Evidence map›Paper›PMID 39283416›Full record

ArticleDermatology and therapy2024

Impact of Disease Burden of Patients with Psoriasis on Biologic Therapy Switching: Real-World Evidence from the CorEvitas Psoriasis Registry.

Andrew Blauvelt, Robert R McLean, Silky W Beaty, Adam P Sima, Robert Low, Jeffrey L Stark, Laura McClung, Jerry Bagel

Abstract read
In one paragraph

Article in Dermatology and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 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.

Andrew BlauveltOregon Medical Research Center, 9495 SW Locust Street, Suite G, Portland, OR, 97223, USA. blauveltconsults@gmail.com.ORCID http://orcid.org/0000-0002-2633-985X
Robert R McLeanCorEvitas, LLC, Waltham, MA, USA.ORCID http://orcid.org/0000-0001-5352-3794
Silky W BeatyUCB, Inc., Smyrna, GA, USA.ORCID http://orcid.org/0000-0002-1071-802X
Adam P SimaCorEvitas, LLC, Waltham, MA, USA.ORCID http://orcid.org/0000-0001-8426-9987
Robert LowUCB, Inc., Smyrna, GA, USA.
Jeffrey L StarkUCB, Inc., Smyrna, GA, USA.ORCID http://orcid.org/0000-0001-7716-2727
Laura McClungUCB, Inc., Smyrna, GA, USA.ORCID http://orcid.org/0000-0002-2368-9782
Jerry BagelCorEvitas, LLC, Waltham, MA, USA.ORCID http://orcid.org/0000-0001-5241-0915

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDue to variable psoriasis symptoms, disease progression, and individual responses to therapy, patients may start, stop, or switch biologic therapies. Real-world data on the associated disease burden of patients with psoriasis who do and do not switch biologics are incomplete.

methodsThis study compared disease burden among patients from the CorEvitas Psoriasis Registry (July 2017-December 2021) who switched biologics and those who did not within 4-12 months following initiation. Disease-related patient-reported outcomes (PROs) were recorded, including skin pain, itching, activity impairment, and effects on health-related quality of life (HRQoL). Disease severity was measured by body surface area (BSA) and Psoriasis Area and Severity Index (PASI). Unadjusted and adjusted regression models were used to compare study outcome measures between the two groups.

resultsThis study included 2145 patients, with 159 classified as switchers and 1986 as non-switchers. The most common reason for switching therapy was failure to maintain initial response (51.7%; n = 78). Moderate-to-severe disease (BSA ≥ 3) was found among 83.0% (n = 132) of switchers versus 26.1% (n = 516) of non-switchers. PASI > 5 was reported among 49.7% (n = 79) of switchers versus 8.6% (n = 171) of non-switchers. Differences in skin pain, itching, and effects on HRQoL between switchers and non-switchers were larger in magnitude for bio-experienced patients.

conclusionsPatients who switched biologic therapy experienced a greater disease burden of psoriasis across PROs than non-switchers. Patient-centered factors may be important drivers of biologic switching. Our findings suggest the association between switching and disease burden may be stronger among patients with prior biologic therapy experience.

Indexed as

BiologicsCorEvitas Psoriasis RegistryPsoriasisPsoriasis treatment patternsReal-world evidenceTherapy switchWPAI

Identifiers

PMID39283416
PMCPMC11480277

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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.