Table 2

Comparison of efficacy during the 24 weeks of placebo-controlled therapy

PlaceboIXEQ4WIXEQ2WAdalimumab 40 mg Q2W*
12 weeks24 weeks12 weeks24 weeks12 weeks24 weeks12 weeks24 weeks
Responder rate:
N=106N=107N=103N=101
ACR20, %31.130.257.0†57.9†60.2†62.1†51.5‡57.4†
ACR50, %4.715.133.6†40.2†39.8†46.6†29.7†38.6†
ACR70, %05.715.023.4†16.534.0†17.825.7†
N=92N=100N=90N=89
HAQ-DI MCID, %§29.326.149.0‡49.0†64.4†57.8†49.4‡49.4†
N=28N=39N=26N=18
LDI-B (0), %¶,**53.625.074.479.5†69.276.9†61.177.8†
N=57N=68N=57N=54
LEI (0), %¶,††28.119.327.942.6‡47.4‡‡38.6§§35.233.3
N=67N=73N=59N=68
PASI 75, %¶¶7.510.475.3†71.2†69.5†79.7†33.8†54.4†
PASI 90, %¶¶1.56.052.1†56.2†57.6†67.8†22.1‡36.8†
PASI 100, %¶¶1.53.031.5†42.5†40.7†52.5†14.7§§23.5‡
N=41N=52N=41N=37
sPGA (0, 1), %***7.317.175.0†65.4†80.5†73.2†45.9†62.2†
sPGA (0), %***2.42.430.8‡38.5‡36.6‡39.0‡10.818.9‡‡
N=74N=70N=74N=71
NAPSI (0), %†††8.118.920.0‡‡25.727.0‡36.5§§19.7‡‡39.4‡
LS mean change from baseline (SE): 
N=106N=107N=103N=101
DAS28-CRP−0.57 (0.11)−0.84 (0.13)−1.63 (0.11)†−1.96 (0.12)†−1.67 (0.11)†−2.04 (0.12)†−1.57 (0.12)†−1.74 (0.12)†
N=106N=107N=103N=101
HAQ-DI−0.13 (0.05)−0.18 (0.05)−0.37 (0.05)†−0.44 (0.05)†−0.47 (0.05)†−0.50 (0.05)†−0.35 (0.05)†−0.37 (0.05)‡
N=106N=107N=103N=101
SF-36 PCS2.3 (0.8)2.9 (1.0)5.8 (0.8)†7.5 (0.9)†7.6 (0.8)†8.2 (0.9)†5.7 (0.8)†6.8 (0.9)‡
N=28N=39N=26N=18
LDI-B¶,**−36.3 (10.3)−33.7 (9.7)−72.8 (8.8) †−75.4 (8.1)†−63.9 (10.6)‡‡−66.1 (9.8)‡−62.1 (11.9)−76.0 (10.9)†
N=57N=70N=59N=56
LEI‡‡‡−0.8 (0.24)−0.8 (0.26)−0.9 (0.21)−1.3 (0.21)−1.5 (0.24)‡‡−1.4 (0.24)−0.8 (0.24)−0.9 (0.23)
N=102N=100N=95N=97
% BSA§§§−1.6 (1.2)−2.7 (1.4)−10.4 (1.2)†−12.0 (1.3)†−8.8 (1.2)†−10.6 (1.4)†−7.7 (1.2)†−9.5 (1.4)†
N=74N=70N=74N=71
NAPSI†††−1.1 (1.4)−2.4 (1.7)−8.4 (1.5)†−14.0 (1.5)†−7.7 (1.4)†−15.5 (1.5)†−6.8 (1.4)‡−10.7 (1.5)†
  • *The adalimumab 40 mg Q2W treatment arm served as active reference for comparison with placebo. The study was not powered to test equivalence or non-inferiority of ixekizumab versus adalimumab.

  • †p≤0.001 vs placebo.

  • ‡p≤0.01 vs placebo.

  • §Data reported for patients with a baseline HAQ-DI score ≥0.35. The MCID for HAQ-DI is an improvement from baseline ≥0.35.

  • ¶Post hoc analysis.

  • **Data are reported for patients with dactylitis, as qualitatively assessed by the investigator, at baseline and baseline LDI-B score >0.

  • ††Data are reported for patients with enthesitis, as qualitatively assessed by the investigator, at baseline and baseline LEI score >0.

  • ‡‡p<0.05 vs placebo.

  • §§p≤0.025 vs placebo.

  • ¶¶Data are reported for patients with baseline psoriatic lesion(s) involving ≥3% BSA.

  • ***Data are reported for patients with sPGA ≥3 at baseline.

  • †††Data are reported for patients with fingernail psoriasis, as qualitatively assessed by the investigator, at baseline.

  • ‡‡‡Data are reported for patients with enthesitis, as qualitatively assessed by the investigator, at baseline.

  • §§§Data are reported for patients with psoriasis, as qualitatively assessed by the investigator, at baseline.

  • ACR20/50/70, 20/50/70% American College of Rheumatology response; BSA, body surface area; DAS28-CRP, 28-joint Disease Activity Score using C reactive protein; HAQ-DI, Health Assessment Questionnaire-Disability Index; IXEQ2W, 80 mg ixekizumab once every 2 weeks; IXEQ4W, 80 mg ixekizumab once every 4 weeks; LDI-B, Leeds Dactylitis Index-Basic; LEI, Leeds Enthesitis Index; LS, least squares; MCID, minimal clinically important difference; NAPSI, Nail Psoriasis Severity Index; PASI 75/90/100, Psoriasis Area and Severity Index Improvement Response for 75/90/100%; Q2W, every 2 weeks; SF-36 PCS, Short Form (36 Items) Health Survey Physical Component Score; sPGA, static Physician Global Assessment of psoriasis.