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Research Article

Real-world switching patterns and associated characteristics in patients with psoriasis treated with biologics in the United States

ORCID Icon, , , , & ORCID Icon
Article: 2200870 | Received 03 Feb 2023, Accepted 22 Mar 2023, Published online: 16 May 2023

Figures & data

Table 1. Baseline characteristics.

Figure 1. Switch rates over 24 months among biologics for patients with psoriasis [A] by biologic class, and [B] by individual biologic. Censoring is defined as the 24-month follow-up, first switch to apremilast/another biologic or end of continuous enrollment, whichever occurs first. CI: confidence interval; IL: interleukin; TNF: tumor necrosis factor.

Figure 1. Switch rates over 24 months among biologics for patients with psoriasis [A] by biologic class, and [B] by individual biologic. Censoring is defined as the 24-month follow-up, first switch to apremilast/another biologic or end of continuous enrollment, whichever occurs first. CI: confidence interval; IL: interleukin; TNF: tumor necrosis factor.

Figure 1a. Continued.

Figure 1a. Continued.

Figure 2. Adjusted risk of switching therapy by class of biologic. IL-23 inhibitor is the reference group. P value based on multivariable Cox regression models adjusting for baseline demographics (geographic region, gender, age), baseline provider type (dermatologist, rheumatologist, both, none), clinical comorbidities (anxiety/depression, major adverse cardiovascular event, hypertension, obesity, diabetes), and treatment characteristics (previous TIM use and index biologic class). CI: confidence interval; HR: hazard ratio; IL: interleukin; TIM: new targeted immune modulator; TNF: tumor necrosis factor.

Figure 2. Adjusted risk of switching therapy by class of biologic. IL-23 inhibitor is the reference group. P value based on multivariable Cox regression models adjusting for baseline demographics (geographic region, gender, age), baseline provider type (dermatologist, rheumatologist, both, none), clinical comorbidities (anxiety/depression, major adverse cardiovascular event, hypertension, obesity, diabetes), and treatment characteristics (previous TIM use and index biologic class). CI: confidence interval; HR: hazard ratio; IL: interleukin; TIM: new targeted immune modulator; TNF: tumor necrosis factor.

Table 2. Predictors of switching biologic therapy: adjusted results from multivariable Cox regression analysis.

Supplemental material

Supplemental Material

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Data availability statement

The data that support the findings of this study are available from Merative® MarketScan® Research. Restrictions apply to the availability of these data, which were used under license for this study. Data are available from the corresponding author upon request with permission from Merative® MarketScan® Research.