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Research ArticlePsoriatic Arthritis

Patients With Psoriatic Arthritis–Related Enthesitis and Persistence on Tofacitinib Under Real-World Conditions

Ignacio Braña, Marta Loredo, Estefanía Pardo, Stefanie Burger, Eva Fernández-Bretón and Rubén Queiro
The Journal of Rheumatology July 2024, 51 (7) 682-686; DOI: https://doi.org/10.3899/jrheum.2024-0016
Ignacio Braña
1I. Braña, MD, M. Loredo, MD, E. Pardo, MD, S. Burger, MD, Rheumatology Division, Hospital Universitario Central de Asturias;
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Marta Loredo
1I. Braña, MD, M. Loredo, MD, E. Pardo, MD, S. Burger, MD, Rheumatology Division, Hospital Universitario Central de Asturias;
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Estefanía Pardo
1I. Braña, MD, M. Loredo, MD, E. Pardo, MD, S. Burger, MD, Rheumatology Division, Hospital Universitario Central de Asturias;
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Stefanie Burger
1I. Braña, MD, M. Loredo, MD, E. Pardo, MD, S. Burger, MD, Rheumatology Division, Hospital Universitario Central de Asturias;
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Eva Fernández-Bretón
2E. Fernández-Bretón, MD, Biostatistics and Epidemiology Platform, Health Research Institute of Asturias;
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Rubén Queiro
3R. Queiro, MD, PhD, Rheumatology Division, Hospital Universitario Central de Asturias, and Oviedo University School of Medicine, and ISPA Translational Immunology Division, Oviedo-Asturias, Spain.
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  • ORCID record for Rubén Queiro
  • For correspondence: rubenque7{at}yahoo.es
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    Figure 1.

    Kaplan-Meier curve of all-cause discontinuation of tofacitinib.

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    Figure 2.

    Kaplan-Meier survival curve stratified by enthesitis.

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    Table.

    Disease characteristics of the study population.

    Women,
    n = 54
    Men,
    n = 18
    Total,
    n = 72
    Age, yrs, mean (SD)51.8 (10.5)52.1 (13.0)51.9 (11.1)
    Psoriasis duration, yrs, mean (SD)16.4 (11.9)15.2 (7.79)16.1 (11.0)
    PsA duration, yrs, mean (SD)10.3 (7.51)10.8 (5.36)10.4 (6.99)
    Weight, kg, mean (SD)75.3 (18.1)83.1 (14.0)77.7 (17.3)
    Hypertension17 (31.5)5 (27.8)22 (30.6)
    Dyslipidemia16 (29.6)3 (16.7)19 (26.4)
    Diabetes5 (9.3)2 (11.1)7 (9.7)
    Current smoker16 (29.6)3 (16.7)19 (26.4)
    Former smoker16 (29.6)3 (16.7)19 (26.4)
    Joint pattern
          Peripheral38 (70.4)10 (55.6)48 (66.7)
          Axial3 (5.6)0 (0)3 (4.2)
          Mixed13 (24.1)8 (44.4)21 (29.2)
    Plaque psoriasis32 (59.3)16 (88.9)48 (66.7)
    Nail disease18 (33.3)10 (55.6)28 (38.9)
    Dactylitis13 (24.1)7 (38.9)20 (27.8)
    Enthesitis11 (20.4)4 (22.2)15 (20.8)
    Depression36 (66.7)4 (22.2)40 (55.6)
    Prior b/tsDMARDs53 (98.1)18 (100)71 (98.6)
          Adalimumab45 (83.3)17 (94.4)62 (87.3)
          Etanercept25 (46.3)12 (66.7)37 (52.1)
          Golimumab17 (31.5)7 (38.9)24 (33.8)
          Infliximab12 (22.2)8 (44.4)20 (28.2)
          Certolizumab2 (3.7)0 (0)2 (2.8)
          Ixekizumab30 (55.6)9 (50.0)39 (54.9)
          Secukinumab13 (24.1)5 (27.8)18 (25.4)
          Ustekinumab16 (29.6)4 (22.2)20 (28.2)
          Apremilast8 (14.8)2 (11.1)10 (14.1)
    TOF line
          11 (1.9)0 (0)1 (1.4)
          217 (31.5)1 (5.6)18 (25.0)
          311 (20.4)8 (44.4)19 (26.4)
          413 (24.1)5 (27.8)18 (25.0)
          ≥ 512 (22.2)4 (22.2)16 (22.2)
    TOF current intakea
          Yes19 (35.2)8 (44.4)27 (37.5)
          No35 (64.8)10 (55.6)45 (62.5)
    Median treatment exposure, mosa
          (min, max)
    7.44 (0.23, 42.8)14.7 (0, 40.0)10.0 (0, 42.8)
    DAPSAa, mean (SD)14.2 (7.9)9.2 (6.1)12.4 (6.5)
    PsAIDa, mean (SD)4.1 (2.2)3.6 (3.2)3.7 (3.3)
    • Values are expressed as n (%) unless indicated otherwise.

    • ↵a Values collected at the end of the study (database closure). PsA: psoriatic arthritis; b/tsDMARD: biologic/targeted synthetic disease-modifying antirheumatic drug; min: minimum; max: maximum; DAPSA: Disease Activity Index for Psoriatic Arthritis; PsAID: Psoriatic Arthritis Impact of Disease; TOF: tofacitinib.

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Vol. 51, Issue 7
1 Jul 2024
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Patients With Psoriatic Arthritis–Related Enthesitis and Persistence on Tofacitinib Under Real-World Conditions
Ignacio Braña, Marta Loredo, Estefanía Pardo, Stefanie Burger, Eva Fernández-Bretón, Rubén Queiro
The Journal of Rheumatology Jul 2024, 51 (7) 682-686; DOI: 10.3899/jrheum.2024-0016

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Patients With Psoriatic Arthritis–Related Enthesitis and Persistence on Tofacitinib Under Real-World Conditions
Ignacio Braña, Marta Loredo, Estefanía Pardo, Stefanie Burger, Eva Fernández-Bretón, Rubén Queiro
The Journal of Rheumatology Jul 2024, 51 (7) 682-686; DOI: 10.3899/jrheum.2024-0016
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Keywords

DRUG SURVIVAL
PSORIATIC ARTHRITIS
SAFETY
targeted synthetic disease-modifying antirheumatic drugs
tofacinitib

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