Study | Study design | Types of patients | Treatment groups | N patients | Time point (weeks) | ASAS20 (%) | p Value | ASAS40 (%) | p Value | Risk of bias |
---|---|---|---|---|---|---|---|---|---|---|
Giardina et al50 | RCT open-label | r-axSpA* TNFi-naïve | INF 5 mg/Kg Q6W IV | 25 | 12 | 75 | NS | 55 | NS | High |
ETA 50 mg QW SC | 25 | 12 | 60 | REF | 43 | REF | ||||
Braun et al 51 (ASCEND) | RCT double-blind | r-axSpA* TNFi-naïve | ETA 50 mg QW SC | 379 | 16 | 75.9 | <0.001 | 59.8 | <0.001 | Low |
SSZ 3g/day oral | 187 | 16 | 52.9 | REF | 32.6 | REF | ||||
Song et al 52 (ESTHER) | RCT open-label | axSpA† TNFi-naïve | ETA 25 mg BiW SC | 40 | 48 | 85 | 0.001 | 70 | 0.001 | Unclear |
SSZ 2–3g/day oral | 36 | 48 | 42 | REF | 31 | REF | ||||
Park et al 58 (PLANETAS) | RCT double-blind (non-inferiority trial) | r-axSpA* TNFi-naïve | CT-P13 5 mg/Kg Q6W IV | 125 | 30 | 70.5 | – | 51.8 | – | Low |
INF 5 mg/Kg Q6W IV | 125 | 30 | 72.4 | – | 47.4 | – | ||||
Sieper et al 55 (INFAST-1) | RCT double-blind | axSpA† TNFi-naïve not refractory to NSAIDs | INF 5 mg/Kg+NPX | 105 | 28 | 81.0 | 0.30 | 75.2 | 0.03 | Low |
PBO+NPX | 51 | 28 | 72.5 | REF | 56.9 | REF | ||||
Viapiana et al 57 | CCT open-label | r-axSpA* | INF 5 mg/Kg Q6W IV | 30 | 24 | 69 | NS | 45 | NS | High |
TNFi-naïve | Neridronate 100 mg Q4W IV | 30 | 24 | 68 | REF | 39 | REF | |||
Mok et al 56 | RCT open-label | axSpA† TNFi-naïve | GOL 50 mg Q4W SC | 20 | 48 | 65 | NS | 35 | NS | Unclear |
PAM 60 mg Q4W IV | 9 | 48 | 56 | REF | 11 | REF |
*According to the modified New York criteria.
†According to the ASAS axSpA criteria.
axSpA, axial spondyloarthritis; CCT, controlled clinical trial; ETA, etanercept; GOL, golimumab; INF, infliximab; IV, intravenous; NA, not applicable; NPX, naproxen; NS, non-significant (p>0.05); NSAIDs, Nonsteroidal anti-inflammatory drug; PAM, pamidronate; PBO, placebo; Q4W, every 4 weeks; Q6W, every 6 weeks; QW, every week; r-axSpA, radiographic axial spondyloarthritis; RCT, randomised controlled trial; REF, reference; SC, subcutaneous; SSZ, sulfasalazine; TNFi, tumour necrosis factor inhibitor.