Rheumatoid arthritis

Real-world effectiveness of golimumab in the treatment of patients with active rheumatoid arthritis, psoriatic arthritis, or axial spondyloarthritis who failed initial TNF-α inhibitor therapy: a pooled analysis of European prospective observational studies (the GO-BEYOND program)

Clin Exp RheumatolPublished Pooled analysis of prospective observational studies

Authors' conclusion

This pooled analysis of the GO-BEYOND studies showed that treatment with GLM was effective and represented a valid second-line option for RA, PsA, and axSpA patients.

Study context

Population
Patients with rheumatoid arthritis (RA), psoriatic arthritis (PsA) or axial spondyloarthritis (axSpA) who discontinued one prior TNFαi (loss of efficacy, tolerability or inconvenience), followed 12 months after golimumab (GLM) initiation, Europe
Participants
712 patients6 observational studies
Comparison
RA vs PsA vs axSpA
  • RAn = 325
  • PsAn = 186
  • axSpAn = 201
Outcome
Proportion achieving low disease activity (LDA) (DAS28-CRP<3.2) in RA, minimal disease activity (MDA) (5 of 7 outcome measures) in PsA, or low disease activity (ASDAS<2.1) in axSpA
Follow-up
6 months
Methodological detailssix observational studies in Europe (GO-BEYOND program), observed-data analyses
  • Six observational studies in Europe (GO-BEYOND program)
  • Observed-data analyses

Pooled result

As reported in the abstract

Disease-specific primary endpoint achieved

Further pooled results

Disease activity at 3 and 12 months

Disease activity improvements observed at 3 and 12 months

Quality of life (QoL) (EQ-5D-3L)

Improved QoL over time

Treatment persistence · 12 months

Treatment persistence rate
67.8%

Safety

Adverse events

No new safety signals observed

Original publication

Real-world effectiveness of golimumab in the treatment of patients with active rheumatoid arthritis, psoriatic arthritis, or axial spondyloarthritis who failed initial TNF-α inhibitor therapy: a pooled analysis of European prospective observational studies (the GO-BEYOND program). Clin Exp Rheumatol. Published 26 April 2023. doi:10.55563/clinexprheumatol/7sr1ni

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