Evidence map›Paper›PMID 41906525›Full record

ArticleInternational journal of dermatology2026

Superior Clinical and Economic Value of IL-23 Inhibitors Versus Adalimumab Biosimilars in Plaque Psoriasis.

Gennaro Marco Falco, Elena Ippoliti, Niccolò Gori, Giacomo Caldarola, Clara De Simone, Nicoletta Di Giorgi, Paulo Gabriel Longo, Marco Galluzzo, Luca Bianchi, Lorenzo Marcelli and 4 more

Abstract readComparative Study
In one paragraph

Article in International journal of dermatology, 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

14 authors.

Gennaro Marco FalcoDermatologia, Dipartimento Universitario di Medicina e Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID https://orcid.org/0009-0001-1219-9008
Elena IppolitiDermatologia, Dipartimento Universitario di Medicina e Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID https://orcid.org/0009-0009-6455-0531
Niccolò GoriDermatologia, Dipartimento Universitario di Medicina e Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, Rome, Italy.
Giacomo CaldarolaDermatologia, Dipartimento Universitario di Medicina e Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID https://orcid.org/0000-0002-8837-9232
Clara De SimoneDermatologia, Dipartimento Universitario di Medicina e Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, Rome, Italy.
Nicoletta Di GiorgiReal World Data Facility, Gemelli Generator, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Paulo Gabriel LongoReal World Data Facility, Gemelli Generator, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Marco GalluzzoDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Luca BianchiDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Lorenzo MarcelliDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Marina TalamontiDermatology Unit, Fondazione Policlinico Tor Vergata, Rome, Italy.
Maria Vittoria CannizzaroDermatologia, Dipartimento Universitario di Medicina e Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID https://orcid.org/0000-0001-6805-1005
Lucia Di NardoDermatologia, Dipartimento Universitario di Medicina e Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, Rome, Italy.
Ketty PerisDermatologia, Dipartimento Universitario di Medicina e Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID https://orcid.org/0000-0003-1957-6600

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn recent years, the introduction of interleukin (IL)-23 inhibitors has revolutionized psoriasis treatment, allowing the majority of patients to achieve a long-term, complete clinical control of the disease. Nevertheless, there are no real-world studies exploring the cost benefit ratio of these new drugs compared to the currently most prescribed therapies as adalimumab biosimilars.

methodsWe performed a retrospective study to evaluate the clinical effectiveness, measured as Psoriasis Area and Severity Index (PASI)90-number needed to treat (NNT) and the cost-effectiveness of IL-23 inhibitors (guselkumab, risankizumab, tildrakizumab) in patients with moderate to severe psoriasis as compared to adalimumab biosimilars (imraldi, hyrimoz, yuflima, and amgevita). Assessments were performed at Weeks 16 and 52.

resultsOur analysis included 616 patients with moderate to severe psoriasis who had been treated with adalimumab biosimilars or an anti-IL-23 inhibitor for at least 16 weeks. Overall, IL-23 inhibitors were shown to be more effective compared to adalimumab biosimilars, with significantly lower NNT. Risankizumab achieved the highest PASI90 response rates, whereas guselkumab had the most favorable incremental cost per PASI90 responder at Weeks 16 and 52.

conclusionsOur study highlights the substantial clinical benefit of IL-23 inhibitors over adalimumab biosimilars, with guselkumab as the more cost-effective option than the other IL-23 inhibitors for the real-world management of moderate-to-severe psoriasis.

Indexed as

AdalimumabBiosimilar PharmaceuticalsInterleukin-23PsoriasisAdultAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedCost-Benefit AnalysisFemaleHumansMaleMiddle AgedRetrospective StudiesSeverity of Illness IndexTreatment OutcomeAdalimumabAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedBiosimilar PharmaceuticalsguselkumabInterleukin-23risankizumabtildrakizumabadalimumabanti‐IL‐23NNTPASI90psoriasis

Identifiers

PMID41906525
PMCPMC13646478

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.