Antibiotic Use and the Persistence of Biologic Therapies in Patients With Psoriasis

In this cohort study, antibiotic exposure was significantly associated with an increased risk of discontinuation of biologic therapies in psoriasis. These findings support the hypothesis that antibiotics, potentially through gut dysbiosis, may reduce biologic persistence. However, unmeasured confounders limit causal interpretation. Further studies are necessary to validate these findings.

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Publication Details

Journal
JAMA Dermatology
Published
2025-11-12
DOI
https://doi.org/10.1001/jamadermatol.2025.4427
Primary Topic
Psoriasis: Treatment and Pathogenesis
Type
article
Field-Weighted Citation Impact
0.00
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article

Antibiotic Use and the Persistence of Biologic Therapies in Patients With Psoriasis

D. Jullien, É. Sbidian, Laëtitia Penso, Harry Sokol et al.
JAMA Dermatology
Psoriasis: Treatment and Pathogenesis
article

Antibiotic Use and the Persistence of Biologic Therapies in Patients With Psoriasis

D. Jullien, É. Sbidian, Laëtitia Penso, Harry Sokol, Raphaël Ouakrat
article en

Abstract

In this cohort study, antibiotic exposure was significantly associated with an increased risk of discontinuation of biologic therapies in psoriasis. These findings support the hypothesis that antibiotics, potentially through gut dysbiosis, may reduce biologic persistence. However, unmeasured confounders limit causal interpretation. Further studies are necessary to validate these findings.

JAMA DermatologyVol. 162(1)
Inserm (FR), Université Paris-Est Créteil (FR), Microbiologie de l’alimentation au service de la santé (FR), Centre Hospitalier Universitaire Henri-Mondor (FR), Sorbonne Université (FR), Institut National de Recherche pour l'Agriculture, l'Alimentation et l'Environnement (FR), Assistance Publique – Hôpitaux de Paris (FR), Hospices Civils de Lyon (FR), Hôpital Saint-Antoine (FR), Fédération Hospitalo-Universitaire, Paris Center for Microbiome Medicine (FR), Hôpital Edouard Herriot (FR), Hôpitaux Universitaires Henri-Mondor (FR), Centre de Recherche Saint-Antoine (FR)
Openalex Percentile: Top 64%
Psoriasis: Treatment and Pathogenesis
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