Spondyloarthritis & psoriatic arthritis

Long-term safety and efficacy of bimekizumab in axial spondyloarthritis: 2-year results from two phase 3 studies

Rheumatology (Oxford)Published Open-label extension of two phase 3 randomised trials

Authors' conclusion

The safety profile of bimekizumab remained consistent with prior reports, with no new safety signals identified. 1-year efficacy was sustained to 2 years across patients with nr-axSpA and r-axSpA.

Study context

Population
Patients with nr-axSpA (BE MOBILE 1) and r-axSpA (BE MOBILE 2) completing week 52randomised
Participants
586 patients
Methodological detailsBE MOBILE 1 and 2, ongoing
  • BE MOBILE 1 and 2
  • Ongoing

Primary result

As reported in the abstract

ASAS40 response, ASDAS low disease activity (<2.1) and ASDAS inactive disease (<1.3) in randomised patients · week 104

ASAS40 response

>50%

Axial Spondyloarthritis Disease Activity Score (ASDAS) low disease activity (<2.1)

∼60%

ASDAS inactive disease (<1.3)

>30%

MRI remission

>57%

Further findings

MACE and deaths · weeks 52 - 104

No MACE or deaths occurred
Inflammatory bowel disease and uveitis rates were low
No MACE or deaths occurred
  • Inflammatory bowel disease and uveitis rates were low

Safety

≥1 treatment-emergent adverse event (TEAE) in the open-label extension (OLE) (weeks 52 - 104)

Patients with ≥1 TEAE
70.8% (367/518)

Most frequent TEAEs (EAIR/100PY) · weeks 52 - 104

SARS-CoV-2 (COVID-19) infection
25.2
Nasopharyngitis
11.0
Oral candidiasis
5.4

Fungal infection (EAIR/100PY) · weeks 52 - 104

Fungal infection
11.8
Candida infections
6.8
  • Most mild/moderate, none serious/systemic

Original publication

Long-term safety and efficacy of bimekizumab in axial spondyloarthritis: 2-year results from two phase 3 studies. Rheumatology (Oxford). Published 11 January 2025. doi:10.1093/rheumatology/keaf009

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