Evidence map›Paper›PMID 28353191›Full record

ArticleRheumatology and therapy2017

Long-Term Maintenance of Certolizumab Pegol Safety and Efficacy, in Combination with Methotrexate and as Monotherapy, in Rheumatoid Arthritis Patients.

Roy Fleischmann, Ronald F van Vollenhoven, Jiri Vencovský, Rieke Alten, Owen Davies, Irina Mountian, Marc de Longueville, David Carter, Ernest Choy

3 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Rheumatology and therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.8field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00160693 phase3completednot on this map

A Phase III, Multicenter, Open-Label Long-Term Study to Assess the Safety and Tolerability of CDP870 400 mg Subcutaneously Every 4 Weeks, in Subjects With Rheumatoid Arthritis

TypeinterventionalSponsorUCB PharmaRan2003 to 2011Enrolled402ConditionsRheumatoid ArthritisArmsCertolizumab Pegol
NCT00544154 phase3completednot on this map

Efficacy and Safety of CDP870 400 mg in Combination With Methotrexate Compared to Methotrexate Alone in the Treatment of the Signs and Symptoms of Patients With Rheumatoid Arthritis Who Are Partial Responders to Methotrexate

TypeinterventionalSponsorUCB PharmaRan2002 to 2004Enrolled247ConditionsArthritis, RheumatoidArmsCDP870
NCT00548834 phase3completednot on this map

Efficacy and Safety of CDP870 400 mg Subcutaneously Versus Placebo in the Treatment of the Signs and Symptoms of Patients With Rheumatoid Arthritis Who Have Previously Failed at Least One DMARD

TypeinterventionalSponsorUCB PharmaRan2003 to 2004Enrolled220ConditionsRheumatoid ArthritisArmsCDP870
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Immunomodulatory effect ofThe journal of venomous animals and toxins including tropical diseases · 2024
    Article
  3. Article
  4. Targeting co-stimulatory molecules in autoimmune disease.Nature reviews. Drug discovery · 2020
    Review
  5. Review
  6. Article
  7. Observational
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 6 countries.

Roy FleischmannMetroplex Clinical Research Center, University of Texas SW Medical Center, Dallas, USA. rfleischmann@arthdocs.com.
Ronald F van VollenhovenKarolinska Institute, Stockholm, Sweden.
Jiri VencovskýInstitute of Rheumatology, Charles University in Prague, Prague, Czech Republic.
Rieke AltenSchlosspark-Klinik, Charité University Medicine Berlin, Berlin, Germany.
Owen DaviesUCB Pharma, Slough, UK.
Irina MountianUCB Pharma, Brussels, Belgium.
Marc de LonguevilleUCB Pharma, Brussels, Belgium.
David CarterUCB Pharma, Brussels, Belgium.
Ernest ChoyInstitute of Infection and Immunity, Cardiff University, Cardiff, UK.
UCB Pharma (Belgium) · BECardiff University · GBCharité - Universitätsmedizin Berlin · DEInstitute of Rheumatology · CZKarolinska Institutet · SEMetroplex Clinical Research Center · USUCB Pharma (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe safety and efficacy of certolizumab pegol (CZP) 400 mg every 4 weeks (Q4W) monotherapy (FAST4WARD/NCT00548834) and in combination with methotrexate (MTX) (014/NCT00544154) in active rheumatoid arthritis (RA) has been published previously. This report outlines final long-term outcomes from the open-label extension (OLE) study (015/NCT00160693), which enrolled patients from these randomized controlled trials (RCTs).

methodsPatients who withdrew from or completed the 24-week 014/FAST4WARD RCTs were enrolled and received CZP 400 mg Q4W with/without MTX. Exposure-adjusted event rates (ER) per 100 patient-years (PYs) of adverse events (AEs) and serious AEs (SAEs) were reported for all patients receiving ≥1 dose of CZP in RCTs or OLE (N = 427) between first CZP dose and up to 24 weeks after last CZP dose or study withdrawal. Efficacy assessments included clinical (ACR20/50/70 response rates, TJC, SJC) and patient-reported outcomes (HAQ-DI, PtGADA, pain, fatigue) to week 304 (5.8 years) in the CZP intent-to-treat population. SDAI and CDAI outcomes were analyzed post hoc. Outcomes for CZP monotherapy and CZP+MTX combination-therapy were compared.

resultsGlobally, ERs of AEs and SAEs were 408.1 and 25.2 per 100 PY, respectively. Eleven patients had AEs leading to death (ER 0.6). Improvements in clinical and patient-reported outcomes during the 24-week RCTs were maintained to week 304, and were similar between all subpopulations.

conclusionsThe longest exposure duration to date with CZP 400 mg Q4W treatment confirmed the safety profile observed in previous studies. Initial improvements in signs and symptoms of RA, including PROs, were maintained in both CZP monotherapy and CZP + MTX combination-therapy patients.

trial registrationClinicalTrials.gov identifier, NCT00160693.

fundingUCB Pharma.

Indexed as

Certolizumab pegolMonotherapyOpen-label extensionRheumatoid arthritis

Identifiers

PMID28353191
PMCPMC5443729
OpenAlexW2599478254

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.