Vasculitis & polymyalgia rheumatica

Four months of treatment with anakinra combined with glucocorticoids for giant cell arteritis: a multicenter, randomized, double-blind, placebo-controlled trial

Arthritis Res TherPublished Randomised controlled trial

  • stopped prematurely (SARS-CoV-2 pandemic)
  • Stopped prematurely given the emergence of the SARS-CoV-2 pandemic

Authors' conclusion

Although prematurely discontinued, this study does not support the use of 4 months of treatment with anakinra combined with GCs to reduce the risk of relapse or GC exposure.

Study context

Population
Patients with new giant cell arteritis (GCA) diagnoses, 5 centres
Participants
30 patients5 centres
Comparison
Anakinra 100 mg SC daily to week 16 vs placebo, combined with glucocorticoid (GC)
  • Anakinra (ANK)n = 17
  • Placebo (PBO)n = 13reference
Primary endpoint
Relapse rates at W16, W26 and W52 and completion of GC tapering
Follow-up
W16
Methodological detailsphase 3, prospective, multicentre, double-blind, placebo-controlled
  • Phase 3
  • Prospective
  • Multicentre
  • Double-blind
  • Placebo-controlled

Primary result

As reported in the abstract

Relapse rate · first 16 weeks

P = 0.63

Further findings

Relapse · week 26

P = 0.47

Relapse rate · W52

P = 1

Events

OutcomeANKPBOP value
GC discontinuation22P = 0.87
  • Relapse: overall 12 (40%) relapsed
  • Relapse rate: overall 50%

Safety

Serious AEs — ANK
4 events
Serious AEs — Seven serious AEs in five patients overall
7

Original publication

Four months of treatment with anakinra combined with glucocorticoids for giant cell arteritis: a multicenter, randomized, double-blind, placebo-controlled trial. Arthritis Res Ther. Published 7 June 2025. doi:10.1186/s13075-025-03493-z

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