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Updated: May 19, 2026

Measuring Psoriasis Severity at Home
Published on: March 1, 2024
Patient-Reported Well-Being in Value-Based Routine Care in Psoriatic Disease Using Tildrakizumab: 2-Year Data of the
Ulrich Mrowietz1, Rachel Sommer2, Ziad Reguiai3
1Psoriasis-Center, Department of Dermatology, University Medical Center Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Tildrakizumab significantly improved skin symptoms, psychological well-being, and quality of life in patients with moderate-to-severe psoriasis over two years. This interleukin-23p19 inhibitor demonstrated sustained efficacy and a favorable safety profile in real-world settings.
Area of Science:
- Dermatology
- Immunology
- Clinical Research
Background:
- Psoriasis impacts skin, psychological health, and daily functioning.
- Interleukin-23p19 inhibitors offer a targeted treatment approach.
Purpose of the Study:
- To evaluate the 2-year real-world effects of tildrakizumab on skin, psychological well-being, and quality of life in moderate-to-severe psoriasis patients.
Main Methods:
- The POSITIVE study was a 24-month prospective observational multinational trial.
- Adults with moderate-to-severe plaque psoriasis receiving tildrakizumab were enrolled.
- Outcome measures included WHO-5, PASI, and DLQI-R scores.
Main Results:
- Significant improvements in WHO-5 scores (psychological well-being) and reductions in PASI scores (skin severity) were observed over 2 years.
- Dermatology Life Quality Index-Relevant (DLQI-R) scores substantially decreased, indicating improved quality of life.
- High drug survival rates (87.8%) and a favorable safety profile with low adverse event incidence (11.1%) were noted.
Conclusions:
- Tildrakizumab provides sustained, holistic long-term health benefits for moderate-to-severe psoriasis.
- The treatment consistently improved psychological well-being, clinical outcomes, and quality of life.
- Tildrakizumab demonstrated a favorable safety profile over the 2-year study period.
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