Spondyloarthritis & psoriatic arthritis

External validation of the alternative Ankylosing Spondylitis Disease Activity Score in three randomized clinical trials of ixekizumab

Rheumatology (Oxford)Published Validation study

Authors' conclusion

The altASDAS was truthful and discriminative in an external cohort and as such has been fully validated to be used in cases when PGA is unavailable.

Study context

Population
Radiographic/non-radiographic axSpA patients enrolled in the COAST trials of ixekizumabpooled COAST-V, -W, -X
Participants
958 patients
Comparison
altASDAS vs ASDAS
Outcome
Truth: agreement of altASDAS with ASDAS
Methodological detailspooled analysis of three randomised controlled trials, external validation, OMERACT filter 2.0, pooled cohorts of COAST-V, -W, -X trials of ixekizumab
  • Pooled analysis of three randomised controlled trials
  • External validation
  • OMERACT filter 2.0
  • Pooled cohorts of COAST-V, -W, -X trials of ixekizumab

Performance

As reported in the abstract

MD (95% CI)
Between altASDAS and ASDASinterval is 95% limits of agreement
0.03(−0.31-0.24)
altASDAS vs ASDAS · very good agreement
ICC 0.99
altASDAS vs ASDAS
κ (disease activity (DA) states) 0.91

Further findings

Outcomeκ CII
Discrimination: agreement with ASDAS response0.93

Discrimination: agreement with ASDAS response

altASDAS discriminated between DA states (anchor: nocturnal pain >6/10)

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

Original publication

External validation of the alternative Ankylosing Spondylitis Disease Activity Score in three randomized clinical trials of ixekizumab. Rheumatology (Oxford). Published 25 October 2022. doi:10.1093/rheumatology/keac618

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