Evidence mapPaperPMID 41236247Full record

ArticleDermatology practical & conceptual2025

Tildrakizumab as a Potential Option for Early Psoriatic Arthritis in Patients with Metabolic Comorbidities and Psoriasis: a Case Series.

Fabio Artosi, Caterina Lanna, Ruslana Gaeta Shumak, Cristiana Borselli, Gaetana Costanza, Antonia Rivieccio, Diego Orsini, Sara Lambiase, Laura Diluvio, Luca Bianchi and 1 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. IL-23 Inhibitors in Psoriasis: What Have We Learnt so Far?Journal of inflammation research · 2026
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4 · The record

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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

11 authors.

Fabio ArtosiUnit of Dermatology, Department of Systems Medicine, University of Rome Tor Vergata, Rome.
Caterina LannaUnit of Dermatology, Department of Systems Medicine, University of Rome Tor Vergata, Rome.
Ruslana Gaeta ShumakUnit of Dermatology, Department of Systems Medicine, University of Rome Tor Vergata, Rome.
Cristiana BorselliUnit of Dermatology, Department of Systems Medicine, University of Rome Tor Vergata, Rome.
Gaetana CostanzaUnit of Virology, Department of Experimental Medicine, University of Rome Tor Vergata, Rome, Italy.
Antonia RivieccioUnit of Dermatology, Department of Systems Medicine, University of Rome Tor Vergata, Rome.
Diego OrsiniSan Gallicano dermatological Institute (IFO-IRCCS), Clinical Dermatology Unit, Rome.
Sara LambiaseUnit of Dermatology, Department of Systems Medicine, University of Rome Tor Vergata, Rome.
Laura DiluvioUnit of Dermatology, Department of Systems Medicine, University of Rome Tor Vergata, Rome.
Luca BianchiUnit of Dermatology, Department of Systems Medicine, University of Rome Tor Vergata, Rome.
Elena CampioneUnit of Dermatology, Department of Systems Medicine, University of Rome Tor Vergata, Rome.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPsoriasis is a chronic relapsing inflammatory disease. and approximately 20% of psoriasis patients also develop psoriatic arthritis (PsA).. Interleukin 23 (IL-23) plays a crucial role in maintaining the T-helper (Th) 17 cell population derived from naïve Th1 cells as well as in sustaining inflammation at the enthesis and joints, acting as a pathogenic effector in PsA. Among anti-IL-23 monoclonal antibodies, ustekinumab, guselkumab, and risankizumab are approved in Europe for both psoriasis and PsA for psoriasis and PsA treatment. Tildrakizumab, another IL-23p19 inhibitor, is currently approved only for plaque psoriasis but has shown favorable safety in patients with metabolic comorbidities and potential efficacy in PsA.

objectivesTo retrospectively assess the efficacy of tildrakizumab on psoriatic arthritis manifestations in patients treated according to real-world clinical practice.

methodsWe conducted a retrospective analysis of eight patients affected by psoriasis, early PsA, and metabolic comorbidities, treated with tildrakizumab 100 mg every 12 weeks after induction. Descriptive and inferential statistical analyses were performed. Efficacy and safety were evaluated using standard clinimetric indices over a 28-week follow-up period.

resultsAfter 28 weeks, a significant mean reduction was observed in Psoriasis Area and Severity Index (-81.3%, P<0.001), Pain Visual Analogue Scale (-85%, P<0.002), Nail Psoriasis Severity Index (-78%, P<0.002), Dermatology Life Quality Index (-86%, P<0.001), Physician Global Assessment (-73%, P<0.0003), and Disease Activity Index for PsA (-82%, P<0.000023). No adverse events were reported.

conclusionsTildrakizumab confirmed its efficacy in reducing signs and symptoms of early PsA, with high safety profile in our psoriasis patients also affected by multiple metabolic comorbidities.

Identifiers

PMID41236247
PMCPMC12615079

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.