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. 2021 May 6;80(8):1022–1030. doi: 10.1136/annrheumdis-2020-219717

Table 2.

Summary of efficacy outcomes at week 64 in the randomised withdrawal intent-to-treat population

Withdrawn to placebo
N=53
IXE Q4W
N=48
IXE Q2W
N=54
Combined IXE
N=102
Response
n (%)
Response
n (%)
Difference vs placebo
(95% CI)
P value vs placebo Response
n (%)
Difference vs placebo
(95% CI)
P value vs placebo Response
n (%)
Difference vs placebo
(95% CI)
P value vs placebo
Flare-free patients* 29 (54.7%) 40 (83.3%) 28.6%(11.6% to 45.7%) 0.003 45 (83.3%) 28.6% (11.9% to 45.3%) 0.001 85 (83.3%) 28.6% (13.4% to 43.8%) <0.001
Patients without clinically important worsening (ASDAS worsening ≥0.9 per ASAS definition)† 16 (30.2%) 35 (72.9%) 42.7% (25.1% to 60.4%) <0.001 40 (74.1%) 43.9% (26.9% to 60.9%) <0.001 75 (73.5%) 43.3% (28.3% to 58.4%) <0.001
ASDAS
 ASDAS LDA (<2.1) 24 (45.3%) 40 (83.3%) 38.1% (21.0% to 55.1%) <0.001 44 (81.5%) 36.2% (19.3% to 53.1%) <0.001 84 (82.4%) 37.1% (21.8% to 52.4%) <0.001
 ASDAS ID (<1.3) 13 (24.5%) 29 (60.4%) 35.9% (17.8% to 53.9%) <0.001 29 (53.7%) 29.2% (11.5% to 46.8%) 0.003 58 (56.9%) 32.3% (17.3% to 47.4%) <0.001

*Flare was defined as an ASDAS≥2.1 at two consecutive visits or an ASDAS>3.5 at any visit.

†Assessment of ASDAS worsening of ≥0.9 was conducted as a post hoc analysis and was not the prespecified definition of flare nor a criterion for retreatment after flare. Six patients (IXE Q4W: n=4, IXE Q2W: n=1, and withdrawn to placebo: n=1) were censored due to retreatment after meeting the prespecified definition of flare. As a result, response is slightly underestimated using non-responder imputation.

ASAS, Assessment of Spondyloarthritis International Society criteria; ASDAS, Ankylosing Spondylitis Disease Activity Score; ID, inactive disease; IXE, ixekizumab; LDA, low disease activity; Q2W, every 2 weeks; Q4W, every 4 weeks.