Table 1

Characteristics of the studies included in the meta-analysis of severe and global infections.

Author (study name)YearStudy design registry numberMoleculeDoseDiagnosisPatient in treatment group (n)Study duration (weeks)Outcome
SINSI
TNF-inhibitors studies
 Antoni (IMPACT)2005RCT phase 3Infliximab5 mg / kg / 6 wPsA5216X
 Van der Heijde (ASSERT)2005RCT phase 3Infliximab5 mg / kg / 6 wAS20124XX
 Sieper (INFAST)2014RCT phase 3 NCT00844805Infliximab5 mg / kg / 6 wAS10528XX
 Park (PLANETAS)2016OLEInfliximab5 mg / kg / 6 wAS174102XX
 Davis2003RCT phase 3Etanercept25 mg / 2 wAS13824X
 Mease004RCT phase 3Etanercept25 mg / 2 wPsA10124X
 Braun2011RCT phase 3 NCT00247962Etanercept50 mg / 1 wAS37916X
 Dougados2014RCT phase 3Etanercept50 mg / 1 wNr-AxSpA10612XX
 Mease2019RCT phase 3 NCT02376790Etanercept50 mg / 1 wPsA56748X
 Davis2007OLEEtanercept25 mg / 2 w and 50 mg / 1 wAS257192XX
 Martin-Mola2010OLEEtanercept25 mg / 2 w and 50 mg / 1 wAS56156XX
 Inman (GO RAISE)2008RCT phase 3 NCT00265083Golimumab50 or 100 mg / 4 wAS27824XX
 Kavanaugh (GOREVEAL)2009RCT phase 3 NCT00265096Golimumab50 or 100 mg / 4 wPsA29224XX
 Kavanaugh (GOVIBRANT)2017RCT phase 3 NCT02181673Golimumab2 mg / kg / 8 w IVPsA24024XX
 Deodhar (GO ALIVE)2018RCT phase 3 NCT02186873Golimumab2 mg / kg / 8 w IVAS10516XX
 Kavanaugh (GO REVEAL)2013OLEGolimumab50 or 100 mg / 4 w SCPsA394268X
 Deodhar (GO RAISE)2014OLEGolimumab50 or 100 mg / 4 w SCAS353268X
 Mease (ADEPT)2005RCT phase 3 NCT00195689Adalimumab40 mg / 2 w SCPsA15124XX
 Van der Heijde (ATLAS)2006RCT phase 3Adalimumab40 mg / 2 w SCAS20824XX
 Genovese2007RCT phase 3Adalimumab40 mg / 2 w SCPsA5112XX
 Huang2012RCT phase 3 NCT01114880Adalimumab40 mg / 2 w SCAS22912XX
 Sieper (ABILITY 1)2013RCT phase 3 NCT00939003Adalimumab40 mg / 2 w SCNr-AxSpA9112XX
 Mease (ADEPT)2008OLEAdalimumab40 mg / 2 w SCPsA298144XX
 Van der Heijde (ATLAS)2009OLEAdalimumab40 mg / 2 w SCAS311104XX
 Van der Heijde (ABILITY1)2018OLEAdalimumab40 mg / 2 w SCNr-AxSpA190156X
 Mease (RAPID-PsA)2014RCT phase3 NCT01087762Certolizumabpegol200 mg / 2 w or 400 mg / 4 w SCPsA27324XX
 Landewe (RAPID-AxSpA)2014RCT phase 3 NCT01087762Certolizumabpegol200 mg / 2 w or 400 mg / 4 w SCAS21824XX
 Kristensen2007ObservationalSeveral TNF-inhibitorsNAPsA261105.1X
 Saad2010ObservationalSeveral TNF-inhibitorsNAPsA596156X
 Modesti2012ObservationalSeveral TNF-inhibitorsNAAS/PsA225132.6XX
 Moura2019ObservationalSeveral TNF-inhibitorsNASA369103X
 Wallis2014ObservationalSeveral TNF-inhibitorsNANr-AxSpA264134.7XX
 Ruberson Da Silva2018ObservationalSeveral TNF-inhibitorsNAPsA12224X
 Rusman2018ObservationalSeveral TNF-inhibitorsNAAS122221XX
 Wroński2019ObservationalSeveral TNF-inhibitorsNAAS10372XX
IL-17 inhibitors
 Baeten2013RCT phase 2 NCT00809159Secukinumab10 mg / kg / 3 w IVAS2428XX
 McInnes2014RCT phase 2 NCT00809614Secukinumab10 mg / kg / 3 w IVPsA2824X
 Baeten (MEASURE 2)2015RCT phase 3 NCT01649375Secukinumab150 or 75 mg / 4 w SCAS14516X
 Mease (FUTURE 1)2015RCT phase 3 NCT01392326Secukinumab150 or 75 mg / 4 w, after IV loading infusion 10 mg / kgPsA40624X
 McInnes (FUTURE 2)2016RCT phase 3 NCT01752634Secukinumab75 or 150 or 300 mg SCPsA29916X
 Kivitz (MEASURE 4)2018RCT phase 3 NCT02159053Secukinumab150 mg / 4 w SCAS23316X
 Mease (FUTURE 5)2018RCT phase 3 NCT02404350Secukinumab150 or 300 mg / 4 w SCPsA66424X
 Huang (MEASURE 5)2020RCT phase 3 NCT02896127Secukinumab150 mg / 4 w SCAS30516X
 Deodhar (PREVENT)2021RCT phase 3 NCT02696031Secukinumab150 mg / 4 w SCNr-AxSpA36920X
 McInnes (FUTURE 2)2017OLESecukinumab75 or 150 or 300 mg SCPsA387104XX
 Kivitz (MEASURE 4)2018OLESecukinumab150 mg / 4 w SCAS346104X
 Nash (FUTURE 3)2018OLESecukinumab150 or 300 mg / 4 w SCPsA40652X
 Baraliakos (MEASURE 1)2019OLESecukinumab150 or 75 mg / 4 w SC, after IV loadingAS360260X
 Kivitz (FUTURE 4)2019OLESecukinumab150 mg / 4 w SCPsA334104X
 Huang (MEASURE 5)2020OLESecukinumab150 mg / 4 w SCAS45352X
 Van der Heijde (FUTURE 5)2020OLESecukinumab150 or 300 mg / 4 w SCPsA25552X
 Deodhar2021OLESecukinumab150 mg / 4 w SCNr-AxSpA369104X
 Kiltz2020ObservationalSecukinumabMDAS/PsA1001NAX
 Klavdianou2020ObservationalSecukinumab300 mg / 4 w SCPsA7552XX
 Ramonda2020ObservationalSecukinumab150 or 300 mg / 4 w SCPsA608104XX
 Mease (SPIRIT P1)2017RCT phase 3 NCT01695239Ixekizumab80 mg / 2 w / 4 w SCPsA21024XX
 Nash (SPIRIT P2)2017RCT phase 3 NCT02349295Ixekizumab80 mg / 2 w / 4 w SCPsA24524XX
 Van der Heijde (COASTV)2018RCT phase 3 NCT02696785Ixekizumab80 mg / 2 w4 w SCAS16416XX
 Deodhar (COAST X)2019RCT phase 3 NCT02757352Ixekizumab80 mg / 2 w / 4 w SCNr-AxSpA19852XX
 Deodhar (COAST W)2019RCT phase 3 NCT02696798Ixekizumab80 mg / 2 w / 4 w SCAS21216XX
 Dougados (COAST V/W)2020OLEIxekizumab80 mg / 2w / 4 w SCAS64152XX
 Orbai (SPIRIT P2)2021OLEIxekizumab80 mg / 2w / 4 w SCPsA337156XX
 Ritchlin (BE ACTIVE)2020RCT phase 2 NCT02969525Bimekizumab16, 160 or 320 mg / 4 w SCPsA16412X
 Van der Heijde (BEAGILE)2020RCT phase 2 NCT02963506Bimekizumab16, 64, 160 or 320 mg / 4 w SCAS24312X
 Coates (BE ACTIVE)2021OLEBimekizumab16, 64, 160 or 320 mg / 4 w SCPsA204152X
 Mease2014RCT phase 2 NCT01516957Brodalumab140 or 280 mg / 2 w SCPsA11312X
 Mease (AMVISION 1–2)2021RCT phase 3 NCT02029495NCT02024646Brodalumab140 or 210 mg / 2 w SCPsA64024XX
IL-23 inhibitors
 Gottlieb2009RCT phase 2 NCT00267956Ustekinumab90 or 63 mg / 1 w SCPsA7612XX
 McInnes (PSUMITT 1)2013RCT phase 3 NCT01009086Ustekinumab45 or 90 mg SCPsA40916XX
 Ritchlin2014RCT phase 2 NCT01077362Ustekinumab45 or 90 mg w0–w4, then every 12 w SCPsA20724XX
 Chimenti2017ObservationalUstekinumabMDPsA65104XX
 Deodhar2018RCT phase 2 NCT02319759Guselkumab100 mg / 8 w SCPsA10024XX
 Deodhar (DISCOVER 1)2020RCT phase 3 NCT03162796Guselkumab100 mg / 4 w / 8 w SCPsA25524XX
 Mease (DISCOVER 2)2020RCT phase 3 NCT03158285Guselkumab100 mg / 4 w / w SCPsA49324XX
 McInnes2021OLEGuselkumab100 mg / 4 w / 8 w SCPsA73152X
 Baeten2018RCT phase 2 NCT02047110Risankizumab18, 90, 180 mg / 8 w SCAS11916XX
CTLA4-Ig
 Mease2011RCT phase 2 NCT00534313Abatacept3 or 10 mg / kg (±2 initial doses of 30 mg / kg) IV / 28 daysPsA12824X
 Mease (ASTRAEA)2017RCT phase 3 NCT01860976Abatacept125 mg / 1 w SCPsA21324XX
JAK-inhibitors
 Gladman (OPAL Beyond)2017RCT phase 3 NCT01882439Tofacitinib5 mg or 10 mg 2x / dayPsA26312X
 Mease (OPAL Broaden)2017RCT phase 3 NCT01877668Tofacitinib5 mg or 10 mg 2x / dayPsA21112X
 Van der Heijde2017RCT phase 2NCT01786668Tofacitinib2, 5 or 10 mg 2x / dayAS15616XX
 Mease (EQUATOR)2018RCT phase 2 NCT03101670Filgotinib200 mg / dayPsA6516XX
 Van der Heijde (TORTUGA)2018RCT phase 2 NCT03117270Filgotinib200 mg / dayAS5812XX
 Van der Heijde (SELECT-AXIS 1)2019RCT phase 2 NCT03178487Upadacitinib15 mg / dayAS9314XX
PDE4 inhibitors
 Schett2012RCT phase 2 NCT00456092Apremilast20 mg 2x / day or 40 mg / dayPsA13612X
 Kavanaugh (PALACE 1)2014RCT phase 3 NCT01172938Apremilast20 or 30 mg 2x / dayPsA33624X
 Cutolo (PALACE 2)2016RCT phase 3 NCT01212757Apremilast20 or 30 mg 2x / dayPsA32516X
 Edwards (PALACE 3)2016RCT phase 3 NCT01212770Apremilast20 or 30 mg 2x / dayPsA33624X
 Nash (ACTIVE)2018RCT phase 3 NCT01925768Apremilast30 mg 2x / dayPsA11024X
 Wells (PALACE 4)2018RCT phase 3 NCT01307423Apremilast20 or 30 mg 2x / dayPsA35024X
Several treatments
 Ritchlin2019ObservationalUstekinumab, adalimumab, etanercept, infliximabNAPsA2041256.4X
 Li2020ObservationalIxekizumab, secukinumab, ustekinumab, adalimumab, certolizumab pegol, etanercept, golimumab, infliximabNAPsA552031.2X
 Rahman2020ObservationalGolimumab, infliximab, ustekinumabNAPsA462416XX
 Krabbe2021ObservationalAbatacept, adalimumab, certolizumab pegol, etanercept, golimumab, infliximab, secukinumab, ustekinumabNAAS/PsA538752X
  • AS, ankylosing spondylitis; CTLA4, cytotoxic T-lymphocyte associated protein 4-Ig; IV, intravenous; JAK, Janus kinase; MD, missing data; NA, not applicable; nr-axSpA, non-radiographic axial spondyloarthritis; NSI, non-serious infections; OLE, open-label extension; PDE4, phosphodiesterase 4; PsA, psoriatic arthritis; RCT, randomised controlled trials; SC, subcutaneous; SI, serious infections; TNF, tumour necrosis factor; w, week.