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强直性脊柱炎或银屑病关节炎患者的葡萄膜炎:来自司库奇尤单抗安慰剂对照III期研究的事后分析

Uveitis in patients with axial spondyloarthritis or psoriatic arthritis: a post hoc analysis from placebo-controlled phase III studies with secukinumab.

作者信息

Brandt-Jürgens Jan, Rudwaleit Martin, Behrens Frank, Ritchlin Christopher, Peterlik Daniel, Quebe-Fehling Erhard, Deodhar Atul

机构信息

Rheumatologische Schwerpunktpraxis, Bundesallee 104/105, 12161 Berlin, Germany.

Internal Medicine and Rheumatology, Klinikum Bielefeld Rosenhöhe, University of Bielefeld, Bielefeld, Germany.

出版信息

Ther Adv Musculoskelet Dis. 2025 Jun 6;17:1759720X251340255. doi: 10.1177/1759720X251340255. eCollection 2025.

DOI:10.1177/1759720X251340255
PMID:40487540
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12144362/
Abstract

BACKGROUND

The incidence rate of uveitis in secukinumab-treated patients with axial spondyloarthritis (axSpA) was previously reported.

OBJECTIVE

To evaluate the incidence rate of uveitis in patients with axSpA and psoriatic arthritis (PsA) treated with secukinumab or placebo during placebo-controlled phase III studies.

DESIGN

This was a post hoc analysis from 11 phase III studies.

METHODS

Pooled data from axSpA (MEASURE 1-5 and PREVENT studies) and PsA (FUTURE 1-5 studies) were analyzed.

RESULTS

In the axSpA cohort ( = 1980), the incidence rate for uveitis was 1.29 per 100 patient-years in the secukinumab 150 mg and 1.72 per 100 patient-years in the placebo arm. In the PsA cohort ( = 2453), the incidence rate for uveitis was 0.71 per 100 patient-years in the secukinumab 300 mg arm; no events were reported in the placebo arm.

CONCLUSION

During the placebo-controlled phase, a numerically lower incidence of uveitis was observed in secukinumab-treated axSpA patients. In PsA patients, the incidence was low in secukinumab-treated patients, while uveitis was not reported in the placebo group.

摘要

背景

先前已报道了接受司库奇尤单抗治疗的中轴型脊柱关节炎(axSpA)患者葡萄膜炎的发病率。

目的

在安慰剂对照的III期研究中,评估接受司库奇尤单抗或安慰剂治疗的axSpA和银屑病关节炎(PsA)患者葡萄膜炎的发病率。

设计

这是一项对11项III期研究的事后分析。

方法

分析来自axSpA(MEASURE 1 - 5和PREVENT研究)和PsA(FUTURE 1 - 5研究)的汇总数据。

结果

在axSpA队列(n = 1980)中,司库奇尤单抗150 mg组葡萄膜炎的发病率为每100患者年1.29例,安慰剂组为每100患者年1.72例。在PsA队列(n = 2453)中,司库奇尤单抗300 mg组葡萄膜炎的发病率为每100患者年0.71例;安慰剂组未报告任何事件。

结论

在安慰剂对照阶段,接受司库奇尤单抗治疗的axSpA患者中葡萄膜炎的发病率在数值上较低。在PsA患者中,接受司库奇尤单抗治疗的患者发病率较低,而安慰剂组未报告葡萄膜炎。

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本文引用的文献

1
Low uveitis rates in patients with axial spondyloarthritis treated with bimekizumab: pooled results from phase 2b/3 trials.接受比美吉单抗治疗的中轴型脊柱关节炎患者的低葡萄膜炎发生率:来自 2b/3 期试验的汇总结果。
Ann Rheum Dis. 2024 Nov 14;83(12):1722-1730. doi: 10.1136/ard-2024-225933.
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SER recommendations for the treatment of uveitis.眼后段推荐治疗葡萄膜炎。
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Uveitis in psoriatic arthritis: study of 406 patients in a single university center and literature review.银屑病关节炎相关葡萄膜炎:单一大学校园中心 406 例患者的研究及文献复习。
RMD Open. 2023 Jan;9(1). doi: 10.1136/rmdopen-2022-002781.
4
A Systematic Review of Clinical Trials in Uveitis: Lessons Learned.葡萄膜炎临床试验的系统评价:经验教训。
Ophthalmic Epidemiol. 2023 Oct;30(5):445-452. doi: 10.1080/09286586.2022.2131837. Epub 2022 Oct 6.
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Epidemiology and clinical characteristics of psoriatic arthritis-related uveitis in Madrid, Spain.西班牙马德里银屑病关节炎相关葡萄膜炎的流行病学及临床特征
Int Ophthalmol. 2023 Mar;43(3):771-777. doi: 10.1007/s10792-022-02477-1. Epub 2022 Aug 30.
6
Spondyloarthritis Among Patients With Uveitis: Can We Improve Referral Pathways?葡萄膜炎患者中的脊柱关节炎:我们能否改善转诊途径?
J Rheumatol. 2022 Jul;49(7):659-660. doi: 10.3899/jrheum.220263. Epub 2022 May 15.
7
Secukinumab provides sustained improvement in signs and symptoms and low radiographic progression in patients with psoriatic arthritis: 2-year (end-of-study) results from the FUTURE 5 study.司库奇尤单抗可显著改善银屑病关节炎患者的体征和症状并延缓影像学进展:来自 FUTURE 5 研究的 2 年(研究结束时)结果。
RMD Open. 2021 Jul;7(2). doi: 10.1136/rmdopen-2021-001600.
8
Incidence of anterior uveitis in patients with axial spondyloarthritis treated with anti-TNF or anti-IL17A: a systematic review, a pairwise and network meta-analysis of randomized controlled trials.抗 TNF 或抗 IL-17A 治疗的中轴型脊柱关节炎患者前葡萄膜炎的发生率:一项系统评价、随机对照试验的成对和网络荟萃分析。
Arthritis Res Ther. 2021 Jul 16;23(1):192. doi: 10.1186/s13075-021-02549-0.
9
Anterior uveitis in patients with spondyloarthritis treated with secukinumab or tumour necrosis factor inhibitors in routine care: does the choice of biological therapy matter?在常规治疗中,使用司库奇尤单抗或肿瘤坏死因子抑制剂治疗的脊柱关节炎患者的前葡萄膜炎:生物治疗的选择是否重要?
Ann Rheum Dis. 2021 Nov;80(11):1445-1452. doi: 10.1136/annrheumdis-2021-220420. Epub 2021 Jun 15.
10
Uveitis in spondyloarthritis.脊柱关节炎中的葡萄膜炎。
Ther Adv Musculoskelet Dis. 2020 Sep 12;12:1759720X20951733. doi: 10.1177/1759720X20951733. eCollection 2020.