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10.1136/annrheumdis-2016-209831

http://scihub22266oqcxt.onion/10.1136/annrheumdis-2016-209831
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C5530337!5530337 !28087506
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suck abstract from ncbi


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pmid28087506
      Ann+Rheum+Dis 2017 ; 76 (5 ): 831-839
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  • A randomised phase II study evaluating the efficacy and safety of subcutaneously administered ustekinumab and guselkumab in patients with active rheumatoid arthritis despite treatment with methotrexate #MMPMID28087506
  • Smolen JS ; Agarwal SK ; Ilivanova E ; Xu XL ; Miao Y ; Zhuang Y ; Nnane I ; Radziszewski W ; Greenspan A ; Beutler A ; Baker D
  • Ann Rheum Dis 2017[May]; 76 (5 ): 831-839 PMID28087506 show ga
  • OBJECTIVE: Interleukin (IL)-12 and IL-23 have been implicated in the pathogenesis of rheumatoid arthritis (RA). The safety and efficacy of ustekinumab, a human monoclonal anti-IL-12/23 p40 antibody, and guselkumab, a human monoclonal anti-IL-23 antibody, were evaluated in adults with active RA despite methotrexate (MTX) therapy. METHODS: Patients were randomly assigned (1:1:1:1:1) to receive placebo at weeks 0, 4 and every 8?weeks (n=55), ustekinumab 90?mg at weeks 0, 4 and every 8?weeks (n=55), ustekinumab 90?mg at weeks 0, 4 and every 12?weeks (n=55), guselkumab 50?mg at weeks 0, 4 and every 8?weeks (n=55), or guselkumab 200?mg at weeks 0, 4 and every 8?weeks (n=54) through week 28; all patients continued a stable dose of MTX (10-25?mg/week). The primary end point was the proportion of patients with at least a 20% improvement in the American College of Rheumatology criteria (ACR 20) at week 28. Safety was monitored through week 48. RESULTS: At week 28, there were no statistically significant differences in the proportions of patients achieving an ACR 20 response between the combined ustekinumab group (53.6%) or the combined guselkumab group (41.3%) compared with placebo (40.0%) (p=0.101 and p=0.877, respectively). Through week 48, the proportions of patients with at least one adverse event (AE) were comparable among the treatment groups. Infections were the most common type of AE. CONCLUSIONS: Treatment with ustekinumab or guselkumab did not significantly reduce the signs and symptoms of RA. No new safety findings were observed with either treatment. TRIAL REGISTRATION NUMBER: NCT01645280.
  • |Adult [MESH]
  • |Aged [MESH]
  • |Antibodies, Monoclonal, Humanized [MESH]
  • |Antibodies, Monoclonal/administration & dosage/immunology/pharmacokinetics/*therapeutic use [MESH]
  • |Antirheumatic Agents/administration & dosage/immunology/pharmacokinetics/*therapeutic use [MESH]
  • |Arthritis, Rheumatoid/*drug therapy [MESH]
  • |Double-Blind Method [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Male [MESH]
  • |Methotrexate/therapeutic use [MESH]
  • |Middle Aged [MESH]
  • |Retreatment [MESH]
  • |Severity of Illness Index [MESH]
  • |Treatment Failure [MESH]


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