Lupus & antiphospholipid syndrome

Deucravacitinib, an oral, selective, allosteric, tyrosine kinase 2 inhibitor, in patients with active SLE: efficacy on patient-reported outcomes in a phase II randomised trial

Lupus Sci MedPublished Secondary analysis of the PAISLEY randomised trial

Authors' conclusion

Patients with SLE experienced greater improvements in pain, fatigue and health-related quality-of-life scores at week 48 with deucravacitinib versus placebo treatment.

Study context

Population
Patients with active SLE
Participants
363 patients
Comparison
Deucravacitinib 3 mg twice daily, 6 mg twice daily or 12 mg once daily vs placebo
  • Placebon = 90reference
  • Deucravacitinib 3 mg two times per dayn = 91
  • 6 mg two times per dayn = 93
  • 12 mg once dailyn = 89
Methodological detailsphase II, 48-week, exploratory endpoints, control-based pattern imputation for missing data
  • Phase II
  • 48-week
  • Exploratory endpoints
  • Control-based pattern imputation for missing data

Primary result

As reported in the abstract

week 48

Pain decrease, placebo vs deucravacitinib dose groups (points)

1.3 vs 2.2-2.3

Fatigue score decrease, placebo vs deucravacitinib dose groups (points)

3.4 vs 5.9-7.3

Secondary outcomes

SF-36 scores (mean)

Mean SF-36 physical score, placebo vs deucravacitinib dose groups
41.5 vs ≥44.6
Mean SF-36 mental score, placebo vs deucravacitinib dose groups
45.2 vs ≥46.3
Greater proportion with clinically meaningful SF-36 improvements with deucravacitinib vs placebo

Pain and fatigue by SRI-4 and BICLA response · week 48

SRI-4 and BICLA responders reported greater improvements in pain and fatigue than non-responders, regardless of treatment group
Deucravacitinib generally saw greater SRI-4 and BICLA response rates than placebo

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Deucravacitinib, an oral, selective, allosteric, tyrosine kinase 2 inhibitor, in patients with active SLE: efficacy on patient-reported outcomes in a phase II randomised trial. Lupus Sci Med. Published 1 June 2025. doi:10.1136/lupus-2025-001517

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