PMID- 34614111 OWN - NLM STAT- MEDLINE DCOM- 20211025 LR - 20220629 IS - 1980-5322 (Electronic) IS - 1807-5932 (Print) IS - 1807-5932 (Linking) VI - 76 DP - 2021 TI - Efficacy and safety of secukinumab in patients with psoriatic arthritis: A meta-analysis of different dosing regimens. PG - e2820 LID - 10.6061/clinics/2021/e2820 [doi] LID - e2820 AB - The appropriate dosing regimens of secukinumab for psoriatic arthritis (PsA) are not well defined. We performed a meta-analysis to evaluate the efficacy and safety of different dosing regimens of secukinumab in the treatment of PsA. A systematic search was conducted using major electronic databases to identify relevant randomized controlled trials (RCTs) comparing secukinumab 300 mg versus secukinumab 150 mg in patients with PsA. Meta-analysis was performed using Review Manager software (version 5.3). Six studies with a total of 1141 patients were included. At week 24, secukinumab 300 mg was associated with a higher American College of Rheumatology 20% response (ACR 20), ACR 50, PASI 75 response rate, and dactylitis resolution rate than secukinumab 150 mg, especially in the anti-TNF-IR subgroup. At week 52, secukinumab 300 mg was associated with a higher psoriasis area and severity index (PASI) 75 and PASI 90 response rate than secukinumab 150 mg. There was no significant difference between secukinumab 300 mg and secukinumab 150 mg in the risk of any adverse events (AEs) and serious AEs at either week 24 or week 52. Secukinumab 300 mg was significantly more effective than 150 mg, especially for patients with PsA who have failed TNF therapy, and it was well tolerated. FAU - Zhang, Kai-Lin AU - Zhang KL AUID- ORCID: 0000-0003-3601-8475 AD - China Medical University - The Queen's University of Belfast Joint College, Shenbei New District, Shenyang, Liaoning 110122, China. FAU - Hou, Si-Yuan AU - Hou SY AUID- ORCID: 0000-0002-7785-5387 AD - Intensive Care Unit, The People's Hospital of Liaoning province, Shenhe District, Shenyang, Liaoning 110016, China. FAU - Wu, Dan AU - Wu D AUID- ORCID: 0000-0002-1528-6860 AD - Second Department of Rheumatology, Shengjing Hospital of China Medical University, Tiexi District, Shenyang, Liaoning 110022, China. LA - eng PT - Journal Article PT - Meta-Analysis DEP - 20211001 PL - United States TA - Clinics (Sao Paulo) JT - Clinics (Sao Paulo, Brazil) JID - 101244734 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - DLG4EML025 (secukinumab) SB - IM MH - Antibodies, Monoclonal/adverse effects MH - Antibodies, Monoclonal, Humanized MH - *Arthritis, Psoriatic/drug therapy MH - Humans MH - *Psoriasis MH - Severity of Illness Index MH - Treatment Outcome PMC - PMC8449858 COIS- No potential conflict of interest was reported. EDAT- 2021/10/07 06:00 MHDA- 2021/10/26 06:00 PMCR- 2021/09/20 CRDT- 2021/10/06 17:31 PHST- 2021/02/05 00:00 [received] PHST- 2021/05/21 00:00 [received] PHST- 2021/10/06 17:31 [entrez] PHST- 2021/10/07 06:00 [pubmed] PHST- 2021/10/26 06:00 [medline] PHST- 2021/09/20 00:00 [pmc-release] AID - S1807-5932(22)00167-3 [pii] AID - cln_76p1 [pii] AID - 10.6061/clinics/2021/e2820 [doi] PST - epublish SO - Clinics (Sao Paulo). 2021 Oct 1;76:e2820. doi: 10.6061/clinics/2021/e2820. eCollection 2021.