Spondyloarthritis & psoriatic arthritis

Efficacy and safety of upadacitinib in patients with psoriatic arthritis and exposure to one anti-TNF: post hoc analysis of SELECT-PsA 2

RMD OpenPublished Post hoc analysis of the SELECT-PsA 2 randomised trial

Authors' conclusion

Upadacitinib 15 mg once daily demonstrated sustained efficacy and an acceptable safety profile in patients with PsA and exposure to one prior TNFi, irrespective of the duration of previous TNFi exposure.

Study context

Population
Patients with PsA and exposure to one prior tumour necrosis factor inhibitor (TNFi)
Participants
195 patients
Comparison
Upadacitinib 15 mg once daily vs placebo
  • Upadacitinib 15 mgn = 90
  • Placebon = 105reference
Methodological detailsplacebo-controlled, placebo switched to upadacitinib at week 24
  • Placebo-controlled
  • Placebo switched to upadacitinib at week 24

Primary result

As reported in the abstract

week 24

Values · week 24

ACR50

ACR70

MDA

Further findings

Long-term responses · week 152

Responses were maintained or improved through week 152
Placebo switchers achieved sustained PASI75/90 responses across different anatomical regions

Efficacy by duration of prior TNFi exposure

Generally similar regardless of duration of prior TNFi exposure in sensitivity and tertile analyses

Early pain as predictor of minimal disease activity (MDA) at week 152

Lower pain scores at weeks 2 and 12 predicted MDA achievement at week 152

Safety

Treatment-emergent adverse events · week 152

No new safety signals were identified

Original publication

Efficacy and safety of upadacitinib in patients with psoriatic arthritis and exposure to one anti-TNF: post hoc analysis of SELECT-PsA 2. RMD Open. Published 27 August 2026. doi:10.1136/rmdopen-2025-006655

Composed by AI from the published abstract and checked against it. How Briefs are made →

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