Research Article

Optimal Biologic Drugs for the Treatment of Ankylosing Spondylitis: Results from a Network Meta-Analysis and Network Metaregression

Table 1

Detailed results of main network analysis.

TreatmentRR (95% CI) for ASAS40 responseSURCA for ASAS40 response, %RR (95% CI) for ASAS20 responseSURCA for ASAS20 response, %SMD (95% CI) for suppression of disease activitySURCA for suppression of disease activity, %SMD (95% CI) for improvement of daily living functionSURCA for improvement of daily living function, %RR (95% CI) for withdrawal related to AEsSURCA for withdrawal related to AEs, %RR (95% CI) for incidence of SAEsSURCA for incidence of SAEs, %

PlaReference20.8Reference12.0Reference22.2Reference20.2Reference63.4Reference47.1
DMARDs1.13 (0.73, 1.75)28.91.38 (1.00, 1.90)34.81.08 (-1.71, 3.87)47.70.97 (-2.37, 4.31)48.81.48 (0.77, 2.85)34.20.90 (0.43, 1.90)52.9
IL6i0.60 (0.22, 1.67)6.61.36 (0.71, 2.58)37.6-0.16 (-5.43, 5.11)31.6NANA1.00 (0.02, 49.70)53.85.00 (0.25, 101.63)13.5
IL17Ai2.21 (1.75, 2.78)68.61.70 (1.44, 2.00)56.02.18 (0.45, 3.91)71.91.69 (-0.13, 3.52)64.71.42 (0.61, 3.27)39.30.72 (0.39, 1.33)67.5
IL17AFi3.44 (1.52, 7.79)91.42.55 (1.51, 4.29)92.50.96 (-4.31, 6.23)47.90.81 (-3.76, 5.39)46.11.97 (0.18, 21.31)33.00.20 (0.01, 4.01)83.9
IL23i0.98 (0.68, 1.40)19.90.91 (0.70, 1.19)5.20.03 (-2.61, 2.66)27.6-0.18 (-2.82, 2.45)23.60.58 (0.13, 2.58)76.40.52 (0.16, 1.65)76.2
JAKi1.89 (1.32, 2.71)57.41.76 (1.33, 2.34)62.42.03 (-1.02, 5.07)66.11.80 (-0.85, 4.45)67.80.68 (0.19, 2.42)73.50.96 (0.20, 4.59)47.9
TNFiFCP2.17 (1.67, 2.82)67.21.78 (1.43, 2.21)64.71.52 (-0.35, 3.39)57.71.28 (-0.39, 2.96)57.41.37 (0.64, 2.92)40.61.19 (0.71, 2.00)32.3
TNFiFMA2.76 (2.31, 3.29)89.32.05 (1.81, 2.33)84.82.35 (1.11, 3.59)77.41.67 (0.59, 2.74)68.81.43 (0.80, 2.55)35.81.23 (0.86, 1.76)28.7

RR: risk ratio; SMD: standardized mean difference; CIs: confidence intervals; SUCRA: surface under the cumulative ranking area; PLA: placebo; DMARDs: disease-modifying antirheumatic drugs; IL6i: IL-6 inhibitor; IL17Ai: IL-17A inhibitor; IL17AFi: IL-17A/F inhibitor; IL23i: IL-23 inhibitor; JAKi: JAK inhibitor; TNFiFCP: TNF-α inhibitor FC fusion protein; TNFiFMA: TNF-α fully human monoclonal antibody.