Spondyloarthritis & psoriatic arthritis

Bimekizumab longer-term safety profile in adult patients with axial spondyloarthritis or psoriatic arthritis: an updated analysis of six phase IIb/III clinical studies

RMD OpenPublished Pooled safety analysis of six phase IIb/III clinical studies

Authors' conclusion

TEAE EAIRs were similar between axSpA and PsA. Bimekizumab demonstrated tolerability up to 5 years (2 years in phase III); no new safety signals were identified.

Study context

Population
Adults with axial spondyloarthritis (axSpA) or psoriatic arthritis (PsA) who received ≥1 dose of bimekizumab 160 mg every 4 weeks in six phase IIb/III studies (data-cut: July 2023 for phase III)
Participants
848 vs 1,409
Comparison
Bimekizumab 160 mg every 4 weeks in axSpA and in PsA
  • axSpAn = 848
  • PsAn = 1,409
Outcome
Treatment-emergent adverse events (TEAEs), EAIR/100 PY
Methodological detailsintegrated safety analysis
  • Integrated safety analysis

Main finding

As reported in the abstract

TEAE incidence (EAIR/100 PY)

axSpA

129.6

EAIR/100 PY

PsA

126.9

EAIR/100 PY

Safety

OutcomeaxSpAPsA
Study discontinuations due to TEAEs (EAIR/100 PY)EAIR/100 PY 2.4EAIR/100 PY 2.9
SARS-CoV-2 (COVID-19) infection (EAIR/100 PY)EAIR/100 PY 9.9EAIR/100 PY 9.9
Nasopharyngitis (EAIR/100 PY)EAIR/100 PY 8.4EAIR/100 PY 6.8
Upper respiratory tract infection (EAIR/100 PY)EAIR/100 PY 5.0EAIR/100 PY 5.7
Oral candidiasis (EAIR/100 PY)Most cases were mild/moderateEAIR/100 PY 3.5EAIR/100 PY 3.8
Oral candidiasis leading to study discontinuation (EAIR/100 PY)EAIR/100 PY 0.2EAIR/100 PY 0.3
Serious opportunistic infections (EAIR/100 PY)EAIR/100 PY 0EAIR/100 PY 0.1
Hepatic events (EAIR/100 PY)EAIR/100 PY 5.3EAIR/100 PY 5.0

Serious opportunistic infections (EAIR/100 PY)

No active tuberculosis

Adjudicated IBD, uveitis, adjudicated MACE, adjudicated suicidal ideation/behaviour

EAIRs were low

Original publication

Bimekizumab longer-term safety profile in adult patients with axial spondyloarthritis or psoriatic arthritis: an updated analysis of six phase IIb/III clinical studies. RMD Open. Published 10 March 2026. doi:10.1136/rmdopen-2025-006174

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