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10.1136/annrheumdis-2013-204741

http://scihub22266oqcxt.onion/10.1136/annrheumdis-2013-204741
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suck abstract from ncbi


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pmid24553909
      Ann+Rheum+Dis 2014 ; 73 (6 ): 1000-6
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  • Ustekinumab, an anti-IL-12/23 p40 monoclonal antibody, inhibits radiographic progression in patients with active psoriatic arthritis: results of an integrated analysis of radiographic data from the phase 3, multicentre, randomised, double-blind, placebo-controlled PSUMMIT-1 and PSUMMIT-2 trials #MMPMID24553909
  • Kavanaugh A ; Ritchlin C ; Rahman P ; Puig L ; Gottlieb AB ; Li S ; Wang Y ; Noonan L ; Brodmerkel C ; Song M ; Mendelsohn AM ; McInnes IB
  • Ann Rheum Dis 2014[Jun]; 73 (6 ): 1000-6 PMID24553909 show ga
  • OBJECTIVE: Evaluate ustekinumab, an anti-interleukin (IL)-12 and IL-23 antibody, effects on radiographic progression in psoriatic arthritis (PsA). METHODS: We conducted preplanned integrated analyses of combined radiographic data from PSUMMIT-1 and PSUMMIT-2 phase 3, randomised, controlled trials. Patients had active PsA despite prior conventional and/or biologic disease-modifying antirheumatic drugs (?5/66 swollen, ?5/68 tender joints, C-reactive protein ?3.0 mg/L, documented plaque psoriasis). Patients (PSUMMIT-1, n=615; PSUMMIT-2, n=312) were randomised to ustekinumab 45 mg, 90 mg, or placebo, at weeks (wk) 0, 4 and every (q) 12 wks. At wk 16, patients with <5% improvement in tender/swollen joint counts entered blinded early escape. All other placebo patients received ustekinumab 45 mg at wk 24 and wk 28, then q 12 wks. Radiographs of hands/feet at wks 0/24/52 were assessed using PsA-modified van der Heijde-Sharp (vdH-S) scores; combined PSUMMIT-1 and PSUMMIT-2 changes in total vdH-S scores from wk 0 to wk 24 comprised the prespecified primary radiographic analysis. Treatment effects were assessed using analysis of variance on van der Waerden normal scores (factors=treatment, baseline methotrexate usage, and study). RESULTS: Integrated data analysis results indicated that ustekinumab-treated patients (regardless of dose) demonstrated significantly less radiographic progression at wk 24 than did placebo recipients (wk 0-24 total vdH-S score mean changes: 0.4-combined/individual ustekinumab dose groups, 1.0-placebo; all p<0.02). From wk 24 to wk 52, inhibition of radiographic progression was maintained for ustekinumab-treated patients, and progression was substantially reduced among initial placebo recipients who started ustekinumab at wk 16 or wk 24 (wk 24 - wk 52, total vdH-S score mean change: 0.08). CONCLUSIONS: Ustekinumab 45 and 90 mg treatments significantly inhibited radiographic progression of joint damage in patients with active PsA.
  • |Adult [MESH]
  • |Antibodies, Monoclonal, Humanized/*therapeutic use [MESH]
  • |Antirheumatic Agents/*therapeutic use [MESH]
  • |Arthritis, Psoriatic/diagnostic imaging/*drug therapy [MESH]
  • |Cross-Over Studies [MESH]
  • |Disease Progression [MESH]
  • |Double-Blind Method [MESH]
  • |Drug Therapy, Combination [MESH]
  • |Female [MESH]
  • |Foot Joints/*diagnostic imaging [MESH]
  • |Hand Joints/*diagnostic imaging [MESH]
  • |Humans [MESH]
  • |Interleukin-12 Subunit p40/*antagonists & inhibitors [MESH]
  • |Male [MESH]
  • |Methotrexate/therapeutic use [MESH]
  • |Middle Aged [MESH]
  • |Radiography [MESH]
  • |Treatment Outcome [MESH]


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