Artikel
Fifty two-week efficacy and safety results from SPIRIT-P1: A Phase 3 study of ixekizumab in patients with active psoriatic arthritis
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Veröffentlicht: | 4. September 2017 |
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Background: The efficacy and safety of ixekizumab were evaluated in patients with active PsA.
Methods: Patients (N=417) were randomized to ixekizumab 80mg once every 4 (IXEQ4W) or 2 (IXEQ2W) weeks (160mg starting dose included), 40mg adalimumab, or placebo during the double-blind treatment period (DBTP: weeks 0–24). 381 patients entered the extension period (EP: weeks 24–52): at week 16 or 24, patients from the adalimumab or placebo groups were re-randomized to IXEQ4W or IXEQ2W.
Results: Results are presented for the EP population who received IXEQ4W or IXEQ2W since baseline (IXEQ4W/IXEQ4W and IXEQ2W/IXEQ2W). The EP was completed by 304 patients. Response rates at week 52 for the groups, respectively, were: ACR 20/50/70: 69.1/54.6/39.2%, 68.8/53.1/39.6%; PASI 75/90/100: 78.8/66.7/56.1%, 81.8/78.2/67.3%; static PGA score of (0 or 1)/(0): 81.3/60.4%, 78.4/62.2%. For the IXEQ4W/IXEQ4W and IXEQ2W/IXEQ2W groups, respectively, changes from baseline to week 52 were -13.5 and -9.3 for percent BSA involvement of psoriasis and -16.5 and -21.6 for NAPSI. Most adverse events (AEs) were mild or moderate; serious AEs occurred in 4 patients.
Conclusion: Ixekizumab demonstrated improvements in signs and symptoms of PsA with a safety profile that was consistent in the EP and DBTP.