Clinical Edge Journal Scan

PsA: Deucravacitinib shows promise in phase 2


 

Key clinical point: In the initial 16 weeks of this phase 2 trial, patients with psoriatic arthritis (PsA) achieved higher response with deucravacitinib vs. placebo along with a consistent safety profile.

Major finding: At week 16, American College of Rheumatology-20 ( ACR20) response was significantly higher with 6 mg once-daily deucravacitinib (adjusted odds ratio [aOR] 2.4; P = .0134) and 12 mg (aOR 3.6; P = .0004) vs. placebo (31.8%), with 12 mg deucravacitinib improving ACR20 response as early as at 8 weeks ( P < .05) . No serious adverse events were reported in patients treated with deucravacitinib.

Study details: Findings are from a phase 2 study including 203 patients with active PsA intolerant to ≥1 therapy who were randomly assigned to receive 6 mg deucravacitinib once a day, 12 mg deucravacitinib once daily , or placebo for 16 weeks.

Disclosures: This study was sponsored by Bristol Myers Squibb. Eight authors declared being employees or shareholders of Bristol Myers Squibb or of receiving payments or speaker/consultant fees from Bristol Myers Squibb.

Source: Mease PJ et al. Efficacy and safety of selective TYK2 inhibitor, deucravacitinib, in a phase II trial in psoriatic arthritis. Ann Rheum Dis. 2022 (Mar 3). Doi: 10.1136/annrheumdis-2021-221664

Recommended Reading

Methotrexate plus leflunomide proves effective for PsA
MDedge Rheumatology
Drug survival study looks at what lasts longest in RA, axSpA, PsA, and psoriasis
MDedge Rheumatology
CV risk biomarkers tentatively identified in psoriatic disease
MDedge Rheumatology
Study links air pollution to psoriasis flares
MDedge Rheumatology
Trial gives new guidance for choosing initial PsA treatment
MDedge Rheumatology
Introducing adalimumab vs. escalating methotrexate in patients with inadequately controlled PsA
MDedge Rheumatology
PsA: Methotrexate+leflunomide more effective but less well tolerated than methotrexate monotherapy
MDedge Rheumatology
PsA: Comparable efficacy, safety, and persistence with TNFi or ustekinumab in real world
MDedge Rheumatology
Reduced humoral response to SARS-CoV-2 vaccine in patients receiving systemic therapy for PsA
MDedge Rheumatology
Scoring by MRI is an effective way to identify change in clinical outcomes of PsA
MDedge Rheumatology