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. 2021 Apr 19;2021(4):CD011535. doi: 10.1002/14651858.CD011535.pub4

Makavos 2020.

Methods RCT, active‐controlled, open trial
Date of study: not stated
Setting: not stated
Participants Randomised: 150 participants, mean age 52; 92 men
Inclusion criteria
  • Plaque‐type psoriasis (n = 78)

  • Psoriatic arthritis (n = 72)


Exclusion criteria
  • Ejection fraction ≤ 50%

  • history of acute coronary syndrome

  • familial hyperlipidaemia

  • diabetes mellitus

  • moderate‐to‐severe valvular heart disease

  • primary cardiomyopathies

  • malignant tumours


Dropouts and withdrawals
  • Not stated

Interventions Intervention
A. Secukinumab, 300 mg SC, W0, 1, 2, 3, 4 and 300 mg once monthly
Control intervention
B. Ciclosporin, 2.5 to 3 mg/Kg daily
C. Methotrexate (non‐randomised controlled group, n = 50)
Outcomes Assessments at 16 weeks
Primary outcome
  • vascular function


Secondary outcomes
  • coronary flow reserve of the LAD by doppler echography

  • Arterial stiffness

  • PASI

Notes Authors were asked whether
‐ methotrexate group was randomised or not
‐ Included patients were moderate‐to‐severe psoriasis
‐ randomisation was stratified according psoriatic arthritis or not
‐ subgroup results for plaques psoriasis for our outcomes