Spondyloarthritis & psoriatic arthritis

Long-term osteoprotective effects of IL-17A blockade with secukinumab in psoriatic arthritis: data from the PSARTROS-II study

RMD OpenPublished Phase IV non-interventional study

Authors' conclusion

Multimodal imaging with HR-pQCT and MRI showed no relevant progression of structural bone damage over 48 months in patients with PsA treated with secukinumab

Study context

Population
Adult patients with active psoriatic arthritis (PsA)40.6% female, mean age 56±7.5 years
Participants
32 patients
Outcome
Structural bone changes on HR-pQCT and MRI
Follow-up
48 months
Methodological detailssingle-arm, longitudinal high-resolution peripheral quantitative CT (HR-pQCT) and MRI imaging
  • Single-arm
  • Longitudinal HR-pQCT and MRI imaging

Main finding

As reported in the abstract

48 months

MRI Psoriatic Arthritis MRI Score (PsAMRIS) erosion subitem, increase

+1.4

MRI PsAMRIS osteoproliferation subitem, increase

+0.8

Observational data: associations, not effects.

Further findings

Drug survival · 48 months

Drug survival rate
68.8%

Clinical outcomes, change from baseline

DAS28, significant improvement
P < 0.001
Leeds Enthesitis Index, significant improvement
P = 0.027
PASI, significant improvement
P = 0.001
CRP
P = 0.09
Psoriatic Arthritis Impact of Disease, significant improvement
P < 0.001
Pain, significant improvement
P < 0.001
Functional status (HAQ) remained stable

MRI PsAMRIS subitems, change

Erosion subitem increased marginally
+1.4
Osteoproliferation subitem increased marginally
+0.8
Inflammatory changes remained stably low

Original publication

Long-term osteoprotective effects of IL-17A blockade with secukinumab in psoriatic arthritis: data from the PSARTROS-II study. RMD Open. Published 25 February 2026. doi:10.1136/rmdopen-2025-005857

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