Evidence map›Paper›PMID 35510168›Full record

ArticleTherapeutic advances in musculoskeletal disease2022

Effectiveness and safety of secukinumab in axial spondyloarthritis: a 24-month prospective, multicenter real-life study.

Roberta Ramonda, Mariagrazia Lorenzin, Maria Sole Chimenti, Salvatore D'Angelo, Antonio Marchesoni, Carlo Salvarani, Ennio Lubrano, Luisa Costa, Ylenia Dal Bosco, Elena Fracassi and 11 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in musculoskeletal disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

13 citing papers in PubMed, 19 citations in OpenAlex.

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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

21 authors at 10 institutions in 1 country.

Roberta RamondaRheumatology Unit, Department of Medicine (DIMED), University of Padova, Via Giustiniani, 2, 35128 Padova, Italy.ORCID https://orcid.org/0000-0002-9683-8873
Mariagrazia LorenzinRheumatology Unit, Department of Medicine (DIMED), University of Padova, Padova, Italy.
Maria Sole ChimentiRheumatology, Allergology and Clinical Immunology, Department of 'Medicina dei Sistemi', University of Rome 'Tor Vergata', Rome, Italy.ORCID https://orcid.org/0000-0002-1343-1729
Salvatore D'AngeloRheumatology Institute of Lucania (IReL), Rheumatology Department of Lucania, San Carlo Hospital of Potenza and Madonna delle Grazie Hospital of Matera, Potenza Local Health System, Potenza, Italy.ORCID https://orcid.org/0000-0002-7442-1110
Antonio MarchesoniRheumatology, Humanitas San Pio X, Milan, Italy.
Carlo SalvaraniRheumatology Unit, Department of Internal Medicine, Azienda USL-IRCCS, Istituto di Ricovero e Cura a Carattere Scientifico, Reggio Emilia, Italy.
Ennio LubranoAcademic Rheumatology Unit, Dipartimento di Medicina e Scienze per la Salute 'Vincenzo Tiberio', University of Molise, Campobasso, Italy.ORCID https://orcid.org/0000-0001-6189-5328
Luisa CostaRheumatology Research Unit, Department of Clinical Medicine and Surgery, School of Medicine and Surgery, University of Naples FEDERICO II, Naples, Italy.
Ylenia Dal BoscoRheumatology Unit, A.O.U. Policlinico S. Marco, Catania, Italy.
Elena FracassiRheumatology Unit, Department of Medicine, AOUI University of Verona, Verona, Italy.
Augusta OrtolanRheumatology Unit, Department of Medicine (DIMED), University of Padova, Padova, Italy.
Mario FerraioliRheumatology, Allergology and Clinical Immunology, Department of 'Medicina dei Sistemi', University of Rome 'Tor Vergata', Rome, Italy.
Antonio CarrieroRheumatology Institute of Lucania (IReL), Rheumatology Department of Lucania, San Carlo Hospital of Potenza and Madonna delle Grazie Hospital of Matera, Potenza Local Health System, Potenza, Italy.ORCID https://orcid.org/0000-0002-3112-6488
Elisa VisalliRheumatology Unit, A.O.U. Policlinico S. Marco, Catania, Italy.
Riccardo BixioRheumatology Unit, Department of Medicine, AOUI University of Verona, Verona, Italy.
Francesca DesiatiDepartment of Rheumatology, ASST Gaetano Pini-CTO, Milan, Italy.
Alberto BergaminiRheumatology, Allergology and Clinical Immunology, Department of 'Medicina dei Sistemi', University of Rome 'Tor Vergata', Rome, Italy.
Elisa PedrolloRheumatology Unit, Department of Medicine, AOUI University of Verona, Verona, Italy.
Andrea DoriaRheumatology Unit, Department of Medicine (DIMED), University of Padova, Padova, Italy.ORCID https://orcid.org/0000-0003-0548-4983
Rosario FotiRheumatology Unit, A.O.U. Policlinico S. Marco, Catania, Italy.
Antonio CarlettoRheumatology Unit, Department of Medicine, AOUI University of Verona, Verona, Italy.
University of Padua · ITUniversity of Verona · ITPoliclinico Universitario di Catania · ITUniversity of Rome Tor Vergata · ITUniversity of Molise · ITHumanitas University · ITIstituto Ortopedico Gaetano Pini · ITOspedale Madonna Delle Grazie · ITUniversity of Modena and Reggio Emilia · ITUniversity of Naples Federico II · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To evaluate, in a multicentric Italian cohort of axial spondyloarthritis (axSpA) patients on Secukinumab (SEC) followed for 24 months: (1) the long-term effectiveness and safety of SEC; (2) the drug retention rate and low disease activity (LDA) measured as Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) < 4/Ankylosing Spondylitis Disease Activity Score (ASDAS) < 2.1 and very low disease activity (VLDA) measured as BASDAI < 2/ASDAS < 1.3; (3) any differences in outcomes according to line of biological treatment (naïve/non-naïve), gender (male/female), subtype of axSpA [radiographic axSpA (r-axSpA)/non-radiographic axSpA (nr-axSpA)]. Methods: Consecutive axSpA patients treated with SEC were evaluated prospectively. Disease characteristics, previous/ongoing treatments, comorbidities, and follow-up duration were collected. Disease activity/functional/clinimetric scores and biochemical-values were recorded at baseline (T0), 6 (T6), 12 (T12), and 24 (T24) months. Effectiveness was evaluated over-time with descriptive statistics; multivariate Cox and logistic regression models were used to evaluate predictors of drug discontinuation and LDA at T6. Infections and adverse events were recorded. Results: A total 249 patients (47.8% male; median age 51) were enrolled; 40.9% had HLA-B27; 53.8% had r-axSpA, and 46.2% nr-axSpA. SEC was prescribed in 28.9% naïve and in 71.1% non-naïve patients. SEC effectiveness was shown as an improvement in several outcomes, such as ASDAS [T0 = 3.5 (2.9-4.4) Conclusion: In a real-life clinical setting, SEC proved to be safe and effective in axSpA, mainly in naïve-patients, with a notable drug retention rate. No differences were observed between r-axSpA and nr-axSpA.

Indexed as

anti-IL-17Aantirheumatic agentsaxial spondyloarthritisbiological therapydrug retention rateeffectivenesssafety

Identifiers

PMID35510168
PMCPMC9058366
OpenAlexW4225982204

What OpenQuestion holds

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Registered trials

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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.