Spondyloarthritis & psoriatic arthritis

Biologic disease-modifying antirheumatic drugs survival in late-onset axial spondyloarthritis — data from a Portuguese registry

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

Our study demonstrated that lo-axSpA is not associated with reduced treatment efficacy or compromised safety.

Study context

Population
Patients with axial spondyloarthritis (axSpA) treated with bDMARDs, Rheumatic Diseases Portuguese Register
Participants
2,256 patients
Exposure
Late-onset axSpA vs early-onset axSpA on bDMARDs
  • lo-axSpAn = 260
Outcome
bDMARD drug survival
Follow-up
12 months
Methodological detailsmulticentre, national registry, Cox proportional hazards model
  • Multicentre
  • National registry
  • Cox proportional hazards model

Main finding

As reported in the abstract

bDMARD drug survival / discontinuation
  • Higher discontinuation rate in lo-axSpA during first 12 months, but lo-axSpA not associated with increased risk of therapy discontinuation

Observational data: associations, not effects.

Further findings

Disease activity (ASDAS, BASDAI, BASFI) · baseline, 3, 6 and 12 months

Significantly higher scores in lo-axSpA at all time points; both groups showed proportional reductions over time

Reason for discontinuation

Inefficacy was the primary reason in both groups

Original publication

Biologic disease-modifying antirheumatic drugs survival in late-onset axial spondyloarthritis — data from a Portuguese registry. Rheumatology (Oxford). Published 1 April 2025. doi:10.1093/rheumatology/keaf176

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.