Evidence map›Paper›PMID 38274801›Full record

ArticleFrontiers in immunology2023

Drug survival of IL-12/23, IL-17 and IL-23 inhibitors for moderate-to-severe plaque psoriasis: a retrospective multicenter real-world experience on 5932 treatment courses - IL PSO (Italian landscape psoriasis).

Luigi Gargiulo, Luciano Ibba, Piergiorgio Malagoli, Anna Balato, Federico Bardazzi, Martina Burlando, Carlo G Carrera, Giovanni Damiani, Paolo Dapavo, Valentina Dini and 11 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Frontiers in immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
10.6field-weighted citation impact, top 1% 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

35 citing papers in PubMed, 44 citations in OpenAlex.

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  11. Lung abscess as an adverse effect of Risankizumab.European clinical respiratory journal · 2026
    Article
  12. IL-23 Inhibitors in Psoriasis: What Have We Learnt so Far?Journal of inflammation research · 2026
    Review
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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

21 authors at 18 institutions in 1 country.

Luigi Gargiulo *Dermatology Unit, IRCCS Humanitas Research Hospital, Milan, Italy.
Luciano Ibba *Dermatology Unit, IRCCS Humanitas Research Hospital, Milan, Italy.
Piergiorgio MalagoliDepartment of Dermatology, Dermatology Unit, Azienda Ospedaliera San Donato Milanese, Milan, Italy.
Anna BalatoDermatology Unit, University of Campania L. Vanvitelli, Naples, Italy.
Federico BardazziDermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola-Malpighi, Bologna, Italy.
Martina BurlandoSection of Dermatology, Department of Health Sciences (DISSAL), IRCCS San Martino University Hospital, Genoa, Italy.
Carlo G CarreraDermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Giovanni DamianiDepartment of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.
Paolo DapavoDepartment of Biomedical Science and Human Oncology, Second Dermatologic Clinic, University of Turin, Turin, Italy.
Valentina DiniDermatology Unit, Department of Clinical and Experimental Medicine, Ospedale Santa Chiara, Pisa, Italy.
Francesca M GaianiDepartment of Dermatology, Dermatology Unit, Azienda Ospedaliera San Donato Milanese, Milan, Italy.
Giampiero GirolomoniDepartment of Medicine, Section of Dermatology and Venereology, University of Verona, Verona, Italy.
Claudio GuarneriDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy.
Claudia LasagniDermatological Clinic, Department of Specialized Medicine, University of Modena, Modena, Italy.
Francesco LoconsoleDepartment of Dermatology, University of Bari, Bari, Italy.
Angelo V MarzanoDermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Matteo MegnaSection of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Santo R MercuriDermatology and Cosmetology Unit, IRCCS San Raffaele Hospital, Milan, Italy.
Massimo TravagliniU.O.S.D. Dermatologica - Centro per la Cura della Psoriasi, Ospedale Perrino, Brindisi, Italy.
Antonio CostanzoDermatology Unit, IRCCS Humanitas Research Hospital, Milan, Italy.
Alessandra NarcisiDermatology Unit, IRCCS Humanitas Research Hospital, Milan, Italy.
Humanitas University · ITIRCCS Policlinico San Donato · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITIRCCS Humanitas Research Hospital · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITIstituto di Ricovero e Cura a Carattere Scientifico San RaffaeleOspedale A. Perrino · ITOspedale Policlinico San Martino · ITOspedale Santa Chiara · ITPoliclinico S.Orsola-Malpighi · ITUniversity of Bari Aldo Moro · ITUniversity of Campania "Luigi Vanvitelli" · ITUniversity of Messina · ITUniversity of Milan · ITUniversity of Modena and Reggio Emilia · ITUniversity of Naples Federico II · ITUniversity of Turin · ITUniversity of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The development of several effective biological drugs for moderate-to-severe plaque psoriasis has dramatically changed the lives of patients. Despite the wide use of interleukin (IL) inhibitors, limited data are available to date regarding long-term treatment persistence. Method: This multicenter retrospective real-world study evaluated 5932 treatment courses across 5300 patients, all treated with interleukin inhibitors. Drug survival was expressed by using the Kaplan-Meier estimator for each biological drug at 6, 12, 24, 36 and 48 months. We also stratified by discontinuation associated with primary or secondary ineffectiveness. Results: In our study, the most prescribed drugs were secukinumab (1412), ixekizumab (1183), and risankizumab (977). After four years of follow-up, risankizumab emerged as the treatment with the highest drug survival overall, as 91.6% of patients were still on treatment. The overall probability of drug survival at four years was comparable for tildrakizumab (83.5%), ixekizumab (82.6%), guselkumab (82.4%) and brodalumab (81.8%). When evaluating only patients who discontinued the treatment because of ineffectiveness, once again risankizumab was the molecule with the highest drug survival at 4 years (93.4%), this time followed by ixekizumab (87%). Our study, in which all IL inhibitors were adequately represented, confirmed a slightly better treatment persistence for IL-23 inhibitors, consistent with other real-world studies. Conclusion: Our experience showed that IL-23 inhibitors, and risankizumab in particular, had a higher probability of drug survival overall during a 4-year follow-up. Risankizumab and ixekizumab were less likely to be discontinued because of ineffectiveness after four years.

Indexed as

Biological ProductsPsoriasisHumansInterleukin-12Interleukin-17Interleukin-23Interleukin InhibitorsItalyRetrospective StudiesBiological ProductsInterleukin-12Interleukin-17Interleukin-23Interleukin InhibitorsIL-inhibitorsimmunomodulatory therapiesinflammatory skin diseasespsoriasispsoriasis treatment

Identifiers

PMID38274801
PMCPMC10808601
OpenAlexW4390744965

What OpenQuestion holds

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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.