Gout & crystal arthritis

Treatment-emergent major adverse cardiovascular and thromboembolic events were infrequent during clinical trials of pegloticase

Rheumatology (Oxford)Published Post hoc pooled analysis of four clinical trials

Authors' conclusion

CV/TE event incidence during pegloticase treatment was similar to the general gout population (31.7 events/1000 person-years).

Study context

Population
Patients with uncontrolled gout in two phase 3 trials, the MIRROR open-label trial and the MIRROR RCT4 trials pooled
Participants
328 vs 244
Comparison
Pegloticase vs On-label
  • Pegloticasen = 328
  • On-label (biweekly)n = 244
Outcome
Treatment-emergent cardiovascular (CV)/thromboembolic (TE) events
Follow-up
First 24 weeks of therapy
Methodological detailspooled data
  • Pooled data

Pooled result

As reported in the abstract

≥1 CV/TE event during pegloticase treatment
GroupValueIncidence rate
Pegloticase1.5%
On-label (biweekly)1.2%35.4 events/1000 person-years

Value

Pegloticase1.5%
On-label (biweekly)1.2%

Incidence rate

Pegloticase— not stated in the abstract
On-label (biweekly)35.4 events/1000 person-years

Original publication

Treatment-emergent major adverse cardiovascular and thromboembolic events were infrequent during clinical trials of pegloticase. Rheumatology (Oxford). Published 10 January 2025. doi:10.1093/rheumatology/keaf017

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