Spondyloarthritis & psoriatic arthritis

Male fertility is preserved following ixekizumab treatment—a real-life pilot study

Rheumatology (Oxford)Published Prospective cohort study

Authors' conclusion

In our limited-size pilot study on SpA and PsO patients, IXE exposure did not impair male fertility.

Study context

Population
Consecutive adult male spondyloarthritis (SpA) and/or psoriasis (PsO) patients eligible for or undergoing ixekizumab (IXE) treatment8 SpA, 2 PsO
Participants
10 patients
Exposure
Ixekizumab-treated SpA and/or PsO patients vs healthy donors
  • IXEn = Ten
Outcome
Sperm parameters after a minimum of 6 months of IXE treatment
Follow-up
Minimum of 6 months
Methodological detailspilot, real-world, consecutive enrolment, healthy donor control group, Sperm analysis also before treatment initiation in a subgroup of patients
  • Pilot
  • Real-world
  • Consecutive enrolment
  • Healthy donor control group
  • Sperm analysis also before treatment initiation in a subgroup of patients

Main finding

As reported in the abstract

Sperm parameters · 6 months of IXE
  • All patients had normal sperm parameters

Observational data: associations, not effects.

Further findings

Sperm parameters vs healthy donors

IXE-treated patients had lower sperm concentrations but higher vitality than controls

Patient with baseline oligozoospermia (SpA and PsO) · follow-up

Normal parameters at follow-up; successful pregnancy post-treatment
1

Original publication

Male fertility is preserved following ixekizumab treatment—a real-life pilot study. Rheumatology (Oxford). Published 5 November 2024. doi:10.1093/rheumatology/keae609

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