Pediatric rheumatology

Patient‐Reported Outcomes Among Patients Ages Two to Seventeen Years With Polyarticular‐Course Juvenile Idiopathic Arthritis Treated With Subcutaneous Abatacept: Two‐Year Results From an International Phase III Study

Arthritis Care Res (Hoboken)Published Secondary analysis of a single-arm, open-label phase III study

Authors' conclusion

Early and sustained PRO improvements were reported in this phase III, open-label trial of subcutaneous abatacept in patients with pJIA.

Study context

Population
Children with pJIA treated with subcutaneous abatacept
Participants
173 vs 46
Comparison
6- TO 17-YEAR-OLD vs 2- TO 5-YEAR-OLD
  • 6- TO 17-YEAR-OLDn = 173
  • 2- TO 5-YEAR-OLDn = 46
Methodological details24-month, international
  • 24-month
  • International

Primary result

As reported in the abstract

Median (Q1, Q3) change from baseline in Childhood Health Assessment Questionnaire-Disability Index (CHAQ-DI) · months 4 and 24
GroupValueMonth 4Month 24
6 to 17 yearsmedian −0.3 (IQR −0.8–0.0)−0.3 (−0.8, 0.0)−0.5 (−1.0, −0.1)
2 to 5 yearsmedian −0.4 (IQR −0.8–0.0)−0.4 (−0.8, 0.0)−0.5 (−1.0--0.1)

Value

6 to 17 yearsmedian −0.3 (IQR −0.8–0.0)
2 to 5 yearsmedian −0.4 (IQR −0.8–0.0)

Month 4

6 to 17 years−0.3 (−0.8, 0.0)
2 to 5 years−0.4 (−0.8, 0.0)

Month 24

6 to 17 years−0.5 (−1.0, −0.1)
2 to 5 years−0.5 (−1.0--0.1)

Further findings

Median pain score · month 1 and month 24

Month 1 6 to 17 years 32.3 mm · 2 to 5 years 25.7 mm

Month 24 (nadir) 6 to 17 years 6.0 mm · 2 to 5 years 2.0 mm

Outcome6 to 17 years2 to 5 years
Median PaGA score · baseline and month 24
Baseline (n = 172)47.8— not stated in the abstract
Month 24 (n = 107)6.3— not stated in the abstract
Baseline (n = 46)— not stated in the abstract42.1
Month 24 (n = 37)— not stated in the abstract2.0

— not stated in the abstract

  • Median pain score: value shown is month 1
  • Median PaGA score: value shown is month 24

Median pain score · month 1 and month 24

Median pain scores below cutoff threshold for clinically relevant pain (<35 mm) by month 1

ALQ components · month 4 to month 24

In both cohorts, ALQ components improved from baseline to month 4 and were largely maintained to month 24

Clinical outcomes (JIA ACR50, clinically inactive disease, Juvenile Arthritis Disease Activity Score) · month 24

Clinical outcomes improved through to month 24

Original publication

Patient‐Reported Outcomes Among Patients Ages Two to Seventeen Years With Polyarticular‐Course Juvenile Idiopathic Arthritis Treated With Subcutaneous Abatacept: Two‐Year Results From an International Phase III Study. Arthritis Care Res (Hoboken). Published 29 January 2023. doi:10.1002/acr.24989

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.