Spondyloarthritis & psoriatic arthritis

Impact of the time of initiation and line of biologic therapy on the retention rate of secukinumab in axial spondyloarthritis (axSpA): data from the French multicentre retrospective FORSYA study

RMD OpenPublished Retrospective cohort study

Main finding · Secukinumab retention rateResult — go to the resultHazard ratio 1.19 CI 1.02–1.39

Authors' conclusion

The better secukinumab retention rate remotely from its launch is explained by its use at an earlier stage of the disease, suggesting a change in the behaviour of prescribing physicians.

Study context

Population
Patients with axSpA treated with secukinumab, 50 French centres50 centres
Participants
758 vs 906
Exposure
Secukinumab initiated 1 September 2018–13 November 2020 (C2) vs 16 August 2016–31 August 2018 (C1)
  • C2n = 758
  • C1n = 906reference
Outcome
Retention rate of secukinumab
Follow-up
1 year
Methodological detailsmulticentre
  • Multicentre

Main finding

Secukinumab retention rate

Hazard ratio

1.19

CI 1.02–1.39

P = 0.0297

By group

C2vs C1
HR 1.19 (CI 1.02–1.39); P = 0.0297

As reported in the abstract

Observational data: associations, not effects.

Further findings

Predictors of 1-year retention (multivariate Cox)

Line of biologic therapy was the single predictive factor in both cohorts, with better retention when prescribed as first-line biologic

Original publication

Impact of the time of initiation and line of biologic therapy on the retention rate of secukinumab in axial spondyloarthritis (axSpA): data from the French multicentre retrospective FORSYA study. RMD Open. Published 29 February 2024. doi:10.1136/rmdopen-2023-003942

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