Spondyloarthritis & psoriatic arthritis

Secukinumab improves physical function and quality of life and inhibits structural damage in patients with psoriatic arthritis (PsA) with sustained remission or low disease activity: results from the 2-year phase 3 FUTURE 5 study

RMD OpenPublished Post hoc analysis of the FUTURE 5 randomised controlled trial

Authors' conclusion

Sustained LDA/REM was associated with improvements in physical function, QoL and inhibition of structural damage progression.

Study context

Population
Patients with active PsA in the FUTURE 5 study, categorised by low disease activity (LDA) (MDA/DAPSA LDA+remission (REM)) or REM (very LDA/DAPSA REM): not achieved, achieved once, or sustained ≥3 times up to week 104
Participants
996 patients
Comparison
Sustained LDA/REM vs LDA/REM achieved once or not at all in secukinumab-treated patients
  • Secukinumab 300 mgn = 222
  • Secukinumab 150 mg loadingn = 220
  • Secukinumab 150 mg non-loadingn = 222
  • Placebon = 332reference
Primary endpoint
Improvements in HAQ-DI and SF-36 Physical Component Summary Score, proportion of non-radiographic progressors and predictors of sustained LDA response
Follow-up
Up to week 104
Methodological detailsdouble-blind, placebo-controlled, parallel-group, phase 3
  • Double-blind
  • Placebo-controlled
  • Parallel-group
  • Phase 3

Primary result

As reported in the abstract

Sustained LDA

48%-81%

Sustained REM

19%-36%

Original publication

Secukinumab improves physical function and quality of life and inhibits structural damage in patients with PsA with sustained remission or low disease activity: results from the 2-year phase 3 FUTURE 5 study. RMD Open. Published 24 April 2023. doi:10.1136/rmdopen-2022-002939

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