Predictors of response to secukinumab in patients with psoriatic arthritis and axial manifestations: a post-hoc analysis of the MAXIMISE trial
<strong>Objectives</strong> To investigate patient characteristics predictive of response to secukinumab in patients with psoriatic arthritis (PsA) with axial manifestations. <br><strong> Methods</strong> In a post-hoc analysis from the MAXIMISE trial (NCT02721966) in p...
| Main Authors: | , , , , , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
BMJ Publishing Group
2022
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| _version_ | 1826308474889306112 |
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| author | Baraliakos, X Pournara, E Gossec, L Mease, P White, R O’Brien, E Schulz, B Marzo Ortega, H Coates, LC |
| author_facet | Baraliakos, X Pournara, E Gossec, L Mease, P White, R O’Brien, E Schulz, B Marzo Ortega, H Coates, LC |
| author_sort | Baraliakos, X |
| collection | OXFORD |
| description | <strong>Objectives</strong> To investigate patient characteristics predictive of response to secukinumab in patients with psoriatic arthritis (PsA) with axial manifestations.
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Methods</strong> In a post-hoc analysis from the MAXIMISE trial (NCT02721966) in patients with PsA and axial manifestations, we tested the hypothesis that the OR of the effect of treatment on the primary endpoint of the trial (Assessment of SpondyloArthritis international Society (ASAS) 20 responder status at week 12) would be different depending on 12 prespecified predictor variables. We applied a two-model logistic regression approach, a main effects and an interaction model.
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Results </strong>The OR (95% CI) for ASAS20 response for the presence of nail dystrophy was 3.2 (95% CI 0.93 to 10.99) in the secukinumab 150 mg group and 5.0 (95% CI 1.47 to 17.19) in the secukinumab 300 mg group compared with the placebo group (p=0.029). Odds of being a responder were similar in men and women in the secukinumab groups, though men fared worse than women in the placebo group (p=0.039). Current smokers were less likely to be ASAS20 responders compared with never smokers regardless of the treatment group (p=0.589).
<br><strong>
Conclusion </strong>Nail dystrophy was identified as a predictor of response to secukinumab in patients with PsA with axial manifestations in the MAXIMISE trial. These findings may be explained by the nail-entheseal concept as part of the axial phenotype in PsA . |
| first_indexed | 2024-03-07T07:20:04Z |
| format | Journal article |
| id | oxford-uuid:99ce4a31-f5d4-44b1-8665-0f6a2252a23f |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T07:20:04Z |
| publishDate | 2022 |
| publisher | BMJ Publishing Group |
| record_format | dspace |
| spelling | oxford-uuid:99ce4a31-f5d4-44b1-8665-0f6a2252a23f2022-09-28T11:00:31ZPredictors of response to secukinumab in patients with psoriatic arthritis and axial manifestations: a post-hoc analysis of the MAXIMISE trialJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:99ce4a31-f5d4-44b1-8665-0f6a2252a23fEnglishSymplectic ElementsBMJ Publishing Group2022Baraliakos, XPournara, EGossec, LMease, PWhite, RO’Brien, ESchulz, BMarzo Ortega, HCoates, LC<strong>Objectives</strong> To investigate patient characteristics predictive of response to secukinumab in patients with psoriatic arthritis (PsA) with axial manifestations. <br><strong> Methods</strong> In a post-hoc analysis from the MAXIMISE trial (NCT02721966) in patients with PsA and axial manifestations, we tested the hypothesis that the OR of the effect of treatment on the primary endpoint of the trial (Assessment of SpondyloArthritis international Society (ASAS) 20 responder status at week 12) would be different depending on 12 prespecified predictor variables. We applied a two-model logistic regression approach, a main effects and an interaction model. <br><strong> Results </strong>The OR (95% CI) for ASAS20 response for the presence of nail dystrophy was 3.2 (95% CI 0.93 to 10.99) in the secukinumab 150 mg group and 5.0 (95% CI 1.47 to 17.19) in the secukinumab 300 mg group compared with the placebo group (p=0.029). Odds of being a responder were similar in men and women in the secukinumab groups, though men fared worse than women in the placebo group (p=0.039). Current smokers were less likely to be ASAS20 responders compared with never smokers regardless of the treatment group (p=0.589). <br><strong> Conclusion </strong>Nail dystrophy was identified as a predictor of response to secukinumab in patients with PsA with axial manifestations in the MAXIMISE trial. These findings may be explained by the nail-entheseal concept as part of the axial phenotype in PsA . |
| spellingShingle | Baraliakos, X Pournara, E Gossec, L Mease, P White, R O’Brien, E Schulz, B Marzo Ortega, H Coates, LC Predictors of response to secukinumab in patients with psoriatic arthritis and axial manifestations: a post-hoc analysis of the MAXIMISE trial |
| title | Predictors of response to secukinumab in patients with psoriatic arthritis and axial manifestations: a post-hoc analysis of the MAXIMISE trial |
| title_full | Predictors of response to secukinumab in patients with psoriatic arthritis and axial manifestations: a post-hoc analysis of the MAXIMISE trial |
| title_fullStr | Predictors of response to secukinumab in patients with psoriatic arthritis and axial manifestations: a post-hoc analysis of the MAXIMISE trial |
| title_full_unstemmed | Predictors of response to secukinumab in patients with psoriatic arthritis and axial manifestations: a post-hoc analysis of the MAXIMISE trial |
| title_short | Predictors of response to secukinumab in patients with psoriatic arthritis and axial manifestations: a post-hoc analysis of the MAXIMISE trial |
| title_sort | predictors of response to secukinumab in patients with psoriatic arthritis and axial manifestations a post hoc analysis of the maximise trial |
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