Evidence map›Paper›PMID 37250652›Full record

ArticleFrontiers in medicine2023

Real-world experience with secukinumab in the entire axial spondyloarthritis spectrum.

Francisca Sivera, Victoria Núñez-Monje, Cristina Campos-Fernández, Isabel Balaguer-Trull, Montserrat Robustillo-Villarino, Marta Aguilar-Zamora, Marta Garijo-Bufort, Juan Miguel López-Gómez, Carolina Peña-González, Isabel de la Morena and 7 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Frontiers in medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 10 institutions in 1 country.

Francisca SiveraRheumatology Department, Hospital General Universitario de Elda, Alicante, Spain.
Victoria Núñez-MonjeRheumatology Department, Hospital Universitario Dr Peset, Valencia, Spain.
Cristina Campos-FernándezRheumatology Department, Hospital General Universitario, Valencia, Spain.
Isabel Balaguer-TrullRheumatology Department, Hospital General Universitario, Valencia, Spain.
Montserrat Robustillo-VillarinoReumatology Unit, Internal Medicine Department, Hospital Universitario de la Plana, Villarreal, Spain.
Marta Aguilar-ZamoraRheumatology Department, Hospital de Sagunto, Sagunto, Spain.
Marta Garijo-BufortRheumatology Department, Hospital de Sagunto, Sagunto, Spain.
Juan Miguel López-GómezRheumatology Department, Hospital General Universitario de Elda, Alicante, Spain.
Carolina Peña-GonzálezRheumatology Department, Hospital Francesc de Borja, Gandía, Spain.
Isabel de la MorenaRheumatology Department, Hospital Clínico Universitario de Valencia, Valencia, Spain.
Diego Bedoya-SanchísRheumatology Department, Hospital Clínico Universitario de Valencia, Valencia, Spain.
Liliya Yankova-KomsalovaRheumatology Department, Hospital Marina Salud, Denia, Alicante, Spain.
Arantxa Conesa-MateosRheumatology Department, Hospital General Universitari de Castelló, Castellón, Spain.
Anna Martínez-CristóbalRheumatology Department, Hospital Universitario de La Ribera, Alzira, Spain.
Francisco Javier Navarro-BlascoRheumatology Department, Hospital Universitario de Elche, Elche, Alicante, Spain.
José Miguel Senabre-GallegoRheumatology Department, Hospital Marina Baixa, La Vila Joiosa, Spain.
Juan José Alegre-SanchoRheumatology Department, Hospital Universitario Dr Peset, Valencia, Spain.
Hospital Clínico Universitario de Valencia · ESHospital de Sagunto · ESHospital General Universitario De Valencia · ESHospital Marina Baixa · ESHospital Universitario Doctor Peset · ESHospital de La Ribera · ESHospital General de Elda · ESHospital General Universitari de Castelló · ESHospital General Universitario de Elche · ESUniversitat de Miguel Hernández d'Elx · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Secukinumab is a biologic disease-modifying antirheumatic drug (bDMARD) that has demonstrated efficacy in the treatment of axial spondyloarthritis (axSpA, i.e., ankylosing spondylitis and non-radiographic axSpA) across various clinical trials. However, data of secukinumab in clinical practice is still limited. Here, we aimed to provide real-world data on secukinumab use, effectiveness, and persistence in axSpA. Patients and methods: Retrospective, multicenter study of patients with a diagnosis of axSpA treated with secukinumab at 12 centers up to June 2021 in the Valencian Community (Spain). Information was gathered on BASDAI measurement, pain, patient and physician global assessment (ptGA, phGA) using a 100-mm visual analog scale (VAS), persistence and other secondary variables by treatment line (first, second, and ≥ third) for up to 24 months. Results: 221 patients were included (69% men; mean age [standard deviation, SD]: 46.7 [12.1] years old). Secukinumab was used as a first-line bDMARD in 38% of patients, as a second-line in 34% and as a ≥ hird-line in 28%. The percentage of patients achieving low disease activity (BASDAI<4) increased from 9% at baseline to 48% at month 6 and was maintained (49%) up to month 24. The greatest improvement in BASDAI was observed in naïve patients (month 6: -2.6; month 24: -3.7), followed by second-line (month 6: -1.9; month 24: -3.1) and ≥ third-line (month 6: -1.3; month 24: -2.3) patients. Reductions in mean pain VAS (-23.3; -31.9), ptGA (-25.1; -31.9) and phGA (-25.1; -31) were also observed at 6 and 24 months. Secukinumab showed an overall 12-months persistence rate of 70% (95% confidence interval [CI]: 63-77%) and a 24-months persistence rate of 58% (95% CI, 51-66%). Patients receiving first-line secukinumab had the highest 24-months persistence rate ( Conclusion: Secukinumab improved disease activity in axSpA patients, especially in naive, and second-line patients, which was accompanied by high persistence rates up to 24 months.

Indexed as

ankylosing spondylitisaxial spondyloarthritiseffectivenessnon-radiographic axial spondyloarthritisreal-world evidencesecukinumab

Identifiers

PMID37250652
PMCPMC10213893
OpenAlexW4376279117

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.