Evidence map›Paper›PMID 39453881›Full record

ArticleDermatology practical & conceptual2024

A prospective Real-Life Multicenter Study of Tildrakizumab 200 mg in Patients with Moderate-Severe Psoriasis: Who is the Ideal Patient?

Eugenia Veronica Di Brizzi, Stefano Caccavale, Roberta Di Caprio, Francesco Cusano, Rocco De Pasquale, Valeria Falcomatà, Caterina Foti, Claudia Giofrè, Emanuela Gubinelli, Giampiero Mazzocchetti and 6 more

Abstract read
In one paragraph

Article in Dermatology practical & conceptual, 2024. 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.

  1. Article
  2. IL-23 Inhibitors in Psoriasis: What Have We Learnt so Far?Journal of inflammation research · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. 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

16 authors.

Eugenia Veronica Di BrizziDermatology Unit, University of Campania "L. Vanvitelli".
Stefano CaccavaleDermatology Unit, University of Campania "L. Vanvitelli".
Roberta Di CaprioDermatology Unit, University of Campania "L. Vanvitelli".
Francesco CusanoDepartment of Dermatology, San Pio Hospital, Benevento, Italy.
Rocco De PasqualeU.O. Dermatologia, Ospedale San Marco, Catania, Italy.
Valeria FalcomatàGreat Metropolitan Hospital Bianchi Melacrino Morelli, Reggio Calabria, Italy.
Caterina FotiSection of Dermatology, Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy.
Claudia GiofrèU.O.C. Dermatology Unit, "Papardo" Hospital, Messina, Italy.
Emanuela GubinelliIstituto Dermopatico dell'Immacolata, IRCCS, Rome, Italy.
Giampiero MazzocchettiUOSD Dermatologia ASL1 Pescara, 65124 Pescara, Italy.
Massimiliano NicoliniCarlo Urbani Hospital, Jesi, Ancona, Italy.
Giovanni PalazzoDermatology, Ospedale distrettuale "A. Lo Dico", Matera, Italy.
Leonardo PescitelliUnit of Dermatology, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy.
Rosa Valentina PucaDepartment of Dermatology and Dermosurgery, AOSG San Giuseppe Moscati, 83100 Avellino, Italy.
Oriele SarnoDepartment of Dermatology and Dermosurgery, AOSG San Giuseppe Moscati, 83100 Avellino, Italy.
Anna BalatoDermatology Unit, University of Campania "L. Vanvitelli".

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTildrakizumab, a humanized monoclonal antibody targeting the p19 subunit of interleukin 23 (IL-23), has shown promise in the management of moderate-to-severe plaque psoriasis, offering potential improvements in clinical outcomes and quality of life.

objectivesThe study aimed to identify patient characteristics that indicate the initiation of a 200 mg dosage of tildrakizumab in a real-world setting, focusing on factors that enhance treatment effectiveness and safety.

methodsThis prospective study included 54 adult patients with moderate-to-severe plaque psoriasis treated with tildrakizumab 200 mg from March 2023 to March 2024 across 13 Italian Dermatology Units. Data collected included demographics, disease duration, comorbidities, and previous treatments. PASI, BSA, and DLQI scores were recorded at baseline and at weeks 4, 16, and 28. Safety was assessed through adverse event reporting. Univariate analysis was performed to identify baseline characteristics significantly associated with achieving PASI ≤ 5 at week 16.

resultsSignificant reductions in PASI scores were observed at week 4 (9 ± 6.9, P < 0.001), with further improvements at weeks 16 (3.9 ± 4.2, P < 0.001) and 28 (2.9 ± 4.4, P < 0.001). Univariate analysis showed that obese patients (BMI > 30) had higher odds (OR = 4.333, P < 0.05) of achieving PASI ≤ 5. Longer disease duration and starting with a 100 mg dosage also correlated with better outcomes. The safety profile was favorable, with minimal adverse events reported.

conclusionsTildrakizumab 200 mg is effective and safe for moderate-to-severe psoriasis, particularly in obese patients. These findings support its use as a long-term treatment option.

Identifiers

PMID39453881
PMCPMC11620192

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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.