DAPSA28 LDA (≤14) or remission (≤4) at 6 months with OR and presented by treatment course: results of multivariable logistic regression analyses
First course | Adalimumab | Abatacept | Apremilast | Ixekizumab | Secukinumab | Tofacitinib | Ustekinumab |
LDA, n | 1880 (1838–1933)/3171 | 6 (4–9)/25 | 208 (183–229)/500 | 19 (15–24)/41 | 143 (132–158)/264 | 27 (20–32)/47 | 59 (50–68)/128 |
OR crude | Reference | – | 0.49 (0.38–0.63) | – | 0.81 (0.59–1.11) | – | 0.59 (0.37–0.96) |
OR age/sex-adjusted | Reference | – | 0.50 (0.39–0.65) | – | 0.82 (0.60–1.14) | – | 0.59 (0.36–0.96) |
OR fully adjusted | Reference | – | 0.49 (0.37–0.66) | – | 0.85 (0.60–1.19) | – | 0.58 (0.35–0.97) |
OR IPTW | 0.52 (0.39–0.70) | 0.89 (0.67–1.17) | 0.62 (0.42–0.92) | ||||
Remission, n | 792 (736–829)/3171 | 1 (0–2)/25 | 58 (41–75)/500 | 6 (1–11)/41 | 46 (40–51)/264 | 15 (11–17)/47 | 16 (10–22)/128 |
OR crude | Reference | – | 0.38 (0.24–0.58) | – | 0.63 (0.43–0.91) | – | 0.42 (0.19–0.92) |
OR age/sex-adjusted | Reference | – | 0.41 (0.26–0.64) | – | 0.65 (0.44–0.95) | – | 0.42 (0.19–0.92) |
OR fully adjusted | Reference | – | 0.43 (0.25–0.72) | – | 0.67 (0.45–1.02) | – | 0.41 (0.18–0.94) |
OR IPTW | 0.44 (0.26–0.74) | 0.70 (0.50–0.98) | 0.55 (0.29–1.05) | ||||
Second/third course | |||||||
LDA, n | 1001 (956–1022)/2071 | 37 (32–43)/131 | 63 (51–77)/272 | 51 (44–57)/156 | 420 (401–441)/963 | 73 (63–85)/185 | 100 (87–111)/295 |
OR crude | Reference | 0.41 (0.26–0.65) | 0.32 (0.21–0.48) | 0.52 (0.33–0.81) | 0.83 (0.68–1.02) | 0.69 (0.46–1.03) | 0.54 (0.39–0.77) |
OR age/sex-adjusted | Reference | 0.42 (0.26–0.66) | 0.34 (0.22–0.51) | 0.52 (0.33–0.82) | 0.83 (0.68–1.02) | 0.73 (0.49–1.09) | 0.55 (0.39–0.78) |
OR fully adjusted | Reference | 0.48 (0.29–0.77) | 0.35 (0.22–0.54) | 0.54 (0.33–0.87) | 0.88 (0.70–1.11) | 0.72 (0.46–1.12) | 0.64 (0.45–0.92) |
OR IPTW | 0.48 (0.30–0.79) | 0.35 (0.23–0.55) | 0.57 (0.33–0.99) | 0.90 (0.73–1.11) | 0.79 (0.49–1.26) | 0.64 (0.44–0.94) | |
Remission, n | 325 (304–347)/2071 | 7 (4–12)/131 | 10 (4–16)/272 | 11 (6–22)/156 | 110 (100–124)/963 | 20 (15–26)/185 | 23 (16–31)/295 |
OR crude | Reference | 0.28 (0.09–0.83) | 0.20 (0.07–0.54) | 0.41 (0.15–1.06) | 0.68 (0.51–0.90) | 0.61 (0.33–1.13) | 0.41 (0.22–0.77) |
OR age/sex-adjusted | Reference | 0.29 (0.10–0.88) | 0.21 (0.08–0.60) | 0.40 (0.15–1.07) | 0.67 (0.50–0.91) | 0.71 (0.38–1.31) | 0.42 (0.22–0.79) |
OR fully adjusted | Reference | 0.38 (0.12–1.18) | 0.23 (0.08–0.65) | 0.43 (0.16–1.18) | 0.75 (0.54–1.03) | 0.73 (0.38–1.41) | 0.54 (0.28–1.05) |
OR IPTW | 0.35 (0.13–1.01) | 0.21 (0.07–0.66) | 0.80 (0.34–1.87) | 0.76 (0.55–1.04) | 0.73 (0.36–1.48) | 0.55 (0.28–1.07) | |
Fourth course or more | |||||||
LDA, n | 149 (140–160)/397 | 18 (14–26)/140 | 37 (31–43)/177 | 37 (28–45)/161 | 234 (221–248)/717 | 86 (79–95)/270 | 69 (59–79)/277 |
OR crude | Reference | 0.25 (0.13–0.47) | 0.43 (0.27–0.68) | 0.50 (0.30–0.83) | 0.80 (0.60–1.07) | 0.77 (0.54–1.11) | 0.55 (0.37–0.82) |
OR age/sex-adjusted | Reference | 0.26 (0.13–0.50) | 0.43 (0.27–0.69) | 0.52 (0.31–0.86) | 0.82 (0.61–1.09) | 0.80 (0.56–1.15) | 0.56 (0.38–0.84) |
OR fully adjusted | Reference | 0.27 (0.14–0.52) | 0.41 (0.25–0.68) | 0.55 (0.32–0.96) | 0.85 (0.63–1.16) | 0.89 (0.60–1.32) | 0.52 (0.33–0.81) |
OR IPTW | 0.27 (0.11–0.65) | 0.38 (0.26–0.57) | 0.46 (0.13–1.64) | 0.83 (0.62–1.11) | 0.99 (0.58–1.69) | 0.57 (0.36–0.89) | |
Remission, n | 35 (28–41)/397 | 3 (1–5)/140 | 8 (5–13)/177 | 5 (2–9)/161 | 42 (35–49)/717 | 13 (9–18)/270 | 16 (11–21)/277 |
OR crude | Reference | 0.18 (0.03–1.08) | 0.49 (0.18–1.38) | 0.33 (0.08–1.31) | 0.64 (0.36–1.14) | 0.51 (0.23–1.13) | 0.61 (0.29–1.31) |
OR age/sex-adjusted | Reference | 0.22 (0.04–1.31) | 0.54 (0.19–1.52) | 0.37 (0.09–1.49) | 0.69 (0.38–1.23) | 0.59 (0.26–1.33) | 0.66 (0.30–1.41) |
OR fully adjusted | Reference | 0.23 (0.04–1.43) | 0.55 (0.19–1.57) | 0.44 (0.10–1.91) | 0.79 (0.41–1.52) | 0.72 (0.29–1.76) | 0.53 (0.23–1.19) |
OR IPTW | 0.14 (0.00–7.07) | 0.47 (0.15–1.45) | 0.39 (0.02–6.96) | 0.80 (0.43–1.48) | 0.37 (0.11–1.26) | 0.59 (0.21–1.62) |
Results are shown for patients with more than 6 months of follow-up. ORs are not presented for exposure groups of <100 patients (as indicated by –).
The fully adjusted model included age (and the quadratic term), sex, disease duration, csDMARD use, C reactive protein, patient global score, treatment start year, comorbidity score and previous infection.
Results including imputation of missing data. Numbers in parentheses for remission and LDA are minimum–maximum across the imputations, with the denominator showing all patients in the group.
csDMARD, conventional synthetic disease-modifying antirheumatic drug; DAPSA28, Disease Activity index for PSoriatic Arthritis based on 28-joint evaluation; IPTW, inverse probability of treatment-weighted; LDA, low disease activity.