Vasculitis & polymyalgia rheumatica

Optimisation of tocilizumab therapy in giant cell arteritis. A multicentre real-life study of 471 patients

Clin Exp RheumatolPublished Observational cohort study

Authors' conclusion

This seems to be effective, safe and cost-effective therapeutic scheme.

Study context

Population
Unselected patients with giant cell arteritis (GCA) treated with tocilizumab (TCZ) in clinical practice; prolonged remission (normalisation of clinical and laboratory data for 6 months)231 in prolonged remission evaluated
Participants
471 patients
Exposure
Optimised TCZ vs not optimised TCZ in GCA in prolonged remission
  • TCZOPTn = 125
Outcome
Prolonged remission
Follow-up
End
Methodological detailsmulticentre, real-life
  • Multicentre
  • Real-life

Main finding

As reported in the abstract

P = 0.29

Observational data: associations, not effects.

Further findings

Time to first TCZ optimisation

Median follow-up before first TCZ optimisation, months [range as printed]
12[6-17]

Optimisation schemes

Intravenous TCZ optimised from 8 to 4mg/kg/4weeks
44%
Subcutaneous TCZ optimised from 162mg/w to 162mg/every-other-week
65%

Safety

Severe infections · more frequent in TCZNON-OPT

P = 0.009

Original publication

Optimisation of tocilizumab therapy in giant cell arteritis. A multicentre real-life study of 471 patients. Clin Exp Rheumatol. Published 12 June 2022. doi:10.55563/clinexprheumatol/oqs8u9

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