Evidence map›Paper›PMID 38907878›Full record

ArticleDermatology and therapy2024

Ustekinumab in Hidradenitis Suppurativa: A Systematic Review and Meta-analysis.

Rahul Masson, Justine Seivright, Tristan Grogan, Swetha Atluri, Iltefat Hamzavi, Marcia Hogeling, Vivian Y Shi, Jennifer L Hsiao

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Article in Dermatology and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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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.

Rahul MassonKeck School of Medicine of USC, University of Southern California, Los Angeles, CA, USA.
Justine SeivrightDepartment of Internal Medicine, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA, USA.
Tristan GroganDepartment of Medicine Statistics Core, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
Swetha AtluriUniversity of Arizona College of Medicine, Tucson, AZ, USA.
Iltefat HamzaviDepartment of Dermatology, Henry Ford Hospital, Detroit, MI, USA.
Marcia HogelingDivision of Dermatology, University of California Los Angeles, Los Angeles, CA, USA.
Vivian Y ShiDepartment of Dermatology, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Jennifer L HsiaoDepartment of Dermatology, University of Southern California, 1441 Eastlake Ave, Ezralow Tower, Suite 5301, Los Angeles, CA, 90033-9174, USA. j.hsiao.publications@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHidradenitis suppurativa (HS) is a frequently debilitating, inflammatory skin condition. Patients may have a limited response to adalimumab, currently the only Food and Drug Administration (FDA)-approved biologic treatment for HS. Ustekinumab is an interleukin-12/23 inhibitor that has been utilized in HS, but there is a lack of an updated systematic review on its efficacy and safety. The aim of this study is to perform a systematic review and meta-analysis of the literature on the efficacy and safety of ustekinumab for HS.

methodsIn October 2022, MEDLINE and Embase databases were searched for articles on ustekinumab in HS. Data extraction was performed on relevant articles by two reviewers. The primary study outcome was the pooled response rate of HS to ustekinumab. A fixed-effects meta-analysis was performed, and Cochran's Q statistic and I squared index were used to assess heterogeneity. Statistical significance was determined at p < 0.05. This article is based on previously conducted studies and does not contain any new studies with human participants or animals performed by any of the authors.

resultsFrom 2012 to 2022, ten articles (nine case series and one prospective trial) with 88 patients met the inclusion criteria. Patients with reported disease severity had Hurley stage II (17.6%, 12/68) or III (82.4%, 56/68) disease. The majority (80.7%, 71/88) had previously failed at least one biologic treatment. A meta-analysis of all ten studies showed a pooled response rate of 67% (95% CI 0.57-0.76). Study limitations include a small number of patients and randomized controlled trials (RCTs).

conclusionsUstekinumab may be a helpful treatment option to consider for HS that is recalcitrant to first-line biologic therapies, but RCTs are needed to determine optimal dosing regimens and the specific patient populations that would benefit the most from this agent.

Indexed as

Biologic treatmentsHidradenitis suppurativaMeta-analysisSystematic reviewUstekinumab

Identifiers

PMID38907878
PMCPMC11265041

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