Evidence map›Paper›PMID 42143644›Full record

ArticleDermatology and therapy2026

Risankizumab versus Deucravacitinib in Adults With Moderate Plaque Psoriasis: 16-Week Results from the Phase 4 IMMpactful Trial.

Nina Magnolo, Jennifer Soung, John Frew, Antonio Costanzo, Hiram Ruiz-Santiago, Kilian Eyerich, Mar Llamas-Velasco, Michael Bukhalo, Raja K Sivamani, Angela Moore and 8 more

Registry-linked trialAbstract 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. It is linked to trial NCT06333860 (A Phase 4 Multicenter, Randomized, Open-label, Efficacy Assessor Blinded Study of Risankizumab Compared to Deucravacitinib for the Treatment of Adult Subjects With Moderate Plaque Psoriasis Who Are Candidates for Systemic Therapy), which is not on this 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.

NCT06333860 phase4completednot on this map

A Phase 4 Multicenter, Randomized, Open-label, Efficacy Assessor Blinded Study of Risankizumab Compared to Deucravacitinib for the Treatment of Adult Subjects With Moderate Plaque Psoriasis Who Are Candidates for Systemic Therapy

TypeinterventionalSponsorAbbVieRan2024 to 2026Enrolled393ConditionsModerate Plaque PsoriasisArmsRisankizumab, Deucravacitinib
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

18 authors.

Nina MagnoloDepartment of Dermatology, University Hospital Muenster, Von-Esmarch-Str. 58, 48149, Münster, Germany. nina.magnolo@ukmuenster.de.
Jennifer SoungDepartment of Dermatology, Southern California Dermatology, Santa Ana, CA, USA.
John FrewThe Skin Hospital, Sydney, NSW, Australia.
Antonio CostanzoDermatology Unit, Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy.
Hiram Ruiz-SantiagoDepartment of Dermatology, University of Puerto Rico School of Medicine, San Juan, Puerto Rico.
Kilian EyerichDepartment of Dermatology, Medical Center-University of Freiburg, Freiburg, Germany.
Mar Llamas-VelascoDermatology Department, Hospital Universitario de La Princesa, Madrid, Spain.
Michael BukhaloArlington Dermatology, Ascension St. Alexius Medical Center, Hoffman Estates, IL, USA.
Raja K SivamaniIntegrative Skin Science and Research, Sacramento, CA, USA.
Angela MooreBaylor University Medical Center, Dallas, TX, USA.
Tianshuang WuAbbVie Inc., North Chicago, IL, USA.
Jiaheng XieAbbVie Inc., North Chicago, IL, USA.
Manish PatelAbbVie Inc., North Chicago, IL, USA.
Doug AshleyAbbVie Inc., North Chicago, IL, USA.
Blair KaplanAbbVie Inc., North Chicago, IL, USA.
Vassilis StakiasAbbVie Inc., North Chicago, IL, USA.
Ramon EspaillatAbbVie Inc., North Chicago, IL, USA.
Richard B WarrenDermatology Centre, Northern Care Alliance NHS Foundation Trust & Division of Musculoskeletal and Dermatological Sciences, Manchester NIHR Biomedical Research Centre, Manchester Academic Health Science Centre, University of Manchester, Machester, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRisankizumab (RZB) and deucravacitinib (DEU) are both approved for the treatment of moderate-to-severe psoriasis. Physicians value head-to-head comparisons between available therapies to make evidence-based treatment decisions. This study evaluates the safety and efficacy of RZB compared with DEU for the treatment of patients with moderate psoriasis who have not previously received biologic treatment.

methodsPatients with moderate psoriasis, eligible for systemic treatment and without prior biologic exposure, were enrolled in a 1:2 ratio to RZB or DEU, respectively. The 52-week treatment was divided into two periods: period A (baseline to week 16) and period B (weeks 16-52). Results from period A are presented here. In period A, patients either received a single subcutaneous injection of RZB 150 mg on day 1 and week 4 or oral DEU 6 mg daily. The coprimary endpoints in period A were achievement of ≥ 90% improvement in Psoriasis Area and Severity Index (PASI 90) and achievement of sPGA 0 or 1 (sPGA 0/1) with at least a two-grade improvement from baseline. Ranked secondary endpoints for period A included the achievement of PASI 100 and sPGA 0 with at least a two-grade improvement from baseline at week 16. Additional endpoints were also assessed. Safety was based on assessment of treatment-emergent adverse events (TEAEs).

resultsA significantly higher proportion of patients treated with RZB achieved PASI 90 (57.3% versus 22.9%), sPGA 0/1 (80.2% versus 39.7%), PASI 100 (27.5% versus 6.5%), and sPGA 0 (27.5% versus 6.9%) compared with patients treated with DEU at week 16 (P < 0.0001). The proportion of patients with TEAEs was 33.6% (RZB) and 42.9% (DEU). Safety was consistent with the known profiles of RZB and DEU.

conclusionsIn this 16-week analysis, treatment with RZB demonstrated superior efficacy compared with DEU in adults with moderate psoriasis. No new or unexpected safety signals were identified. CLINICAL TRIALS: ClinicalTrials.gov identifier: NCT06333860.

Indexed as

BiologicsModerate psoriasisRisankizumabSystemic therapy

Identifiers

PMID42143644
PMCPMC13280295

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Registered trials

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.