Integrated safety analysis of filgotinib in patients with moderately to severely active rheumatoid arthritis receiving treatment over a median of 1.6 years
Annals of Rheumatic Diseases Nov 10, 2021
Winthrop KL, Tanaka Y, Takeuchi T, et al. - Similar safety/tolerability profiles were displayed by filgotinib (Janus kinase-1 preferential inhibitor) 200 and 100 mg over a median of 1.6 and maximum of 5.6 years of exposure, with a lower incidence of infections with filgotinib 200 mg among the long-term, as-treated dataset.
Combining data from seven clinical trials, experts assessed short-term safety relative to placebo (PBO) for 777 and 788 patients taking filgotinib 200 and 100 mg as well as long-term safety of filgotinib 200 and 100 mg in rheumatoid arthritis cases exposed for 4,047.7 and 2,032.9 patient-years (median 1.6 and 1.3 years; maximum 5.6 and 4.7 years).
Comparable rates of treatment-emergent adverse events (TEAEs) (including grade ≥3) were reported with filgotinib or PBO during PBO-controlled period; long-term exposure-adjusted incidence rates of TEAEs grade ≥3 were 6.4 and 7.6/100patient-years exposure for filgotinib 200 and 100 mg.
Overall, a generally good tolerability of both filgotinib 200 and 100 mg was evident.
Infections and serious infections occurred in higher proportions of patients treated with filgotinib 200 and 100 mg vs those treated with PBO.
Infrequent occurrence of opportunistic infections, herpes zoster infections, major adverse cardiac events, and venous thromboembolism was observed.
Longer-term testing of filgotinib will further elucidate this safety profile.
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