PMID- 32299269 OWN - NLM STAT- MEDLINE DCOM- 20220215 LR - 20220501 IS - 1471-1753 (Electronic) IS - 0954-6634 (Linking) VI - 33 IP - 1 DP - 2022 Feb TI - Indirect comparisons of ixekizumab versus three interleukin-23 p19 inhibitors in patients with moderate-to-severe plaque psoriasis - efficacy findings up to week 12. PG - 54-61 LID - 10.1080/09546634.2020.1747592 [doi] AB - BACKGROUND: It is challenging to select the most appropriate biologic treatment for patients with moderate-to-severe plaque psoriasis. OBJECTIVE: To compare speed of onset and level of skin improvement between the interleukin (IL)-17A antagonist ixekizumab and the IL-23 p19 inhibitors guselkumab, tildrakizumab, and risankizumab in patients with moderate-to-severe plaque psoriasis. METHODS: Using data from controlled clinical trials, both adjusted indirect comparisons (AICs) and matching adjusted indirect comparisons (MAICs) were performed to determine the risk difference (RD) between ixekizumab and each IL-23 p19 inhibitor for the proportion of patients with >/=75%/90%/100% improvement compared with baseline in Psoriasis Area and Severity Index (PASI 75/90/100) up to week 12. Placebo, etanercept, or ustekinumab were used as the comparator bridge. RESULTS: In all (M)AICs, RDs generally significantly favored ixekizumab over guselkumab (placebo bridge), tildrakizumab (placebo or etanercept bridge), and risankizumab (placebo or ustekinumab bridge) from the earliest assessment time (>/= week 2) to week 12 when considering PASI 75/90/100 responses. CONCLUSION: Ixekizumab provides a faster onset of effect and earlier clinical benefits than guselkumab, tildrakizumab, or risankizumab in patients with moderate-to-severe psoriasis, as reflected by higher levels of skin improvement than with these IL-23 p19 inhibitors up to week 12. FAU - Gottlieb, Alice B AU - Gottlieb AB AD - Department of Dermatology, Icahn School of Medicine at Mount Sinai, New York, NY, USA. FAU - Saure, Daniel AU - Saure D AD - Eli Lilly & Company, Indianapolis, IN, USA. FAU - Wilhelm, Stefan AU - Wilhelm S AD - Eli Lilly & Company, Indianapolis, IN, USA. FAU - Dossenbach, Martin AU - Dossenbach M AD - Eli Lilly & Company, Indianapolis, IN, USA. FAU - Schuster, Christopher AU - Schuster C AD - Eli Lilly & Company, Indianapolis, IN, USA. FAU - Smith, Saxon D AU - Smith SD AUID- ORCID: 0000-0003-0995-4372 AD - Discipline of Dermatology, Northern Sydney Medical School, University of Sydney, Sydney, NSW, Australia. AD - Department of Dermatology, Royal North Shore Hospital, St Leonards, NSW, Australia. FAU - Ramot, Yuval AU - Ramot Y AUID- ORCID: 0000-0002-8606-8385 AD - Department of Dermatology, Hadassah Medical Center, Hebrew University of Jerusalem, The Faculty of Medicine, Jerusalem, Israel. FAU - Thaci, Diamant AU - Thaci D AD - Institute and Comprehensive Center for Inflammation Medicine, University of Lubeck, Lubeck, Germany. LA - eng PT - Journal Article PT - Review DEP - 20200417 PL - England TA - J Dermatolog Treat JT - The Journal of dermatological treatment JID - 8918133 RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Interleukin-23) RN - 0 (Interleukin-23 Subunit p19) RN - BTY153760O (ixekizumab) SB - IM MH - Antibodies, Monoclonal, Humanized MH - Humans MH - *Interleukin-23 MH - Interleukin-23 Subunit p19 MH - *Psoriasis/drug therapy MH - Severity of Illness Index MH - Treatment Outcome OTO - NOTNLM OT - Ixekizumab OT - indirect comparison OT - interleukin-23 inhibitors OT - psoriasis EDAT- 2020/04/18 06:00 MHDA- 2022/02/16 06:00 CRDT- 2020/04/18 06:00 PHST- 2020/04/18 06:00 [pubmed] PHST- 2022/02/16 06:00 [medline] PHST- 2020/04/18 06:00 [entrez] AID - 10.1080/09546634.2020.1747592 [doi] PST - ppublish SO - J Dermatolog Treat. 2022 Feb;33(1):54-61. doi: 10.1080/09546634.2020.1747592. Epub 2020 Apr 17.