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2024-09-24T15:19:14.000Z

Patient-reported disease impact at 1 year with bimekizumab treatment in PsA

Sep 24, 2024
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Learning objective: After reading this article, learners will be able to cite a new clinical development in psoriatic arthritis.

The long-term effects of PsA and its treatments can impact social, emotional, and physical aspects of a patient’s quality of life. For example, symptoms of PsA, such as pain and fatigue, can prevent patients from engaging in their normal activities. Therefore, treatments should aim to improve patient quality of life by reducing symptom impact. A post hoc analysis assessed the efficacy of bimekizumab, an IL-17 inhibitor, in reducing patient-reported disease impact, using 1-year data from the phase III trials BE OPTIMAL (NCT03895203) and BE COMPLETE (NCT03896581). Findings were published by Gossec et al. in Oxford Rheumatology

Key learnings

A clinically meaningful improvement (≥3-point decrease) in disease impact,  measured by PsAID-12 total score, was achieved by 49.0% of bimekizumab-treated patients and 44.4% of those who switched to bimekizumab from placebo at Week 52 in BE OPTIMAL. In BE COMPLETE, this was achieved by 48.5% and 40.6% of bimekizumab- and placebo/bimekizumab-treated patients, respectively.

More bimekizumab-treated patients achieved clinically meaningful improvements in all single-item PsAID-12 domains compared with placebo. The highest proportions of improvements were seen in the skin problems domain. 

Patients treated with bimekizumab experienced sustained improvements from Week 4 to Week 52 in PsAID-12 pain, fatigue, and skin problems, which were the most impacted domains at baseline. At 1 year, 35.3–47.8% of patients experienced minimal or no symptom impact (PsAID-12 total score ≤1.15).

Bimekizumab offers a promising therapeutic option for patients with PsA, not only in terms of efficacy and safety, but also in providing clinical benefit to patients, with rapid improvement in symptoms and health-related quality of life.

Abbreviations: IL, interleukin; PsA, psoriatic arthritis; PsAID-12, 12-item Psoriatic Arthritis Impact of Disease.

  1. Gossec L, Orbai A-M, de Wit M, et al. Effect of bimekizumab on patient-reported disease impact in patients with psoriatic arthritis: 1-year results from two phase 3 studies. Rheumatology (Oxford).2024;63(9):2399-2410. DOI: 1093/rheumatology/keae277

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