Upadacitinib and Pain in RA, PsA
Mediation analysis suggests direct and indirect effects on pain reduction in rheumatoid and psoriatic arthritis.
Upadacitinib demonstrates greater efficacy in reducing pain in rheumatoid arthritis (RA) than adalimumab or placebo, as revealed by post hoc analyses of phase III trials. In the SELECT-COMPARE trial, patients with RA receiving upadacitinib experienced significant pain reduction, maintaining improvements over 26 weeks. Similarly, in the SELECT-PsA 1 trial, results indicated comparable pain improvements in psoriatic arthritis (PsA), with upadacitinib showing superior efficacy over placebo. These findings highlight the drug's effectiveness beyond just inflammation control.
1. Upadacitinib effective in reducing pain in RA. 2. Greater efficacy than adalimumab and placebo. 3. SELECT-COMPARE and SELECT-PsA 1 trials used. 4. Significant pain improvement observed over 26 weeks. 5. Attenuation of inflammation leads to better treatment outcomes. 6. Residual pain can exist despite inflammation reduction.