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The safety profile of biologic agents in comparison with non-biologic systemic agents, and topical compounds in the management of psoriasis - a 30-month prospective, observational cohort study

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11120%2F21%3A43922214" target="_blank" >RIV/00216208:11120/21:43922214 - isvavai.cz</a>

  • Alternative codes found

    RIV/62156489:43110/21:43920303 RIV/00216208:11110/21:10431936 RIV/00064211:_____/21:W0000007 RIV/00216208:11130/21:10431936

  • Result on the web

    <a href="https://doi.org/10.1111/ijcp.14915" target="_blank" >https://doi.org/10.1111/ijcp.14915</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1111/ijcp.14915" target="_blank" >10.1111/ijcp.14915</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    The safety profile of biologic agents in comparison with non-biologic systemic agents, and topical compounds in the management of psoriasis - a 30-month prospective, observational cohort study

  • Original language description

    BACKGROUND: Although biologic agents are very effective, solid data proving they are safer than other therapies in psoriasis are still lacking. METHODS: A total of 289 psoriatic patients were followed for 30 months; of which number 118 were treated with topical agents alone, 112 received biologic agents, and the remaining 59 patients were on non-biologic systemic agents. The rates of adverse events in these groups were recorded and statistically analyzed. RESULTS: Patients treated with biologic agents had higher rates of adverse events (p=0.017), including overall infections (p=0.003), respiratory infections (p&lt;0.001), renal, urinary (p&lt;0.001), musculoskeletal, connective tissue (p&lt;0.001, and p=0.021) and oral cavity-related (p=0.046) disorders. Except for the incidence of infections, all the above adverse events occurred more often in our study than in clinical trials. The occurrence of serious adverse events was p=0.066, with the incidence of serious infections being p=0.164. Unlike patients on topical therapy and non-biologic systemic agents, patients treated with biologic agents were forced to discontinue their therapies (p=0.001). The Psoriasis Area Severity Index (PASI) and Body Surface Area (BSA) scores were the lowest among patients on biologic agents. CONCLUSION: While biologic agents were the most effective therapies, they were associated with higher rates of treatment discontinuation and adverse events in comparison with other forms of therapy.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30216 - Dermatology and venereal diseases

Result continuities

  • Project

  • Continuities

    V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Others

  • Publication year

    2021

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    International Journal of Clinical Practice

  • ISSN

    1368-5031

  • e-ISSN

  • Volume of the periodical

    75

  • Issue of the periodical within the volume

    12

  • Country of publishing house

    GB - UNITED KINGDOM

  • Number of pages

    11

  • Pages from-to

    "e14915"

  • UT code for WoS article

    000703754200001

  • EID of the result in the Scopus database

    2-s2.0-85116488777