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Table 1 Baseline characteristics of 685 PsA patients treated with secukinumab over a 48-month follow-up period

From: Four-year effectiveness, safety and drug retention rate of secukinumab in psoriatic arthritis: a real-life Italian multicenter cohort

PsA Features

Total patients

NAÏVE vs

NON-NAÏVE

p

Male sex, n (%)

291 (42.5)

96 (42.7)

195 (42.4)

ns

Female sex, n (%)

394 (57.5)

129 (57.3)

265 (57.6)

ns

Age (years), median (IQR)

57 (49–64)

55 (48–62)

57 (49–64)

0.05

Age of diagnosis (years), median (IQR)

48 (37–54)

48 (39.5–55)

46 (36–53)

ns

Age of disease onset (years), median (IQR)

45 (31–56)

45 (32.5–55)

42.5 (30–57)

0.04

Disease duration (years), median (IQR)

9 (6–14.3)

6 (4–10)

11 (7–17)

0.001

PsA, n (%)

685

225

460

N/A

Polyarticular

354 (51.7)

100 (44.4)

254 (55.2)

0.03

Mono/Oligoarticular

195 (28.5)

81 (36)

114 (24.8)

0.04

Axial involvement

219 (31.9)

75 (33.3)

144 (31.3)

ns

  Only axial involvement

111 (16.2)

40 (17.8)

71 (15.4)

ns

  Axial and peripheral involvement

108 (15.8)

35 (15.6)

73 (15.9)

ns

Only DIP joint involvement

22 (3.2)

4 (1.8)

18 (3.9)

ns

Arthritis mutilans

3 (0.4)

0 (0)

3 (0.7)

ns

Enthesitis

330 (48.2)

107 (47.6)

223 (48.5)

ns

Dactylitis

115 (16.8)

39 (17.3)

76 (16.5)

ns

Age of psoriasis onset (years), median (IQR)

39 (24.8–48)

39.5 (25–49.8)

40 (25–50)

ns

Psoriasis, n (%)

430 (62.8)

134 (59.6)

296 (64.3)

0.04

Onychopathy, n (%)

249 (36.4)

88 (39.1)

161 (35.0)

0.04

IBD, n (%)

29 (4.2)

13 (5.8)

16 (3.5)

ns

Uveitis, n (%)

20 (2.9)

6 (2.7)

14 (3.1)

ns

Family history of psoriasis or SpA, N (%)

247 (36.1)

81 (36.0)

166 (36.1)

ns

Erosions, n (%)

127 (18.5)

41 (18.2)

86 (18.7)

ns

Weight (kg), median (IQR)

74 (64–84.5)

71 (60–84)

75 (65–85)

ns

Height (cm), median (IQR)

167.5 (160–175)

167 (160–175)

168 (160–175)

ns

BMI, median (IQR)

25.7 (23.4–28.9)

24.78 (22.7–28.6)

26.2 (23.6–29.1)

ns

TJ [0–68] , median (IQR)

6 (2–11)

6 (2–11)

6 (2–11)

ns

SJ [0–66], median (IQR)

1 (0–3)

1 (0–2)

3 (1–3)

0.04

LEI [0–6], median (IQR)

2 (0–3)

2 (0–3)

2 (0–3)

ns

Dactylitis [0–20] number of digits, median (IQR)

0.7 (0.4–1.9)

0.7 (0.4–1.5)

0.9 (0.8–1.3)

ns

PASI [0–72], median (IQR)

3.2 (1.2–5.6)

3.1 (1.3–4.4)

4.1 (2.1–5.5)

0.01

ESR [0–25] (mm/h), median (IQR)

15 (7–27)

15 (7–24.3)

15 (7–28)

ns

CRP [0–6] (mg/L), median (IQR)

3.3 (1.3–7.9)

3.2 (1.3–7.9)

3.6 (1.2–7.9)

ns

DAPSA [0–164], median (IQR)

23.6 (17.1–30.5)

23 (17.1–30)

23 (17–30.8)

ns

ASDAS-CRP [0–6], median (IQR)

3.1 (2.3–3.6)

3.1 (2.5–3.5)

3.3 (2.8–3.8)

0.05

HAQ-S [0–8], median (IQR)

1.3 (0.9–1.8)

1 (0.8–1.7)

1.4 (1.0–1.9)

0.05

VAS-pain [0–10], median (IQR)

7 (6–8)

7 (6–8)

7 (6–8)

ns

VAS-GH [0–10], median (IQR)

7 (5–8)

7 (5–7)

7 (5–8)

ns

VAS-PH [0–10], median (IQR)

7 (5–7)

7 (5–7)

7 (5–7)

ns

BASDAI [0–10], median (IQR)

5.5 (4.2–6.9)

5.5 (4.7–6.7)

5.5 (4.8–7.2)

ns

BASFI [0–10], median (IQR)

6 (4.4–7)

6 (4.8–7)

5.8 (4.1–7.0)

ns

Treatment duration (months), median (IQR)

42 (16–55)

42 (16–55.5)

43 (17–56.5)

ns

Dosage 300 mg/injection, n (%)

339 (49.5)

39 (17.3)

300 (65.2)

 < 0.01

Dosage 150 mg/injection, n (%)

346 (50.5)

186 (82.7)

160 (34.8)

 < 0.01

1st line, n (%)

225 (32.8)

225 (100)

0 (0)

N/A

Failure biologic drugs, n (%)

460 (67.2)

0 (0)

460 (100)

N/A

2nd line, n (%)

179 (26.1)

0 (0)

179 (38.9)

N/A

3rd line, n (%)

141 (20.6)

0 (0)

141 (30.7)

N/A

4th line, n (%)

84 (12.3)

0 (0)

84 (18.3)

N/A

5th line or more, n (%)

56 (8.2)

0 (0)

56 (12.2)

N/A

Concomitant NSAIDs, n (%)

346 (50.5)

98 (43.6)

248 (53.9)

0.04

Concomitant steroid, n (%)

146 (21.3)

31 (13.8)

115 (25.0)

0.03

Concomitant csDMARDs, n (%)

241 (35.2)

83 (36.9)

159 (34.6)

ns

  1. Legend: Data are expressed as median (interquartile range [IQR]) unless otherwise specified; range of possible values are indicated in square brackets. p§ ANOVA (Kruskal Wallis) at T0: p < 0.05
  2. SpA spondyloarthritis, PsA psoriatic arthritis, naïve naïve to bDMARDs, non-naïve bDMARDs failure, DIP distal interphalangeal, IBD inflammatory bowel disease, PASI Psoriasis Area Severity Index, TJ Tender Joint, SJ Swollen Joint, LEI Leeds Enthesitis Index, DAPSA Disease Activity Index for Psoriatic Arthritis, kg kilogram, cm centimeter, BMI body mass index, ESR erythrocyte sedimentation rate, CRP C-reactive protein, VAS-pain Visual Analogue Scale-pain, VAS-GH Visual Analogue Scale-global health, BASDAI Bath Ankylosing Spondylitis Disease Activity Index, BASFI Bath Ankylosing Spondylitis Functional Index, ASDAS Ankylosing Spondylitis disease activity score, HAQ-S Health Assessment Questionnaire modified for spondyloarthritis, NSAIDs non-steroidal anti-inflammatory drugs, csDMARDs conventional synthetic disease-modifying antirheumatic drugs, ns not statistically significant, N/A not applicable