Efficacy of certolizumab pegol on signs and symptoms of axial spondyloarthritis including ankylosing spondylitis: 24-week results of a double-blind randomised placebo-controlled Phase 3 study

Autor: J. Braun, A. Deodhar, Joachim Sieper, Bengt Hoepken, Walter P. Maksymowych, John D. Reveille, C. Stach, Philip J. Mease, M. de Longueville, M. Rudwaleit, Robert Landewé, D. van der Heijde, Andreas Fichtner, Maxime Dougados, G. Coteur
Přispěvatelé: AII - Amsterdam institute for Infection and Immunity, Clinical Immunology and Rheumatology
Rok vydání: 2013
Předmět:
Zdroj: Annals of the Rheumatic Diseases, 73(1), 39-47
Annals of the rheumatic diseases, 73(1), 39-47. BMJ Publishing Group
Annals of the Rheumatic Diseases
ISSN: 1468-2060
0003-4967
0108-7762
DOI: 10.1136/annrheumdis-2013-204231
Popis: Objectives To evaluate the efficacy and safety of certolizumab pegol (CZP) after 24 weeks in RAPID-axSpA (NCT01087762), an ongoing Phase 3 trial in patients with axial spondyloarthritis (axSpA), including patients with ankylosing spondylitis (AS) and non-radiographic axSpA (nr-axSpA). Methods Patients with active axSpA were randomised 1:1:1 to placebo, CZP 200 mg every 2 weeks (Q2W) or CZP 400 mg every 4 weeks (Q4W). In total 325 patients were randomised. Primary endpoint was ASAS20 (Assessment of SpondyloArthritis international Society 20) response at week 12. Secondary outcomes included change from baseline in Bath Ankylosing Spondylitis Functional Index (BASFI), Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), and Bath Ankylosing Spondylitis Metrology Index (BASMI) linear. Results Baseline disease activity was similar between AS and nr-axSpA. At week 12, ASAS20 response rates were significantly higher in CZP 200 mg Q2W and CZP 400 mg Q4W arms versus placebo (57.7 and 63.6 vs 38.3, p≤0.004). At week 24, combined CZP arms showed significant (p
Databáze: OpenAIRE