Spondyloarthritis & psoriatic arthritis

Efficacy and Safety of Intravenous Secukinumab for the Treatment of Active Psoriatic Arthritis: Results From a Randomized, Placebo‐Controlled Phase 3 Study

Arthritis RheumatolPublished Randomised controlled trial

Authors' conclusion

IV secukinumab led to rapid and sustained improvements in clinical measures of PsA, and the safety profile was consistent with that of secukinumab administered subcutaneously.

Study context

Population
Patients with active psoriatic arthritis (PsA)177 and 170 completed
Participants
191 vs 190
Comparison
Intravenous (IV) secukinumab vs placebo
  • IV SECUKINUMABn = 191
  • PLACEBOn = 190reference
Primary endpoint
ACR50
Follow-up
Week 16
Methodological detailsplacebo-controlled, phase 3, 1:1 randomisation, placebo switched to IV secukinumab at week 16, Efficacy evaluated through week 52, safety through week 60
  • Placebo-controlled
  • Phase 3
  • 1:1 randomisation
  • Placebo switched to IV secukinumab at week 16
  • Efficacy evaluated through week 52, safety through week 60

Primary result

As reported in the abstract

Adjusted P < 0.0001

Secondary outcomes

Deaths before week 16 — PLACEBO
1 events

All secondary efficacy endpoints · week 16

All met (all adjusted P < 0.05 using the predefined hypothesis-testing hierarchy)

Efficacy outcomes · week 52

Both treatment arms experienced similar improvements in efficacy outcomes

Deaths before week 16

No new or unexpected safety signals with IV secukinumab

Original publication

Efficacy and Safety of Intravenous Secukinumab for the Treatment of Active Psoriatic Arthritis: Results From a Randomized, Placebo‐Controlled Phase 3 Study. Arthritis Rheumatol. Published 17 October 2024. doi:10.1002/art.42997

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