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) |
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Yes |
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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.
RR and RD were calculated using MedCalc.net.
Standardized difference was calculated according to the methods in Franklin et al.6