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. 2020 Dec 2;157(1):1–8. doi: 10.1001/jamadermatol.2020.4202

Table 2. Outcome of Absolute PASI of 2 or Lower at 12 Months for Secukinumab and Ustekinumaba .

Data source and missing outcome analysis method CLEAR trial NRIb Present BADBIR study
CCA (n = 265 PS matched; n = 549 PS weighted) NRI LOCF (n = 559 PS matched; n = 1106 PS weighted) IPCW MI
PS-matched analysis (n = 622)
Estimated proportion on secukinumab achieving PASI ≤2, % (95% CI) 74.9 59.8 (31.5 to 75.6) 24.7 (19.9 to 29.5) 68.6 (63.2 to 74.1) 60.3 (51.1 to 69.5) 59.6 (51.8 to 67.4)
Estimated proportion on ustekinumab achieving PASI ≤2, % (95% CI) 60.6 40.4 (21.8 to 64.2) 17.5 (13.0 to 22.0) 54.7 (48.4 to 61.0) 42.0 (32.7 to 51.3) 42.7 (32.3 to 53.0)
RR (95% CI) 1.24 (1.11 to 1.37) 1.55 (1.19 to 2.01) 1.45 (1.04 to 2.03) 1.26 (1.10 to 1.45) 1.50 (1.14 to 1.96) 1.44 (1.07 to 1.94)
Standardized difference between CLEAR and BADBIR studies for RRc NA 0.048 0.028 0.009 0.040 0.030
RD, % (95% CI) 14.3 (7.2 to 21.1) 19.5 (0.1 to 31.6) 7.2 (0.4 to 13.9) 14.0 (5.9 to 22.1) 18.3 (5.5 to 31.1) 16.9 (3.3 to 30.6)
Standardized difference between CLEAR and BADBIR studies for RDc NA 0.024 −0.047 −0.003 0.018 0.011
PS-weighted analysis (n = 1231)
Estimated proportion on secukinumab achieving PASI ≤2, % (95% CI) 74.9 57.4 (48.3 to 66.4) 23.4 (18.5 to 28.2) 67.7 (62.0 to 73.4) 58.2 (48.5 to 67.9) 57.8 (48.5 to 67.1)
Estimated proportion on ustekinumab achieving PASI ≤2, % (95% CI) 60.6 45.5 (40.4 to 50.6) 20.4 (17.6 to 23.2) 58.6 (55.0 to 62.2) 45.9 (40.7 to 51.1) 44.7 (39.5 to 49.9)
RR (95% CI) 1.24 (1.11 to 1.37) 1.28 (1.06 to 1.55) 1.16 (0.91 to 1.48) 1.16 (1.04 to 1.29) 1.29 (1.06 to 1.58) 1.30 (1.04 to 1.62)
Standardized difference between CLEAR and BADBIR studies for RRc NA 0.012 −0.016 −0.030 0.013 0.013
RD, % (95% CI) 14.3 (7.2 to 21.1) 11.9 (1.6 to 22.1) 2.9 (−2.6 to 8.5) 9.1 (2.4 to 15.8) 12.3 (1.4 to 23.2) 13.1 (1.3 to 24.9)
Standardized difference between CLEAR and BADBIR studies for RDc NA −0.012 −0.081 −0.034 −0.010 −0.006
Regulatory agreementd NA Yes Yes (matched); No (weighted) Yes Yes Yes
Estimate agreemente NA Yes (weighted); No (matched)
  • RR: yes (weighted); no (matched)

  • RD: yes (matched); no (weighted)

Yes
  • RR: yes (weighted); no (matched)

  • RD: yes

  • RR: yes (weighted); No (matched)

  • RD: yes

Abbreviations: BADBIR, British Association of Dermatologists Biologics and Immunomodulators Register; CCA, complete case analysis; IPCW, inverse probability of censoring weighting; LOCF, last observation carried forward; MI, multiple imputation; NA, not applicable; NRI, nonresponder imputation; PASI, Psoriasis Area and Severity Index; PS, propensity score; RCT, randomized clinical trial; RD, risk difference; RR, risk ratio.

a

RR and RD were calculated using MedCalc.net.

b

Numbers from the PASI 90 nonresponder imputation outcome at week 52 in the CLEAR study.7,8

c

Standardized difference was calculated according to the methods in Franklin et al.6

d

Indicates whether the study replicates the direction and statistical significance of the CLEAR study7,8 finding.

e

Indicates whether the study treatment effect is within the 95% CI of the treatment effect estimate from the CLEAR study.7,8