Drug retention, inactive disease and response rates in 1860 patients with axial spondyloarthritis initiating secukinumab treatment: routine care data from 13 registries in the EuroSpA collaboration

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

  • Brigitte Michelsen
  • Ulf Lindström
  • Catalin Codreanu
  • Adrian Ciurea
  • Jakub Zavada
  • Anne Gitte Loft
  • Manuel Pombo-Suarez
  • Fatos Onen
  • Tore K. Kvien
  • Ziga Rotar
  • Maria Jose Santos
  • Florenzo Iannone
  • Anna Mari Hokkanen
  • Bjorn Gudbjornsson
  • Johan Askling
  • Ruxandra Ionescu
  • Michael J. Nissen
  • Karel Pavelka
  • Carlos Sanchez-Piedra
  • Servet Akar
  • Joseph Sexton
  • Matija Tomsic
  • Helena Santos
  • Marco Sebastiani
  • Jenny Österlund
  • Arni Jon Geirsson
  • Gary Macfarlane
  • Irene van der Horst-Bruinsma
  • Stylianos Georgiadis
  • Cecilie Heegaard Brahe
  • Lykke Midtbøll Ørnbjerg

OBJECTIVES: To explore 6-month and 12-month secukinumab effectiveness in patients with axial spondyloarthritis (axSpA) overall, as well as across (1) number of previous biologic/targeted synthetic disease-modifying antirheumatic drugs (b/tsDMARDs), (2) time since diagnosis and (3) different European registries. METHODS: Real-life data from 13 European registries participating in the European Spondyloarthritis Research Collaboration Network were pooled. Kaplan-Meier with log-rank test, Cox regression, χ² and logistic regression analyses were performed to assess 6-month and 12-month secukinumab retention, inactive disease/low-disease-activity states (Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) <2/<4, Ankylosing Spondylitis Disease Activity Score (ASDAS) <1.3/<2.1) and response rates (BASDAI50, Assessment of Spondyloarthritis International Society (ASAS) 20/40, ASDAS clinically important improvement (ASDAS-CII) and ASDAS major improvement (ASDAS-MI)). RESULTS: We included 1860 patients initiating secukinumab as part of routine care. Overall 6-month/12-month secukinumab retention rates were 82%/72%, with significant (p<0.001) differences between the registries (6-month: 70-93%, 12-month: 53-86%) and across number of previous b/tsDMARDs (b/tsDMARD-naïve: 90%/73%, 1 prior b/tsDMARD: 83%/73%, ≥2 prior b/tsDMARDs: 78%/66%). Overall 6-month/12-month BASDAI<4 were observed in 51%/51%, ASDAS<1.3 in 9%/11%, BASDAI50 in 53%/47%, ASAS40 in 28%/22%, ASDAS-CII in 49%/46% and ASDAS-MI in 25%/26% of the patients. All rates differed significantly across number of previous b/tsDMARDs, were numerically higher for b/tsDMARD-naïve patients and varied significantly across registries. Overall, time since diagnosis was not associated with secukinumab effectiveness. CONCLUSIONS: In this study of 1860 patients from 13 European countries, we present the first comprehensive real-life data on effectiveness of secukinumab in patients with axSpA. Overall, secukinumab retention rates after 6 and 12 months of treatment were high. Secukinumab effectiveness was consistently better for bionaïve patients, independent of time since diagnosis and differed across the European countries.

OriginalsprogEngelsk
TidsskriftRMD Open
Vol/bind6
Udgave nummer3
ISSN2056-5933
DOI
StatusUdgivet - 2020

ID: 250551618