Spondyloarthritis & psoriatic arthritis

Tight Control and Radiological Progression: The Radiographic Outcomes of the Tight Control of Psoriatic Arthritis (TICOPA) Study

J RheumatolPublished Post hoc analysis of the TICOPA randomised trial

An erratum to this article was published (J Rheumatol, 1 May 2025 ↗)

Primary result · Change in total mSvdH scoreResult — go to the resultDifference 0.0 95% CI 0.0–0.0

Authors' conclusion

These data confirm the benefit of achieving low disease activity states on subsequent radiographic outcomes but did not show a significant impact related to a TC management approach.

Study context

Population
Patients with early treatment-naïve psoriatic arthritis (PsA) in the TICOPA trial169 with paired radiographs
Participants
206 patients
Comparison
Tight control vs standard care
  • TCn = 84
  • StdCn = 85reference
Primary endpoint
Change in total mSvdH score (hands and feet radiographs)
Follow-up
Week 48
Methodological detailsbootstrapped quantile regression adjusting for baseline values and minimization factors, blinded assessor
  • Bootstrapped quantile regression adjusting for baseline values and minimization factors
  • Blinded assessor

Primary result

Change in total mSvdH score

Difference

0.0

95% CI 0.0–0.0

Change by group

TC

0.0

median · IQR −2.0–0.5

StdC

0.0

median · IQR −2.0–0.0

TCvs StdC
difference 0.0 (95% CI 0.0–0.0)

As reported in the abstract

Further findings

Radiographic progression (increase in total erosion score ≥ 2) · week 48

Radiographic progression (increase in total erosion score ≥ 2) · week 48

Numerically lower in the TC group

Total mSvdH score change by disease activity state

Median change lower in those achieving MDA, DAPSA remission and very low disease activity

Characteristics of patients with radiographic progression

Polyarticular disease and high CRP at presentation; poorer clinical outcomes at weeks 12 and 24

Original publication

Tight Control and Radiological Progression: The Radiographic Outcomes of the TICOPA Study. J Rheumatol. Published 1 February 2025. doi:10.3899/jrheum.2024-1035

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