Quality of life and patient-reported symptoms in a Phase 4, real-world study of tildrakizumab in patients with moderate-to-severe psoriasis: Week 28 interim analysis

• Published in: The Journal of dermatological treatment Vol. 34; no. 1; p. 2200872
• Main Authors: Bhatia, Neal, Heim, Jayme, Schenkel, Brad, Vasquez, J. Gabriel
• Format: Journal Article
• Language: English
• Published: England Taylor & Francis 31-12-2023; Taylor & Francis Group
• Subjects: Adult; Health-related quality of life (HRQoL); Humans; Patient Reported Outcome Measures; patient-reported outcomes; psoriasis; Psoriasis - diagnosis; Psychological General Well-Being Index (PGWBI); Quality of Life; Severity of Illness Index; tildrakizumab; Treatment Outcome; patient-reported outcomes; tildrakizumab; Health-related quality of life (HRQoL); Psychological General Well-Being Index (PGWBI); psoriasis
• ISSN: 0954-6634; 1471-1753
• DOI: 10.1080/09546634.2023.2200872

Tildrakizumab is an anti-interleukin-23 p19 monoclonal antibody approved for the treatment of adults with moderate-to-severe plaque psoriasis. Little real-world evidence is available regarding the effects of tildrakizumab on patients' health-related quality of life (HRQoL) and patient-reported symptoms.
This real-world study of tildrakizumab evaluated changes in HRQoL and clinical symptoms in patients with psoriasis.
In this Week (W)28 interim analysis of a 64-week Phase 4 study (NCT03718299), patients received tildrakizumab 100 mg at W0, W4, and every 12 weeks thereafter. Endpoints were improvement from baseline in Psychological General Well-Being Index (PGWBI), Dermatology Life Quality Index (DLQI), and Itch-, Pain-, and Scaling-Numerical Rating Scale scores through W28.
Of 55 patients enrolled, 53 were assessed at W28. Mean (standard deviation [SD]) total PGWBI score improved from baseline to W28 (change, 3.7 [12.4]; p = .033), as did the positive well-being (1.0 [2.9]; p = .018) and general health (1.5 [2.2]; p < .001) domain scores. Mean (SD) DLQI score improved by −3.9 (4.3) at W4 and by −7.6 (5.1) at W28 (p < .001). Patient-reported symptoms improved starting at W4 (p < .001).
Tildrakizumab treatment improved HRQoL and patient-reported symptoms in patients with psoriasis in a real-world setting. Clinical trial registration:
https://clinicaltrials.gov/ct2/show/NCT03718299