Spondyloarthritis & psoriatic arthritis

Clinimetric Validation of the Assessment of Spondyloarthritis International Society Health Index in Patients With Radiographic Axial Spondyloarthritis in Ixekizumab Trials

J RheumatolPublished Clinimetric validation study

Authors' conclusion

The ASAS HI demonstrated reliability, construct validity, known groups discrimination, and responsiveness in adults with r-axSpA in 2 clinical trials.

Study context

Population
Patients with radiographic axial spondyloarthritis (r-axSpA) in ixekizumab trials
Participants
341 vs 316
Comparison
COAST-V vs COAST-W
  • COAST-Vn = 341
  • COAST-Wn = 316
Outcome
ASAS HI clinimetric properties
Methodological detailssecondary analysis of 2 randomised controlled trials, data from 2 randomized, placebo-controlled, active-controlled phase III trials (COAST-V, COAST-W)
  • Secondary analysis of 2 randomised controlled trials
  • Data from 2 randomized, placebo-controlled, active-controlled phase III trials (COAST-V, COAST-W)

Performance

As reported in the abstract

Test or modelICC test-retest reliability
COAST-V0.78
COAST-W0.76

ICC test-retest reliability

COAST-V0.78
COAST-W0.76
Correlation between ASAS HI and BASDAI (moderate-to-large)
r = 0.40-0.61
Differences in mean ASAS HI between ASDAS disease activity categories at baseline and week 16
all P < 0.001
ASAS HI differentiated between ASAS, BASDAI and ASDAS response groups
P < 0.001

Original publication

Clinimetric Validation of the Assessment of Spondyloarthritis International Society Health Index in Patients With Radiographic Axial Spondyloarthritis in Ixekizumab Trials. J Rheumatol. Published 1 February 2023. doi:10.3899/jrheum.220244

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