ML28133 -A MULTICENTER, OPEN-LABEL, LONG-TERM EXTENSION STUDY OF WA 19926 TO DESCRIBE SAFETY DURING TREATMENT WITH TOCILIZUMAB IN PATIENTS WITH EARLY, MODERATE TO SEVERE RHEUMATOID ARTHRITIS
Journal
Македонски медицински преглед=Macedonian Medical Review
Date Issued
2017
Author(s)
Snezhana Mishevska-Percinkova
Dubravka Antova
Mimoza Kotevska Nikolova
Anzhelika Stojanovska
Filip Guchev
Abstract
Introduction. Biologic DMARDs (Disease Modifying
Anti Rheumatic Drugs) have shown to be effective in
the treatment of rheumatoid arthritis (RA) resistant to
the use of synthetic DMARDs. The primary goal of this
study was to assess the long-term safety of the use of
tocilizumab in patients with early rheumatoid arthritis,
moderate to severe disease activity. The secondary goal
was to assess the efficiency of tocilizumab in achieving
and maintaining clinical remission of the disease.
Methods. ML28133 is a long-term, extended study of
13 patients with rheumatoid arthritis treated with tocilizumab. Two patients were male (15.4%), 11(84.61%) female. The average age of patients was 53.27+/-10.68. Patients received 8mg/kg tocilizumab i.v. every four weeks,
104 weeks overall. Safety was assessed following side
effects, blood tests, physical examination and vital signs.
Efficiency was assessed by achieving and maintaining clinical remission according to DAS28 (Disease Activity
Score 28), global assessment of disease activity, VAS score and HAQ-DI (Health Activity Score) questionnaire.
Results. Incidence of side effects was 76.92%. Infections
were of special interest and were most common (15.3%).
Four patients had serious adverse events, three of which
associated with tocilizumab, and therapy was stopped.
In 11 (84.6%) of the 13 treated patients clinical remission
was achieved at times. At the end of the study, 8 out of
9 patients were in remission.
Conclusion. The results have shown significant therapeutic effect of tocilizumab even in the most severe
forms of the disease, which gives hope for its use as a
monotherapy
Anti Rheumatic Drugs) have shown to be effective in
the treatment of rheumatoid arthritis (RA) resistant to
the use of synthetic DMARDs. The primary goal of this
study was to assess the long-term safety of the use of
tocilizumab in patients with early rheumatoid arthritis,
moderate to severe disease activity. The secondary goal
was to assess the efficiency of tocilizumab in achieving
and maintaining clinical remission of the disease.
Methods. ML28133 is a long-term, extended study of
13 patients with rheumatoid arthritis treated with tocilizumab. Two patients were male (15.4%), 11(84.61%) female. The average age of patients was 53.27+/-10.68. Patients received 8mg/kg tocilizumab i.v. every four weeks,
104 weeks overall. Safety was assessed following side
effects, blood tests, physical examination and vital signs.
Efficiency was assessed by achieving and maintaining clinical remission according to DAS28 (Disease Activity
Score 28), global assessment of disease activity, VAS score and HAQ-DI (Health Activity Score) questionnaire.
Results. Incidence of side effects was 76.92%. Infections
were of special interest and were most common (15.3%).
Four patients had serious adverse events, three of which
associated with tocilizumab, and therapy was stopped.
In 11 (84.6%) of the 13 treated patients clinical remission
was achieved at times. At the end of the study, 8 out of
9 patients were in remission.
Conclusion. The results have shown significant therapeutic effect of tocilizumab even in the most severe
forms of the disease, which gives hope for its use as a
monotherapy
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