Evidence map›Paper›PMID 38498139›Full record

ArticleRheumatology and therapy2024

Efficacy and Safety of Risankizumab for Active Psoriatic Arthritis: 100-Week Results from the KEEPsAKE 2 Randomized Clinical Trial.

Andrew Östör, Filip Van den Bosch, Kim Papp, Cecilia Asnal, Ricardo Blanco, Jacob Aelion, Kyle Carter, Vassilis Stakias, Ralph Lippe, Leonidas Drogaris and 4 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Rheumatology and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03671148 (A Phase 3, Randomized, Double-Blind Study Comparing Risankizumab to Placebo in Subjects With Active Psoriatic Arthritis Including Those Who Have a History of Inadequate Response or Intolerance to Biologic Therapy), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% 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.

NCT03671148 phase3completednot on this map

A Phase 3, Randomized, Double-Blind Study Comparing Risankizumab to Placebo in Subjects With Active Psoriatic Arthritis Including Those Who Have a History of Inadequate Response or Intolerance to Biologic Therapy(Ies) (KEEPsAKE 2)

TypeinterventionalSponsorAbbVieRan2019 to 2026Enrolled444ConditionsPsoriatic Arthritis (PsA)ArmsPlacebo, Risankizumab
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  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

14 authors at 6 institutions in 5 countries.

Andrew ÖstörDepartment of Medicine, Monash University, Clayton, VIC, Australia. andrewostor@gmail.com.ORCID http://orcid.org/0000-0002-7929-4827
Filip Van den BoschDepartment of Rheumatology, Ghent University Hospital, Ghent, Belgium.
Kim PappProbity Medical Research and Alliance Clinical Trials, Waterloo, ON, Canada.ORCID http://orcid.org/0000-0001-9557-3642
Cecilia AsnalDOM Centro de Reumatología, Buenos Aires, Argentina.
Ricardo BlancoRheumatology Division, Hospital Universitario Marqués de Valdecilla, IDIVAL (Immunopathology Group), Santander, Spain.ORCID http://orcid.org/0000-0003-2344-2285
Jacob AelionArthritis Clinic and West Tennessee Research Institute, Jackson, TN, USA.ORCID http://orcid.org/0000-0001-5727-7199
Kyle CarterAbbVie Inc, North Chicago, IL, USA.
Vassilis StakiasAbbVie Inc, North Chicago, IL, USA.
Ralph LippeAbbVie Inc, North Chicago, IL, USA.
Leonidas DrogarisAbbVie Inc, North Chicago, IL, USA.
Ahmed M SolimanAbbVie Inc, North Chicago, IL, USA.
Michael M ChenAbbVie Inc, North Chicago, IL, USA.
Byron PadillaAbbVie Inc, North Chicago, IL, USA.
Alan KivitzAltoona Center for Clinical Research, Duncansville, PA, USA.ORCID http://orcid.org/0000-0002-1045-1310
AbbVie (United States) · USAltoona Center for Clinical Research · USAustralian National University · AUGhent University Hospital · BEInstituto de Investigación Marqués de Valdecilla · ESUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLong-term therapeutic options providing durable response and tolerability are needed for psoriatic arthritis (PsA). The ongoing KEEPsAKE 2 trial is evaluating risankizumab treatment in patients with active PsA who previously had inadequate response/intolerance to ≥ 1 conventional synthetic disease-modifying antirheumatic drug (csDMARD-IR) and/or 1-2 biologic DMARDs (bDMARD-IR). Herein, we report results through 100 weeks of treatment.

methodsKEEPsAKE 2 is a global phase 3 trial. Patients with active PsA were randomized 1:1 to double-blind subcutaneous risankizumab 150 mg or placebo (weeks 0, 4, and 16). At week 24, all patients received open-label risankizumab every 12 weeks until end of study. Efficacy endpoints included achieving ≥ 20% improvement in PsA symptoms using American College of Rheumatology criteria (ACR20), attaining minimal disease activity (MDA; meeting ≥ 5/7 criteria of low disease activity and extent), and improving in other measures.

resultsAt the cutoff date, 345/443 (77.9%) patients were ongoing in the study. ACR20 was achieved in 57.1% and 52.5% of the continuous risankizumab and placebo/risankizumab cohorts, respectively, at week 100 and in 60.0% and 55.8%, respectively, at week 52. In week 52 responders, maintenance of ACR20 at week 100 was achieved in 74.8% (continuous risankizumab) and 78.7% (placebo/risankizumab) of patients. In the continuous risankizumab and placebo/risankizumab cohorts, respectively, MDA was achieved by 33.0% and 33.3% of patients at week 100 and by 27.2% and 33.8% at week 52. Among MDA responders at week 52, maintenance of MDA response was achieved by 83.6% and 73.0% of the continuous risankizumab and placebo/risankizumab cohorts, respectively. Risankizumab was well tolerated through week 100.

conclusionsRisankizumab demonstrated durable efficacy and tolerability through 100 weeks; most patients who achieved ACR20 and MDA responses at week 52 maintained this achievement through week 100. There were no new safety signals in patients who had csDMARD-IR and bDMARD-IR.

trial registrationClinicalTrials.gov NCT03671148.

Indexed as

bDMARD-IRcsDMARD-IRIL-23KEEPsAKE 2Long-term treatmentPsoriatic arthritisRisankizumab

Identifiers

PMID38498139
PMCPMC11111639
OpenAlexW4392911057

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.