AI Article Synopsis
- Identifying patient characteristics that predict how well they respond to biologic treatments for psoriasis could help avoid costly medication changes.
- The study analyzed data from 2,384 biologic-naïve patients treated with various biologics, assessing factors like smoking and bodyweight on treatment outcomes.
- Results showed that higher bodyweight and smoking decreased the likelihood of achieving a successful treatment response after 6 months, particularly for certain biologics.
Article Abstract
Identifying patient characteristics associated with achieving treatment response to biologics in patients with psoriasis could prevent expensive switching between biologics. The aim of this study was to identify patient characteristics that predict the efficacy of treatment for biologics that inhibit tumour necrosis factor-α, interleukin-12/-23, and -17A. The study investigated biologic-naïve patients from the DERMBIO registry treated with adalimumab, etanercept, infliximab, secukinumab, or ustekinumab. Multivariable logistic models were conducted to assess associations between patient characteristics and treatment response. A total of 2,384 patients were included (adalimumab n = 911; etanercept n = 327; infliximab n = 152; secukinumab n = 323; ustekinumab n = 671). Smoking (odds ratio 0.74; 95% confidence interval (CI) 0.56-0.97; p = 0.03) and higher bodyweight (odds ratio 0.989; 95% CI 0.984-0.994; p < 0.001) reduced the odds of achieving response defined as Psoriasis Area and Severity Index ≤2.0 after 6 months of treatment. In conclusion, higher bodyweight and smoking were associated with a reduced probability of treatment response for tumour necrosis factor-α inhibitors, ustekinumab, and secukinumab.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9425566 | PMC |
| http://dx.doi.org/10.2340/actadv.v101.351 | DOI Listing |
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