Evidence map›Paper›PMID 42459246›Full record

ArticleThe Journal of clinical and aesthetic dermatology2026

Real-World Effectiveness and Safety of Tildrakizumab in Patients With Moderate-to-Severe Psoriasis After Failure of Ustekinumab: A Multicenter Retrospective Study.

Sergio Santos-Alarcón, Javier Mataix Diaz, Luca Schneller-Pavelescu, Isabel Belinchon, Ines Poveda-Montoyo, Víctor González-Delgado, Santiago Guillen-Climent, Francisco Javier Melgosa Ramos, Almudena Mateu

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Article in The Journal of clinical and aesthetic dermatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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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

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Sergio Santos-AlarcónDrs. Santos-Alarcón and Guillen-Climent are with Hospital Verge dels Lliris, Alcoi, Spain.
Javier Mataix DiazDr. Mataix Diaz is with Hospital Marina Baixa, Villajoyosa, Spain.
Luca Schneller-PavelescuDr. Schneller-Pavelescu is with Hospital Vega Baja, Orihuela, Spain.
Isabel BelinchonDrs. Belinchon and Poveda-Montoyo are with General University Hospital of Alicante, Alicante (Alacant), Spain.
Ines Poveda-MontoyoDrs. Belinchon and Poveda-Montoyo are with General University Hospital of Alicante, Alicante (Alacant), Spain.
Víctor González-DelgadoDrs. González-Delgado is with Hospital Clinic Universitari, València, Spain.
Santiago Guillen-ClimentDrs. Santos-Alarcón and Guillen-Climent are with Hospital Verge dels Lliris, Alcoi, Spain.
Francisco Javier Melgosa RamosDr. Melgosa Ramos is with Hospital General d'Ontinyent, Ontinyent, Spain.
Almudena MateuDr. Mateu is with Doctor Peset University Hospital, València, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effectiveness and safety of switching to tildrakizumab, a selective interleukin (IL) 23p19 inhibitor, in patients with moderate-to-severe plaque psoriasis who had an inadequate response to ustekinumab (IL-12/23 inhibitor) in a real-world setting.

methodsA multicenter retrospective observational study was conducted and included 14 patients who switched to tildrakizumab following ustekinumab failure. Effectiveness was assessed using Psoriasis Area and Severity Index (PASI), Physician Global Assessment (PGA), and Dermatology Life Quality Index (DLQI) at Weeks 0, 12, 28, 36, and 52.

resultsThe cohort (mean age: 45.92 years; 85.7% prior systemic therapy) showed rapid improvement. Mean PASI decreased from 9.36 at baseline to 2.60 at Week 12, maintaining low disease activity through Week 52 with 100% of patients achieving an absolute PASI score <3. Similar trends were observed in PGA and DLQI scores. No new safety signals were identified. LIMITATIONS: This study included a small sample size (n=14) and retrospective design.

conclusionTildrakizumab showed consistent clinical improvement as a rescue therapy for patients after ustekinumab failure, supporting the clinical benefit of switching from p40 to specific p19 inhibition.

Indexed as

biologic switchingIL-23 inhibitorPsoriasisreal-world evidencetildrakizumabustekinumab

Identifiers

PMID42459246
PMCPMC13372303

What Socratic holds

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Registered trials

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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.