Spondyloarthritis & psoriatic arthritis
Remote monitoring or patient-initiated care in axial spondyloarthritis: a 3-armed randomised controlled noninferiority trial
Authors' conclusion
In patients with axSpA in low disease activity and on stable treatment with tumour necrosis factor inhibitor, follow-up with remote monitoring or patient-initiated care was noninferior to usual care in maintaining low disease activity
Study context
- Population
- Patients with axial spondyloarthritis (axSpA) in low disease activity on stable TNFi treatment, Norwegian outpatient clinic235 completed
- Participants
- 243 patients
- Comparison
- Remote monitoring vs patient-initiated care vs usual care
- Remote monitoringn = 75
- Patient-initiated caren = 79
- Usual caren = 81reference
- Primary endpoint
- Mean probability of ASDAS <2.1, compared between groups at 6, 12 and 18 months; 15% noninferiority margin
- Follow-up
- 6, 12 and 18 months
Methodological details3-armed, parallel-group, open-label, noninferiority
- 3-armed
- Parallel-group
- Open-label
- Noninferiority
Primary result
As reported in the abstract
Probability of ASDAS <2.1
Estimated difference of probability, %
Usual carevs Remote monitoring
−4.1(97.5% CI −9.9% to 1.8%)
Usual carevs Patient-initiated care
−1.1(97.5% CI −7.2% to 4.9%)
Remote monitoringvs Patient-initiated care
2.9(95% CI −1.5% to 7.4%)
Non-inferiority margin 15 as printed, not drawn
Secondary outcomes
Health providers' resource use
- Lowest in patient-initiated care
Other secondary outcomes
- Comparable
Original publication
Remote monitoring or patient-initiated care in axial spondyloarthritis: a 3-armed randomised controlled noninferiority trial. Ann Rheum Dis. Published 23 May 2025. doi:10. 1016/ j. ard. 2025. 04. 019
Composed by AI from the published abstract and checked against it. How Briefs are made →