Evidence map›Paper›PMID 41236233›Full record

ArticleDermatology practical & conceptual2025

Therapeutic Modulation Of Peripheral Blood Cells And Inflammatory Indices During 52 Weeks Of Risankizumab In Responder Patients With Moderate-to-Severe Psoriasis: Results From A Multicenter Prospective Study.

Antonella Di Cesare, Elia Rosi, Emanuele Trovato, Leonardo Pescitelli, Salvatore Panduri, Flavia Manzo Margiotta, Alessandra Michelucci, Eugenio Capalbo, Martina Dragotto, Michela Magnano and 10 more

Abstract read
In one paragraph

Article in Dermatology practical & conceptual, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Antonella Di CesareSection of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy.
Elia RosiSection of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy.
Emanuele TrovatoDermatology Section, Department of Medical, Surgical and Neurological Science, University of Siena, Siena, Italy.
Leonardo PescitelliUnit of Dermatology, San Giuseppe Hospital, Empoli, Florence, Italy.
Salvatore PanduriDepartment of Dermatology, University of Pisa, Pisa, Italy.
Flavia Manzo MargiottaDepartment of Dermatology, University of Pisa, Pisa, Italy.
Alessandra MichelucciDepartment of Dermatology, University of Pisa, Pisa, Italy.
Eugenio CapalboDermatology Section, Department of Medical, Surgical and Neurological Science, University of Siena, Siena, Italy.
Martina DragottoDermatology Section, Department of Medical, Surgical and Neurological Science, University of Siena, Siena, Italy.
Michela MagnanoUnit of Dermatology, Versilia Hospital, Lido di Camaiore, Lucca, Italy.
Susanna RossariUnit of Dermatology, Versilia Hospital, Lido di Camaiore, Lucca, Italy.
Imma SavareseDepartment of Dermatology, San Jacopo Hospital, Pistoia, Italy.
Gionata BuggianiUnit of Dermatology, San Giuseppe Hospital, Empoli, Florence, Italy.
Nicola MilanesiDepartment of Dermatology, San Jacopo Hospital, Pistoia, Italy.
Elisa LorenzoniUnit of Dermatology, Hospital of Campo di Marte, Lucca, Italy.
Federica RicceriUnit of Dermatology, San Donato Hospital, Arezzo, Italy.
Marco RomanelliDepartment of Dermatology, University of Pisa, Pisa, Italy.
Pietro RubegniDermatology Section, Department of Medical, Surgical and Neurological Science, University of Siena, Siena, Italy.
Nicola PimpinelliSection of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy.
Francesca PrignanoSection of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWhole blood cells and derived indices can be used as a read-out of the inflammatory pathogenic processes in many human diseases, including psoriasis. Indeed, systemic treatments with special regard to anti-IL-23 agents could exert anti-inflammatory and disease modifying effects; however, there is still a lack of conclusive data.

objectivesWe aimed to assess the therapeutic effect of risankizumab on whole blood cells and inflammatory indices in psoriatic patients.

methodsWe performed a prospective multicenter observational study on adult patients with moderate-to-severe psoriasis who underwent risankizumab therapy for at least 52 weeks. Blood cell count, CRP, and ESR were prospectively recorded for each patient included in the study, at routine visits up to week 52. The ratio between peripheral cells, namely NLR, PLR, MLR, SII, and PIV, were calculated and compared at time 0 and at weeks 12, 24, and 52 of treatment. At different timepoints, modulation of laboratory values and derived indices and their correlation with disease severity and response to treatment were analyzed. Subanalysis of very early responders and late responders was performed as well.

resultsWe observed a progressive reduction in inflammatory indices such as CRP, ESR, NLR, and SII during treatment, with prominent modification involving SIRI as well, in patients who had a very early and almost complete response to risankizumab. Reduction in neutrophils and MPV, a transient increase in eosinophils at week 12, and a progressive increase in peripheral basophils were associated with therapeutic response.

conclusionRisankizumab promotes a progressive anti-inflammatory effect, more prominent in patients with a faster response in the early phases of treatment.

Identifiers

PMID41236233
PMCPMC12615109

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.