Evidence map›Paper›PMID 40579388›Full record

Observational studyInternational journal of dermatology2025

Effectiveness of Bimekizumab in Psoriatic Arthritis: A Multicenter Real-Life Study With Clinical and Ultrasound Evaluation in the Lazio Region, Italy.

Giacomo Caldarola, Annunziata Dattola, Nicoletta Bernardini, Veronica Blundo, Elena Campione, Eleonora De Luca, Domenico Giordano, Alessandro Giunta, Gaia Moretta, Diego Orsini and 3 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in International journal of dermatology, 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. Article
  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

13 authors.

Giacomo CaldarolaUOC di Dermatologia, Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A. Gemelli-IRCCS, Rome, Italy.ORCID https://orcid.org/0000-0002-8837-9232
Annunziata DattolaUnit of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy.ORCID https://orcid.org/0000-0001-9504-5882
Nicoletta BernardiniDermatology Unit, ASL LATINA, Department of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Polo Pontino, Latina, Italy.ORCID https://orcid.org/0000-0002-6295-3574
Veronica BlundoDepartment of Clinical and Molecular Medicine, S. Andrea University Hospital, Sapienza University, Rome, Italy.
Elena CampioneDepartment of Systems Medicine, University of Rome 'Tor Vergata', Rome, Italy.ORCID https://orcid.org/0000-0001-7447-6798
Eleonora De LucaUOC di Dermatologia, Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A. Gemelli-IRCCS, Rome, Italy.ORCID https://orcid.org/0000-0003-3893-2869
Domenico GiordanoUnit of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy.ORCID https://orcid.org/0000-0003-0624-2097
Alessandro GiuntaDermatology, Azienda Ospedaliera Policlinico Tor Vergata, Rome, Italy.ORCID https://orcid.org/0000-0003-3589-9346
Gaia MorettaDermatology Unit, Istituto Dermopatico Dell'immacolata IDI-IRCCS, Rome, Italy.ORCID https://orcid.org/0000-0002-8839-5961
Diego OrsiniClinical Dermatology Unit, San Gallicano Dermatological Institute (IRCCS), Roma, Italy.ORCID https://orcid.org/0000-0002-3190-3988
Gianluca PagnanelliDermatology Unit, Istituto Dermopatico Dell'immacolata IDI-IRCCS, Rome, Italy.ORCID https://orcid.org/0000-0003-0961-6779
Antonio RichettaUnit of Dermatology, Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy.ORCID https://orcid.org/0000-0002-7170-3972
Andrea Picchianti DiamantiDepartment of Clinical and Molecular Medicine, S. Andrea University Hospital, Sapienza University, Rome, Italy.ORCID https://orcid.org/0000-0002-8552-4641

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBimekizumab, a monoclonal antibody targeting interleukin (IL)-17A and IL-17F, has shown efficacy in psoriatic arthritis (PsA) clinical trials, but real-world data on its effectiveness are limited. This study aimed to evaluate its real-world effectiveness in PsA patients treated in dermatologic settings.

methodsWe conducted a multicenter, prospective, observational study in dermatology units across Lazio, Italy, including 20 patients with psoriasis and PsA treated with bimekizumab. Rheumatologic assessments were performed at baseline and after 16 weeks, evaluating tender and swollen joint counts, the Visual Analog Scale (VAS) pain score, the Disease Activity in Psoriatic Arthritis (DAPSA) score, and the Leeds Enthesitis Index (LEI). Ultrasound evaluations (US) of joints and entheses were conducted at baseline and Week 16.

resultsTwenty patients were enrolled, including 10 bio-experienced patients. At 16 weeks, significant improvements were observed in tender joint count (3.65 to 2.15, p = 0.004), swollen joint count (1.35 to 0.55, p = 0.028), VAS pain score (6.35 to 3.35, p < 0.001), DAPSA (22.71 to 8.67, p < 0.001), and LEI (0.85 to 0.25, p = 0.004). US revealed a decrease in the number of patients with power Doppler (PD) positive joints (45% to 25%) and a reduction in synovial PD score (2.26 to 0.81, p = 0.002). The number of patients with US-positive enthesitis decreased (50% to 30%), with a significant reduction in the enthesis PD score (1.00 to 0.25, p = 0.047). Four patients (20%) developed mild candidiasis, with no treatment discontinuation.

conclusionsBimekizumab demonstrated significant, rapid improvements in real-world PsA patients, including those with prior biologic failures. Its favorable safety profile and effectiveness highlight its potential as a valuable treatment option for PsA.

Indexed as

Antibodies, Monoclonal, HumanizedArthritis, PsoriaticAdultAgedFemaleHumansItalyJointsMaleMiddle AgedPain MeasurementProspective StudiesSeverity of Illness IndexTreatment OutcomeUltrasonographyAntibodies, Monoclonal, Humanizedbimekizumabbimekizumabbiologic therapiesInterleukin‐17psoriasispsoriatic arthritisreal‐world effectivenessultrasound

Identifiers

PMID40579388
PMCPMC12508706

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.