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Safety and efficacy of ustekinumab or golimumab in patients with chronic sarcoidosis.

Identifieur interne : 001483 ( PubMed/Corpus ); précédent : 001482; suivant : 001484

Safety and efficacy of ustekinumab or golimumab in patients with chronic sarcoidosis.

Auteurs : Marc A. Judson ; Robert P. Baughman ; Ulrich Costabel ; Marjolein Drent ; Kevin F. Gibson ; Ganesh Raghu ; Hidenobu Shigemitsu ; Joseph B. Barney ; Daniel A. Culver ; Nabeel Y. Hamzeh ; Marlies S. Wijsenbeek ; Carlo Albera ; Isham Huizar ; Prasheen Agarwal ; Carrie Brodmerkel ; Rosemary Watt ; Elliot S. Barnathan

Source :

RBID : pubmed:25034562

English descriptors

Abstract

Sarcoidosis is characterised by non-caseating granulomas that secrete pro-inflammatory cytokines, including interleukin (IL)-12, IL-23, and tumour necrosis factor (TNF)-α. Ustekinumab and golimumab are monoclonal antibodies that specifically inhibit IL-12/IL-23 and TNF-α, respectively. Patients with chronic pulmonary sarcoidosis (lung group) and/or skin sarcoidosis (skin group) received either 180 mg ustekinumab at week 0 followed by 90 mg every 8 weeks, 200 mg golimumab at week 0 followed by 100 mg every 4 weeks, or placebo. Patients underwent corticosteroid tapering between weeks 16 and 28. The primary end-point was week 16 change in percentage predicted forced vital capacity (ΔFVC % pred) in the lung group. Major secondary end-points were: week 28 for ΔFVC % pred, 6-min walking distance, St George's Respiratory Questionnaire (lung group), and Skin Physician Global Assessment response (skin group). At week 16, no significant differences were observed in ΔFVC % pred with ustekinumab (-0.15, p = 0.13) or golimumab (1.15, p = 0.54) compared with placebo (2.02). At week 28, there were no significant improvements in the major secondary end-points, although a nonsignificant numerically greater Skin Physician Global Assessment response was observed following golimumab treatment (53%) when compared with the placebo (30%). Serious adverse events were similar in all treatment groups. Although treatment was well tolerated, neither ustekinumab nor golimumab demonstrated efficacy in pulmonary sarcoidosis. However, trends towards improvement were observed with golimumab in some dermatological end-points.

DOI: 10.1183/09031936.00000914
PubMed: 25034562

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pubmed:25034562

Le document en format XML

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<name sortKey="Shigemitsu, Hidenobu" sort="Shigemitsu, Hidenobu" uniqKey="Shigemitsu H" first="Hidenobu" last="Shigemitsu">Hidenobu Shigemitsu</name>
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<name sortKey="Barney, Joseph B" sort="Barney, Joseph B" uniqKey="Barney J" first="Joseph B" last="Barney">Joseph B. Barney</name>
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<name sortKey="Hamzeh, Nabeel Y" sort="Hamzeh, Nabeel Y" uniqKey="Hamzeh N" first="Nabeel Y" last="Hamzeh">Nabeel Y. Hamzeh</name>
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<name sortKey="Wijsenbeek, Marlies S" sort="Wijsenbeek, Marlies S" uniqKey="Wijsenbeek M" first="Marlies S" last="Wijsenbeek">Marlies S. Wijsenbeek</name>
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<nlm:affiliation>Dept of Pulmonary Disease, Erasmus MC, University Hospital Rotterdam, Rotterdam, The Netherlands.</nlm:affiliation>
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<nlm:affiliation>Dept of Pulmonary Medicine, Erasmus Medical Centre, University Hospital Rotterdam, Rotterdam, The Netherlands.</nlm:affiliation>
</affiliation>
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<name sortKey="Huizar, Isham" sort="Huizar, Isham" uniqKey="Huizar I" first="Isham" last="Huizar">Isham Huizar</name>
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<nlm:affiliation>Dept of Medicine, Texas Tech University Health Science Center, Lubbock, TX, USA.</nlm:affiliation>
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<name sortKey="Agarwal, Prasheen" sort="Agarwal, Prasheen" uniqKey="Agarwal P" first="Prasheen" last="Agarwal">Prasheen Agarwal</name>
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<nlm:affiliation>Biostatistics, Janssen Research and Development, LLC, Spring House, PA, USA.</nlm:affiliation>
</affiliation>
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<name sortKey="Brodmerkel, Carrie" sort="Brodmerkel, Carrie" uniqKey="Brodmerkel C" first="Carrie" last="Brodmerkel">Carrie Brodmerkel</name>
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<nlm:affiliation>Immunology Biomarkers, Janssen Research and Development, LLC, Spring House, PA, USA.</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Watt, Rosemary" sort="Watt, Rosemary" uniqKey="Watt R" first="Rosemary" last="Watt">Rosemary Watt</name>
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<nlm:affiliation>Immunology, Janssen Research and Development, LLC, Spring House, PA, USA.</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Barnathan, Elliot S" sort="Barnathan, Elliot S" uniqKey="Barnathan E" first="Elliot S" last="Barnathan">Elliot S. Barnathan</name>
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<nlm:affiliation>Immunology, Janssen Research and Development, LLC, Spring House, PA, USA.</nlm:affiliation>
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<title level="j">The European respiratory journal</title>
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<term>Adult</term>
<term>Antibodies, Monoclonal (therapeutic use)</term>
<term>Antibodies, Monoclonal, Humanized (therapeutic use)</term>
<term>Antirheumatic Agents (therapeutic use)</term>
<term>Chronic Disease</term>
<term>Double-Blind Method</term>
<term>Female</term>
<term>Humans</term>
<term>Interleukin-12 (antagonists & inhibitors)</term>
<term>Interleukin-23 (antagonists & inhibitors)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Sarcoidosis (drug therapy)</term>
<term>Sarcoidosis (physiopathology)</term>
<term>Tumor Necrosis Factor-alpha (antagonists & inhibitors)</term>
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<term>Interleukin-12</term>
<term>Interleukin-23</term>
<term>Tumor Necrosis Factor-alpha</term>
</keywords>
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<term>Antibodies, Monoclonal</term>
<term>Antibodies, Monoclonal, Humanized</term>
<term>Antirheumatic Agents</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Sarcoidosis</term>
</keywords>
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<term>Sarcoidosis</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Chronic Disease</term>
<term>Double-Blind Method</term>
<term>Female</term>
<term>Humans</term>
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<div type="abstract" xml:lang="en">Sarcoidosis is characterised by non-caseating granulomas that secrete pro-inflammatory cytokines, including interleukin (IL)-12, IL-23, and tumour necrosis factor (TNF)-α. Ustekinumab and golimumab are monoclonal antibodies that specifically inhibit IL-12/IL-23 and TNF-α, respectively. Patients with chronic pulmonary sarcoidosis (lung group) and/or skin sarcoidosis (skin group) received either 180 mg ustekinumab at week 0 followed by 90 mg every 8 weeks, 200 mg golimumab at week 0 followed by 100 mg every 4 weeks, or placebo. Patients underwent corticosteroid tapering between weeks 16 and 28. The primary end-point was week 16 change in percentage predicted forced vital capacity (ΔFVC % pred) in the lung group. Major secondary end-points were: week 28 for ΔFVC % pred, 6-min walking distance, St George's Respiratory Questionnaire (lung group), and Skin Physician Global Assessment response (skin group). At week 16, no significant differences were observed in ΔFVC % pred with ustekinumab (-0.15, p = 0.13) or golimumab (1.15, p = 0.54) compared with placebo (2.02). At week 28, there were no significant improvements in the major secondary end-points, although a nonsignificant numerically greater Skin Physician Global Assessment response was observed following golimumab treatment (53%) when compared with the placebo (30%). Serious adverse events were similar in all treatment groups. Although treatment was well tolerated, neither ustekinumab nor golimumab demonstrated efficacy in pulmonary sarcoidosis. However, trends towards improvement were observed with golimumab in some dermatological end-points.</div>
</front>
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<AbstractText>Sarcoidosis is characterised by non-caseating granulomas that secrete pro-inflammatory cytokines, including interleukin (IL)-12, IL-23, and tumour necrosis factor (TNF)-α. Ustekinumab and golimumab are monoclonal antibodies that specifically inhibit IL-12/IL-23 and TNF-α, respectively. Patients with chronic pulmonary sarcoidosis (lung group) and/or skin sarcoidosis (skin group) received either 180 mg ustekinumab at week 0 followed by 90 mg every 8 weeks, 200 mg golimumab at week 0 followed by 100 mg every 4 weeks, or placebo. Patients underwent corticosteroid tapering between weeks 16 and 28. The primary end-point was week 16 change in percentage predicted forced vital capacity (ΔFVC % pred) in the lung group. Major secondary end-points were: week 28 for ΔFVC % pred, 6-min walking distance, St George's Respiratory Questionnaire (lung group), and Skin Physician Global Assessment response (skin group). At week 16, no significant differences were observed in ΔFVC % pred with ustekinumab (-0.15, p = 0.13) or golimumab (1.15, p = 0.54) compared with placebo (2.02). At week 28, there were no significant improvements in the major secondary end-points, although a nonsignificant numerically greater Skin Physician Global Assessment response was observed following golimumab treatment (53%) when compared with the placebo (30%). Serious adverse events were similar in all treatment groups. Although treatment was well tolerated, neither ustekinumab nor golimumab demonstrated efficacy in pulmonary sarcoidosis. However, trends towards improvement were observed with golimumab in some dermatological end-points.</AbstractText>
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</AffiliationInfo>
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