Spondyloarthritis & psoriatic arthritis

Long-term clinical outcomes of certolizumab pegol treatment in non-radiographic axial spondyloarthritis stratified by baseline MRI and C-reactive protein (CRP) status

RMD OpenPublished Post hoc analysis of the C-axSpAnd randomised trial

Authors' conclusion

In patients with nr-axSpA and objective signs of inflammation, long-term clinical outcomes achieved after 1 year were generally sustained at 3 years across MRI+/CRP+, MRI-/CRP+ and MRI+/CRP- subgroups.

Study context

Population
Patients with active non-radiographic axial spondyloarthritis (nr-axSpA) with active sacroiliitis on MRI and/or elevated CRP, treated with certolizumab pegol (CZP)
Comparison
Certolizumab pegol in nr-axSpA subgroups by baseline MRI and CRP status: MRI+/CRP+ vs MRI-/CRP+ vs MRI+/CRP-
Methodological detailsphase 3, multicentre, subgroup analysis by baseline MRI and CRP status, safety follow-up extension to Week 156
  • Phase 3
  • Multicentre
  • Subgroup analysis by baseline MRI and CRP status
  • Safety follow-up extension to Week 156

Primary result

As reported in the abstract

ASDAS-MI in CZP-randomised patients · Week 156

Further findings

ASAS40 in CZP-randomised patients · Week 156 · observed case — MRI+/CRP-
65.2%
  • ASAS40 in CZP-randomised patients: MRI+/CRP+ 76.9%
  • ASAS40 in CZP-randomised patients: MRI-/CRP+ 62.5%

Original publication

Long-term clinical outcomes of certolizumab pegol treatment in non-radiographic axial spondyloarthritis stratified by baseline MRI and CRP status. RMD Open. Published 9 May 2024. doi:10.1136/rmdopen-2023-003884

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