Evidence map›Paper›PMID 42694939›Full record

ArticlePsoriasis (Auckland, N.Z.)2026

Adalimumab Reduces Epicardial Adipose Tissue in Psoriasis: A Post Hoc Analysis of a Randomized Placebo-Controlled Clinical Trial.

Ravi Ramessur, Faradia Kernizan, Ehsan Ranjbar, Nehal N Mehta, Abass Alavi, Daniel B Shin, Gianluca Iacobellis, Joel M Gelfand

2 registry-linked trialsAbstract read
In one paragraph

Article in Psoriasis (Auckland, N.Z.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Not yet cited in PubMed.

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

NCT01553058 phase4completednot on this map

A Trial to Determine the Effect of Psoriasis Treatment on Cardiometabolic Disease

TypeinterventionalSponsorUniversity of PennsylvaniaRan2012 to 2016Enrolled97ConditionsPsoriasis, Cardiovascular DiseaseArmsAdalimumab (Humira), Placebo Injection, NB-UVB phototherapy
NCT01866592 phase4completednot on this map

Vascular Inflammation in Psoriasis - Extension Study

TypeinterventionalSponsorUniversity of PennsylvaniaRan2013 to 2016Enrolled81ConditionsPsoriasis, Cardiovascular DiseaseArmsAdalimumab
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Ravi RamessurDepartment of Dermatology and Center for Clinical Sciences in Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0003-4599-9455
Faradia KernizanDepartment of Dermatology and Center for Clinical Sciences in Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Ehsan RanjbarDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, USA.
Nehal N MehtaDepartment of Medicine, George Washington University, Washington, DC, USA.
Abass AlaviDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, USA.
Daniel B ShinDepartment of Dermatology and Center for Clinical Sciences in Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Gianluca IacobellisDivision of Endocrinology, Diabetes and Metabolism, Department of Medicine, Miller School of Medicine University of Miami, Miami, FL, USA.
Joel M GelfandDepartment of Dermatology and Center for Clinical Sciences in Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0003-3480-2661

Funding

A trial to determine the effect of psoriasis treatment on cardiometabolic diseaseR01HL111293 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI GELFAND, JOEL M · 2012 to 2017
$3.8M
Psoriasis and the Risk of DiabetesK24AR064310 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI GELFAND, JOEL M · 2013 to 2017
$870k
NHLBI NIH HHS R01 HL111293NIAMS NIH HHS K24 AR064310
6 · The paper itself

Abstract

Background: Psoriasis is associated with increased epicardial adipose tissue (EAT), a metabolically active fat depot in direct contact with the myocardium, and a mediator of coronary artery disease and atrial fibrillation. The effects of psoriasis treatments on EAT are largely unknown. We conducted a post hoc analysis of the Vascular Inflammation in Psoriasis (VIP) trial (NCT01553058, NCT01866592). Methods: VIP compared, in a 1:1:1 randomized manner, placebo (n=27), adalimumab (n=31), and phototherapy (n=28) from baseline to week 12, with all subjects then receiving adalimumab for 52 weeks. EAT volume was quantified from CT imaging at baseline, week 12, and week 52, with concurrent assessment of clinical variables and metabolic and inflammatory biomarkers. Results: At baseline (N=86), EAT volume was positively correlated with age (r = 0.51, p= 2.44 × 10 Conclusion: Adalimumab was associated with an early reduction in EAT that was not significantly correlated with changes in weight or psoriasis activity. These findings indicate treatment-specific effects on a high-risk cardiac fat depot and suggest that TNF inhibition may influence cardiac adiposity relevant to cardiovascular disease.

Indexed as

adalimumabcardiovascular riskcomputed tomographyepicardial adipose tissuePsoriasistumour necrosis factor

Identifiers

PMID42694939
PMCPMC13540581

What OpenQuestion holds

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Read underepoch 390

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.