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Recommendations for the treatment of psoriatic arthritis


Authors: J. Štolfa;  J. Vencovský;  K. Pavelka
Authors‘ workplace: Revmatologický ústav Praha
Published in: Čes. Revmatol., 24, 2016, No. 4, p. 142-152.
Category: Recomendation

Overview

The last recommendations for the treatment and monitoring of psoriatic arthritis were published by the Czech Society for Rheumatology five years ago, in 2011 [1]. Since then there has been a rapid evolution of new knowledge on all aspects of psoriatic disease, especially with regards to the extra-articular manifestations (enthesitis, dactylitis) and the comorbidities (especially metabolic syndrome, and cardiovascular disease). With a certain delay, compared to rheumatoid arthritis, attention was focused on a new treatment strategy aimed at early treatment initiation and determination of therapeutic targets. At the same time, we have witnessed an intensive research of new biological original drugs (boDMARDs) with a different mechanism of action than the inhibition of TNFα (eg. inhibitors of the p40 subunit of IL-12 / 23-ustekinumab, and inhibitors of IL-17 – secukinumab and ixekizumab), small molecules for oral administration (eg. inhibitor of phosphodiesterase 4 - apremilast, an inhibitor of JAK – tofacitinib), and finally, the introduction of biosimilar biological drugs (bsDMARDs). Following a similar update of EULAR recommendations, these aspects have raised the need to update the Recommendations of the Czech Society for Rheumatology as well.

Key words:
psoriatic arthritis, enthesitis, dactylitis, treatment recommendations, treatment strategy, activity indices, targets for therapy, biological therapy of PsA, ​​early treatment


Sources

1. Štolfa J, Vencovský J, Pavelka K. Doporučené postupy České revmatologické společnosti pro léčbu psoriatické artritidy. Čes. Revmatol 2011; 19 (No.1): 11–16.

2. Taylor W, Gladman D, Helliwell P, Marchesoni A, Mease P, Mielants H. Classification criteria for psoriatic arthritis: develop-ment of new criteria from a large international study. Arthritis Rheum 2006; 54: 2665–73.

3. Grigor C, Capell H, Stirling A, et al. Effect of a treatment strategy of tight control for rheumatoid arthritis (the TICORA study): a single-blind randomised controlled trial. Lancet 2004; 364: 263–69.

4. Chandran V, Schentag CT, Gladman DD. Reappraisal of the effectiveness of methotrexate in psoriatic arthritis: results from a longitudinal observational cohort. J Rheumatol 2008; 35: 469–71.

5. Haroon M, Gallagher P, Fitzgerald O. Diagnostic delay of more than 6 months contributes to poor radiographic and functional outcome in psoriatic arthritis. Ann Rheum Dis 2014; published online Feb 13. DOI:10.1136/annrheumdis-2013-204858.

6. Coates LC, Fransen J, Helliwell PS. Defining minimal disease activity in psoriatic arthritis: a proposed objective target for treatment. Ann Rheum Dis 2010; 69: 48–53.

7. Coates LC, Helliwell PS. Validation of minimal disease activity (MDA) criteria for psoriatic arthritis using interventional trial data. Arthritis Care Res 2010; 62: 965–69.

8. Coates LC, Helliwell PS. Comment on: Efficacy and safety of anti-TNF therapies in psoriatic arthritis: an observational study from the British Society for Rheumatology Biologics Register. Rheumatology 2010; 49: 1793–94.

9. Coates LC, Moverley AR, McParland L., et al. Effect of tight control of inflammation in early psoriatic arthritis (TICOPA): a UK multicentre, open-label, randomised controlled trial. Published online October 1, 2015 http://dx.doi.org/10.1016/S0140-6736(15)00347-5.

10. Schoels M, Aletaha D, Alasti F, et al. Disease activity in psoriatic arthritis (PsA): defining remission and treatment success using the DAPSA score. Ann Rheum Dis 2015. Published Online First 12 Aug 2015. doi: 10.1136/annrheumdis-2015-207507.

11. Smolen JS, Han C, van der Heijde DM, et al. Radiographic changes in rheumatoid arthritis patients attaining different disease activity states with methotrexate monotherapy and infliximab plus methotrexate: the impacts of remission and tumour necrosis factor blockade. Ann Rheum Dis 2009; 68: 823–7.

12. Aletaha D, Funovits J, Breedveld FC, et al. Rheumatoid arthritis joint progression in sustained remission is determined by disease activity levels preceding the period of radiographic assessment. Arthritis Rheum 2009; 60: 1242–9.

13. Ritchlin CT, Kavanaugh A, Gladman DD, et al. Treatment recommendations for psoriatic arthritis. Ann Rheum Dis 2009; 68: 1387–94.

14. Gossec L, Smolen JS, Gaujoux-Viala C, et al. European League Against Rheumatism recommendations for the management of psoriatic arthritis with pharmacological therapies. Ann Rheum Dis 2012 Jan; 71: 4–12.

15. Gossec L, Smolen JS, Ramiro S. et al. European League Against Rheumatism (EULAR) recommendations for the management of psoriatic arthritis with pharmacological therapies 2015 update. Ann Rheum Dis 2015; 0: 1–12.

16. Coates LC, Kavanaugh A, Mease PJ, et al. Group for Research and Assessment of Psoriasis and Psoriatic Arthritis 2015. Treatment Recommendations for Psoriatic Arthritis. Arthritis Rheumatol 2016;68(5):1060-71. doi: 10.1002/art.39573. Epub 2016 Mar 23.

17. Štolfa J, Pavelka K, Vencovský J. Standardní postupy v léčbě psoriatické artritidy. Čes Revmatol 2005; 3: 97–105.

18. Ogdie A, Schwartzman S, Husni ME. Recognizing and managing comorbidities in psoriatic arthritis. Curr Opin Rheumatol 2015; 27: 118–26.

19. Di Minno MND, Ambrosino P, Lupoli R, et al. Cardiovascular risk markers in patients with psoriatic arthritis: a meta-analysis of literature studies. Ann Med 2015; 47: 346–53.

20. Blair HA, Dhillon S. Secukinumab: A review in ankylosing spondylitis. Drugs 2016; 76(10): 1023–30.

21. Ibrahim GH, Groves C, Chandramohan Mm et al. Clinical and ultrasound validation of the Leeds Enthesitis Index in psoriatic arthritis and rheumatoid arthritis. Rheumatol 2011; 731917 [Epub 2011 May 4].

22. Levin D, Nazarian L, Miller T, et al. Lateral epicondylitis of the elbow: US findings. Radiology 2005; 237: 230–4.

23. Gladman DD, Cook RJ, Schentag C, et al. The clinical assessment of patients with psoriatic arthritis: results of a reliability study of the spondylarthritis research consortium of Canada. J Rheumatol 2004; 31: 1126–31.

24. Gladman DD, Inman RD, Cook RJ, Maksymowych WP, et al. International spondyloarthritis interobserver reliability exercise – the INSPIRE study: II. Assessment of peripheral joints, enthesitis, and dactylitis. J Rheumatol 2007; 34(8): 1740–5.

25. Mumtaz A, Gallagher P, Kirby B, et al. Development of a preliminary composite disease activity index in psoriatic arthritis. Annals of the Rheumatic Diseases 2011; 70(2): 272–277, 2011.

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