Inflammatory myopathies

Phase 3, multicentre, randomised, double-blind, placebo-controlled, parallel-group study of ustekinumab in Japanese patients with active polymyositis and dermatomyositis who have not adequately responded to one or more standard-of-care treatments

RMD OpenPublished Randomised controlled trial

Authors' conclusion

UST was safe and well tolerated but did not meet the primary efficacy endpoint in adult Japanese participants with active PM/DM based on the primary analysis at week 24 in the study.

Study context

Population
Japanese adults with active polymyositis (PM)/dermatomyositis (DM) who did not respond adequately to one or more standard-of-care treatments
Participants
51 adults
Comparison
Ustekinumab (UST) 6 mg/kg IV at week 0, then 90 mg subcutaneous (SC) every 8 weeks from week 8 to week 24, vs placebo
  • USTn = 25
  • Placebon = 26reference
Primary endpoint
Proportion achieving minimal improvement (≥20) in IMACS TIS
Follow-up
Week 24
Methodological detailsmulticentre, double-blind, placebo-controlled, parallel-group, placebo crossover to UST at week 24
  • Multicentre
  • Double-blind
  • Placebo-controlled
  • Parallel-group
  • Placebo crossover to UST at week 24

Primary result

As reported in the abstract

Minimal improvement (≥20) in IMACS TIS

P = 0.94

Original publication

Phase 3, multicentre, randomised, double-blind, placebo-controlled, parallel-group study of ustekinumab in Japanese patients with active polymyositis and dermatomyositis who have not adequately responded to one or more standard-of-care treatments. RMD Open. Published 31 August 2023. doi:10.1136/rmdopen-2023-003268

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