Spondyloarthritis & psoriatic arthritis

Effects of Secukinumab on Enthesiophyte and Erosion Progression in Psoriatic Arthritis: A One‐Year Double‐Blind, Randomized, Placebo‐Controlled Trial Using High‐Resolution Peripheral Quantitative Computed Tomography

Arthritis RheumatolPublished Randomised controlled trial

Authors' conclusion

Secukinumab demonstrates a potential benefit in facilitating partial erosion repair and preventing enthesiophyte progression in PsA.

Study context

Population
Patients with active psoriatic arthritis (PsA) and ≥1 erosion in metacarpophalangeal joints (MCPJs) 2 to 434 per-protocol
Participants
40 patients
Comparison
Subcutaneous secukinumab vs placebo
Primary endpoint
Change in erosion volume on MCPJs 2 to 4 measured by high-resolution peripheral quantitative computed tomography (HR-pQCT)
Follow-up
24 and 48 weeks
Methodological detailsphase 4, double-blind, placebo-controlled, 1:1 randomisation, per-protocol analysis
  • Phase 4
  • Double-blind
  • Placebo-controlled
  • 1:1 randomisation
  • Per-protocol analysis

Primary result

As reported in the abstract

Erosion volume, median change

Secukinumab

−0.1

median · IQR −0.5–0.0

Placebo

0.0

median · IQR −0.2–0.4

P = 0.004

Further findings

OutcomeOR (95% CI)P value
Enthesiophyte progression (GEE)0.264 (0.080–0.878)P = 0.030
Partial erosion healing (GEE)2.882 (1.130–7.349)P = 0.027
OutcomeP value
Enthesiophyte volume, median changeP = 0.067

Original publication

Effects of Secukinumab on Enthesiophyte and Erosion Progression in Psoriatic Arthritis: A One‐Year Double‐Blind, Randomized, Placebo‐Controlled Trial Using High‐Resolution Peripheral Quantitative Computed Tomography. Arthritis Rheumatol. Published 23 April 2025. doi:10.1002/art.43154

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