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10.1002/art.40425

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C5947119!5947119 !29381843
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suck abstract from ncbi


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pmid29381843
      Arthritis+Rheumatol 2018 ; 70 (5 ): 763-773
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  • Efficacy of Epratuzumab, an Anti-CD22 Monoclonal IgG Antibody, in Systemic Lupus Erythematosus Patients With Associated Sjögren s Syndrome: Post Hoc Analyses From the EMBODY Trials #MMPMID29381843
  • Gottenberg JE ; Dörner T ; Bootsma H ; Devauchelle-Pensec V ; Bowman SJ ; Mariette X ; Bartz H ; Oortgiesen M ; Shock A ; Koetse W ; Galateanu C ; Bongardt S ; Wegener WA ; Goldenberg DM ; Meno-Tetang G ; Kosutic G ; Gordon C
  • Arthritis Rheumatol 2018[May]; 70 (5 ): 763-773 PMID29381843 show ga
  • OBJECTIVE: EMBODY 1 (ClinicalTrials.gov identifier: NCT01262365) and EMBODY 2 (ClinicalTrials.gov identifier: NCT01261793) investigated the efficacy and safety of epratuzumab, a CD22-targeted humanized monoclonal IgG antibody, in patients with systemic lupus erythematosus (SLE). The studies showed no significant difference from placebo in primary or secondary clinical outcome measures but did demonstrate B cell-specific immunologic activity. The aim of this post hoc analysis was to determine whether epratuzumab had a different clinical efficacy profile in SLE patients with versus those without an associated diagnosis of Sjögren's syndrome (SS). METHODS: The efficacy and safety of epratuzumab were compared between 2 patient subpopulations randomized in EMBODY 1 and 2: SLE patients with and those without a diagnosis of associated SS. British Isles Lupus Assessment Group (BILAG) total score, BILAG-based Combined Lupus Assessment (BICLA) clinical response to treatment, biologic markers (including B cells, IgG, IgM, and IgA), and safety were assessed. RESULTS: A total of 1,584 patients were randomized in the EMBODY 1 and EMBODY 2 trials; 113 patients were anti-SSA positive and had a diagnosis of associated SS, and 1,375 patients (86.8%) had no diagnosis of associated SS (918 patients were randomized to receive epratuzumab and 457 to receive placebo). For patients with associated SS, but not those without associated SS, a higher proportion of patients receiving epratuzumab achieved a BICLA response and a reduction from baseline in BILAG total score. B cell reduction was faster in patients with associated SS. The sensitivity of B cells to epratuzumab as measured by the mean concentration producing 50% of the maximum B cell count depletion was lower for patients with associated SS (9.5 ?g/ml) versus the total EMBODY population (87.1 ?g/ml). No difference in the frequency of adverse events in those receiving placebo was reported. CONCLUSION: Patients with SLE and associated SS treated with epratuzumab showed improvement in SLE disease activity, which was associated with bioactivity, such as decreases in B cell number and IgM level.
  • |Adult [MESH]
  • |Antibodies, Monoclonal, Humanized/*therapeutic use [MESH]
  • |Antineoplastic Agents, Immunological/*therapeutic use [MESH]
  • |B-Lymphocytes/immunology [MESH]
  • |Case-Control Studies [MESH]
  • |Clinical Trials, Phase III as Topic [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Immunoglobulin A/immunology [MESH]
  • |Immunoglobulin G/immunology [MESH]
  • |Immunoglobulin M/immunology [MESH]
  • |Lupus Erythematosus, Systemic/complications/*drug therapy/immunology [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Randomized Controlled Trials as Topic [MESH]
  • |Sialic Acid Binding Ig-like Lectin 2/antagonists & inhibitors [MESH]
  • |Sjogren's Syndrome/complications/*drug therapy/immunology [MESH]


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