Evidence map›Paper›PMID 40534202›Full record

ArticleActa dermato-venereologica2025

Real-world Cost per Responder Among Different Classes of Biologics for the Treatment of Psoriasis.

Linda T H Godding, Marieke M B Seyger, Albert Duvetorp, Marisol E Otero, Paul M Ossenkoppele, Annet M Oostveen, M Birgitte Visch, Ella A M Van der Voort, John E M Körver, Lizelotte J M T Weppner-Parren and 17 more

Abstract readComparative Study
In one paragraph

Article in Acta dermato-venereologica, 2025. 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. Trial
  2. 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

27 authors.

Linda T H GoddingDepartment of Dermatology, Radboud University Medical Centre, Nijmegen, The Netherlands. linda.godding@radboudumc.nl.
Marieke M B SeygerDepartment of Dermatology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Albert DuvetorpLeo Foundation Skin Immunology Research Center, Department of Immunology and Microbiology, University of Copenhagen, Copenhagen, Denmark; Department of Clinical Sciences Malmö, Lund University, Lund, Sweden; Department of Dermatology Malmö, Skåne University Hospital, Region Skåne, Malmö, Sweden.
Marisol E OteroDepartment of Dermatology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Paul M OssenkoppeleDepartment of Dermatology, Ziekenhuisgroep Twente, Almelo/Hengelo, The Netherlands.
Annet M OostveenDepartment of Dermatology, Gelre Ziekenhuizen, Apeldoorn/Zutphen, The Netherlands.
M Birgitte VischDepartment of Dermatology, Ziekenhuis Rijnstate, Arnhem, The Netherlands.
Ella A M Van der VoortDepartment of Dermatology/dermaTeam Research, Bravis, Bergen op Zoom, The Netherlands.
John E M KörverDepartment of Dermatology, Amphia ziekenhuis, Breda, The Netherlands.
Lizelotte J M T Weppner-ParrenDepartment of Dermatology, Jeroen Bosch Ziekenhuis, 's-Hertogenbosch, The Netherlands.
Maartje A M BerendsDepartment of Dermatology, Slingeland Ziekenhuis, Doetinchem, The Netherlands.
W Peter ArnoldDepartment of Dermatology, Ziekenhuis Gelderse Vallei, Ede, The Netherlands.
Sharon R P DodemontDepartment of Dermatology, Catharina Ziekenhuis, Eindhoven, The Netherlands.
Astrid L A KuijpersDepartment of Dermatology, Máxima MC, Eindhoven, The Netherlands.
Johannes M MommersDepartment of Dermatology, Anna Ziekenhuis, Geldrop, The Netherlands.
Femke M HomanDepartment of Dermatology, Ziekenhuisgroep Twente, Almelo/Hengelo, The Netherlands.
Antoni H GostynskiDepartment of Dermatology, Maastricht University Medical Centre, Maastricht, The Netherlands; GROW, Research Institute for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.
Berit VelstraDepartment of Dermatology, St Antonius Ziekenhuis, Nieuwegein, The Netherlands.
Marloes M KleinpenningDepartment of Dermatology, Canisius Wilhelmina Ziekenhuis, Nijmegen, The Netherlands.
Martijn B A Van DoornDepartment of Dermatology, Erasmus MC, Rotterdam, The Netherlands.
Romy R M C KeijsersDepartment of Dermatology, Zuyderland Medisch Centrum, Sittard-Geleen/Heerlen, The Netherlands.
Else N KopDepartment of Dermatology, Bernhoven, Uden, The Netherlands.
Inge M HaeckDepartment of Dermatology, Utrecht Medisch Centrum, Utrecht, The Netherlands.
Judith H J Hendricksen-RoelofzenDepartment of Dermatology, Streekziekenhuis Koningin Beatrix, Winterswijk, The Netherlands.
Douwe VellingaDepartment of Dermatology, Alrijne hospital, Leiderdorp, The Netherlands.
Elke M G J De JongDepartment of Dermatology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Juul M P A Van den ReekDepartment of Dermatology, Radboud University Medical Centre, Nijmegen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although biologics have revolutionized psoriasis treatment, they pose a significant burden on the healthcare budget. With the wide range of biologics available and the increasing number of biosimilars, insights into the real-world cost per responder (CPR) are required. Therefore, this study aims to evaluate the real-world CPR of adalimumab, ustekinumab, IL17- and IL23-inhibitors, incorporating both relative (Psoriasis Area and Severity Index; PASI75/90/100) and absolute (PASI ≤ 3/ ≤ 1) responder definitions and real-world dose adjustments. Tildrakizumab and bimekizumab were excluded due to limited data. Using Dutch list prices and discounts on adalimumab's and ustekinumab's originator prices because of biosimilar availability, adalimumab showed the lowest 1-year CPR across all responder definitions. Among biologics without biosimilar availability, the lowest CPRs were seen for brodalumab and guselkumab. Overall, the cost-per-PASI ≤ 3-responder was, across all biologics, more homogeneous than the CPR based on relative PASIs. Similar patterns were seen when using Swedish prices, which are, in contrast to Dutch prices, transparent. The relevance of using real-world data, specifically with the use of absolute PASIs instead of relative PASIs, is shown in this study. Additionally, as price fluctuations have the biggest impact on cost-effectiveness, price transparency is essential to effectively guide physicians in selecting a cost-effective treatment strategy.

Indexed as

Biological ProductsDermatologic AgentsDrug CostsPsoriasisBiosimilar PharmaceuticalsCost-Benefit AnalysisHumansInterleukin-23Severity of Illness IndexTime FactorsTreatment OutcomeBiological ProductsBiosimilar PharmaceuticalsDermatologic AgentsInterleukin-23

Identifiers

PMID40534202
PMCPMC12186437

What OpenQuestion holds

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Registered trials

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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.