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Effectiveness of ad...
Effectiveness of adalimumab in treating patients with active psoriatic arthritis and predictors of good clinical responses for arthritis, skin and nail lesions
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Van den Bosch, F (author)
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Manger, B (author)
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Goupille, P (author)
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McHugh, N (author)
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Rodevand, E (author)
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Holck, P (author)
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- van Vollenhoven, RF (author)
- Karolinska Institutet
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Leirisalo-Repo, M (author)
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FitzGerald, O (author)
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Kron, M (author)
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Frank, M (author)
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Kary, S (author)
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Kupper, H (author)
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(creator_code:org_t)
- 2009-10-07
- 2010
- English.
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In: Annals of the rheumatic diseases. - : BMJ. - 1468-2060 .- 0003-4967. ; 69:2, s. 394-399
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https://ard.bmj.com/...
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http://kipublication...
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https://doi.org/10.1...
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Abstract
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- To evaluate the effectiveness of adalimumab in patients with psoriatic arthritis (PsA) and identify predictors of good clinical response for joint and skin lesions.Methods:Patients received adalimumab 40 mg every other week in addition to standard therapy in this prospective, 12-week, open-label, uncontrolled study. Four definitions of good clinical response were used: ⩾50% improvement in American College of Rheumatology response criteria (ACR50), good response according to European League Against Rheumatism (EULAR) guidelines, a ⩾3-grade improvement in Physician Global Assessment of psoriasis (PGA) and a ⩾50% improvement in the Nail Psoriasis Severity Index (NAPSI). Response predictors were determined by logistic regression with backward elimination (selection level was 5%).Results:Of 442 patients, 94% completed 12 weeks of treatment. At week 12, 74%, 51% and 32% of the patients had achieved ACR20, 50 and 70, respectively; 87% and 61% experienced moderate and good responses according to EULAR criteria, respectively. The percentage of patients with PGA results of “clear/almost clear” increased from 34% (baseline) to 68%. The mean NAPSI score was reduced by 44%. No new safety signals were detected. A lower Health Assessment Questionnaire Disability Index (HAQ-DI) score, greater pain assessment, male sex and absence of systemic glucocorticoid therapy were strongly associated with achievement of ACR50 and good response according to EULAR criteria. In addition, greater C-reactive protein concentration and polyarthritis predicted ACR50, and non-involvement of large joints predicted a good response according to EULAR criteria.Conclusions:Adalimumab was effective in patients with PsA. Lower impairment of physical function, greater pain, male sex and no systemic treatment with glucocorticoids were factors that increased the chance of achieving a good clinical response.
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- ref (subject category)
- art (subject category)
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- By the author/editor
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Van den Bosch, F
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Manger, B
-
Goupille, P
-
McHugh, N
-
Rodevand, E
-
Holck, P
-
show more...
-
van Vollenhoven, ...
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Leirisalo-Repo, ...
-
FitzGerald, O
-
Kron, M
-
Frank, M
-
Kary, S
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Kupper, H
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show less...
- Articles in the publication
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Annals of the rh ...
- By the university
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Karolinska Institutet