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This was a retrospective cohort study to assess the incidence rate of psoriatic arthritis (PsA) among psoriasis (PsO) patients newly initiated on secukinumab or any biologics/apremilast (small molecule). The analysis was performed in two databases, IBM® MarketScan® database: Commercial Claims and Encounters (CCAE) and Medicare Supplemental Beneficiaries (MDCR) from 01 January 2010 to 30 June 2021 and BADBIR from 01 January 2016 to 01 September 2021.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MarketScan® secukinumab, other biologics/apremilast, and any biologics/apremilast cohort | |||
| BADBIR secukinumab cohort |
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| Measure | Description | Time Frame |
|---|---|---|
| Exposure-adjusted incidence rate of PsA per 100 patient-years among PsO patients who newly initiated secukinumab | Up to 11.5 years |
| Measure | Description | Time Frame |
|---|---|---|
| Time from secukinumab initiation to the first PsA diagnosis | Up to 11.5 years | |
| Age | Baseline | |
| Gender |
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MarketScan® secukinumab cohort:
Inclusion criteria:
Exclusion criteria:
BADBIR cohort:
Inclusion criteria:
Included non-switched patients with secukinumab treatment on or after the enrollment between 01 January 2017 to 01 September 2020
Included patients with age ≥ 18 on the index date
Included patients with psoriasis diagnosis in the pre-index period and index date
Included patients with ≥ 1 year follow-up period
Exclusion criteria:
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This was a retrospective, noninterventional cohort study.
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| Name | Affiliation | Role |
|---|---|---|
| Novartis Pharmaceuticals | Novartis Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Novartis | Basel | 4002 | Switzerland |
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| ID | Term |
|---|---|
| D015535 | Arthritis, Psoriatic |
| D011565 | Psoriasis |
| ID | Term |
|---|---|
| D025242 | Spondylarthropathies |
| D025241 | Spondylarthritis |
| D013166 | Spondylitis |
| D013122 | Spinal Diseases |
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| Baseline |
| Region | Baseline |
| Insurance type | Baseline |
| Ethnicity | Baseline |
| Weight | Baseline |
| Height | Baseline |
| Body mass index (BMI) | Baseline |
| Prior treatments | Baseline |
| Hard-to-treat locations | Baseline |
| Comorbidities | Baseline |
| Dermatology Life Quality Index (DLQI) | The DLQI is a validated, 10-question, self-reported questionnaire to evaluate the patient's perception of the impact of skin disease on quality of life. The DLQI is rated on a 4-point scale (0 = not at all to 3 = very much). The highest possible total score for the DLQI is 30, and higher scores indicate more severe impact on quality of life. | Baseline |
| Health Assessment Questionnaires - Disability Index (HAQ-DI) | The HAQ-DI is a 20-question scale assessing functional ability. The final HAQ-DI score ranges from 0 (no problems functioning) to 3 (not able to function). | Baseline |
| Psoriasis Area and Severity Index (PASI) | The Psoriasis Area and Severity Index (PASI) is the most widely used tool for the measurement of severity of psoriasis. PASI combines the assessment of the severity of lesions and the area affected into a single score in the range 0 (no disease) to 72 (maximal disease). | Baseline |
| Body Surface Area (BSA) | Baseline |
| D001847 |
| Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D017444 | Skin Diseases, Papulosquamous |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |