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. 2016 Mar 30;30(7):1148–1158. doi: 10.1111/jdv.13611

Table 7.

Proportion of patients who discontinued and reasons for discontinuation of first‐, second‐ and third‐line therapy; patients with psoriasis initiating new therapy during the registry

Ustekinumab Infliximab Adalimumab Etanercept
First‐line therapy, N 361 63 402 289
Number (%) discontinued 31 (8.6) 16 (25.4) 151 (37.6) 127 (43.9)
Reasons for discontinuation
Lack of effectiveness 12 (38.7) 9 (56.3) 61 (40.4) 65 (51.2)
Patient choice 5 (16.1) 38 (25.2) 16 (12.6)
Insurance/reimbursement 5 (16.1) 1 (6.3) 23 (15.2) 16 (12.6)
Other 4 (12.9) 1 (6.3) 25 (16.6) 23 (18.1)
Adverse event 2 (6.5) 5 (31.3) 15 (9.9) 18.1)
Second‐line therapy, N 566 93 622 155
Number (%) discontinued 106 (18.7) 51 (54.8) 250 (40.2) 75 (48.4)
Reasons for discontinuation
Lack of effectiveness 53 (50.0) 17 (33.3) 121 (48.4) 36 (48.0)
Other 18 (17.0) 11 (21.6) 30 (12.0) 7 (9.3)
Patient choice 16 (15.1) 3 (5.9) 33 (13.2) 12 (16.0)
Insurance/reimbursement 6 (5.7) 4 (7.8) 26 (10.4) 14 (18.7)
Adverse event 4 (3.8) 14 (27.5) 25 (10.0) 8 (10.7)
Third‐line therapy, N 551 103 197 71
Number (%) discontinued 129 (23.4) 49 (47.6) 90 (45.7) 35 (49.3)
Reasons for discontinuation
Lack of effectiveness 73 (56.6) 25 (51.0) 46 (51.1) 24 (68.6)
Patient choice 15 (11.6) 5 (10.2) 11 (12.2) 5 (14.3)
Other 13 (10.1) 7 (14.3) 10 (11.1) 4 (11.4)
Insurance/reimbursement 12 (9.3) 2 (4.1) 9 (10.0)
Adverse event 6 (4.7) 8 (16.3) 8 (8.9) 3 (8.6)

Data are listed in ascending order based on first‐line ustekinumab therapy.