Evidence map›Paper›PMID 38428974›Full record

ArticleRMD open2024

Impact of the time of initiation and line of biologic therapy on the retention rate of secukinumab in axial spondyloarthritis (axSpA): data from the French multicentre retrospective FORSYA study.

Maxime Dougados, Audrey Lardy-Cléaud, Emilie Desfleurs, Pascal Claudepierre, Philippe Goupille, Adeline Ryussen-Witrand, Alain Saraux, Anne Tournadre, Daniel Wendling, Cédric Lukas

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in RMD open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.4field-weighted citation impact, top 13% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

10 authors at 10 institutions in 3 countries.

Maxime DougadosHopital Cochin, Rheumatology, Université Paris Descartes Faculté de Médecine, Paris, France maxime.dougados@aphp.fr.ORCID 0000-0003-3009-6229
Audrey Lardy-CléaudBiostatistics RCTs Clinical Research Organization, Lyon, France.
Emilie DesfleursNovartis Pharma France, Rueil Malmaison, France.
Pascal ClaudepierreRheumatology, Hôpital Henri Mondor, Créteil, France.ORCID 0000-0003-1911-0544
Philippe GoupilleRheumatology, CHU Tours, TOURS, France.
Adeline Ryussen-WitrandRheumatology, CHU Purpan, Toulouse, France.ORCID 0000-0002-9815-2138
Alain SarauxUniversité de Bretagne Occidentale (Univ Brest), Brest, France.
Anne TournadreCentre Hospitalier Universitaire de Clermont-Ferrand, Clermont-Ferrand, France.ORCID 0000-0002-5025-0214
Daniel WendlingRheumatology, CHU J Minjoz, Besancon, France.ORCID 0000-0002-4687-5780
Cédric LukasRheumatology, University Hospital Lapeyronie, Montpellier, France.
Centre Hospitalier Universitaire de Besançon · FRCentre Hospitalier Universitaire de Clermont-Ferrand · FRCentre Hospitalier Universitaire de Tours · FRClinical Research Organization · BDDélégation Paris 5 · FRNovartis (France) · FRUniversité de Bretagne Occidentale · FRUniversité de Montpellier · FRUniversité Paris-Est Créteil · FRUniversité Toulouse III - Paul Sabatier · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the 1-year retention rate of secukinumab in axial spondyloarthritis (axSpA) and its predisposing factors with regard to its time of initiation (eg, right after or remotely from its launch).

methodsStudy design: Retrospective multicentre French study of patients with axSpA. Study periods: Two cohorts were evaluated regarding the time of initiation of secukinumab: cohort 1 (C1)-between 16 August 2016 and 31 August 2018-and cohort 2 (C2)-between 1 September 2018 and 13 November 2020. STATISTICAL ANALYSIS: The 1-year retention rate of secukinumab was estimated using the Kaplan-Meier method, and the log-rank test was used to compare the retention curves of the two cohorts. Preselected factors (eg, disease characterristics, line and time of secukinumab initiation) of secukinumab retention at 1 year were analysed by univariate and multivariate Cox model regression.

resultsIn total, 906 patients in C1 and 758 in C2 from 50 centres were included in the analysis. The 1-year retention rate was better in C2 (64% (61%-68%)) vs C1 (59% (55%-62%)) (HR=1.19 (1.02-1.39); p=0.0297). In the multivariate analysis, the line of biologic therapy was the single predictive factor of the 1-year retention rate of secukinumab picked up in both cohorts, with a better retention rate when prescribed as first-line biologic therapy.

conclusionThe better secukinumab retention rate remotely from its launch is explained by its use at an earlier stage of the disease, suggesting a change in the behaviour of prescribing physicians. Our results emphasise the relevance of iterative evaluations of routine care treatments.

Indexed as

Antibodies, Monoclonal, HumanizedAxial SpondyloarthritisSpondylitis, AnkylosingBiological TherapyHumansRetrospective StudiesTreatment OutcomeAntibodies, Monoclonal, HumanizedsecukinumabAntirheumatic AgentsEpidemiologyOutcome Assessment, Health CareSpondylitis, Ankylosing

Identifiers

PMID38428974
PMCPMC10910420
OpenAlexW4392391223

What OpenQuestion holds

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LicenceCC BY-NC
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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.