Dermatologist and Patient Preferences in Choosing Treatments for Moderate to Severe Psoriasis

• Published in: Dermatology and therapy 2017-12, Vol.7 (4), p.463-483
• Main Authors: Alcusky, Matthew, Lee, Seina, Lau, Gordon, Chiu, Gretchen R., Hadker, Nandini, Deshpande, Aparna, Fleming, Stephen, Vance, Nicola, Fakharzadeh, Steve
• Format: Article
• Language: English
• Subjects: Dermatology; Internal Medicine; Medicine; Medicine & Public Health; Oral and Maxillofacial Surgery; Original Research; Patients; Plastic Surgery; Psoriasis; Quality of Life Research
• ISSN: 2193-8210; 2190-9172
• DOI: 10.1007/s13555-017-0205-2

Introduction The objective of the study was to determine the relative importance (RI) of treatment attributes psoriasis patients and physicians consider when choosing between biologic therapies based on psoriasis severity. Methods A discrete choice experiment (DCE) weighting preference for eight sets of hypothetical treatments for moderate or severe psoriasis was conducted. DCE hypothetical treatments were defined and varied on combinations of efficacy, safety, and dosing attributes [frequency/setting/route of administration (ROA)]. Results When assuming moderate psoriasis in the patient DCE, ROA (RI 29%) and efficacy (RI 27%) drive treatment choices. When assuming severe disease in the DCE, patients preferred treatments with higher efficacy (RI 36%); ROA was relatively less important (RI 15%). From the physician perspective, ROA (RI 32%) and efficacy (RI 26%) were most important for moderate psoriasis patients. In the physician model for severe psoriasis, efficacy (RI 42%) was the predominant driver followed by ROA (RI 22%). Regardless of severity, probability of loss of response within 1 year was the least important factor. Conclusions The severity of disease is a critical element in psoriasis treatment selection. There are high levels of alignment between physician- and patient-derived preferences in biologic treatment choice selection for psoriasis. Funding Janssen Pharmaceuticals.