Psoriatic arthritis (PsA) is a chronic inflammatory joint disease affecting around 40% of psoriasis patients. Minimal disease activity (MDA) criteria have been proposed to identify a state of low disease activity, one of the principal goals of treatment for psoriatic disease. This study investigated treatment with ustekinumab (UST) in the context of a real-world setting. Thirty-four PsA patients who had failure or inadequate response to conventional synthetic disease-modifying antirheumatic drugs or to anti-tumour necrosis factor alpha were enrolled. Demographic and clinical features, MDA criteria, and the impact of psoriatic skin manifestations on patientsâ quality of life (QoL) using the dermatology life quality index (DLQI) questionnaire were evaluated at baseline and after 24-week treatment. Adverse events were recorded. At week 24, 70.5% of patients (nÂ =Â 24) achieved MDA. A sub-analysis of dermatological indices of the MDA criteria showed that the psoriasis area severity index score was significantly improved and body surface area was significantly decreased at 24Â weeks compared with that at baseline (both pÂ <Â 0.001). For the rheumatologic indexes, tender joint count, swollen joint count, and tender entheseal points were all significantly improved at 24Â weeks of therapy (all pÂ <Â 0.01 vs. baseline). Mean DLQI value decreased approximately fourfold, and there were no safety concerns. The achievement of MDA as well as the significant improvement in DLQI and lack of adverse events in the context of a real-life setting shown here confirms the efficacy and safety of UST in PsA.
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1007/s10067-017-3700-z|
|Codice identificativo ISI:||WOS:000403662600016|
|Codice identificativo Scopus:||2-s2.0-85020064017|
|Titolo:||Minimal disease activity in patients with psoriatic arthritis treated with ustekinumab: results from a 24-week real-world study|
|Appare nelle tipologie:||1.1 Articolo in rivista|