Spondyloarthritis & psoriatic arthritis

Efficacy and Safety of the TYK2/JAK1 Inhibitor Brepocitinib for Active Psoriatic Arthritis: A Phase IIb Randomized Controlled Trial

Arthritis RheumatolPublished Randomised controlled trial

Authors' conclusion

Treatment with brepocitinib at dosages of 30 mg and 60 mg once daily was superior to placebo at reducing signs and symptoms of PsA. Brepocitinib was generally well tolerated throughout the 52-week study, with a safety profile consistent with those found in other brepocitinib clinical trials.

Study context

Population
Participants with moderately-to-severely active psoriatic arthritis (PsA)randomized and treated
Participants
218 participants
Comparison
Brepocitinib 10 mg, 30 mg or 60 mg once daily vs placebo
Primary endpoint
ACR20 response rate
Follow-up
Week 16
Methodological detailsplacebo-controlled, dose-ranging, phase IIb
  • Placebo-controlled
  • Dose-ranging
  • Phase IIb

Primary result

As reported in the abstract

Brepocitinib 30 mg vs Placebo: P = 0.0197 · Brepocitinib 60 mg vs Placebo: P = 0.0006

Secondary outcomes

ACR50/ACR70, PASI75/PASI90 and minimal disease activity (MDA) response rates · week 16

Significantly higher with brepocitinib 30 mg and 60 mg vs placebo

Response rates through week 52

Response rates were maintained or improved through week 52

MACE and deaths

None occurred
0

Safety

Serious adverse events (15) in participants, overall
12 (5.5%)
Serious infections in brepocitinib 30 mg and 60 mg groups
6 (2.8%)
  • Adverse events were mostly mild/moderate

Original publication

Efficacy and Safety of the TYK2/JAK1 Inhibitor Brepocitinib for Active Psoriatic Arthritis: A Phase IIb Randomized Controlled Trial. Arthritis Rheumatol. Published 22 June 2023. doi:10.1002/art.42519

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