Spondyloarthritis & psoriatic arthritis

Four-year secukinumab treatment outcomes in European real-world patients with axial spondyloarthritis and psoriatic arthritis

Joint Bone SpinePublished Observational cohort study

Authors' conclusion

This large European real-world study demonstrates that 4-year secukinumab retention rates were approximately 50% in both axSpA and PsA. b/tsDMARD naïve patients had higher retention, remission and LDA rates than patients with prior b/tsDMARD exposure.

Study context

Population
Patients with axial spondyloarthritis (axSpA) and psoriatic arthritis (PsA) initiating secukinumab, pooled from 13 European registries13 European registries
Participants
767 vs 975
Exposure
Secukinumab retention and remission/low disease activity (LDA) by number of previous b/tsDMARDs (0/1/≥2), in axSpA and PsA
  • axSpAn = 767
  • PsAn = 975
Outcome
Secukinumab retention rates and proportions achieving remission and LDA
Follow-up
24 and 48 months
Methodological detailspooled European registries, real-world, 13 European registries, stratified by number of previous b/tsDMARDs (0/1/≥2), Kaplan-Meier and Cox regression, logistic regression
  • Pooled European registries
  • Real-world
  • 13 European registries
  • Stratified by number of previous b/tsDMARDs (0/1/≥2)
  • Kaplan-Meier and Cox regression
  • Logistic regression

Main finding

As reported in the abstract

Secukinumab retention rate (24-/48-month)

axSpA

61%/51%

PsA

64%/49%

Observational data: associations, not effects.

Further findings

Withdrawal from secukinumab by prior b/tsDMARDs

Higher risk of withdrawal vs b/tsDMARD naïve for ≥2 prior b/tsDMARDs in axSpA and PsA, and 1 prior b/tsDMARD in axSpA

Remission and LDA rates by prior b/tsDMARDs · 24 months

Remission and LDA rates generally numerically higher in b/tsDMARD naïve patients
After adjustment, significantly higher remission and LDA rates in b/tsDMARD naïve vs ≥2 prior b/tsDMARDs at 24 months in axSpA and PsA
  • Adjusted for confounders

Original publication

Four-year secukinumab treatment outcomes in European real-world patients with axial spondyloarthritis and psoriatic arthritis. Joint Bone Spine. Published 26 November 2024. doi:10.1016/j.jbspin.2024.105824

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