Spondyloarthritis & psoriatic arthritis

Impact of hyperuricaemia on patients with psoriatic arthritis treated with secukinumab in the FUTURE 2–5 and MAXIMISE studies

RMD OpenPublished Post hoc pooled analysis of the FUTURE 2-5 and MAXIMISE studies

Authors' conclusion

Patients with PsA and hyperuricaemia have different clinical characteristics from patients with PsA and normouricaemia.

Study context

Population
Patients with PsA treated with secukinumab in the FUTURE 2–5 and MAXIMISE studies
Comparison
Hyperuricaemia vs normouricaemia in PsA patients treated with secukinumab
Outcome
Response to secukinumab by baseline uricaemia status
Follow-up
Up to week 52
Methodological detailspooled data, stratified by baseline serum uric acid (SUA) (threshold 360 µmol/L), sensitivity analysis at SUA thresholds 300 µmol/L and 420 µmol/L
  • Pooled data
  • Stratified by baseline SUA (threshold 360 µmol/L)
  • Sensitivity analysis at SUA thresholds 300 µmol/L and 420 µmol/L

Pooled result

As reported in the abstract

  • Similar proportions in normouricaemic and hyperuricaemic cohorts achieved ACR responses, resolution of enthesitis and dactylitis, inhibition of structural damage progression and improvement in health-related quality of life across all secukinumab doses

Further pooled results

Baseline characteristics

Hyperuricaemic patients mostly male, higher prevalence of hypertension, more clinical dactylitis, more psoriasis and more severe skin disease vs normouricaemic

Original publication

Impact of hyperuricaemia on patients with psoriatic arthritis treated with secukinumab in the FUTURE 2–5 and MAXIMISE studies. RMD Open. Published 9 November 2023. doi:10.1136/rmdopen-2023-003428

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