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The injection-site reaction rate was notable in early trials, though Novo Nordisk has worked on formulation adjustments in subsequent studies

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With the limitations of the PsARC, the DAPSA, and the ACR response rate in mind, the Group for the Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA), in conjunction with the group Outcomes Measures in Rheumatology (OMERACT), is working to develop a composite measurement of disease activity that is specific to PsA