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Secukinumab improves skin response in Chinese patients with psoriatic arthritisSecukinumab linked to skin improvement in Chinese psoriatic arthritis patients

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Key Takeaway
Consider the association between secukinumab and improved skin response in Chinese PsA patients, noting the observational design.

This was a multicenter, real-world observational cohort study of 446 Chinese patients diagnosed with psoriatic arthritis (PsA) based on CASPAR criteria. Patients were treated with secukinumab for more than 12 weeks, and outcomes were compared to baseline measurements.

The primary outcome was skin response, measured by PASI, BSA, and IGA scores, and dermatology-specific quality of life (DLQI). The main result showed that the PASI score decreased from 14.2 ± 14.4 to 3.98 ± 8.84, with a statistically significant improvement (p < 0.001).

Treatment-related adverse events (TRAEs) were a secondary outcome and were graded according to CTCAE v5.0. The rates of serious adverse events, discontinuations, and overall tolerability were not reported.

Key limitations include the observational, retrospective design, which limits certainty and precludes causal inference. The study population was restricted to Chinese patients with PsA, so results may not generalize to other populations.

In practice, this real-world evidence suggests an association between secukinumab and improved skin outcomes in Chinese PsA patients, but clinicians should interpret these findings cautiously given the study design.

Researchers analyzed real-world data from 446 Chinese patients with psoriatic arthritis who received secukinumab for more than 12 weeks. The study focused on skin measures—PASI, BSA, and IGA scores—and dermatology-specific quality of life (DLQI). Over follow-up, average PASI scores improved significantly, dropping from 14.2 to about 4.0. The study also reported improvements in quality of life.

Because this was an observational cohort, the findings show an association rather than proof that secukinumab caused these changes. Safety data were limited; serious adverse events and discontinuations were not reported, and tolerability was not detailed.

The main reason to be cautious is the study design: retrospective, real-world data can be influenced by confounding factors. Results apply specifically to this Chinese psoriatic arthritis population and may not generalize to other groups.

Realistic takeaway: The study suggests secukinumab may be linked to skin benefits and better quality of life in Chinese psoriatic arthritis patients, but stronger evidence is needed to confirm cause and effect.

What this means for you:
In Chinese PsA patients, secukinumab was linked to skin improvement and better quality of life; findings show association, not causation.

Study Details

Study typeCohort
EvidenceLevel 3
PublishedApr 2026
View Original Abstract ↓
BackgroundReal-world data on secukinumab in Chinese psoriatic arthritis (PsA) patients remain limited, particularly regarding short-term cutaneous response, dermatology-specific quality of life, and predictors of treatment response.MethodsA retrospective cohort study was performed using 446 PsA patients diagnosed based on the Classification Criteria for Psoriatic Arthritis (CASPAR) criteria and treated with secukinumab for >12 weeks. Skin severity and quality of life were assessed using the Psoriasis Area and Severity Index (PASI), Body Surface Area (BSA), Investigator’s Global Assessment (IGA), and Dermatology Life Quality Index (DLQI) at baseline and after treatment. Treatment-related adverse events (TRAEs) were graded according to CTCAE v5.0. A predictive nomogram was constructed using stepwise multivariate regression and validated using the receiver operating characteristic (ROC) analysis.ResultsThe cohort of 446 PsA patients (mean age 47.7 years; 65.2% men) exhibited significant improvements across all domains. Post-treatment PASI decreased from 14.2 ± 14.4 to 3.98 ± 8.84 (p 
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