Evidence map›Paper›PMID 42444720›Full record

ArticleRheumatology and immunology research2026

Real-world retention rate of secukinumab in patients with axial spondyloarthritis: Multi-centric retrospective data from China.

Zhongchao Fu, Lin Wen, Ting Wu, Xinpeng Chen, Xiaoyu Liu, Sishi Huang, Lijun Zhang, Rangeng Shi, Xiaogui Cheng, Jinxian Huang

Abstract read
In one paragraph

Article in Rheumatology and immunology research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Zhongchao FuDivision of Rheumatology, Department of Medicine, The Third Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong Province, China.
Lin WenDivision of Rheumatology, Department of Medicine, Ji'an Central People's Hospital, Ji'an, Jiangxi Province, China.
Ting WuDivision of Rheumatology, Department of Medicine, Shenzhen Futian Hospital for Rheumatic Diseases, Shenzhen, Guangdong Province, China.
Xinpeng ChenDivision of Rheumatology, Department of Medicine, Shenzhen Futian Hospital for Rheumatic Diseases, Shenzhen, Guangdong Province, China.
Xiaoyu LiuDivision of Rheumatology, Department of Medicine, The University of Hong Kong-Shenzhen Hospital, Shenzhen, Guangdong Province, China.
Sishi HuangShenZhen University Medical School, Shenzhen, Guangdong Province, China.
Lijun ZhangDivision of Rheumatology, Department of Medicine, The University of Hong Kong-Shenzhen Hospital, Shenzhen, Guangdong Province, China.
Rangeng ShiDivision of Rheumatology, Department of Medicine, The Third Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong Province, China.
Xiaogui ChengDepartment of Pharmacy, The Third Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong Province, China.ORCID https://orcid.org/0009-0001-8107-4292
Jinxian HuangDivision of Rheumatology, Department of Medicine, The University of Hong Kong-Shenzhen Hospital, Shenzhen, Guangdong Province, China.ORCID https://orcid.org/0000-0001-5073-1205

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objective: Secukinumab (SEC), an interleukin 17A inhibitors (IL-17Ai) has been shown to be effective in managing axial spondyloarthritis (axSpA). However, data on its long-term retention in Chinese populations remain limited. This study aims to evaluate the retention rate of SEC in axSpA and its predisposing factors in Chinese patients. Methods: We conducted a retrospective cohort study across three centers, including axSpA patients treated with SEC. Prescription records were retrieved from the hospital information system (HIS) and electronic medical records were reviewed to confirm diagnoses and treatment exposures. Retention rates at 12, 24, and 36 months were estimated using Kaplan-Meier analysis. Cox proportional hazards regression assessed the impact of prior biologic therapy and dosage on discontinuation risk. Discontinuation events were also evaluated. Result: A total of 459 patients were identified and included, with the longest treatment follow-up period reaching 42 months. The overall drug retention rates for SEC were 76.1%, 68.7%, and 62.8% at 12, 24, and 36 months, respectively. Biologics-naïve patients exhibited a higher 12-month retention rate (80.7%) compared to biologic-experienced patients (72.5%). Among biologic-experienced patients, the 12-month retention rates progressively decreased with an increasing number of prior biologics: 74.6% for one prior biologic, 72.0% for two, and 55.3% for three. No statistically significant difference in retention rate was observed between the 300 mg and 150 mg groups ( Conclusion: SEC demonstrates robust retention rates in this Chinese axSpA cohort, particularly among biologics-naïve patients.

Indexed as

axial spondyloarthritisdiscontinuation patternretention ratesecukinumabswitching

Identifiers

PMID42444720
PMCPMC13358954

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