Spondyloarthritis & psoriatic arthritis

Granulocyte-macrophage colony-stimulating factor neutralisation in patients with axial spondyloarthritis in the UK (NAMASTE): a randomised, double-blind, placebo-controlled, phase 2 trial

Lancet RheumatolPublished Randomised controlled trial

An erratum to this article was published (Lancet Rheumatol, Aug 2024 ↗)

Primary result · ASAS20 clinical responseResult — go to the resultEstimated between-group difference 6.8%

Authors' conclusion

Namilumab did not show efficacy compared with placebo in patients with active axial spondyloarthritis, but the treatment was generally well tolerated.

Study context

Population
Adults 18–75 years with moderate-to-severe active axSpA meeting ASAS and ASAS-defined MRI criteria, active disease by Bath Ankylosing Spondylitis Disease Activity Index (BASDAI); prior TNFi inadequate response or intolerance allowed; nine UK hospitalsrandomly assigned
Participants
42 adults
Comparison
Subcutaneous namilumab 150 mg vs placebo at weeks 0, 2, 6 and 10
  • Namilumabn = 36
  • Placebon = 6reference
Primary endpoint
Proportion with ASAS20 clinical response in the full analysis set (all randomly assigned participants)
Follow-up
Week 12
Methodological detailsproof-of-concept, double-blind, placebo-controlled, phase 2, Bayesian, multicentre (nine hospitals), 6:1 randomisation
  • Proof-of-concept
  • Double-blind
  • Placebo-controlled
  • Phase 2
  • Bayesian
  • Multicentre (nine hospitals)
  • 6:1 randomisation

Primary result

ASAS20 clinical response

Estimated between-group difference

6.8%

Events by treatment group

Namilumab

14

events

Placebo

3

events

As reported in the abstract

Safety

Events

OutcomeNamilumabPlacebo
Any treatment-emergent adverse events315

Any treatment-emergent adverse events

Rates similar in the two groups

Original publication

Granulocyte-macrophage colony-stimulating factor neutralisation in patients with axial spondyloarthritis in the UK (NAMASTE): a randomised, double-blind, placebo-controlled, phase 2 trial. Lancet Rheumatol. Published 25 June 2024. doi:10.1016/s2665-9913(24)00099-7

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