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Journal of the American Academy of Dermatology
Sous presse. Epreuves corrigées par l'auteur. Disponible en ligne depuis le jeudi 7 novembre 2019
Doi : 10.1016/j.jaad.2019.07.103
accepted : 30 July 2019
Change in body weight and body mass index in psoriasis patients receiving biologics: A systematic review and network meta-analysis
 

Ming-Ying Wu, MD a, d, Chia-Ling Yu, MS b, Shih-Jyun Yang, MD a, e, Ching-Chi Chi, MD, MMS, DPhil, FAAD a, c,
a Department of Dermatology, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan 
b Department of Pharmacy, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan 
c College of Medicine, Chang Gung University, Taoyuan, Taiwan 
d Graduate Institute of Epidemiology and Preventive Medicine, National Taiwan University, Taipei, Taiwan 
e Department of Dermatology, Chang Gung Memorial Hospital, Keelung, Taiwan 

Reprint requests: Ching-Chi Chi, MD, MMS, DPhil, FAAD, Department of Dermatology, Chang Gung Memorial Hospital, Linkou, 5, Fuxing St, Guishan Dist, Taoyuan 33305, Taiwan.Department of DermatologyChang Gung Memorial HospitalLinkou, 5, Fuxing St, Guishan DistTaoyuan33305Taiwan
Abstract
Background

Previous studies have suggested that biologic therapy for psoriasis might relate to body weight gain.

Objective

To assess the changes in body weight and body mass index (BMI) in psoriasis patients after receiving various biologics.

Methods

We conducted a systematic review and network meta-analysis to evaluate the changes in body weight and BMI in psoriasis patients receiving biologics. On March 1, 2019, we searched Medline, Embase, and Cochrane Central Register of Controlled Trials for relevant studies. The Newcastle-Ottawa scale was used to assess the risk of bias.

Results

We included 6 studies with 862 psoriasis patients. Compared with conventional systemic treatments, treatment with tumor necrosis factor α inhibitors was associated with a significant increase in body weight (mean difference 1.40 kg, 95% confidence interval 0.88-1.93 kg) and BMI (0.39 kg/m2, 95% confidence interval 0.24-0.54 kg/m2). In contrast, no significant increase in body weight or BMI was found among patients receiving anti-interleukin (IL)-12/23 or anti-IL-17 biologics.

Limitations

Only 1 study reported body weight and BMI for patients receiving the anti-IL-17 biologic.

Conclusion

Tumor necrosis factor α inhibitor treatment appears to be associated with an increase in body weight and BMI, and treatment with anti-IL-12/23 and anti-IL-17 biologics do not. This association should be considered before initiating biologics for overweight and obese patients.

The full text of this article is available in PDF format.

Key words : anti-interleukin-12/23 biologic, anti-interleukin-17 biologic, biologic therapy, body mass index, body weight, network meta-analysis, psoriasis, tumor necrosis factor inhibitor

Abbreviations used : BMI, CI, IL, MD, SD, SUCRA, TNF-α, TNFi



 Funding sources: None.
 Conflicts of interest: Prof Chi received speaking fees from AbbVie Taiwan, Janssen Taiwan, Novartis Taiwan, and Pfizer Taiwan. Dr Wu, Ms Yu, and Dr Yang have no conflicts of interest to disclose.



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