SECUKINUMAB SHOWS GREATER SYMPTOMATIC IMPROVEMENT VERSUS INFLIXIMAB IN PSORIATIC ARTHRITIS- COMPARATIVE EFFECTIVENESS UP TO 1 YEAR ASSESSED BY MATCHING-ADJUSTED INDIRECT COMPARISONS
Author(s)
Strand V1, McInnes I2, Thom H3, Hunger M4, Lopes N5, Gandhi K6, Jugl SM7
1Stanford University, Stanford, CA, USA, 2University of Glasgow, Glasgow, UK, 3University of Bristol, Bristol, UK, 4Mapi Group, Munich, Germany, 5Novartis Biociências SA, Sao Paulo, Brazil, 6Novartis Pharmaceuticals Corporation, East Hanover, NJ, USA, 7Novartis Pharma AG, Basel, Switzerland
OBJECTIVES:: When across trial populations are heterogeneous, Matching-Adjusted Indirect Comparison (MAIC) can be used to assess comparative effectiveness; it is supported by NICE DSU guidance. The objective of these MAICs was to assess the comparative effectiveness of secukinumab (SEC; fully human anti-interleukin-17A) and infliximab (INF; tumor necrosis factor inhibitor [TNFi]) up to 1 year in biologic-naïve patients with PsA. METHODS:: Individual patient data from the SEC arms of FUTURE 2 (F2; SEC 150mg n=100; SEC 300mg n=100) were weighted to match baseline characteristics of the INF (5mg/kg) arm of IMPACT 2 (n=100). Another MAIC with pooled FUTURE 1 (F1) and F2 SEC 150mg data was also performed to maximize the effective sample size (ESS) for SEC. Matching parameters were: age, body weight, sex, race, presence of psoriasis, dactylitis, enthesitis, mean HAQ-DI score, methotrexate use and previous TNFi therapy. Recalculated outcomes from F2 [F1/F2] (SEC 150mg ESS=31[91]; SEC 300mg ESS=34; placebo, ESS=15[59]) were compared with IMPACT 2. American College of Rheumatology (ACR) 20, 50 and 70 responses were compared using odds ratios (ORs) at nearest equivalent time points across trials (week 54 [IMPACT 2] and week 52 [F1/F2]). Placebo-adjustment was not possible due to patients switching from placebo to active treatment. RESULTS:: At week 54/52, non-placebo-adjusted ACR 20 responses were higher with SEC 150mg than INF (OR [95% CI]: 5.24 [1.62–16.89], p=0.006) and ACR 20 and 50 responses higher with SEC 300mg (3.82 [1.38–10.60], p=0.010 and 4.97 [2.06–11.99], p<0.001, respectively) than INF. At week 54/52 in the pooled MAIC, ACR 20 and 50 responses were higher with SEC 150mg than INF (OR [95% CI]: 4.05 [1.98–
Conference/Value in Health Info
2017-09, ISPOR Latin America 2017, Sao Paulo, Brazil
Value in Health, Vol. 20, No. 9 (October 2017)
Code
PMS5
Topic
Clinical Outcomes
Topic Subcategory
Comparative Effectiveness or Efficacy
Disease
Musculoskeletal Disorders
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