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Effects of upadacitinib or adalimumab on pain in rheumatoid arthritis and psoriatic arthritis: results from randomised phase 3 studies

Title: Effects of upadacitinib or adalimumab on pain in rheumatoid arthritis and psoriatic arthritis: results from randomised phase 3 studies
Authors: Taylor, Peter C; Kavanaugh, Arthur; Bessette, Louis; Fautrel, Bruno; Takeuchi, Tsutomu; Garrison, Andrew; Gao, Tianming; Lippe, Ralph; Caballero, Diane; Phillips, Charles; Mease, Philip J
Contributors: AbbVie Inc
Source: RMD Open ; volume 12, issue 1, page e005867 ; ISSN 2056-5933
Publisher Information: BMJ
Publication Year: 2026
Description: Introduction Patients with rheumatoid (RA) or psoriatic (PsA) arthritis can experience debilitating pain. Methods Post hoc analyses of phase 3, double-blind studies in patients with active disease despite treatment (SELECT-COMPARE, SELECT-PsA 1) assessed the effects of upadacitinib or adalimumab versus placebo on pain in patients with attenuation of inflammation (AoI) versus remaining inflammation at weeks 12 and 24/26 (PsA/RA). Further, a mediation analysis assessed the direct/indirect effect of treatment on pain using the Patient’s Global Assessment of pain (PtGA) and 28 tender joint count (TJC28) at weeks 2/12/26 in RA, and weeks 16/24 in PsA. Results In patients with RA+AoI, PtGA scores improved more with upadacitinib (least squares mean change, –42.9) versus adalimumab (–34.7 (p
Document Type: article in journal/newspaper
Language: English
DOI: 10.1136/rmdopen-2025-005867
Availability: https://doi.org/10.1136/rmdopen-2025-005867; https://syndication.highwire.org/content/doi/10.1136/rmdopen-2025-005867
Rights: https://creativecommons.org/licenses/by-nc/4.0/
Accession Number: edsbas.6CF7499
Database: BASE