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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Ann+Rheum+Dis
2014 ; 73
(6
): 1000-6
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
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]