Psoriatic arthritis is a chronic inflammatory arthropathy associated with cutaneous psoriasis.
It is a progressive disease with asymmetric joint distribution pattern and rheumatoid factor is negative.
It can develop at any time including childhood but most often occurs between 30-50 years old.
Symptoms may range from mild to very severe.
In patients with active psoriatic arthritis (PsA), treatment with secukinumab at 300 and 150 mg with or without loading regimen inhibits radiographic progression, the rates of which remaining low over 52 weeks of treatment, while showing consistent clinical efficacy and a favourable safety profile, according to the 52-week data from phase III FUTURE 5 trial.
New drug applications approved by US FDA as of 16 - 31 July 2019 which includes New Molecular Entities (NMEs) and new biologics. It does not include Tentative Approvals. Supplemental approvals may have occurred since the original approval date.
Physicians are likely to underestimate the severity of psoriatic arthritis (PsA) in patients who are older, show higher fatigue levels, complain of greater pain or have poorer mental health, according to a Singapore study. In contrast, overestimation of disease severity by physicians tends to occur in the presence of higher swollen joint counts.
Etanercept, when used alone or in combination with methotrexate, proves to be superior to methotrexate monotherapy in the treatment of psoriatic arthritis patients, yielding greater benefits in terms of response and radiographic progression, according to data from the SEAM-PsA* trial. However, adding methotrexate to etanercept does not appear to contribute meaningfully to the overall efficacy of the latter.
Treatment with secukinumab results in a higher rate of remission or low-disease activity at week 16 in patients with psoriatic arthritis as compared with placebo, according to a posthoc analysis of the FUTURE 2 study. This effect is sustained at 2 years and is evident in both tumour necrosis factor inhibitor-experienced and -naïve patients.
The benefits of the fully human monoclonal antibody secukinumab at doses of either 150 or 300 mg weekly in patients with active psoriatic arthritis are sustained even after 4 years, according to updated results of the FUTURE 2* study presented at the Inflammatory Skin Disease Summit (ISDS 2018).
Only a few sonographic enthesitis scoring instruments developed for spondyloarthritis (SpA) have been validated in psoriatic arthritis (PsA), and none of them passed the Outcome Measures in Rheumatology (OMERACT) filter in patients with PsA, according to a systematic review.
Patients with psoriatic arthritis (PsA) are at greater risk of developing type 2 diabetes relative to those with psoriasis alone or those in the general population, according to a study. Meanwhile, the increased risk of cardiovascular disease in PsA patients is similar to that observed in those with psoriasis.
Diabetes is a key risk factor for heart failure (HF), which is the leading cause of hospitalization in patients with or without diabetes. SGLT-2* inhibitors (SGLT-2is) have been shown to reduce the risk of hospitalization for HF (HHF) regardless of the presence or absence of diabetes.