Evidence map›Paper›PMID 34773130›Full record

Trial reportRheumatology international2022

Nonsteroidal anti-inflammatory drug-sparing effect of secukinumab in patients with radiographic axial spondyloarthritis: 4-year results from the MEASURE 2, 3 and 4 phase III trials.

Maxime Dougados, Uta Kiltz, Alan Kivitz, Karel Pavelka, Susanne Rohrer, Suzanne McCreddin, Erhard Quebe-Fehling, Brian Porter, Zsolt Talloczy

3 registry-linked trialsAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Rheumatology international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 25% 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.

NCT01649375 phase3completednot on this map

A Randomized, Double-blind, Placebo-controlled Phase III Study of Subcutaneous Secukinumab in Prefilled Syringes to Demonstrate Efficacy at 16 Weeks and to Assess Long-term Efficacy, Safety and Tolerability up to 5 Years in Patients With Active Ankylosing Spondylitis

TypeinterventionalSponsorNovartis PharmaceuticalsRan2012 to 2018Enrolled219ConditionsAnklyosing SpondylitisArmsSecukinumab (75 mg), Placebo, Secukinumab (150 mg)
NCT02008916 phase3completednot on this map

A Randomized, Double-blind, Placebo-controlled Phase III Study of Secukinumab to Demonstrate the Efficacy at 16 Weeks and to Assess the Long-term Safety, Tolerability and Efficacy up to 3 Years in Subjects With Active Ankylosing Spondylitis

TypeinterventionalSponsorNovartis PharmaceuticalsRan2014 to 2017Enrolled226ConditionsSpondylitis, AnkylosingArmsSecukinumab, Placebo secukinumab
NCT02159053 phase3completednot on this map

A Randomized, Double-blind, Placebo-controlled, Phase III Multicenter Study of Subcutaneous Secukinumab (150 mg) With and Without a Subcutaneous Loading Regimen to Assess Efficacy, Safety, and Tolerability up to 2 Years in Patients With Active Ankylosing Spondylitis

TypeinterventionalSponsorNovartis PharmaceuticalsRan2015 to 2018Enrolled350ConditionsSpondylitis, AnkylosingArmsSecukinumab, Placebo
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
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

9 authors at 7 institutions in 6 countries.

Maxime DougadosDepartment of Rheumatology, Université de Paris, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris, Paris, France. maxime.dougados@aphp.fr.
Uta KiltzRheumazentrum Ruhrgebiet, Herne, Germany.
Alan KivitzAltoona Center for Clinical Research, Duncansville, USA.
Karel PavelkaDepartment of Rheumatology, Institute of Rheumatology, Prague, Czech Republic.
Susanne RohrerNovartis Pharma AG, Basel, Switzerland.
Suzanne McCreddinNovartis Ireland Ltd, Dublin, Ireland.
Erhard Quebe-FehlingNovartis Pharma AG, Basel, Switzerland.
Brian PorterNovartis Pharmaceuticals Corporation, East Hanover, USA.
Zsolt TalloczyNovartis Pharmaceuticals Corporation, East Hanover, USA.
Novartis (Switzerland) · CHNovartis (United States) · USAltoona Center for Clinical Research · USHôpital Cochin · FRInstitute of Rheumatology · CZNovartis (Ireland) · IERheumazentrum Ruhrgebiet · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used to reduce pain and inflammation, and are considered the cornerstone of pharmacological intervention in patients with radiographic axial spondyloarthritis (r-axSpA); however, the long-term use of NSAIDs is debatable due to their restricted therapeutic potential and the risk of side effects and complications. Therefore, reduction in NSAID intake is desirable in r-axSpA patients. Here, we report the long-term NSAID-sparing effect of secukinumab over 4 years in patients with r-axSpA. This post hoc analysis pooled data from 3 secukinumab trials (MEASURE 2-4) for each secukinumab maintenance dose of 150 and 300 mg, regardless of the loading dose regimen being i.v. or s.c. NSAID intake was evaluated prospectively using the Assessment of SpondyloArthritis International Society (ASAS)-NSAID score. Patients with an ASAS-NSAID score > 0 at baseline were analysed. NSAID-sparing endpoints included the mean change in the ASAS-NSAID score, the proportion of patients achieving 50% reduction, and the proportion of patients with an ASAS-NSAID score < 10. Percentages of patients who achieved BASDAI ≤ 2 were also assessed. Overall, 562 patients were included in this pooled analysis (secukinumab: 150 mg, N = 467; 300 mg, N = 95). The mean ASAS-NSAID score decreased with time in both the secukinumab 150 mg and 300 mg dose groups. The proportion of patients who achieved 50% reduction in the ASAS-NSAID score and clinically meaningful reduction of ASAS-NSAID score < 10 increased with time in both dose groups and in both low and high NSAID intake patients. The percentage of patients with a clinically relevant improvement (BASDAI ≤ 2) was consistently higher in patients with an ASAS-NSAID score < 10 than in patients with an ASAS-NSAID score ≥ 10. Secukinumab provided sustained, long-term NSAID-sparing effects in patients with r-axSpA for up to 4 years of treatment, as measured using the ASAS-NSAID score. Trial registered at clinicaltrials.gov: NCT01649375 ( https://clinicaltrials.gov/ct2/show/NCT01649375 ); NCT02008916 ( https://clinicaltrials.gov/ct2/show/NCT02008916 ); NCT02159053 ( https://clinicaltrials.gov/ct2/show/NCT02159053 ).

Indexed as

AdultAntibodies, Monoclonal, HumanizedAnti-Inflammatory Agents, Non-SteroidalAxial SpondyloarthritisDose-Response Relationship, DrugDrug-Related Side Effects and Adverse ReactionsFemaleHumansMaleMiddle AgedAntibodies, Monoclonal, HumanizedAnti-Inflammatory Agents, Non-SteroidalsecukinumabBiologic disease-modifying antirheumatic drugsInflammationInterleukinNSAIDRadiographic axial spondyloarthritis

Identifiers

PMID34773130
OpenAlexW3214251300

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.