Drug survival of biologic treatments in psoriasis: a systematic review

Drug survival measures the length of time until discontinuation of a drug. The length of time a patient remains on a biologic drug is impacted by several factors such as tolerability, side effects, safety profile and effectiveness. To evaluate the long-term drug survival, data of the most commonly p...

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Main Authors: Daniel J. No, Megan S. Inkeles, Mina Amin, Jashin J. Wu
Format: Article
Language:English
Published: Taylor & Francis Group 2018-07-01
Series:Journal of Dermatological Treatment
Subjects:
Online Access:http://dx.doi.org/10.1080/09546634.2017.1398393
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author Daniel J. No
Megan S. Inkeles
Mina Amin
Jashin J. Wu
author_facet Daniel J. No
Megan S. Inkeles
Mina Amin
Jashin J. Wu
author_sort Daniel J. No
collection DOAJ
description Drug survival measures the length of time until discontinuation of a drug. The length of time a patient remains on a biologic drug is impacted by several factors such as tolerability, side effects, safety profile and effectiveness. To evaluate the long-term drug survival, data of the most commonly prescribed biologic medications used in the treatment of psoriasis, a systematic review was conducted. A literature search using PubMed, the Cochrane Library and the Cumulative Index to Nursing and Allied Health Literature from January 1 2010 to October 28 2016 identified 3734 abstracts. Of which, 36 publications with over 40,000 patients met the inclusion criteria. The median overall drug survival for ustekinumab, adalimumab, infliximab and etanercept was 38.0, 36.5, 26.6 and 24.7 months, respectively. The mean annual drug survival rate of TNF inhibitors was 70%, 57%, 51%, 45% and 41% at years-1, 2, 3, 4 and 5, respectively. The 5-year mean annual drug survival rate of ustekinumab was 87%, 78%, 70%, 71% and 51%, respectively. Based on our findings, ustekinumab appears to have a longer drug survival with lower rates of discontinuation compared to tumor necrosis factor inhibitors.
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spelling doaj.art-27a5ad0b1a294838bddfe65b25ec3ad12023-09-15T14:08:31ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532018-07-0129546046610.1080/09546634.2017.13983931398393Drug survival of biologic treatments in psoriasis: a systematic reviewDaniel J. No0Megan S. Inkeles1Mina Amin2Jashin J. Wu3Loma Linda University School of MedicineKaiser Permanente Los Angeles Medical CenterUniversity of California Riverside School of MedicineKaiser Permanente Los Angeles Medical CenterDrug survival measures the length of time until discontinuation of a drug. The length of time a patient remains on a biologic drug is impacted by several factors such as tolerability, side effects, safety profile and effectiveness. To evaluate the long-term drug survival, data of the most commonly prescribed biologic medications used in the treatment of psoriasis, a systematic review was conducted. A literature search using PubMed, the Cochrane Library and the Cumulative Index to Nursing and Allied Health Literature from January 1 2010 to October 28 2016 identified 3734 abstracts. Of which, 36 publications with over 40,000 patients met the inclusion criteria. The median overall drug survival for ustekinumab, adalimumab, infliximab and etanercept was 38.0, 36.5, 26.6 and 24.7 months, respectively. The mean annual drug survival rate of TNF inhibitors was 70%, 57%, 51%, 45% and 41% at years-1, 2, 3, 4 and 5, respectively. The 5-year mean annual drug survival rate of ustekinumab was 87%, 78%, 70%, 71% and 51%, respectively. Based on our findings, ustekinumab appears to have a longer drug survival with lower rates of discontinuation compared to tumor necrosis factor inhibitors.http://dx.doi.org/10.1080/09546634.2017.1398393psoriasisdrug survivalbiologicdiscontinuetumor necrosis factor inhibitorustekinumab
spellingShingle Daniel J. No
Megan S. Inkeles
Mina Amin
Jashin J. Wu
Drug survival of biologic treatments in psoriasis: a systematic review
Journal of Dermatological Treatment
psoriasis
drug survival
biologic
discontinue
tumor necrosis factor inhibitor
ustekinumab
title Drug survival of biologic treatments in psoriasis: a systematic review
title_full Drug survival of biologic treatments in psoriasis: a systematic review
title_fullStr Drug survival of biologic treatments in psoriasis: a systematic review
title_full_unstemmed Drug survival of biologic treatments in psoriasis: a systematic review
title_short Drug survival of biologic treatments in psoriasis: a systematic review
title_sort drug survival of biologic treatments in psoriasis a systematic review
topic psoriasis
drug survival
biologic
discontinue
tumor necrosis factor inhibitor
ustekinumab
url http://dx.doi.org/10.1080/09546634.2017.1398393
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AT megansinkeles drugsurvivalofbiologictreatmentsinpsoriasisasystematicreview
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AT jashinjwu drugsurvivalofbiologictreatmentsinpsoriasisasystematicreview