Rheumatoid arthritis

Effectiveness and safety of filgotinib in rheumatoid arthritis: a real-life multicentre experience

Clin Exp RheumatolPublished Prospective cohort study

Authors' conclusion

Our real-world data confirm the effectiveness and safety of filgotinib in the management of RA, especially in bDMARD-naive patients.

Study context

Population
Real-life multicentre cohort of rheumatoid arthritis (RA) patients treated with filgotinib
Participants
126 participants
Exposure
Filgotinib in biologic disease-modifying anti-rheumatic drug (bDMARD)-naive vs bDMARD-IR patients, monotherapy vs with methotrexate (MTX)
Outcome
LDA and remission
Follow-up
12 weeks
Methodological detailsreal-life, multicentre
  • Real-life
  • Multicentre

Main finding

As reported in the abstract

12 weeks
Low disease activity (LDA) by simplified disease activity index (SDAI)
37.2 %
Remission by SDAI
10.7 %
LDA by clinical disease activity index (CDAI)
42.6 %
Remission by CDAI
5.7 %
LDA by DAS28-CRP
26.8 %
Remission by DAS28-CRP
25.2 %

Observational data: associations, not effects.

Further findings

Disease activity at 24 weeks

Significant reduction maintained for patient global assessment (PGA), examiner global assessment (EGA), visual analogue scale (VAS) pain, VAS fatigue, DAS28-CRP and C-reactive protein (CRP)

Monotherapy in bDMARD-naive vs bDMARD-IR

Better outcomes in bDMARD-naive, with significant differences for patient reported outcomes (PROs) and DAS28-CRP

Steroid dose

Significant decrease in all patients

Safety

Adverse events

MACE
1 patient
Increase in transaminase
1 patient
Herpes zoster infections
0

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Effectiveness and safety of filgotinib in rheumatoid arthritis: a real-life multicentre experience. Clin Exp Rheumatol. Published 27 July 2023. doi:10.55563/clinexprheumatol/k78ug3

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