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Effect of certolizumab pegol on multiple facets of psoriatic arthritis as reported by patients: 24-week patient-reported outcome results of a phase III, multicenter study.
Gladman, D; Fleischmann, R; Coteur, G; Woltering, F; Mease, P J.
Afiliación
  • Gladman D; Toronto Western Research Institute and Toronto Western Hospital, Toronto, Ontario, Canada.
Arthritis Care Res (Hoboken) ; 66(7): 1085-92, 2014 Jul.
Article en En | MEDLINE | ID: mdl-24339179
ABSTRACT

OBJECTIVE:

To examine the effect of certolizumab pegol (CZP) on patient-reported outcomes (PROs) in psoriatic arthritis (PsA) patients with and without prior tumor necrosis factor (TNF) inhibitor exposure.

METHODS:

The ongoing phase III RAPID-PsA trial was double blind and placebo controlled to week 24. Patients were randomized 111 to placebo every 2 weeks or CZP 400 mg at weeks 0, 2, and 4, followed by either CZP 200 mg every 2 weeks or CZP 400 mg every 4 weeks. PRO measures evaluated were the Health Assessment Questionnaire (HAQ) disability index (DI), health status (measured by the Short Form 36 [SF-36] health survey), Psoriatic Arthritis Quality of Life (PsAQOL), Fatigue Assessment Scale, patient assessment of pain (visual analog scale), and Dermatology Life Quality Index (DLQI). Post hoc analyses of PROs in patients with and without prior TNF inhibitor exposure were conducted. Change from baseline for all PROs was analyzed for the randomized population using analysis of covariance with last observation carried forward imputation.

RESULTS:

A total of 409 patients were randomized. Twenty percent had received a prior TNF inhibitor. Baseline demographics were similar between the treatment groups. At week 24, clinically meaningful differences in HAQ DI, SF-36, PsAQOL, fatigue, pain, and DLQI were observed in both CZP arms versus placebo (P < 0.001), irrespective of prior TNF inhibitor exposure. More CZP-treated patients reached SF-36 general population norms than placebo-treated patients.

CONCLUSION:

Both CZP dosing schedules provided rapid improvements in PROs across multiple disease aspects in patients with PsA. The benefits of CZP treatment for health-related quality of life were seen across generic, PsA-specific, and dermatology-specific measures and were observed in patients regardless of prior TNF inhibitor exposure.
Asunto(s)

Texto completo: 1 Base de datos: MEDLINE Asunto principal: Polietilenglicoles / Fragmentos Fab de Inmunoglobulinas / Artritis Psoriásica / Anticuerpos Monoclonales Humanizados / Inmunosupresores Tipo de estudio: Clinical_trials Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Arthritis Care Res (Hoboken) Asunto de la revista: REUMATOLOGIA Año: 2014 Tipo del documento: Article País de afiliación: Canadá

Texto completo: 1 Base de datos: MEDLINE Asunto principal: Polietilenglicoles / Fragmentos Fab de Inmunoglobulinas / Artritis Psoriásica / Anticuerpos Monoclonales Humanizados / Inmunosupresores Tipo de estudio: Clinical_trials Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Arthritis Care Res (Hoboken) Asunto de la revista: REUMATOLOGIA Año: 2014 Tipo del documento: Article País de afiliación: Canadá