Targeting IL-17A with ixekizumab was superior to targeting TNF with adalimumab in a head-to-head trial involving 566 biologic DMARD-naive patients with psoriatic arthritis (PsA). All patients enrolled had active skin and joint disease and had previously responded poorly to conventional synthetic DMARDs. At 24 weeks, 36% of patients receiving ixekizumab had reached the primary end point compared with 28% of those receiving adalimumab. Patients receiving ixekizumab also had fewer serious adverse events than those receiving adalimumab.