Efficacy and safety of subcutaneous tabalumab, a monoclonal antibody to B-cell activating factor, in patients with systemic lupus erythematosus: results from ILLUMINATE-2, a 52-week, phase III, multicentre, randomised, double-blind, placebo-controlled study
| Autor: | P-Y Berclaz, Jill P. Buyon, M Morgan-Cox, Joan T. Merrill, William Stohl, Pamela W. Anderson, Chin Lee, C. Dickson, Richard Furie, Thomas Dörner, R. van Vollenhoven |
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| Přispěvatelé: | Rheumatology, AII - Inflammatory diseases |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
Adult Male medicine.medical_specialty Adolescent Injections Subcutaneous Immunology Placebo-controlled study Black People Placebo Antibodies Monoclonal Humanized Loading dose Severity of Illness Index General Biochemistry Genetics and Molecular Biology Drug Administration Schedule 03 medical and health sciences Young Adult 0302 clinical medicine Rheumatology Double-Blind Method Internal medicine B-Cell Activating Factor medicine Clinical endpoint Immunology and Allergy Humans Lupus Erythematosus Systemic Adverse effect Aged Autoantibodies 030203 arthritis & rheumatology B-Lymphocytes Lupus erythematosus Dose-Response Relationship Drug business.industry Antibodies Monoclonal Complement C4 Complement C3 Middle Aged medicine.disease Tabalumab Regimen 030104 developmental biology Treatment Outcome Antibodies Antinuclear Female business Biomarkers |
| Zdroj: | Annals of the Rheumatic Diseases, 75(2), 332-40. BMJ Publishing Group Merrill, J T, van Vollenhoven, R F, Buyon, J P, Furie, R A, Stohl, W, Morgan-Cox, M, Dickson, R C, Anderson, P W, Lee, C, Berclaz, P-Y & Dörner, T 2016, ' Efficacy and safety of subcutaneous tabalumab, a monoclonal antibody to B-cell activating factor, in patients with systemic lupus erythematosus : results from ILLUMINATE-2, a 52-week, phase III, multicentre, randomised, double-blind, placebo-controlled study ', Annals of the Rheumatic Diseases, vol. 75, no. 2, pp. 332-40 . https://doi.org/10.1136/annrheumdis-2015-207654 |
| ISSN: | 0003-4967 |
| DOI: | 10.1136/annrheumdis-2015-207654 |
| Popis: | OBJECTIVES: To evaluate the efficacy and safety of tabalumab, a human IgG4 monoclonal antibody that neutralises membrane and soluble B-cell activating factor (BAFF).METHODS: This randomised, placebo-controlled study enrolled 1124 patients with moderate-to-severe systemic lupus erythematosus (SLE) (Safety of Estrogens in Lupus Erythematosus National Assessment- SLE Disease Activity Index ≥6 at baseline). Patients received standard of care plus subcutaneous study drug, starting with a loading dose (240 mg) at week 0 and followed by 120 mg every 2 weeks (120 Q2W), 120 mg every 4 weeks (120 Q4W) or placebo. Primary endpoint was proportion achieving SLE Responder Index 5 (SRI-5) improvement at week 52.RESULTS: Clinical characteristics were balanced across groups. The primary endpoint was met with 120 Q2W (38.4% vs 27.7%, placebo; p=0.002), but not with the less frequent 120 Q4W regimen (34.8%, p=0.051). Although key secondary endpoints (time to severe flare, corticosteroid sparing and fatigue) were not met, patients treated with tabalumab had greater SRI-5 response rates in a serologically active subset and improvements in more stringent SRI cut-offs, SELENA-SLEDAI, Physician's Global Assessment, anti-double-stranded DNA antibodies, complement, total B cells and immunoglobulins. The incidences of deaths, serious adverse events (AEs), and treatment-emergent AEs were similar in the 120 Q2W, 120 Q4W and placebo groups, but depression and suicidal ideation, albeit rare events, were more commonly reported with tabalumab.CONCLUSION: SRI-5 was met with 120 Q2W and although key secondary endpoints were not met, numerous other secondary endpoints significantly improved in addition to pharmacodynamic evidence of BAFF pathway blockade. The safety profile for tabalumab was similar to placebo, except for depression and suicidality, which were uncommon.TRIAL REGISTRATION NUMBER: NCT01205438. |
| Databáze: | OpenAIRE |
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