Clinical Edge Journal Scan

Durable Improvements Across PsA Disease Domains with Guselkumab


 

Key clinical point: Guselkumab treatment led to durable improvements in key Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (PsA)-recognized domains through 2 years and showed a consistent safety profile in biologic or Janus kinase inhibitor-naive patients with active PsA.

Major finding: At week 100, more than 50% of patients receiving guselkumab (100 mg every 4 or 8 weeks) achieved achieved a low PsA Disease Activity Index, had enthesitis resolution, dactylitis resolution, and 100% improvement in Psoriasis Area and Severity Index. No new safety signals were observed.

Study details: This post hoc analysis included 442 biologic or Janus kinase inhibitor-naive patients with active PsA and previous inadequate response or intolerance to standard nonbiologics who received 100 mg guselkumab every 4 or 8 weeks through week 100.

Disclosures: This study was supported by Janssen Research & Development (R&D), LLC. Three authors declared being employees of Janssen R&D and owning Johnson and Johnson stocks or stock options. Several authors declared receiving honoraria from or having other ties with various sources, including Janssen.

Source: Coates LC, Gossec L, Zimmermann M, et al. Guselkumab provides durable improvement across psoriatic arthritis disease domains: Post hoc analysis of a phase 3, randomised, double-blind, placebo-controlled study. RMD Open. 2024;10:e003977 (Mar 26). doi: 10.1136/rmdopen-2023-003977 Source

Recommended Reading

Multiple Social Disadvantages Linked to Progressively Worse JIA and Pediatric Lupus
MDedge Rheumatology
Europe’s Quest for Earlier Diagnosis of Psoriatic Arthritis
MDedge Rheumatology
Commentary: Gut Dysbiosis, DMARD, Joint Involvement, and MACE in PsA, April 2024
MDedge Rheumatology
Tuberculosis Screening Gaps Persist in New DMARD Users
MDedge Rheumatology
Congress Directly Provides $10 Million for Arthritis Research for First Time
MDedge Rheumatology
A 30-Year-Old White Female Presented With a 4-Month History of Scaly, Erythematous Patches and Plaques on Her Trunk and Extremities
MDedge Rheumatology
Worldwide Prevalence of Psoriatic Arthritis More Precisely Determined
MDedge Rheumatology
Favorable Efficacy Outcomes with Bimekizumab vs Guselkumab in PsA
MDedge Rheumatology
Low Risk for Serious Infections Among New Users of Targeted Therapies in PsA
MDedge Rheumatology
Risankizumab Offers Long-term Protection Against PsA
MDedge Rheumatology