Vasculitis & polymyalgia rheumatica

Comparative Efficacy of Secukinumab Versus Tumor Necrosis Factor Inhibitors for the Treatment of Takayasu Arteritis

Arthritis RheumatolPublished Prospective cohort study

Authors' conclusion

Our findings suggest that secukinumab and TNFi are effective for patients with TAK who do not respond to oral glucocorticoids and conventional immunosuppressive agents, with similar response rates at 3 and 6 months.

Study context

Population
Patients with active TAK not responding to GC combined with 2 immunosuppressive agents
Participants
19 vs 34
Exposure
Secukinumab vs TNF inhibitors (TNFi) as add-on therapy without increased GC dosage
  • Secukinumabn = 19
  • TNFin = 34reference
Outcome
Complete and partial response (complete: resolution of signs and symptoms of active disease, normal inflammatory markers, no imaging progression, GC <15 mg/day; partial: as complete except ESR <40 mm/hour and CRP <20 mg/liter)
Follow-up
3 and 6 months
Methodological detailssingle-centre, open-label
  • Single-centre
  • Open-label

Main finding

As reported in the abstract

Complete and partial response · 3 months

P = 0.057

Observational data: associations, not effects.

Further findings

Complete and partial response · 6 months

P = 0.389

Original publication

Comparative Efficacy of Secukinumab Versus Tumor Necrosis Factor Inhibitors for the Treatment of Takayasu Arteritis. Arthritis Rheumatol. Published 8 June 2023. doi:10.1002/art.42496

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