Evidence map›Paper›PMID 39520657›Full record

Observational studyAdvances in therapy2025

Comparative Effectiveness of Biologic Classes in Clinical Practice: Month 12 Outcomes from the International Observational Psoriasis Study of Health Outcomes (PSoHO).

Saakshi Khattri, Álvaro González-Cantero, Burhan Engin, Sunil Dogra, Caroline A Murphy, Christopher Schuster, Naoto Tsujimoto, Georgia Martimianaki, Anastasia Lampropoulou, Aya Alsharafi and 2 more

Abstract readObservational StudyComparative StudyMulticenter Study
In one paragraph

Observational study in Advances in therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Medicina (Kaunas, Lithuania) · 2026
    Observational
  2. Article
  3. Article
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.

Saakshi KhattriDepartment of Dermatology, Icahn School of Medicine at Mount Sinai, New York City, USA.
Álvaro González-CanteroDepartment of Dermatology, Hospital Universitario Ramón y Cajal, IRYCIS, Colmenar Viejo Km 9.100, 28034, Madrid, Spain.
Burhan EnginDepartment of Dermatology, Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Sunil DograDepartment of Dermatology, Venereology, and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Caroline A MurphyEli Lilly and Company, Indianapolis, IN, USA. caroline.murphy@lilly.com.
Christopher SchusterEli Lilly and Company, Indianapolis, IN, USA.
Naoto TsujimotoEli Lilly and Company, Kobe, Japan.
Georgia MartimianakiEli Lilly and Company, Indianapolis, IN, USA.
Anastasia LampropoulouEli Lilly and Company, Indianapolis, IN, USA.
Aya AlsharafiEli Lilly and Company, Indianapolis, IN, USA.
Bruce KonicekEli Lilly and Company, Indianapolis, IN, USA.
Felix LaufferDepartment of Dermatology, Ludwig-Maximilians University Hospital, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionStudies directly comparing the effectiveness of different biologics over long observation periods are lacking. As many treatment guidelines are formulated based on drug class, there is a particular need to compare drug classes rather than specific biologic agents.

methodsThis post hoc analysis compares the effectiveness and durability of biologics that target the interleukin (IL)-17 A ligands or the IL-17 receptor A (IL-17RA) relative to other approved drug classes in patients with moderate-to-severe plaque psoriasis, through 12 months in a real-world setting.

resultsIn the Psoriasis Study of Health Outcomes (PSoHO) (N = 1981), patients treated with anti-IL-17A/RA resulted in a higher proportion of patients who achieved the primary outcome [proportion of patients who had at least a 90% improvement in Psoriasis Area and Severity Index score (PASI90) and/or a score of 0 or 1 in static Physician Global Assessment (sPGA)] compared to anti-IL-23-, anti-IL-12/23-, and tumor necrosis factor (TNF)-α-treated patients at week 12, month 6, and month 12, except versus anti-IL-23 at month 12. Similar trends were observed for a 100% improvement in PASI score (PASI100), PASI90, and Dermatology Life Quality Index score of 0 or 1 [DLQI (0,1)]. At month 12, the unadjusted response rates across the drug classes were 53.5-69.1% for the primary outcome, 27.6-40.8% for PASI100, 41.7-55.9% for PASI90, and 31.8-33.0% for DLQI (0,1). Regarding the durability of effectiveness, anti-IL-17A/RA patients had the highest response rate, and for the adjusted analysis, using Frequentist Model Averaging (FMA), patients had 1.4-2.6 times higher odds of achieving the primary durability outcome compared to patients treated with any other drug class.

conclusionOverall, anti-IL-17A/RA had the highest effectiveness of achieving early response to treatment and maintaining that response through 12 months compared to other drug classes.

trial registrationThe study was registered at the European Network of Centers for Pharmacoepidemiology and Pharmacovigilance (ENCEPP24207).

Indexed as

Biological ProductsDermatologic AgentsPsoriasisAdultAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedComparative Effectiveness ResearchFemaleHumansInterleukin-17Interleukin-23MaleMiddle AgedReceptors, Interleukin-17Severity of Illness IndexTreatment OutcomeAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedBiological ProductsDermatologic AgentsInterleukin-17Interleukin-23Receptors, Interleukin-17Biologic therapiesDLQIIL-17APASI100PASI90PSoHOPsoriasis

Identifiers

PMID39520657
PMCPMC11782404

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.