Z.Z.N. Yiu
Infliximab is associated with an increased risk of serious infection in patients with psoriasis in the U.K. and Republic of Ireland: results from the British Association of Dermatologists Biologic Interventions Register (BADBIR).
Yiu, Z.Z.N.; Ashcroft, D.M.; Evans, I.; McElhone, K.; Lunt, M.; Smith, C.H.; Walton, S.; Murphy, R.; Reynolds, N.J.; Ormerod, A.D.; Griffiths, C.E.M.; Warren, R.B.; Study Group, BADBIR; Mason, Kayleigh
Authors
D.M. Ashcroft
I. Evans
K. McElhone
M. Lunt
C.H. Smith
S. Walton
R. Murphy
N.J. Reynolds
A.D. Ormerod
C.E.M. Griffiths
R.B. Warren
BADBIR Study Group
Dr Kayleigh Mason k.mason@keele.ac.uk
Abstract
BACKGROUND: Patients with psoriasis and clinicians are concerned that infliximab may be associated with a risk of serious infections. OBJECTIVES: To compare the risk of serious infections associated with infliximab in patients with chronic plaque psoriasis against a cohort on nonbiologic systemic therapies. METHODS: A prospective cohort study was performed using data from the British Association of Dermatologists Biologic Interventions Register (BADBIR). Infliximab was compared with nonbiologic systemic therapies, inclusive of any exposure to methotrexate, ciclosporin, acitretin, fumaric acid esters, psoralen-ultraviolet A or hydroxycarbamide. Serious infections were those associated with hospitalization, the use of intravenous antimicrobial therapy and/or those that led to death. Propensity score inverse probability treatment weights were used to adjust for potential confounding from a priori identified covariates. Cox proportional hazards models were calculated to obtain hazard ratios (HRs). RESULTS: In total, 3843 participants were included for analysis up to October 2016. The incidence rates were significantly higher in the infliximab cohort (47·8 per 1000 person-years) [95% confidence interval (CI) 35·7-64·0], compared with 14·2 per 1000 person-years (95% CI 11·5-17·4) in the nonbiologic systemic cohort. Infliximab was associated with an overall increase in the risk of serious infection compared with nonbiologics [adjusted HR (adjHR) 1·95, 95% CI 1·01-3·75] and methotrexate only (adjHR 2·96, 95% CI 1·58-5·57) and a higher risk of serious infection in the first 6 months of therapy (adjHR 3·49, 95% CI 1·14-10·70). CONCLUSIONS: Infliximab is associated with an increased risk of serious infections compared with nonbiologic systemic therapies in patients with psoriasis in the U.K. and the Republic of Ireland.
Citation
Yiu, Z., Ashcroft, D., Evans, I., McElhone, K., Lunt, M., Smith, C., …Mason, K. (2019). Infliximab is associated with an increased risk of serious infection in patients with psoriasis in the U.K. and Republic of Ireland: results from the British Association of Dermatologists Biologic Interventions Register (BADBIR). British Journal of Dermatology, 180(2), 329 - 337. https://doi.org/10.1111/bjd.17036
Journal Article Type | Article |
---|---|
Acceptance Date | Jun 13, 2018 |
Online Publication Date | Feb 1, 2019 |
Publication Date | 2019-02 |
Publicly Available Date | May 26, 2023 |
Journal | British Journal of Dermatology |
Print ISSN | 0007-0963 |
Publisher | Wiley |
Peer Reviewed | Peer Reviewed |
Volume | 180 |
Issue | 2 |
Pages | 329 - 337 |
DOI | https://doi.org/10.1111/bjd.17036 |
Publisher URL | https://onlinelibrary.wiley.com/doi/full/10.1111/bjd.17036 |
Files
Infliximab is associated with an increased risk of serious infection in patients with psoriasis in the U.K. and Republic of .pdf
(300 Kb)
PDF
Publisher Licence URL
https://creativecommons.org/licenses/by/4.0/
You might also like
Psoriasis and COVID-19: findings from PsoProtectMe.
(2021)
Presentation / Conference
Downloadable Citations
About Keele Repository
Administrator e-mail: research.openaccess@keele.ac.uk
This application uses the following open-source libraries:
SheetJS Community Edition
Apache License Version 2.0 (http://www.apache.org/licenses/)
PDF.js
Apache License Version 2.0 (http://www.apache.org/licenses/)
Font Awesome
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2024
Advanced Search