PMID- 35920763 OWN - NLM STAT- MEDLINE DCOM- 20221014 LR - 20230117 IS - 1468-3083 (Electronic) IS - 0926-9959 (Print) IS - 0926-9959 (Linking) VI - 36 IP - 11 DP - 2022 Nov TI - The effect of risankizumab on achieving minimal clinically important differences in patient-reported outcomes in patients with psoriatic arthritis: results from KEEPsAKE 1 and 2. PG - 2120-2129 LID - 10.1111/jdv.18475 [doi] AB - BACKGROUND: Psoriatic arthritis (PsA) is a chronic inflammatory disease that reduces the quality of life. This study assessed the effects of risankizumab (RZB) on the achievement of minimal clinically important differences (MCID) in patient-reported outcomes (PROs). METHODS: KEEPsAKE-1 and -2 are randomized, placebo-controlled Phase 3 clinical studies assessing RZB (150 mg) vs. placebo (PBO) in adult patients with PsA with inadequate response or intolerance to disease-modifying antirheumatic drugs and/or biologics. Patients were randomized 1:1 to receive RZB or PBO for 24 weeks; starting at Week 24, all patients received RZB 150 mg through Week 52. PROs assessed were Patient's Global Assessment of Disease Activity (PtGA), Patient's Assessment of Pain, Health Assessment Questionnaire-Disability Index (HAQ-DI), Short-Form 36 Physical and Mental Component Summary scores (PCS and MCS, respectively), 5-Level EQ-5D (EQ-5D-5L), Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue), and Work Productivity and Activity Impairment (WPAI). The proportion of patients achieving MCID at Weeks 24 and 52 are reported. Odds ratios of achieving MCID with RZB treatment at Week 24, relative to PBO, were estimated by logistic regression controlling for baseline and stratification factors. RESULTS: In KEEPsAKE-1, RZB- vs. PBO-treated patients were more likely to report MCID in all PROs at Week 24; similar results were obtained in KEEPsAKE-2, except for SF-36 MCS and WPAI presenteeism domain. In KEEPsAKE-1 and KEEPsAKE-2, 65% and 62% of RZB-treated patients, respectively, reported MCID in PtGA at Week 24, which increased to 74% and 68%, respectively, at Week 52. Approximately 48% of all PBO-treated patients reported MCID in PtGA at Week 24 and, after initiating RZB, >65% reported MCID at Week 52. Results were similar in the remaining PROs. CONCLUSIONS: These data demonstrate that patients with PsA receiving RZB treatment are more likely to report clinically important improvements in PROs compared with patients receiving PBO. CI - (c) 2022 AbbVie Inc and The Authors. Journal of the European Academy of Dermatology and Venereology published by John Wiley & Sons Ltd on behalf of European Academy of Dermatology and Venereology. FAU - Kristensen, L E AU - Kristensen LE AD - The Parker Institute, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Copenhagen, Denmark. FAU - Soliman, A M AU - Soliman AM AD - AbbVie, Inc., North Chicago, IL, USA. FAU - Papp, K AU - Papp K AUID- ORCID: 0000-0001-9557-3642 AD - Probity Medical Research and K Papp Clinical Research, Waterloo, ON, Canada. FAU - Barcomb, L AU - Barcomb L AD - AbbVie, Inc., North Chicago, IL, USA. FAU - Eldred, A AU - Eldred A AD - AbbVie, Inc., North Chicago, IL, USA. FAU - Ostor, A AU - Ostor A AD - Cabrini Hospital, Monash University & Emeritus Research, Melbourne, VIC., Australia. LA - eng GR - AbbVie/ PT - Journal Article PT - Randomized Controlled Trial PL - England TA - J Eur Acad Dermatol Venereol JT - Journal of the European Academy of Dermatology and Venereology : JEADV JID - 9216037 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antirheumatic Agents) RN - 0 (Biological Products) RN - 90ZX3Q3FR7 (risankizumab) SB - IM MH - Adult MH - Antibodies, Monoclonal MH - *Antirheumatic Agents/therapeutic use MH - *Arthritis, Psoriatic/drug therapy MH - *Biological Products/therapeutic use MH - Double-Blind Method MH - Fatigue MH - Humans MH - Minimal Clinically Important Difference MH - Patient Reported Outcome Measures MH - Quality of Life MH - Treatment Outcome PMC - PMC9828059 EDAT- 2022/08/04 06:00 MHDA- 2022/10/15 06:00 PMCR- 2023/01/09 CRDT- 2022/08/03 10:33 PHST- 2021/12/22 00:00 [received] PHST- 2022/07/11 00:00 [accepted] PHST- 2022/08/04 06:00 [pubmed] PHST- 2022/10/15 06:00 [medline] PHST- 2022/08/03 10:33 [entrez] PHST- 2023/01/09 00:00 [pmc-release] AID - JDV18475 [pii] AID - 10.1111/jdv.18475 [doi] PST - ppublish SO - J Eur Acad Dermatol Venereol. 2022 Nov;36(11):2120-2129. doi: 10.1111/jdv.18475.