Spondyloarthritis & psoriatic arthritis

Residual Disease Activity and Burden of Disease in Canadian Patients With Axial Spondyloarthritis: Results From a Multiregistry Analysis (UNISON-Axial SpA)

J RheumatolPublished Retrospective cohort study

Authors' conclusion

This analysis demonstrated that most Canadians with axSpA failed to achieve sustained LDA after 12 months of initiating their latest therapy and confirms a high unmet need for additional treatments.

Study context

Population
Canadian patients with axial spondyloarthritis (axSpA) in three registries
Participants
980 patients
Exposure
Rhumadata vs Spondyloarthritis Research Consortium of Canada (SPARCC) vs FORCAST
  • Rhumadatan = 488
  • SPARCCn = 239
  • FORCASTn = 253
Outcome
Proportion failing to achieve sustained low disease activity (LDA) (Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) <3 at both 6 and 12 months after most recent treatment change)
Follow-up
12 months
Methodological detailsobservational, multiregistry
  • Observational
  • Multiregistry

Main finding

As reported in the abstract

Failure to achieve sustained LDA

Observational data: associations, not effects.

Further findings

Failure to achieve LDA (BASDAI <3) · 6 months after treatment initiation

Pain

Pain persisted in nearly half of all patients

Original publication

Residual Disease Activity and Burden of Disease in Canadian Patients With Axial Spondyloarthritis: Results From a Multiregistry Analysis (UNISON-Axial SpA). J Rheumatol. Published 1 July 2025. doi:10.3899/jrheum.2024-1303

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