Evidence map›Paper›PMID 41903016›Full record

ArticleDermatology and therapy2026

Tildrakizumab Real-World Experience (T-REX) in Plaque Psoriasis: Meta-Analysis of Four Non-interventional Studies.

Athanasios Tsianakas, Nina Magnolo, Afra Kempf, Frank Andersohn, Astrid Kirsch, Georgios Kokolakis, Dennis Niebel

Abstract read
In one paragraph

Article in Dermatology and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Athanasios Tsianakas *Department of Dermatology, Fachklinik Bad Bentheim, Am Bade 1, 48455, Bad Bentheim, Germany. a.tsianakas@fk-bentheim.de.ORCID http://orcid.org/0000-0003-1563-7402
Nina Magnolo *Klinik für Hautkrankheiten, Universitätsklinikum Münster, Von-Esmarch-Str. 58, 48149, Münster, Germany.ORCID http://orcid.org/0000-0001-6802-0153
Afra KempfAlmirall Hermal GmbH, Scholtzstraße 3, 21465, Reinbek, Germany.
Frank AndersohnFrank Andersohn Consulting and Research Services, Jablonskistr. 26, 10405, Berlin, Germany.
Astrid KirschAlmirall Hermal GmbH, Scholtzstraße 3, 21465, Reinbek, Germany.
Georgios Kokolakis *Department of Dermatology, Venereology, and Allergology, Charité-Universitätsmedizin, Charitéplatz 1, 10117 Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0002-8042-7885
Dennis Niebel *Klinik und Poliklinik für Dermatologie, Universitätsklinikum Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Germany.ORCID http://orcid.org/0000-0003-2069-0486

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTildrakizumab, an anti-IL-23p19 antibody, is registered for the treatment of adults with moderate-to-severe plaque psoriasis who are candidates for systemic therapy. Its effectiveness in specific patient subgroups-e.g. those with high body weight, high disease burden, involvement of high-impact areas or older patients-is often underrepresented in randomised clinical trials and better captured in real-world settings. To address this gap, the present meta-analysis was undertaken to synthesise data from four observational studies conducted in Germany (TILOT, TiGER, TIL-SENIOR, TIL-TWO), each focusing on distinct psoriasis populations.

methodsThis meta-analysis of four prospective multicentre non-interventional studies evaluated the effectiveness and safety of tildrakizumab in different patient populations with moderate-to-severe plaque psoriasis. Outcome parameters assessed at baseline, week 16 and 28 included absolute Psoriasis Area Severity Index (PASI) values, proportion of patients with PASI < 1, < 3, < 5, PASI 75, PASI 90 and PASI 100, body surface area (BSA), Physician's Global Assessment (PGA) 0/1 and Dermatology Life Quality Index (DLQI) 0/1. The meta-analysis was conducted using a random effects model.

resultsThe meta-analysis included 1504 patients. The course of the absolute PASI and BSA and the proportion of patients achieving PASI < 3, PASI 75, 90, 100, PGA 0/1 and DLQI 0/1 at week 28 was comparable across all four studies. Overall, mean PASI scores decreased from 16.5 (95% confidence intervals (CI) 15.8-17.3) at baseline to 2.8 (95% CI 2.5-3.0) at week 28. The proportion of patients with PGA 0/1 and DLQI 0/1 increased from 1.8% and 3.7% at baseline to 63.5% and 51.2% at week 28, respectively. No new safety signals were identified.

conclusionsTildrakizumab showed consistent effectiveness across different study populations. Substantial effectiveness was achieved over 28 weeks. Safety results were comparable across populations, without outliers in older patients or patients with higher disease burden. Graphical abstract available for this article.

Indexed as

IL-23PASIPsoriasisQuality of lifeReal-world evidenceSpecial populations; tildrakizumab

Identifiers

PMID41903016
PMCPMC13219620

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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.