Evidence map›Paper›PMID 36921980›Full record

ArticleRMD open2023

Factors associated with the retention of secukinumab in patients with axial spondyloarthritis in real-world practice: results from a retrospective study (FORSYA).

Maxime Dougados, Julien Lucas, Emilie Desfleurs, Pascal Claudepierre, Philippe Goupille, Adeline Ruyssen-Witrand, Alain Saraux, Anne Tournadre, Daniel Wendling, Cédric Lukas

Open access · goldFull text read
In one paragraph

Article in RMD open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
7.0field-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

15 citing papers in PubMed, 28 citations in OpenAlex.

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  9. La Tunisie medicale · 2024
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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

10 authors at 9 institutions in 1 country.

Maxime DougadosRheumatology, University of Paris, Hopital Cochin, Paris, France maxime.dougados@aphp.fr.ORCID 0000-0003-3009-6229
Julien LucasBiostatistics, RCTs, Lyon, France.
Emilie DesfleursMedical Affairs, Novartis Pharma SAS, Rueil Malmaison, France.
Pascal ClaudepierreRheumatology, Hopital Albert Chenevier, Creteil, France.ORCID 0000-0003-1911-0544
Philippe GoupilleRheumatology, Université de Tours, Tours, France.
Adeline Ruyssen-WitrandCentre d'Investigation Clinique de Toulouse CIC1436, Inserm, University of Toulouse 3, Rheumatology Center, Toulouse University Hospital, Toulouse, France.
Alain SarauxRheumatology, Université de Bretagne Occidentale, Brest, France.ORCID 0000-0002-8454-7067
Anne TournadreRheumatology, Université Clermont Auvergne, Clermont-Ferrand, France.
Daniel WendlingRheumatology, CHRU de Besançon, Besançon, France.ORCID 0000-0002-4687-5780
Cédric LukasRheumatology, University of Montpellier, Montpellier, France.
Centre Hospitalier Universitaire de Besançon · FRHôpital Albert-Chenevier · FRInserm · FRNovartis (France) · FRUniversité Clermont Auvergne · FRUniversité de Bretagne Occidentale · FRUniversité de Montpellier · FRUniversité de Tours · FRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSecukinumab efficacy and retention data are emerging in patients with axial spondyloarthritis (axSpA) in real-world settings. However, limited data are available on the predictive factors that affect the retention rate. The key objective was to determine whether objective signs of inflammation (OSI) were predictive of secukinumab retention at 1 year.

methodsFORSYA is a French, multicentric, non-interventional, retrospective study in adult axSpA patients who received secukinumab treatment between its launch (11 August 2016) and 31 August 2018. The time to secukinumab discontinuation and retention were analysed using a Kaplan-Meier (KM) analysis. OSI was predefined by at least one of the criteria: C reactive protein ≥5 mg/L or erythrocyte sedimentation rate ≥28 mm/hour at secukinumab initiation or MRI inflammation at the sacroiliac or spine level.

resultsIn total, 906 patients from 48 centres were included in the analysis, 42.2% of whom were men, with a mean age of 46.2±11.7 years and a mean disease duration of 9.3±9.1 years. The 1-year KM retention rate (95% CI) for secukinumab was 59% (55%-62%), whereas for patients with and without OSI, it was 58% (54%-62%) and 63% (53%-73%), respectively. In multivariate analysis, lack of prior exposure to tumour necrosis factor inhibitor (TNFi), absence of OSI and inflammatory bowel disease (IBD) were associated with a better retention of secukinumab at 1 year.

conclusionFollowing its approval in France, ~59% of axSpA patients retained secukinumab in daily practice, at 1 year. Prior exposure to TNFi, OSI and IBD were identified as risk factors for secukinumab discontinuation.

Indexed as

Axial SpondyloarthritisSpondylitis, AnkylosingAdultAntibodies, Monoclonal, HumanizedFemaleHumansInflammationMaleMiddle AgedRetrospective StudiesTreatment OutcomeTumor Necrosis Factor InhibitorsAntibodies, Monoclonal, HumanizedsecukinumabTumor Necrosis Factor Inhibitorsantirheumatic agentsbiological therapyspondylitis, ankylosingtumor necrosis factor inhibitors

Identifiers

PMID36921980
PMCPMC10030893
OpenAlexW4324350326

What OpenQuestion holds

Textfull text, public
LicenceCC BY
reference markers read1
measurements read187
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.