Survival and Effectiveness of Tumour Necrosis Factor-alpha Inhibitors in the Treatment of Plaque Psoriasis under Daily Life Conditions: Report from the Psoriasis Registry Austria

  • Martin Inzinger
  • , Katharina Wippel-Slupetzky
  • , Wolfgang Weger
  • , Leo Richter
  • , Alexander Mlynek
  • , Barbara Fleischander
  • , Christine Scheurecker
  • , Nikolaus Sandor
  • , Daniela Mairhofer
  • , Paul G Sator
  • , Sabine Moser-Oberthaler
  • , Nina Häring
  • , Petra Viznerova
  • , Clemens Painsi
  • , Adrian Tanew
  • , Peter Ponholzer
  • , Rafaella Tatarski
  • , Wilhelm Brenner
  • , Georg Stingl
  • , Wolfgang Salmhofer
  • Klemens Rappersberger, Georg Klein, Werner Saxinger, Josef Auböck, Claudia Kölli, Franz Trautinger, Andreas Steiner, Gudrun Ratzinger, Robert Strohal, Elisabeth Riedl, Bernhard Lange-Asschenfeldt, Hubert Pehamberger, Beatrix Volc-Platzer, Sylvia Selhofer, Franz Josef Legat, Robert Müllegger, Norbert Reider, Matthias Schmuth, Helmut Hintner, Angelika Hofer, Alexandra Gruber-Wackernagel, Werner Aberer, Franz Quehenberger, Peter Wolf

Research output: Journal article (peer-reviewed)Journal article

Abstract

This retrospective multicentre analysis from the Psoriasis Registry Austria (PsoRA) was conducted to determine drug effectiveness and survival of anti-tumour necrosis factor alpha (anti-TNF-α) agents in patients with moderate-to-severe chronic plaque psoriasis over a 9-year period. Data on 1,019 treatment cycles with adalimumab (n = 460), etanercept (n = 501), and/or infliximab (n = 58) administered to 827 patients (272 women, 555 men) were available for analysis. Compared with etanercept, adalimumab and infliximab showed superior short-term effectiveness. Intention-to-treat-calculated median drug survivals for adalimumab (1,264 days) and etanercept (1,438 days) were similar to each other (p = 0.74), but significantly superior to that of infliximab (477 days) (p = 7.0e-07 vs. adalimumab and p=2.2e-07 vs. etanercept, respectively). Their drug survival rates at 36 months were 51.6%, 56.0%, and 22.6%, respectively. Survival rates correlated significantly with effectiveness for adalimumab and etanercept, but not for infliximab.

Original languageEnglish
Pages (from-to)207-212
Number of pages6
JournalActa Dermato-Venereologica
Volume96
Issue number2
DOIs
Publication statusPublished - Feb 2016

Keywords

  • Activities of Daily Living
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Austria
  • Biological Products/adverse effects
  • Female
  • Humans
  • Immunosuppressive Agents/adverse effects
  • Intention to Treat Analysis
  • Kaplan-Meier Estimate
  • Male
  • Middle Aged
  • Proportional Hazards Models
  • Psoriasis/diagnosis
  • Registries
  • Retrospective Studies
  • Severity of Illness Index
  • Time Factors
  • Treatment Outcome
  • Tumor Necrosis Factor-alpha/antagonists & inhibitors
  • Young Adult

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