Pediatric rheumatology

Long-term efficacy and safety of subcutaneous tocilizumab in clinical trials of polyarticular or systemic juvenile idiopathic arthritis

Rheumatology (Oxford)Published Long-term extension of open-label phase 1b clinical trials

Authors' conclusion

Patients with pJIA or sJIA experienced long-term disease control with SC-TCZ treatment. Long-term safety was consistent with the known tocilizumab safety profile.

Study context

Population
Patients with pJIA or sJIA from two 52-week phase 1b core trials of subcutaneous tocilizumab (SC-TCZ) with adequate response per investigator assessment
Participants
44 vs 38
Comparison
pJIA vs sJIA
  • pJIAn = 44
  • sJIAn = 38
Outcome
Inactive disease per ACR provisional criteria, by body weight (<30 / ≥30 kg)
Methodological detailsbody weight-based dosing
  • Body weight-based dosing

Main finding

As reported in the abstract

Further findings

Mean ∼, μg/ml

OutcomepJIAsJIA
Tocilizumab trough concentrations, maintained within range expected to provide clinical benefit · over 3 years1075

Pharmacodynamic parameters (IL-6, soluble IL-6 receptor, ESR, CRP)

Maintained throughout the long-term extension (LTE) at levels achieved in the core trials

Safety

Serious adverse events in the LTE · up to 5 years

  • Serious adverse events in the LTE: serious infections: pJIA 5, sJIA 1

Original publication

Long-term efficacy and safety of subcutaneous tocilizumab in clinical trials of polyarticular or systemic juvenile idiopathic arthritis. Rheumatology (Oxford). Published 29 March 2024. doi:10.1093/rheumatology/keae180

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