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Table 4 Summary of findings 2: biological treatments compared to placebo for Psoriatic Arthritis—serious adverse events

From: Effectiveness and safety of biological and target synthetic drugs treatment for psoriatic arthritis: a systematic review with network meta-analysis

Summary of findings

Biological treatment effects to serious adverse events outcome in the treatment of Psoriatic Arthritis patients

Population: Psoriatic Arthritis patients

Intervention: Biological treatments (Adalimumab, Etanercept, Infliximab, Golimumab, Secukinumab, Certolizumab pegol) and synthetic target-specific drugs (Tofacitinib)

Comparator (reference): Placebo

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Biological treatments

Anticipated absolute effect* (95% CI)

Relative Effect (95% CI)

№ of participants (studies)

Certainty of evidence (GRADE)

Ranking

Without intervention

With intervention

Golimumab

4 per 100

1 per 100 (0–13)

RR 0.34 (0.04–3.17)

93 (2 RCTs)

Very low

1º - P-score = 0.83

Secukinumab

4 per 100

3 per 100 (2–5)

RR 0.85 (0.59–1.23)

2706 (7 RCTs)

Low

2º - P-score = 0.64

Adalimumab

2 per 100

2 per 100 (1–3)

RR 0.89 (0.59–1.34)

1957 (6 RCTs)

Very low

3º - P-score = 0.60

Etanercept

4 per 100

3 per 100 (1–11)

RR 0.86 (0.25–3.01)

265 (2 RCTs)

Very low

4º - P-score = 0.58

Tofacitinib

2 per 100

2 per 100 (1–8)

RR 1.23 (0.30–5.00)

474 (2 RCTs)

Very low

5º - P-score = 0.41

Infliximab

1 per 100

2 per 100 (0–15)

RR 2.00 (0.26–15.24)

214 (2 RCTs)

Very low

6º - P-score = 0.26

Certolizumab pegol

4 per 100

8 per 100 (3–19)

RR 1.74 (0.72–4.22)

409 (1 RCT)

Low

7º - P-score = 0.20

Placebo

Reference comparator

  1. *The risk of intervention group (and 95% confidence interval) is based on the assumed risk of the comparator group and the relative effect of the intervention (and 95% confidence interval)
  2. CI confidence interval, RR risk ratio
  3. GRADE working group grades of evidence
  4. High certainty: we are very confident that the true effect lies close to that of the estimate of the effect
  5. Moderate certainty: we are moderately confident in the effect estimate: the true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different
  6. Low certainty: our confidence in the effect estimate is limited: the true effect may be substantially different from the estimate of the effect
  7. Very low certainty: we have very little confidence in the effect estimate: the true effect is likely to be substantially different from the estimate of effect