpsoriasisswitchswitching

Identifiers

PMID38137572
PMCPMC10743732

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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.