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Use of the interleukin-17A inhibitor secukinumab in psoriatic arthritis: a subanalysis of the Russian population in the international randomized clinical trials FUTURE 1 and FUTURE 2
- Source :
- Научно-практическая ревматология, Vol 55, Iss 2, Pp 151-158 (2017)
- Publication Year :
- 2017
- Publisher :
- IMA-PRESS LLC, 2017.
-
Abstract
- The investigators carried out an analysis of the efficacy and safety of secukinumab (SEC) in the randomized placebocontrolled trials (RPCTs) FUTURE 1 and FUTURE 2, as well as a subanalysis of the data obtained in the Russian population of patients with active psoriatic arthritis (PsA). The FUTURE 1 and FUTURE 2 trials enrolled a total of 1003 patients with active PsA. They received SEC (n = 703) or placebo (PL) (n = 300). The use of SEC 300 or 150 mg without previous intravenous (IV) loading dose or either 150 or 75 mg with the IV loading dose led to a significant improvement in patients with PsA. The positive changes in the main clinical manifestations of PsA at 24 weeks persisted until 52 weeks of therapy. SEC was effective in both the patients who had not previously received tumor necrosis factor-α inhibitors and those who had previously taken these drugs, and the result of therapy did not depend on concomitant methotrexate use.The incidence of cancer was low and comparable in the SEC and PL groups. Analysis of the combined data on the safety of the two RPCTs showed that the treatment duration-adjusted incidence of malignant neoplasms was 0.5 per 100 patient-years in the SEC groups and 0.9 in the PL groups. The safety profile of SEC in these RPCTs corresponds to that in the previous studies of the drug.The data from the pooled analysis of the Russian subpopulation of patients with PsA fully agree with the results obtained in the evaluation of all the patients included in FUTURE 1 and FUTURE 2 and confirm the most important role of IL-17А in the pathogenesis of PsA.
- Subjects :
- 0301 basic medicine
safety
medicine.medical_specialty
Immunology
efficacy
Diseases of the musculoskeletal system
Placebo
Loading dose
Gastroenterology
interleukin-17
03 medical and health sciences
Psoriatic arthritis
0302 clinical medicine
Rheumatology
Internal medicine
Immunology and Allergy
Medicine
030203 arthritis & rheumatology
psoriatic arthritis
business.industry
Incidence (epidemiology)
secukinumab
Cancer
medicine.disease
030104 developmental biology
RC925-935
Concomitant
Methotrexate
Secukinumab
business
medicine.drug
Subjects
Details
- Language :
- Russian
- ISSN :
- 19954492 and 19954484
- Volume :
- 55
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Научно-практическая ревматология
- Accession number :
- edsair.doi.dedup.....759b6b54e599ae6b36abdfbbb79ba251