Evidence mapPaperPMID 42459247Full record

ReviewThe Journal of clinical and aesthetic dermatology2026

Efficacy and Safety of Tildrakizumab in Elderly Patients With Psoriasis: A Narrative Review.

Alice B Gottlieb, Joseph F Merola

Abstract readReview
In one paragraph

Review 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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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

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Alice B GottliebDrs. Gottlieb and Merola are with the University of Texas Southwestern Medical Center, Dallas, Texas.
Joseph F MerolaDrs. Gottlieb and Merola are with the University of Texas Southwestern Medical Center, Dallas, Texas.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTildrakizumab is an anti-interleukin 23 p19 monoclonal antibody approved for the treatment of adults with moderate-to-severe plaque psoriasis. Globally, patients aged ≥65 years are 9.8% to 12.8% of patients with psoriasis who are treated with biologics, but they are often underrepresented in clinical trials.

objectiveTo summarize the available evidence on the efficacy and safety of tildrakizumab in patients aged ≥65 years with psoriasis for a United States (US)-based healthcare practitioners audience.

methodsA PubMed search was conducted using the search terms "(tildrakizumab OR MK-3222 OR Ilumya) AND psoriasis AND (elderly OR 65 years)" to identify English-language clinical trials and real-world studies evaluating efficacy and safety of tildrakizumab in elderly patients with psoriasis.

resultsTwo clinical trials and 5 real-world studies describing the efficacy and safety of tildrakizumab in patients aged ≥65 years were identified. The short- and long-term efficacy of tildrakizumab was comparable between patients aged <65 and ≥65 years. Adverse events were consistent with those observed among the overall clinical trial population, with some expected increases in age-related events. LIMITATIONS: The number of studies with data for patients aged ≥65 years, and sample sizes within some studies, were small, limiting interpretation.

conclusionBased on available data, the established efficacy and safety profiles of tildrakizumab are maintained in patients aged ≥65 years with moderate-to-severe plaque psoriasis. Practical considerations, including insurance coverage, quarterly maintenance dosing, and in-office administration, in the US may increase treatment adherence and make tildrakizumab an appropriate treatment option for elderly patients.

Indexed as

Biologicselderly patientsnarrative reviewpsoriasistildrakizumab

Identifiers

PMID42459247
PMCPMC13372309

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.