Evidence map›Paper›PMID 38331400›Full record

Trial reportRheumatology (Oxford, England)2024

Effects of upadacitinib on enthesitis in patients with psoriatic arthritis: a post hoc analysis of SELECT-PsA 1 and 2 trials.

Fabrizio Cantini, Antonio Marchesoni, Lucia Novelli, Giuliana Gualberti, Francesca Marando, Erin L McDearmon-Blondell, Tianming Gao, Dennis McGonagle, Carlo Salvarani

2 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled TrialClinical Trial, Phase III
In one paragraph

Trial report in Rheumatology (Oxford, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.2field-weighted citation impact, top 9% 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.

NCT03104374 phase3completednot on this map

A Phase 3, Randomized, Double-Blind, Study Comparing Upadacitinib (ABT-494) to Placebo in Subjects With Active Psoriatic Arthritis Who Have a History of Inadequate Response to at Least One Biologic Disease Modifying Anti-Rheumatic Drug (bDMARD)

TypeinterventionalSponsorAbbVieRan2017 to 2024Enrolled642ConditionsPsoriatic ArthritisArmsPlacebo, Upadacitinib
NCT03104400 phase3completednot on this map

A Phase 3, Randomized, Double-Blind, Study Comparing Upadacitinib (ABT-494) to Placebo and to Adalimumab in Subjects With Active Psoriatic Arthritis Who Have a History of Inadequate Response to at Least One Non-Biologic Disease Modifying Anti-Rheumatic Drug (DMARD) - SELECT - PsA 1

TypeinterventionalSponsorAbbVieRan2017 to 2024Enrolled1,705ConditionsPsoriatic ArthritisArmsAdalimumab, Upadacitinib, Placebo to Upadacitinib, Placebo to Adalimumab
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Psoriatic Arthritis: Developments in 2025.Mediterranean journal of rheumatology · 2026
    Review
  2. Article
  3. Review
  4. Observational
  5. Review
  6. Review
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 6 institutions in 3 countries.

Fabrizio CantiniDepartment of Rheumatology, Azienda USL Toscana Centro, Hospital of Prato, Prato, Italy.ORCID 0000-0002-7066-043X
Antonio MarchesoniDepartment of Rheumatology, Humanitas San Pio X, Milan, Italy.
Lucia NovelliMedical Department, AbbVie srl, Rome, Italy.ORCID 0000-0002-9639-0909
Giuliana GualbertiMedical Department, AbbVie srl, Rome, Italy.
Francesca MarandoMedical Department, AbbVie srl, Rome, Italy.ORCID 0000-0001-5989-3112
Erin L McDearmon-BlondellAbbVie Inc, North Chicago, IL.
Tianming GaoAbbVie Inc, North Chicago, IL.
Dennis McGonagleLeeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK.
Carlo SalvaraniUnità Operativa di Reumatologia, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
ABB (Italy) · ITAbbVie (United States) · USAzienda Usl Toscana Centro · ITHumanitas University · ITUniversity of Leeds · GBUniversity of Modena and Reggio Emilia · IT

Funding

AbbVie
6 · The paper itself

Abstract

objectivesTo characterize the effect of upadacitinib 15 mg once daily (UPA15) on enthesitis in patients with PsA from the SELECT-PsA Phase 3 trials.

methodsPatients with an inadequate response/intolerance to one or more non-biologic DMARD (SELECT-PsA 1) or one or more biologic DMARD (SELECT-PsA 2) received UPA15, adalimumab 40 mg every other week or placebo (weeks 0-24) switched to UPA15 (week 24 onward). The Leeds Enthesitis Index (LEI) and Spondyloarthritis Research Consortium of Canada (SPARCC) index were used to assess improvement in enthesitis, enthesitis resolution, maintenance of enthesitis resolution and protection from enthesitis development through week 56.

resultsData from 639 patients receiving UPA15 and 635 patients receiving placebo (including 317 patients who switched from placebo to UPA15) were analysed. UPA15 led to higher rates of enthesitis resolution vs placebo at week 24 (LEI: 59.8% vs 38.0%; SPARCC index: 50.6% vs 31.5%, respectively) and greater improvements in the LEI (-1.7 vs -1.0) and SPARCC index (-3.4 vs -1.9); improvements were maintained through week 56. Improvements were observed after 12 weeks of UPA15 treatment. Over 90% of patients without enthesitis (LEI = 0) at baseline receiving UPA15 were enthesitis-free at week 56, and UPA15 prevented recurrence of enthesitis at week 56 in >80% of patients with enthesitis at baseline who achieved resolution (LEI = 0) at week 24.

conclusionsUPA15 is associated with a comprehensive improvement in enthesitis, with improvements observed after 12 weeks of treatment. Additionally, treatment with UPA15 was associated with maintaining an enthesitis-free state after resolution and protection against new-onset enthesitis.

trial registrationClinicalTrials.gov identifiers: NCT03104400 (SELECT-PsA 1) and NCT03104374 (SELECT-PsA 2).

Indexed as

Antirheumatic AgentsArthritis, PsoriaticEnthesopathyHeterocyclic Compounds, 3-RingAdalimumabAdultDouble-Blind MethodFemaleHumansMaleMiddle AgedTreatment OutcomeAdalimumabAntirheumatic AgentsHeterocyclic Compounds, 3-RingupadacitinibenthesesenthesitisJanus kinase inhibitorpainpsoriatic arthritisupadacitinib

Identifiers

PMID38331400
PMCPMC11534117
OpenAlexW4391760788

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.