Abstract | OBJECTIVES: METHODS: In this all-case, postmarketing surveillance study (NCT01412021) conducted in Japan, patients receiving adalimumab for JIA affecting multiple joints were observed for 24 weeks. The safety ( adverse drug reactions [ADRs]/serious ADRs) and effectiveness (4-variable Disease Activity Score in 28 joints using erythrocyte sedimentation rate [DAS28-4/ESR] remission rate) were assessed. RESULTS: In the safety population (n = 356), 90.3% (65/72; weight, ≥15-<30 kg) of patients received adalimumab 20 mg every 2 weeks (q2w) and 98.3% (236/240; weight ≥30 kg) received 40 mg q2w. Incidence of ADRs and serious ADRs was 29.8% (106/356) and 3.4% (12/356), respectively. Incidence of ADRs was significantly higher in patients aged <15 years vs. ≥15 years (34.6% vs. 21.1%, p = .0072), those with comorbidities vs. without (38.3% vs. 25.7%, p = .0155), and those receiving dose <40 mg q2w vs. ≥40 mg q2w (38.8% vs. 26.9%, p = .0418). DAS28-4/ESR remission rate improved from 21.7% (36/166) at baseline to 74.7% (112/150) at week 24. CONCLUSIONS:
Adalimumab was well tolerated and had acceptable safety and effectiveness in patients with JIA in the real-world setting.
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Authors | Syuji Takei, Naomi Iwata, Ichiro Kobayashi, Toru Igarashi, Yoko Yoshinaga, Naoko Matsubara, Naomi Sunaga, Ayumi Ito, Shumpei Yokota |
Journal | Modern rheumatology
(Mod Rheumatol)
Vol. 31
Issue 2
Pg. 421-430
(Mar 2021)
ISSN: 1439-7609 [Electronic] England |
PMID | 32340508
(Publication Type: Journal Article)
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Chemical References |
- Antirheumatic Agents
- Adalimumab
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Topics |
- Adalimumab
(adverse effects, therapeutic use)
- Adolescent
- Adult
- Aged
- Antirheumatic Agents
(adverse effects, therapeutic use)
- Arthritis, Juvenile
(blood, drug therapy)
- Blood Sedimentation
- Drug-Related Side Effects and Adverse Reactions
(epidemiology)
- Female
- Humans
- Japan
- Male
- Middle Aged
- Product Surveillance, Postmarketing
- Treatment Outcome
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