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Journal Reading

Long-term effectiveness of secukinumab in patients with


axial spondyloarthritis
Gentileschi S, Rigante D, Sota J, Lopalco G,Giannotta M, Emmi G, et al
Hindawi, Volume 50 Number 1 (2020)

Axial Spondyoarthritis (AxSpA) is a chronic, autoinflammatory disease


predominantly affecting the axial skeleton (sacroiliac joints and spine), and a term for
types of inflammatory arthritis that primarily affect the spine and the sacroiliac (SI)
joints that connect the lower spine to the pelvis, resulting in pain in the lower back,
hips, and buttocks. AxSpA is divided into two groups : Non-radiographic axial
spondyloarthritis (nr-axSpA) and Radiographic axial spondyloarthritis (ankylosing
spondylitis).
This Study used cohort from patient diagnosed with axSpA from ASAS
criteria and undergoing secukinumab (SCK) treatment in three Italian referral centres
(Siena, Bari, and Florence) which is included 39 patients . Laboratory and clinical
evaluation was performed at baseline and every 3 months for the first year and In the
second year of treatment, follow-up visits were performed every 6 months. Disease
activity was assessed using the Bath Ankylosing Spondylitis Disease Activity Index
(BASDAI) and the Ankylosing Spondylitis Disease Activity Score- (ASDAS-) CRP.
The primary aim of the study was to evaluate SCK’s long-term efficacy in the
management of axSpA manifestations.
This study showed that the both BASDAI and ASDAS-CRP showed a
statistically significant reduction in the observation period. At the end of the
observation period, 7 out of 39 (17.94%), patients discontinued SCK due to lack of
efficacy (n = 2), loss of efficacy (n = 3), or poor compliance (n = 2). Author got
78.2% global drug retention rate at the end of the study period, without any
significant differences between biologic-naive and anti-TNF-α-failure patients (p =
0,619) or between subjects administered with different SCK dosages (p = 0,614).
There is no statistically significant variation of ESR emerged between baseline and
the follow-up assessments. And there is no adverse events were reported during the
observation time.
In conclusion, Author states that SCK has proved to have a remarkable drug
retention rate and SCK has an effective and safe profile in the management of a real-
life heterogeneous cohort of axSpA patients.

Will be presented by Hadika Pramana


On Monday, October 12th, 2020

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