MICHELSEN, Brigitte, Stylianos GEORGIADIS, Di Giuseppe DANIELA, Anne G LOFT, Michael J NISSEN, Florenzo IANNONE, Manuel POMBO-SUAREZ, Herman MANN, Ziga ROTAR, Kari K EKLUND, Tore K KVIEN, Maria J SANTOS, Bjorn GUDBJORNSSON, Catalin CODREANU, Sema YILMAZ, Johan K WALLMAN, Cecilie H BRAHE, Burkhard MOELLER, Ennio G FAVALLI, Carlos SANCHEZ-PIEDRA, Lucie NEKVINDOVÁ, Matija TOMSIC, Nina TROKOVIC, Eirik K KRISTIANSLUND, Helena SANTOS, Thorvardur J LOVE, Ruxandra IONESCU, Yavuz PEHLIVAN, Gareth T JONES, Van der Horst-Bruinsma IRENE, Lykke M ORNBJERG, Mikkel OSTERGAARD and Merete L HETLAND. Real-World Six- and Twelve-Month Drug Retention, Remission, and Response Rates of Secukinumab in 2,017 Patients With Psoriatic Arthritis in Thirteen European Countries. ARTHRITIS CARE & RESEARCH. HOBOKEN: WILEY, 2022, vol. 74, No 7, p. 1205-1218. ISSN 2151-464X. Available from: https://dx.doi.org/10.1002/acr.24560.
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Original name Real-World Six- and Twelve-Month Drug Retention, Remission, and Response Rates of Secukinumab in 2,017 Patients With Psoriatic Arthritis in Thirteen European Countries
Authors MICHELSEN, Brigitte, Stylianos GEORGIADIS, Di Giuseppe DANIELA, Anne G LOFT, Michael J NISSEN, Florenzo IANNONE, Manuel POMBO-SUAREZ, Herman MANN, Ziga ROTAR, Kari K EKLUND, Tore K KVIEN, Maria J SANTOS, Bjorn GUDBJORNSSON, Catalin CODREANU, Sema YILMAZ, Johan K WALLMAN, Cecilie H BRAHE, Burkhard MOELLER, Ennio G FAVALLI, Carlos SANCHEZ-PIEDRA, Lucie NEKVINDOVÁ (203 Czech Republic, belonging to the institution), Matija TOMSIC, Nina TROKOVIC, Eirik K KRISTIANSLUND, Helena SANTOS, Thorvardur J LOVE, Ruxandra IONESCU, Yavuz PEHLIVAN, Gareth T JONES, Van der Horst-Bruinsma IRENE, Lykke M ORNBJERG, Mikkel OSTERGAARD and Merete L HETLAND.
Edition ARTHRITIS CARE & RESEARCH, HOBOKEN, WILEY, 2022, 2151-464X.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30226 Rheumatology
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 4.700
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1002/acr.24560
UT WoS 000788811100001
Keywords in English Psoriatic Arthritis
Tags 14119612, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 11/7/2024 09:53.
Abstract
Objective There is a lack of real-life studies on interleukin-17 (IL-17) inhibition in psoriatic arthritis (PsA). We assessed real-life 6- and 12-month effectiveness (i.e., retention, remission, low disease activity [LDA], and response rates) of the IL-17 inhibitor secukinumab in PsA patients overall and across 1) number of prior biologic/targeted synthetic disease-modifying antirheumatic drugs (b/tsDMARDs), 2) years since diagnosis, and 3) European registries. Methods Thirteen quality registries in rheumatology participating in the European Spondyloarthritis Research Collaboration Network provided longitudinal, observational data collected as part of routine care for secondary use. Data were pooled and analyzed with Kaplan-Meier plots, log rank tests, Cox regression, and multiple linear and logistic regression analyses. Results A total of 2,017 PsA patients started treatment with secukinumab between 2015 and 2018. Overall secukinumab retention rates were 86% and 76% after 6 and 12 months, respectively. Crude (LUNDEX adjusted) 6-month remission/LDA (LDA including remission) rates for the 28-joint Disease Activity Index for Psoriatic Arthritis, the Disease Activity Score in 28 joints using the C-reactive protein level, and the Simplified Disease Activity Index (SDAI) were 13%/46% (11%/39%), 36%/55% (30%/46%), and 13%/56% (11%/47%), and 12-month rates were 11%/46% (7%/31%), 39%/56% (26%/38%), and 16%/62% (10%/41%), respectively. Clinical Disease Activity Index remission/LDA rates were similar to the SDAI rates. Six-month American College of Rheumatology 20%/50%/70% improvement criteria responses were 34%/19%/11% (29%/16%/9%); 12-month rates were 37%/21%/11% (24%/14%/7%). Secukinumab effectiveness was significantly better for b/tsDMARD-naive patients, similar across time since diagnosis (4 years), and varied significantly across the European registries. Conclusion In this large real-world study on secukinumab treatment in PsA, 6- and 12-month effectiveness was comparable to that in previous observational studies of tumor necrosis factor inhibitors. Retention, remission, LDA, and response rates were significantly better for b/tsDMARD-naive patients, were independent of time since diagnosis, and varied significantly across the European countries.
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