Evidence map›Paper›PMID 32950963›Full record

ArticleRMD open2020

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.

Brigitte Michelsen, Ulf Lindström, Catalin Codreanu, Adrian Ciurea, Jakub Zavada, Anne Gitte Loft, Manuel Pombo-Suarez, Fatos Onen, Tore K Kvien, Ziga Rotar and 23 more

Open access · goldAbstract read
In one paragraph

Article in RMD open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
6.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 61 citations in OpenAlex.

  1. Cycling or Swapping in Spondyloarthritis? Current Knowledge.Mediterranean journal of rheumatology · 2026
    Review
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Observational
  12. Article
  13. Article
  14. Article
  15. Observational
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

33 authors at 20 institutions in 14 countries.

Brigitte MichelsenCopenhagen Center for Arthritis Research (COPECARE), Center for Rheumatology and Spine Diseases, Centre for Head and Orthopedics, Rigshospitalet Glostrup, Copenhagen, Denmark brigitte.michelsen@regionh.dk.ORCID 0000-0003-0103-2840
Ulf LindströmDepartment of Rheumatology and Inflammation Research, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0002-2250-9348
Catalin CodreanuUniversity of Medicine and Pharmacy "Carol Davila", Bucharest, Bucharest, Romania.
Adrian CiureaDepartment of Rheumatology, University Hospital Zurich, Zurich, Switzerland.ORCID 0000-0002-7870-7132
Jakub ZavadaInstitute of Rheumatology, Prague, Czech Republic.
Anne Gitte LoftDANBIO Registry, Center for Rheumatology and Spine Diseases, Centre for Head and Orthopaedics, Rigshospitalet Glostrup, Copenhagen, Denmark.
Manuel Pombo-SuarezRheumatology Service, Hospital Clinico Universitario, Santiago De Compostela, Spain.
Fatos OnenTURKBIO Registry, Division of Rheumatology, Dokuz Eylul University School of Medicine, Izmir, Turkey.
Tore K KvienDepartment of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway.ORCID 0000-0002-8441-3093
Ziga Rotarbiorx.si and the Department of Rheumatology, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Maria Jose Santos *Reuma.pt Registry and Instituto De Medicina Molecular, Faculdade De Medicina, Universidade De Lisboa, Lisboa, Lisboa, Portugal.ORCID 0000-0002-7946-1365
Florenzo Iannone *GISEA Registry, Rheumatology Unit - DETO, University of Bari, Bari, Italy.
Anna-Mari HokkanenROB-FIN Registry, Helsinki University and Helsinki University Hospital, Helsinki, Finland.
Bjorn GudbjornssonCentre for Rheumatology Research (ICEBIO), University Hospital and Faculty of Medicine, University of Iceland, Reykjavik, Iceland.
Johan AsklingClinical Epidemiology Division, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.
Ruxandra IonescuUniversity of Medicine and Pharmacy "Carol Davila", Bucharest, Bucharest, Romania.
Michael J NissenDepartment of Rheumatology, Geneva University Hospital, Geneve, Switzerland.
Karel PavelkaInstitute of Rheumatology and Department of Rheumatology, 1st Faculty of Medicine, Charles University, Prague, Czech Republic.
Carlos Sanchez-PiedraResearch Unit, Spanish Society of Rheumatology, Madrid, Spain.
Servet AkarDepartment of Rheumatology, Izmir Kâtip Çelebi University, Izmir, Turkey.ORCID 0000-0002-3734-1242
Joseph SextonDepartment of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway.
Matija Tomsicbiorx.si and the Department of Rheumatology, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Helena SantosReuma.pt registry and Instituto Português de Reumatologia, Lisbon, Portugal.
Marco SebastianiRheumatology Unit, CHIMOMO, Azienda Policlinico of Modena, University of Modena, Modena, Italy.
Jenny ÖsterlundROB-FIN Registry, Helsinki University and Helsinki University Hospital, Helsinki, Finland.
Arni Jon GeirssonDepartment of Rheumatology, Landspitali University Hospital, Reykjavik, Iceland.
Gary MacfarlaneEpidemiology Group, School of Medicine, Medical Science and Nutrition, University of Aberdeen, Aberdeen, UK.
Irene van der Horst-BruinsmaAmsterdam University Medical Centres, VU University Medical Centre, Department Rheumatology & Immunology Center (ARC), Amsterdam, Netherlands.
Stylianos GeorgiadisCopenhagen Center for Arthritis Research (COPECARE), Center for Rheumatology and Spine Diseases, Centre for Head and Orthopedics, Rigshospitalet Glostrup, Copenhagen, Denmark.
Cecilie Heegaard BraheCopenhagen Center for Arthritis Research (COPECARE), Center for Rheumatology and Spine Diseases, Centre for Head and Orthopedics, Rigshospitalet Glostrup, Copenhagen, Denmark.ORCID 0000-0002-1790-5610
Lykke Midtbøll ØrnbjergCopenhagen Center for Arthritis Research (COPECARE), Center for Rheumatology and Spine Diseases, Centre for Head and Orthopedics, Rigshospitalet Glostrup, Copenhagen, Denmark.
Merete Lund Hetland *Copenhagen Center for Arthritis Research (COPECARE), Center for Rheumatology and Spine Diseases, Centre for Head and Orthopedics, Rigshospitalet Glostrup, Copenhagen, Denmark.
Mikkel Østergaard *Copenhagen Center for Arthritis Research (COPECARE), Center for Rheumatology and Spine Diseases, Centre for Head and Orthopedics, Rigshospitalet Glostrup, Copenhagen, Denmark.
Glostrup Hospital · DKCarol Davila University of Medicine and Pharmacy · RODiakonhjemmet Hospital · NOLjubljana University Medical Centre · SIUniversity of Copenhagen · DKUniversity of Helsinki · FIAzienda Ospedaliero-Universitaria di Modena · ITCharles University · CZComplejo Hospitalario Universitario de Santiago · ESDokuz Eylül University · TRInstitute of Rheumatology · CZInstituto Português de Malacologia · PTIzmir Kâtip Çelebi University · TRKarolinska Institutet · SEReykjavík University · ISSpanish Society of Hematology and Hemotherapy · ESUniversity Hospital of Geneva · CHUniversity Hospital of Zurich · CHUniversity of Aberdeen · GBUniversity of Bari Aldo Moro · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo 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.

methodsReal-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)).

resultsWe 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.

conclusionsIn 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.

Indexed as

Pharmaceutical PreparationsSpondylarthritisAntibodies, Monoclonal, HumanizedHumansRegistriesSeverity of Illness IndexAntibodies, Monoclonal, HumanizedPharmaceutical PreparationssecukinumabDMARDs (biologic)Outcomes researchSpondyloarthritis

Identifiers

PMID32950963
PMCPMC7539854
OpenAlexW3087606207

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.