Clinical Edge Journal Scan

Real-world persistence of biologics in psoriasis is low and may vary over time


 

Key clinical point: Given the chronic nature of the disease, antipsoriasis biologics are associated with low median persistence, which is relatively high for interleukin inhibitors vs tumor necrosis factor inhibitors and may change over time.

Major finding: Overall, the median persistence was 23.8 months (95% CI, 21.6-26.2), longest for ustekinumab (49.3 months [95% CI, 38.0-59.1]) and shortest for etanercept (16.3 months [95% CI, 14.5-19.0]). An approximately 50% decrease in the median persistence for ustekinumab, from 62.3 (95% CI, 45.6- ) months to 32.7 (95% CI, 21.2-49.3) months, occurred between 2010-2011 and 2014-2016.

Study details: The data come from a retrospective cohort study consisting of 2,292 adult patients with psoriasis who had received at least 1 biologic between 2010 and 2018.

Disclosures: The study was sponsored by LEO Pharma. Levin L-Å declared receiving consulting fees from various sources including LEO Pharma, and some of the authors are employees of LEO Pharma.

Source: Schmitt-Egenolf M et al. Dermatol Ther (Heidelb). 2021 Oct 14. doi: 10.1007/s13555-021-00616-7 .

Recommended Reading

Clinical Edge Journal Scan Commentary: Psoriasis November 2021
MDedge Dermatology
Management of Pediatric Nail Psoriasis
MDedge Dermatology
Does the use of frankincense make sense in dermatology?
MDedge Dermatology
Preventing psoriasis relapse after ustekinumab withdrawal using abatacept: A failed attempt
MDedge Dermatology
Novel CAL/BDP PAD-cream outshines the conventional counterpart
MDedge Dermatology
Phase 2a supports infrequent bimekizumab dosing for plaque psoriasis maintenance
MDedge Dermatology
Is beta-blocker use in hypertension linked with psoriasis development?
MDedge Dermatology
Tapinarof cream 1% QD efficacious against extensive plaque psoriasis in phase 2a
MDedge Dermatology
Ixekizumab bests secukinumab in the real-world race against psoriasis
MDedge Dermatology
AVT02 as effective as reference adalimumab in moderate-to-severe plaque psoriasis
MDedge Dermatology