JAMA study throws light on effectiveness of biologic therapies in psoriasis

UK: A recent study revealed that there is a gap between the efficacy of biologic therapies in an idealized trial setting and effectiveness of biologic therapies in the real-world clinical setting in the treatment of psoriasis. Further, it found that secukinumab resulted in more patients achieving a lower psoriasis severity as measured by PASI versus ustekinumterab after 12 months of therapy. 

The results of the study, published in the journal JAMA Dermatology, were reported by Zenas Z. N. Yiu, National Institute for Health Research (NIHR) Manchester Biomedical Research Centre, Manchester, United Kingdom, and colleagues. 

In the comparative effectiveness research study, the researchers assessed the comparative effectiveness of ustekinumab and secukinumab in psoriasis patients. Also, they tested whether relative effectiveness estimate of the CLEAR trial, a randomized clinical trial that compared secukinumab with ustekinumab for psoriasis, can be replicated.

The study used a target trial emulation approach and was performed between November 2007 and August 2019. The data was obtained from BADBIR -- a multicenter longitudinal pharmacovigilance register of patients with moderate to severe psoriasis in the United Kingdom and Republic of Ireland. The analysis included 1231 patients -- 917 receiving ustekinumab and 314 receiving secukinumab. Included patients were 18 years or older, and had at least 1 record of a Psoriasis Area and Severity Index (PASI) of 12 or higher before their initiation to secukinumab or ustekinumab.