Fibromyalgia & musculoskeletal pain

Efficacy and safety of rozanolixizumab in severe fibromyalgia: a phase 2A randomised, double-blind, placebo-controlled, multicentre trial

Lancet RheumatolPublished Randomised controlled trial

Primary result · BPI-SF interference score change from baselineResult — go to the resultLeast squares mean difference −0.5 80% one-sided CI −1.0 to −0.1

Authors' conclusion

Rozanolixizumab did not demonstrate broad efficacy in this severe fibromyalgia population.

Study context

Population
Adults (18–70 years) with severe FM (BPI-SF interference score ≥6; 10-day mean daily Pain NRS ≥6 to <10), seven sites in north west England55 completed all phases
Participants
63 adults
Comparison
Rozanolixizumab 560 mg sc once a week vs placebo
  • Rozanolixizumab-rozanolixizumabn = 22
  • Placebo-rozanolixizumabn = 20
  • Placebo-placebon = 21reference
Primary endpoint
BPI-SF interference score mean change from baseline
Follow-up
12 weeks
Methodological detailsphase 2A, multicentre, double-blind, placebo-controlled, single-blind placebo run-in and run-out, People with lived experience of fibromyalgia consulted on the study and reviewed study materials
  • Phase 2A
  • Multicentre
  • Double-blind
  • Placebo-controlled
  • Single-blind placebo run-in and run-out
  • People with lived experience of fibromyalgia consulted on the study and reviewed study materials

Primary result

BPI-SF interference score change from baseline

Least squares mean difference

−0.5

80% one-sided CI −1.0 to −0.1

P = 0.065

Rozanolixizumabvs Placebo
least squares mean difference −0.5 (80% one-sided CI −1.0 to −0.1); P = 0.065

As reported in the abstract

Safety

Headache (most common treatment-emergent adverse event) · First 12 weeks of double-blind treatment

Headache (most common treatment-emergent adverse event) · Second 12 weeks of double-blind treatment

  • Headache (most common treatment-emergent adverse event): of 22 vs of 41 participants
  • Headache (most common treatment-emergent adverse event): of 37 vs of 20 participants

Serious treatment-emergent adverse events with rozanolixizumab

No serious treatment-emergent adverse events reported by participants receiving rozanolixizumab

Original publication

Efficacy and safety of rozanolixizumab in severe fibromyalgia: a phase 2A randomised, double-blind, placebo-controlled, multicentre trial. Lancet Rheumatol. Published 16 September 2026. doi:10.1016/s2665-9913(26)00252-3

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