Evidence map›Paper›PMID 38417434›Full record

ArticleACR open rheumatology2024

Improvements in Patient-Reported Outcomes Through Six Months of Guselkumab Treatment in Patients With Active Psoriatic Arthritis: Real-World Data From the CorEvitas Psoriatic Arthritis/Spondyloarthritis Registry.

Philip J Mease, Alexis Ogdie, John Tesser, Natalie J Shiff, Ruizhi Sophia Zhao, Soumya D Chakravarty, Michael Kelleman, Rhiannon Dodge, Robert R McLean, Aaron Broadwell and 2 more

Open access · goldAbstract read
In one paragraph

Article in ACR open rheumatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 4 citations in OpenAlex.

  1. Observational
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 10 institutions in 3 countries.

Philip J MeaseRheumatology Research, Providence Swedish Medical Center and University of Washington School of Medicine, Seattle, Washington.ORCID https://orcid.org/0000-0002-6620-0457
Alexis OgdieUniversity of Pennsylvania, Philadelphia, Pennsylvania.
John TesserArizona Arthritis & Rheumatology Associates, P.C., Phoenix, Arizona.
Natalie J ShiffJanssen Scientific Affairs, LLC, Horsham, Pennsylvania, and University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Ruizhi Sophia ZhaoJanssen Scientific Affairs, LLC, Horsham, Pennsylvania.
Soumya D ChakravartyJanssen Scientific Affairs, LLC, Horsham, and Drexel University, Philadelphia, Pennsylvania.ORCID https://orcid.org/0000-0001-7957-838X
Michael KellemanCorEvitas, LLC, Waltham, Massachusetts.
Rhiannon DodgeCorEvitas, LLC, Waltham, Massachusetts.
Robert R McLeanCorEvitas, LLC, Waltham, Massachusetts.
Aaron BroadwellRheumatology and Osteoporosis Specialists, Shreveport, Louisiana.
Arthur KavanaughUniversity of California San Diego, La Jolla, California.
Joseph F MerolaDepartment of Dermatology and Department of Medicine, Division of Rheumatology, UT Southwestern Medical Center, Dallas, Texas.
Navitas Systems (United States) · USArthritis and Rheumatism Associates · USBrigham and Women's Hospital · USJanssen (Belgium) · BEJanssen (United States) · USLouisiana State University in Shreveport · USProvidence College · USUniversity of California San Diego · USUniversity of Pennsylvania · USUniversity of Saskatchewan · CA

Funding

CorEvitas, LLCJanssen Scientific Affairs, LLC
6 · The paper itself

Abstract

objectiveEvaluate patient-reported outcomes after 6 months of on-label guselkumab use in patients with rheumatologist-diagnosed active psoriatic arthritis (PsA) enrolled in the CorEvitas PsA/Spondyloarthritis Registry.

methodsThis analysis includes registry participants who initiated and persisted with on-label guselkumab (after US Food and Drug Administration approval for PsA; 100 mg at weeks 0, 4, and every 8 weeks) at their 6-month follow-up visit (On-Label Persisters). Among patients not meeting response criteria at baseline, responses at 6 months were determined for patient-reported outcomes, including patient-reported pain (0-100 mm visual analog scale), patient global assessment of arthritis + psoriasis (PtGA; 0-100 visual analog scale), and Health Assessment Questionnaire-Disability Index (HAQ-DI; 0-3). Unadjusted, nominal P values were calculated via single-proportion, one-sided test (H

resultsOf 90 On-Label Persisters, most had treatment-resistant PsA (92.2% and 73.3% previously received ≥1 and ≥2 biologic/targeted synthetic disease-modifying antirheumatic drugs, respectively), with mean (SD) baseline patient-reported pain, PtGA, and HAQ-DI scores of 57.0 (24.6), 50.3 (24.4), and 0.9 (0.6), respectively. Among those with patient-reported pain and PtGA scores of at least 15 at baseline, 40.2% (33/82) and 46.8% (36/77), respectively, achieved at least 15-mm reductions at 6 months; among those with HAQ-DI scores of at least 0.35 and more than 0.5 at baseline, respectively, 30.4% (21/69) achieved improvements of at least 0.35 and 10.3% (6/58) achieved scores of 0.5 or lower at 6 months (all nominal P < 0.001).

conclusionPain and physical function are important contributors to health-related quality of life. In this real-world population of patients with treatment-resistant PsA and 6 months of persistent guselkumab treatment, clinically meaningful improvements in pain and physical function were achieved by approximately 40% and 30% of patients, respectively.

Identifiers

PMID38417434
PMCPMC11089443
OpenAlexW4392244098

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.