Spondyloarthritis & psoriatic arthritis

Efficacy of tofacitinib on enthesitis in patients with active psoriatic arthritis: analysis of pooled data from two phase 3 studies

Arthritis Res TherPublished Post hoc pooled analysis of two phase 3 randomised trials

Authors' conclusion

Tofacitinib treatment resulted in improvements in enthesitis in patients with PsA, regardless of baseline location or severity.

Study context

Population
Patients with active psoriatic arthritis (PsA), by baseline enthesitis location and severity (Leeds Enthesitis Index (LEI), SPARCC)
Participants
710 patients2 phase 3 studies
Comparison
Tofacitinib 5 or 10 mg twice daily to M6 vs placebo to M3
Outcome
Change from baseline in LEI and SPARCC across baseline enthesitis locations/severities
Follow-up
Up to M3
Methodological detailspooled data, placebo-controlled
  • Pooled data
  • Placebo-controlled

Pooled result

As reported in the abstract

up to M3

Change in LEI, tofacitinib vs placebo (greater with tofacitinib)

−2.0-0.4 vs -‍0.9-‍0.4

Change in SPARCC, tofacitinib vs placebo (greater with tofacitinib)

−3.5-0.2 vs −1.5-1.1

Further pooled results

Relapse of enthesitis resolved by M1/M3 (baseline LEI > 0 or SPARCC > 0) · M6

Patients with relapse
≤ 40%

De novo enthesitis (baseline LEI = 0 and SPARCC = 0) · M6

Patients with de novo enthesitis
< 14%

Enthesitis at M6 by baseline severity

More common with greater baseline enthesitis severity

Low disease activity (LDA)/remission

Rates generally increased with tofacitinib over time

Association of baseline enthesitis with PRO change

Baseline LEI location significantly associated with change in arthritis pain score
Baseline SPARCC severity significantly associated with change in FACIT-F total and arthritis pain scores

Original publication

Efficacy of tofacitinib on enthesitis in patients with active psoriatic arthritis: analysis of pooled data from two phase 3 studies. Arthritis Res Ther. Published 22 August 2023. doi:10.1186/s13075-023-03108-5

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