Evidence map›Paper›PMID 35863864›Full record

ArticleRMD open2022

Impact of clinical domains other than arthritis on composite outcomes in psoriatic arthritis: comparison of treatment effects in the SEAM-PsA trial.

Philip S Helliwell, Phillip J Mease, Arthur Kavanaugh, Laura C Coates, Alexis Ogdie, Atul Deodhar, Vibeke Strand, Gregory Kricorian, Lyrica X H Liu, David Collier and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in RMD open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02376790 (A Multicenter Double-Blind, Randomized Controlled Study of Etanercept and Methotrexate in Combination or as Monotherapy in Subjects With Psoriatic Arthritis), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 26% 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.

NCT02376790 phase3completednot on this map

A Multicenter Double-Blind, Randomized Controlled Study of Etanercept and Methotrexate in Combination or as Monotherapy in Subjects With Psoriatic Arthritis

TypeinterventionalSponsorAmgenRan2015 to 2018Enrolled851ConditionsPsoriatic ArthritisArmsEtanercept, Methotrexate, Placebo to Etanercept, Placebo to Methotrexate
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. 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

11 authors at 9 institutions in 3 countries.

Philip S HelliwellLeeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK p.helliwell@leeds.ac.uk.ORCID 0000-0002-4155-9105
Phillip J MeaseRheumatology Research, Swedish Medical Center and University of Washington, Seattle, Washington, USA.ORCID 0000-0002-6620-0457
Arthur KavanaughDivision of Rheumatology, Allergy, and Immunology, University of California San Diego, La Jolla, California, USA.
Laura C CoatesDepartment of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, University of Oxford, Oxford, UK.ORCID 0000-0002-4756-663X
Alexis OgdieDepartment of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-4639-0775
Atul DeodharDivision of Arthritis & Rheumatic Diseases, Oregon Health & Science University, Portland, Oregon, USA.
Vibeke StrandDivision of Immunology/Rheumatology, Stanford University, Palo Alto, California, USA.ORCID 0000-0003-4978-4072
Gregory KricorianClinical Development, Amgen Inc, Thousand Oaks, California, USA.
Lyrica X H LiuGlobal Biostatistics, Amgen Inc, Thousand Oaks, CA, USA.
David CollierClinical Development, Amgen Inc, Thousand Oaks, California, USA.
Dafna D GladmanCentre for Prognosis Studies in The Rheumatic Diseases, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-9074-0592
Amgen (United States) · USOregon Health & Science University · USStanford University · USUniversity of California San Diego · USUniversity of Leeds · GBUniversity of Oxford · GBUniversity of Pennsylvania · USUniversity of Toronto · CAUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe used the Study of Etanercept And Methotrexate in Combination or as Monotherapy in Subjects with Psoriatic Arthritis (SEAM-PsA) data set to examine the impact of presence of enthesitis, dactylitis, nail disease and/or psoriasis on treatment response in patients with early psoriatic arthritis (PsA).

methodsThis post hoc analysis evaluated the effect of baseline Spondyloarthritis Research Consortium of Canada (SPARCC) Enthesitis Index (EI), Leeds Enthesitis Index (LEI), Leeds Dactylitis Index (LDI), modified Nail Psoriasis Severity Index (mNAPSI) scores and body surface area (BSA) on composite outcomes of minimal disease activity (MDA) responses, Psoriatic Arthritis Disease Activity Score (PASDAS) low disease activity (LDA), PASDAS changes and Good Responses and Disease Activity Index for Psoriatic Arthritis (DAPSA) scores at Week 24.

resultsOverall, 851 patients completed the SEAM-PsA trial and were included in the analysis. Baseline enthesitis (SPARCC EI>0 vs SPARCC EI=0 or LEI>0 vs LEI=0) was not associated with improved outcomes. Baseline dactylitis (LDI>0 vs LDI=0) was positively associated with improved MDA (OR: 1.4, p=0.0457), PASDAS LDA (OR: 1.8, p=0.0014) and Good Responses (OR: 1.6, p=0.0101) and greater reductions in PASDAS (estimate: -0.9, p<0.0001) and DAPSA scores (estimate: -3.8, p=0.0155) at Week 24. Similarly, baseline nail disease (mNAPSI >1 vs mNAPSI≤1) was positively associated with improved MDA (OR: 1.8, p=0.0233) and PASDAS LDA (OR: 1.8, p=0.0168) responses and greater reduction in PASDAS (estimate: -0.7, p=0.0005) at Week 24.

conclusionsResults from our analysis suggest that presence of dactylitis and nail disease, but not enthesitis, are associated with improved outcomes in patients with early PsA who were treated with methotrexate and/or etanercept.

Indexed as

Arthritis, PsoriaticEnthesopathyNail DiseasesEtanerceptHumansMethotrexateTreatment OutcomeEtanerceptMethotrexateAntirheumatic AgentsArthritisMethotrexateTumor Necrosis Factor Inhibitors

Identifiers

PMID35863864
PMCPMC9310247
OpenAlexW4286514028

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.