Rheumatoid arthritis

Ozoralizumab shows effectiveness regardless of baseline RF and anti-citrullinated peptide antibody (ACPA) titres in patients with RA: a post hoc analysis of the OHZORA trial

Rheumatology (Oxford)Published Post hoc analysis of the OHZORA randomised trial

Authors' conclusion

OZR is an effective anti-TNF treatment for RA, regardless of RF and ACPA titres

Study context

Population
Japanese patients with RA with inadequate response to MTX, treated with 30 or 80 mg ozoralizumab (OZR) over 52 weeks
Participants
381 patients
Comparison
OZR efficacy across baseline RF and ACPA titre quartile groups
Primary endpoint
Efficacy of OZR (disease activity scores) in patients with RA in varying RF and ACPA titres
Methodological detailsPhase II/III
  • Phase II/III

Primary result

As reported in the abstract

Disease activity, OZR 30 mg, across baseline RF/ACPA quartile groups
OZR 30 mg significantly reduced disease activity in all the groups
P < 0.001

Secondary outcomes

Mean RF titre, baseline to after OZR 30 mg

Mean RF titre decreased from 149.5 to 71.1 IU/ml
P < 0.001

Mean ACPA titre, baseline to after OZR 30 mg

Mean ACPA titre decreased from 299.6 to 237.6 U/ml
P < 0.001

OZR trough concentrations · up to 52 weeks

Effective trough concentrations maintained for up to 52 weeks in all the groups

OZR-neutralizing antibodies

Baseline RF and ACPA titres not associated with generation of OZR-neutralizing antibodies

Original publication

Ozoralizumab shows effectiveness regardless of baseline RF and ACPA titres in patients with RA: a post hoc analysis of the OHZORA trial. Rheumatology (Oxford). Published 26 March 2025. doi:10.1093/rheumatology/keaf171

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