Evidence map›Paper›PMID 39673433›Full record

ArticleJournal of cutaneous medicine and surgery

Real-World Effectiveness of Tildrakizumab for Moderate-to-Severe Plaque Psoriasis in Canada.

Mohannad Abu-Hilal, Jeff Cowger, Mohammed Bawazir, Dusan Sajic, Iryna Savinova, Belinda Yap, Rami El-Sayegh, Talshyn Bolatova, Pak Chan, Ajith Cy

Abstract readMulticenter Study
In one paragraph

Article in Journal of cutaneous medicine and surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Biological Treatment of Psoriasis-Data So Far.Pharmaceuticals (Basel, Switzerland) · 2026
    Review
  2. IL-23 Inhibitors in Psoriasis: What Have We Learnt so Far?Journal of inflammation research · 2026
    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

10 authors.

Mohannad Abu-HilalDivision of Dermatology, McMaster University, Hamilton, ON, Canada.ORCID 0000-0001-9702-2086
Jeff CowgerSkin Therapy Centre, Advanced Medical Group, London, ON, Canada.
Mohammed BawazirFalls Dermatology Centre, Niagara Falls, ON, Canada.
Dusan SajicAlliance Clinical Trials and Probity Medical Research, Inc., Waterloo, ON, Canada.
Iryna SavinovaFaculty of Health Sciences Michael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada.ORCID 0000-0002-0413-3033
Belinda YapCencora, Innomar Strategies Inc., Oakville, ON, Canada.
Rami El-SayeghCencora, Innomar Strategies Inc., Oakville, ON, Canada.
Talshyn BolatovaCencora, Innomar Strategies Inc., Oakville, ON, Canada.
Pak ChanSun Pharma Canada Inc., Brampton, ON, Canada.
Ajith CyAlliance Clinical Trials and Probity Medical Research, Inc., Waterloo, ON, Canada.ORCID 0009-0007-4953-6411

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTildrakizumab is an interleukin-23 inhibitor approved in Canada in 2021 for the treatment of adults with moderate-to-severe plaque psoriasis.

objectivesTo evaluate real-world effectiveness of tildrakizumab for the treatment of moderate-to-severe plaque psoriasis in Canada.

methodsA multicenter, retrospective study was conducted in Canada in adults with moderate-to-severe plaque psoriasis for ≥1 year treated with tildrakizumab for ≥12 weeks. Effectiveness was evaluated from proportions of patients achieving ≥75%/≥90%/100% improvement from baseline in Psoriasis Area and Severity Index (PASI 75/90/100 response) and Physician Global Assessment (PGA) 0 or 1 at weeks 16 (±4), 24 (±8), and 48 (±12). Subgroup analyses were performed based on prior biologic use and special site involvement.

resultsThe study included 75 patients (mean age, 50.5 years; 52.0% female; 82.7% bio-naïve; 73.3% with special site involvement). Absolute mean (standard deviation) PASI score improved from 16.1 (6.7) at baseline to 1.3 (1.7) at the week 48 (91.7% improvement), 95.7%/69.6%/34.8% of patients achieved PASI 75/90/100 response, and 93.0% achieved PGA 0/1 at the week 48. In subgroup analyses, 94.7%/71.1%/34.2% of bio-naïve patients, 100.0%/62.5%/37.5% of bio-experienced patients, 100.0%/71.4%/28.6% of patients with special site involvement, and 81.8%/63.6%/54.6% of patients without special site involvement achieved PASI 75/90/100 response, and 87.5%, 94.3%, 97.0%, and 80.0% of patients, respectively, achieved PGA 0/1 at the week 48. None of the differences among subgroups were statistically significant; however, patient numbers were too small to support robust conclusions.

conclusionsTildrakizumab is effective for the treatment of moderate-to-severe plaque psoriasis in adults in a real-world setting in Canada.

Indexed as

Antibodies, Monoclonal, HumanizedPsoriasisAdultAgedCanadaFemaleHumansMaleMiddle AgedRetrospective StudiesSeverity of Illness IndexTreatment OutcomeYoung AdultAntibodies, Monoclonal, Humanizedtildrakizumabanti–IL-23psoriasisreal-worldtildrakizumab

Identifiers

PMID39673433
PMCPMC11979299

What OpenQuestion holds

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LicenceCC BY
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.