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Table 2 NAPSI, f-PGA, PASI, and DLQI through week 48 by treatment subgroup

From: Nail psoriasis dynamics during biologic treatment and withdrawal in patients with psoriasis who may be at high risk of developing psoriatic arthritis: a post hoc analysis of the VOYAGE 2 randomized trial

Variable, mean (S.D)

Week 0

Week 16

Week 24

Week 48

Guselkumab response continuation

Treatment received

Guselkumab

Re-randomized to guselkumab at week 28

NAPSI

4.4 (1.8)

2.4 (2.2)

1.8 (2.0)

1.2 (1.6)

 Nail matrix

2.5 (1.2)a

1.4 (1.3)

1.0 (1.2)

0.7 (1.0)

 Nail bed

1.9 (1.2)

1.0 (1.1)

0.8 (1.0)

0.5 (0.8)

n

108

106

107

105

f-PGA

2.4 (0.9)

1.1 (0.9)

0.9 (0.9)

0.7 (0.8)

n

108

106

107

105

PASI

22.6 (8.8)

1.2 (2.1)

0.6 (1.1)

1.3 (3.5)

n

108

108

108

106

DLQI

14.3 (6.4)

2.9 (4.2)

2.3 (4.0)

1.8 (3.4)

n

107

108

108

104

Guselkumab non-response continuation

Treatment received

Guselkumab

Guselkumab continuation at week 28

NAPSI

4.9 (2.0)

3.6 (2.2)

2.9 (2.4)

1.9 (2.0)

 Nail matrix

2.7 (1.2)

2.1 (1.4)

1.6 (1.4)

1.0 (1.2)

 Nail bed

2.1 (1.3)

1.5 (1.3)

1.3 (1.3)

0.9 (1.0)

n

61

61

60

56

f-PGA

2.7 (0.9)

1.7 (0.8)

1.5 (1.0)

1.1 (1.0)

n

61

61

60

56

PASI

23.1 (9.8)

5.6 (5.4)

5.2 (5.1)

5.5 (9.4)

n

63

63

62

58

DLQI

16.0 (8.0)

5.7 (6.2)

5.0 (5.4)

4.8 (5.7)

n

63

63

62

58

Guselkumab response withdrawalb

Treatment received

Guselkumab

Re-randomized to placebo at week 28

NAPSI

5.0 (2.1)

2.5 (1.9)

1.7 (1.9)

1.9 (2.1)

 Nail matrix

2.7 (1.3)

1.5 (1.3)

1.0 (1.2)

0.9 (1.3)

Nail bed

2.2 (1.2)

0.9 (1.0)

0.7 (1.0)

1.0 (1.1)

n

97

96

96

96

f-PGA

2.5 (0.8)

1.3 (0.9)

0.9 (0.8)

1.1 (1.0)

n

98

97

97

97

PASI

23.1 (9.0)

1.3 (2.7)

0.6 (1.4)

5.2 (6.1)

n

101

101

100

100

DLQI

14.5 (6.1)

2.8 (4.1)

2.2 (3.6)

7.0 (7.4)

n

101

101

100

100

Adalimumab withdrawalc

Treatment received

Adalimumab

Switch to placebo at week 28

NAPSI

4.7 (1.9)

2.0 (2.2)

1.4 (1.6)

2.3 (2.4)

 Nail matrix

2.6 (1.2)

1.2 (1.2)

1.0 (1.3)

1.2 (1.2)

 Nail bed

2.1 (1.1)

0.8 (1.1)

0.4 (0.7)

1.1 (1.3)

n

62

61

61

61

f-PGA

2.6 (0.8)

1.0 (1.0)

0.7 (0.8)

1.5 (1.2)

n

62

61

61

61

PASI

22.7 (8.6)

1.6 (2.6)

0.6 (0.8)

7.4 (6.0)

n

65

65

65

64

DLQI

15.2 (6.1)

2.4 (3.2)

1.8 (2.9)

8.7 (7.4)

n

64

65

65

63

Adalimumab to guselkumab

Treatment received

Adalimumab

Switch to guselkumab at week 28

NAPSI

4.2 (1.9)

2.3 (2.1)

2.2 (2.1)

1.5 (1.9)

 Nail matrix

2.2 (1.4)

1.2 (1.3)

1.2 (1.4)

0.9 (1.2)a d

 Nail bed

2.0 (1.0)

1.1 (1.1)

1.0 (1.1)

0.7 (1.0)a d

n

66

65

65

63

f-PGA

2.4 (0.8)

1.3 (1.0)

1.2 (1.0)

0.9 (0.9)

n

65

66

65

64

PASI

20.1 (8.5)

6.8 (7.3)

7.1 (8.2)

1.8 (2.5)

n

67

67

67

66

DLQI

15.3 (8.0)

7.6 (7.6)

8.0 (8.3)

2.9 (3.7)

n

67

67

67

65

  1. Response or non-response defined as achievement or no achievement of PASI90 response (≥ 90% improvement in PASI score from baseline) at week 28
  2. DLQI Dermatology Life Quality Index, f‑PGA fingernail Physician’s Global Assessment, NAPSI Nail Psoriasis Severity Index, PASI Psoriasis Area and Severity Index, S.D Standard deviation
  3. an = 107
  4. bn = 10 reinitiated guselkumab between week 36–44 upon 50% loss of week 28 PASI90 response and are included
  5. cn = 22 initiated guselkumab between week 36–44 upon 50% loss of week 28 PASI90 response and are included
  6. dn = 64