Evidence map›Paper›PMID 39224116›Full record

ArticleJID innovations : skin science from molecules to population health2024

Differential Pharmacodynamic Effects on Psoriatic Biomarkers by Guselkumab Versus Secukinumab Correlate with Long-Term Efficacy: An ECLIPSE Substudy.

Andrew Blauvelt, Yanqing Chen, Patrick J Branigan, Xuejun Liu, Samuel DePrimo, Brice E Keyes, Monica Leung, Steven Fakharzadeh, Ya-Wen Yang, Ernesto J Muñoz-Elías and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in JID innovations : skin science from molecules to population health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03090100 (A Phase 3, Multicenter, Randomized, Double-blind Study Evaluating the Comparative Efficacy of CNTO 1959), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT03090100 phase3completednot on this map

A Phase 3, Multicenter, Randomized, Double-blind Study Evaluating the Comparative Efficacy of CNTO 1959 (Guselkumab) and Secukinumab for the Treatment of Moderate to Severe Plaque-type Psoriasis

TypeinterventionalSponsorJanssen Research & Development, LLCRan2017 to 2018Enrolled1,048ConditionsPsoriasisArmsGuselkumab, Placebo, Secukinumab
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Review
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.

Andrew BlauveltBlauvelt Consulting LLC, Lake Oswego, Oregon, USA.
Yanqing ChenJanssen Research & Development, LLC, San Diego, California, USA.
Patrick J BraniganJanssen Research & Development, LLC, Spring House, Pennsylvania, USA.
Xuejun LiuJanssen Research & Development, LLC, San Diego, California, USA.
Samuel DePrimoJanssen Research & Development, LLC, San Diego, California, USA.
Brice E KeyesJanssen Research & Development, LLC, San Diego, California, USA.
Monica LeungJanssen Research & Development, LLC, San Diego, California, USA.
Steven FakharzadehJanssen Pharmaceutical Companies of Johnson & Johnson, LLC, Horsham, Pennsylvania, USA.
Ya-Wen YangJanssen Pharmaceutical Companies of Johnson & Johnson, LLC, Horsham, Pennsylvania, USA.
Ernesto J Muñoz-ElíasJanssen Research & Development, LLC, San Diego, California, USA.
James G KruegerLaboratory for Investigative Dermatology, The Rockefeller University, New York, New York, USA.
Richard G LangleyDepartment of Medicine, Faculty of Medicine, Dalhousie University, Halifax, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

IL-23 is a cytokine produced by myeloid cells that drives the T helper 17 pathway and plays an essential role in the pathophysiology of plaque psoriasis. IL-23 activation initiates a cascade of cytokines subsequently inducing the expression of many psoriasis-related proteins. This study aimed to better understand the underlying mechanisms driving the differences between IL-23 and IL-17A blockade in patients with psoriasis and their implications for durability of clinical responses. Serum and/or skin biopsies were isolated from patients treated with guselkumab or secukinumab for evaluation of potential biomarkers of pharmacodynamic response to treatment. Guselkumab treatment led to significantly greater reductions of IL-17F and IL-22 serum levels than treatment with secukinumab at weeks 24 and 48, demonstrating sustained regulation of the IL-23/T helper 17 pathway. Analyses of proteomic and transcriptomic profiles of patient sera and skin biopsies demonstrated differential regulation of proteins involved in chemokine, TNF, and relevant immune signaling pathways to a greater degree with guselkumab than with secukinumab treatment. These data provide insights into the differences between the mechanisms and impact of IL-23 and IL-17A blockade in psoriasis, with implications for efficacy observations and treatment paradigms. Trial Registration: The original study was registered at ClinicalTrials.gov (NCT03090100).

Indexed as

GuselkumabPDPsoriasisSecukinumab

Identifiers

PMID39224116
PMCPMC11367549

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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.