Spondyloarthritis & psoriatic arthritis

Persistence of remission after lengthening of golimumab in inflammatory joint diseases

Clin Exp RheumatolPublished Retrospective observational study

Authors' conclusion

Results show that golimumab lengthening is safe and successfully maintains remission.

Study context

Population
Patients with rheumatoid arthritis (RA), psoriatic arthritis (PsA), ankylosing spondylitis (AS) and juvenile idiopathic arthritis (JIA) treated with golimumab; all with active disease at baseline34 AS, 33 PsA, 9 RA, 4 JIA
Participants
80 patients
Exposure
Lengthened golimumab injection interval vs standard dose in patients in remission
  • Lengthenedn = 22
  • Standard dosen = 38reference
Outcome
Remission persistency after lengthening the time between golimumab injections
Follow-up
T2 (12 months after lengthening started)

Main finding

As reported in the abstract

Remission persistence after lengthening of golimumab injection interval

Patients who started tapering at T1 in remission at T2: 20/22 pts

91%

Observational data: associations, not effects.

Further findings

Flare with switch/swap of bDMARD — Standard dose
4 events

BASDAI at T1 in patients who lost vs kept remission at T2

BASDAI higher at T1 in patients who lost remission at T2: 2.2 (SD 0.28) vs 0.58 (SD 0.47)
P < 0.001

Remission after flare

Patients who flared recovered remission once taken back to a 28-day interval

Flare with switch/swap of bDMARD

Difference in retention rate vs reduced dose not significant

Remission at T1

Patients reaching remission at T1
60/80

Original publication

Persistence of remission after lengthening of golimumab in inflammatory joint diseases. Clin Exp Rheumatol. Published 6 February 2022. doi:10.55563/clinexprheumatol/k76z51

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