Pediatric rheumatology

Sarilumab in Polyarticular‐Course Juvenile Idiopathic Arthritis: Dose‐Finding and 1‐Year Analysis of a Phase 2b, Open‐Label, Multicenter Study

Arthritis Care Res (Hoboken)Published Phase 2b open-label study

Authors' conclusion

In patients with pcJIA receiving the selected dose from baseline, pharmacokinetic exposure was comparable to a dose of 200 mg q2w for adults with rheumatoid arthritis.

Study context

Population
Patients with polyarticular-course JIA (pcJIA)73 on selected dose from baseline
Participants
101 patients
Outcome
Pharmacokinetic exposure (AUC0-Շ over 2-week dose interval, Cmax, Ctrough)
Methodological detailsmulticentre, three sequential parts, each with core-treatment and extension phase, dose-finding
  • Multicentre
  • Three sequential parts, each with core-treatment and extension phase
  • Dose-finding

Main finding

As reported in the abstract

Pharmacokinetic exposure at steady state, selected dose from baseline (n = 73)
GroupCmaxAUC0-14 daysCtrough
Group A27.1 mg/L276 day*mg/L9.57 mg/L
Group B40.4 mg/L395 day*mg/L14.4 mg/L

Cmax

Group A27.1 mg/L
Group B40.4 mg/L

AUC0-14 days

Group A276 day*mg/L
Group B395 day*mg/L

Ctrough

Group A9.57 mg/L
Group B14.4 mg/L

Further findings

JIA-ACR 30/50/70/90 response rates, selected dose from baseline · week 48

JIA-ACR30
100%
JIA-ACR50
100%
JIA-ACR70
93.8%
JIA-ACR90
76.6%

Deaths

No deaths occurred

Safety

Adverse events

Patients with AEs, of 73
70 (95.9%)

Grade 3/4 neutropenia

Patients with grade 3/4 neutropenia
27 (37%)
  • No associated infections

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Sarilumab in Polyarticular‐Course Juvenile Idiopathic Arthritis: Dose‐Finding and 1‐Year Analysis of a Phase 2b, Open‐Label, Multicenter Study. Arthritis Care Res (Hoboken). Published 24 March 2026. doi:10.1002/acr.25692

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