Table 2

Summary of primary and key secondary end points (ITT population; NRI)a

HypothesisPASI 75PASI 90PASI 100sPGA (0,1) responsebDLQI (0,1) response
FAEs (N = 54), n (%)12 (22)5 (9)2 (4)7 (13) [N = 53]8 (15)
MTX (N = 54), n (%)38 (70)21 (39)7 (13)27 (52) [N = 52]20 (37)
IXE (N = 54), n (%)49 (91)43 (80)22 (41)45 (87) [N = 52]34 (63)
IXE vs. FAE, OR (95% CI)34·3 (11·2–105)38·3 (12·3–119·0)17·9 (3·94–81·2)42·2 (13·7–131)9·78 (3·85–24·8)
Hochberg adjusted P‐value< 0·001< 0·001< 0·001< 0·001< 0·001
IXE vs. MTX, OR (95% CI)4·13 (1·39–12·3)6·14 (2·60–14·5)4·62 (1·76–12·1)5·95 (2·27–15·6)2·89 (1·32–6·31)
Hochberg adjusted P‐value0·014< 0·0010·0041< 0·0010·012
MTX vs. FAE, OR (95% CI)8·31 (3·49–19·8)6·24 (2·14–18·2)3·87 (0·77–19·6)7·10 (2·71–18·6)3·38 (1·33–8·59)
Unadjusted P‐value< 0·001< 0·0010·16< 0·0010·015
HypothesisPASI 75PASI 90PASI 100sPGA (0,1) responsebDLQI (0,1) response
FAEs (N = 54), n (%)12 (22)5 (9)2 (4)7 (13) [N = 53]8 (15)
MTX (N = 54), n (%)38 (70)21 (39)7 (13)27 (52) [N = 52]20 (37)
IXE (N = 54), n (%)49 (91)43 (80)22 (41)45 (87) [N = 52]34 (63)
IXE vs. FAE, OR (95% CI)34·3 (11·2–105)38·3 (12·3–119·0)17·9 (3·94–81·2)42·2 (13·7–131)9·78 (3·85–24·8)
Hochberg adjusted P‐value< 0·001< 0·001< 0·001< 0·001< 0·001
IXE vs. MTX, OR (95% CI)4·13 (1·39–12·3)6·14 (2·60–14·5)4·62 (1·76–12·1)5·95 (2·27–15·6)2·89 (1·32–6·31)
Hochberg adjusted P‐value0·014< 0·0010·0041< 0·0010·012
MTX vs. FAE, OR (95% CI)8·31 (3·49–19·8)6·24 (2·14–18·2)3·87 (0·77–19·6)7·10 (2·71–18·6)3·38 (1·33–8·59)
Unadjusted P‐value< 0·001< 0·0010·16< 0·0010·015

CI, confidence interval; DLQI, Dermatology Life Quality Index; FAEs, fumaric acid esters; ITT, intention to treat; IXE, ixekizumab; MTX, methotrexate; NRI, nonresponder imputation; OR, odds ratio; PASI, Psoriasis Area and Severity Index; PASI 75, ≥ 75% improvement in PASI; sPGA, static Physician's Global Assessment. Coprimary PASI 75 comparisons for IXE vs. FAEs and IXE vs. MTX were adjusted via a primary Hochberg procedure at 24 weeks. Key secondary PASI 90, PASI 100, sPGA (0,1) and DLQI (0,1) comparisons for IXE vs. FAEs and IXE vs. MTX were adjusted by a second, separate Hochberg procedure at 24 weeks that was applied when all primary comparisons were statistically significant. aPercentages are based on the ITT population using NRI. bsPGA (0,1) response and ≥ 2‐point improvement from baseline; includes only patients with sPGA ≥ 3 at baseline.

Table 2

Summary of primary and key secondary end points (ITT population; NRI)a

HypothesisPASI 75PASI 90PASI 100sPGA (0,1) responsebDLQI (0,1) response
FAEs (N = 54), n (%)12 (22)5 (9)2 (4)7 (13) [N = 53]8 (15)
MTX (N = 54), n (%)38 (70)21 (39)7 (13)27 (52) [N = 52]20 (37)
IXE (N = 54), n (%)49 (91)43 (80)22 (41)45 (87) [N = 52]34 (63)
IXE vs. FAE, OR (95% CI)34·3 (11·2–105)38·3 (12·3–119·0)17·9 (3·94–81·2)42·2 (13·7–131)9·78 (3·85–24·8)
Hochberg adjusted P‐value< 0·001< 0·001< 0·001< 0·001< 0·001
IXE vs. MTX, OR (95% CI)4·13 (1·39–12·3)6·14 (2·60–14·5)4·62 (1·76–12·1)5·95 (2·27–15·6)2·89 (1·32–6·31)
Hochberg adjusted P‐value0·014< 0·0010·0041< 0·0010·012
MTX vs. FAE, OR (95% CI)8·31 (3·49–19·8)6·24 (2·14–18·2)3·87 (0·77–19·6)7·10 (2·71–18·6)3·38 (1·33–8·59)
Unadjusted P‐value< 0·001< 0·0010·16< 0·0010·015
HypothesisPASI 75PASI 90PASI 100sPGA (0,1) responsebDLQI (0,1) response
FAEs (N = 54), n (%)12 (22)5 (9)2 (4)7 (13) [N = 53]8 (15)
MTX (N = 54), n (%)38 (70)21 (39)7 (13)27 (52) [N = 52]20 (37)
IXE (N = 54), n (%)49 (91)43 (80)22 (41)45 (87) [N = 52]34 (63)
IXE vs. FAE, OR (95% CI)34·3 (11·2–105)38·3 (12·3–119·0)17·9 (3·94–81·2)42·2 (13·7–131)9·78 (3·85–24·8)
Hochberg adjusted P‐value< 0·001< 0·001< 0·001< 0·001< 0·001
IXE vs. MTX, OR (95% CI)4·13 (1·39–12·3)6·14 (2·60–14·5)4·62 (1·76–12·1)5·95 (2·27–15·6)2·89 (1·32–6·31)
Hochberg adjusted P‐value0·014< 0·0010·0041< 0·0010·012
MTX vs. FAE, OR (95% CI)8·31 (3·49–19·8)6·24 (2·14–18·2)3·87 (0·77–19·6)7·10 (2·71–18·6)3·38 (1·33–8·59)
Unadjusted P‐value< 0·001< 0·0010·16< 0·0010·015

CI, confidence interval; DLQI, Dermatology Life Quality Index; FAEs, fumaric acid esters; ITT, intention to treat; IXE, ixekizumab; MTX, methotrexate; NRI, nonresponder imputation; OR, odds ratio; PASI, Psoriasis Area and Severity Index; PASI 75, ≥ 75% improvement in PASI; sPGA, static Physician's Global Assessment. Coprimary PASI 75 comparisons for IXE vs. FAEs and IXE vs. MTX were adjusted via a primary Hochberg procedure at 24 weeks. Key secondary PASI 90, PASI 100, sPGA (0,1) and DLQI (0,1) comparisons for IXE vs. FAEs and IXE vs. MTX were adjusted by a second, separate Hochberg procedure at 24 weeks that was applied when all primary comparisons were statistically significant. aPercentages are based on the ITT population using NRI. bsPGA (0,1) response and ≥ 2‐point improvement from baseline; includes only patients with sPGA ≥ 3 at baseline.

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