Rheumatoid arthritis

Impact of filgotinib on pain control in the phase 3 FINCH studies

RMD OpenPublished Post hoc analysis of the FINCH 1-3 randomised trials

An erratum to this article was published (RMD Open, 4 Apr 2024 ↗)

Authors' conclusion

In all RA populations studied, pain improvements occurred from week 2 and were sustained over time. In FINCH 1, filgotinib 100 mg provided similar pain amelioration to adalimumab, whereas filgotinib 200 mg resulted in greater pain improvement and higher proportion of patients with residual pain ≤10 or ≤20 mm and meeting DAS28-CRP remission criteria.

Study context

Population
Patients with rheumatoid arthritis (RA) in the FINCH 1–3 studies
Comparison
Filgotinib 200 mg or 100 mg vs adalimumab vs placebo, each plus MTX

Primary result

As reported in the abstract

VAS pain ≤20 mm plus DAS28-CRP remission (FINCH 1) · week 24

Further findings

VAS pain ≤10 mm plus DAS28-CRP remission (FINCH 1) · week 24

Visual analogue scale (VAS) pain ≤10 mm plus DAS28-CRP remission (FINCH 1) · week 24

Similar pattern for Clinical Disease Activity Index (CDAI) remission
Time with VAS pain ≤10 or ≤20 mm longest with filgotinib 200 mg; comparable between adalimumab and filgotinib 100 mg
Similar findings for filgotinib in FINCH 2 and 3

Original publication

Impact of filgotinib on pain control in the phase 3 FINCH studies. RMD Open. Published 12 March 2024. doi:10.1136/rmdopen-2023-003839

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