Evidence map›Paper›PMID 31452928›Full record

Trial reportRMD open2019

Long-term safety and efficacy of sarilumab plus methotrexate on disease activity, physical function and radiographic progression: 5 years of sarilumab plus methotrexate treatment.

Mark C Genovese, Désirée van der Heijde, Yong Lin, Gregory St John, Sheldon Wang, Hubert van Hoogstraten, Juan José Gómez-Reino, Alan Kivitz, José Antonio Maldonado-Cocco, Bruno Seriolo and 2 more

2 registry-linked trialsOpen access · goldAbstract readClinical Trial, Phase IIIComparative StudyMulticenter Study
In one paragraph

Trial report in RMD open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% 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.

NCT01061736 phase2 / phase3completednot on this map

A Randomized, Double-blind, Placebo-controlled, Multicenter, Two-part, Dose Ranging and Confirmatory Study With an Operationally Seamless Design, Evaluating Efficacy and Safety of SAR153191 on Top of Methotrexate (MTX) in Patients With Active Rheumatoid Arthritis Who Are Inadequate Responders to MTX Therapy

TypeinterventionalSponsorSanofiRan2010 to 2013Enrolled1,675ConditionsRheumatoid ArthritisArmsSarilumab, Placebo (for sarilumab), Methotrexate, Folic Acid
NCT01146652 phase3completednot on this map

A Multi-center, Uncontrolled Extension Study Evaluating Efficacy and Safety of SAR153191 in Patients With Active Rheumatoid Arthritis (RA)

TypeinterventionalSponsorSanofiRan2010 to 2020Enrolled2,023ConditionsRheumatoid ArthritisArmsSAR153191 (REGN88)
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
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  12. Role of Interleukin 6 Inhibitors in the Management of Rheumatoid Arthritis.Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases · 2021
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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

12 authors at 10 institutions in 7 countries.

Mark C Genovese *Stanford University Medical Center, Palo Alto, California, USA.ORCID 0000-0001-5294-4503
Désirée van der Heijde *Leiden University Medical Centre, Leiden, The Netherlands.ORCID 0000-0002-5781-158X
Yong LinSanofi Genzyme, Bridgewater, New Jersey, USA.
Gregory St JohnRegeneron Pharmaceuticals Inc, Tarrytown, New York, USA.
Sheldon WangSanofi Genzyme, Bridgewater, New Jersey, USA.
Hubert van HoogstratenSanofi Genzyme, Bridgewater, New Jersey, USA.
Juan José Gómez-ReinoComplejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain.
Alan KivitzAltoona Center for Clinical Research, Duncansville, Pennsylvania, USA.
José Antonio Maldonado-CoccoSchool of Medicine, University of Buenos Aires, Buenos Aires, Argentina.
Bruno SerioloDepartment of Internal Medicine, University of Genova, Genova, Italy.
Marina StanislavResearch Rheumatology Institute n. a. V.A. Nasonova, Moscow, Russia.
Gerd R BurmesterDepartment of Rheumatology and Clinical Immunology, Charité - University Medicine Berlin, Berlin, Germany.ORCID 0000-0001-7518-1131
Sanofi (United States) · USAltoona Center for Clinical Research · USAssociation of Rheumatologists of Russia · RUCharité - Universitätsmedizin Berlin · DEComplejo Hospitalario Universitario de Santiago · ESLeiden University Medical Center · NLRegeneron (United States) · USStanford Medicine · USUniversidad de Buenos Aires · ARUniversity of Genoa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: In MOBILITY (NCT01061736), sarilumab significantly reduced disease activity, improved physical function and inhibited radiographic progression at week 52 versus placebo in patients with rheumatoid arthritis (RA) and an inadequate response to methotrexate. We report 5-year safety, efficacy and radiographic outcomes of sarilumab from NCT01061736 and the open-label extension (EXTEND; NCT01146652), in which patients received sarilumab 200 mg every 2 weeks (q2w) + methotrexate. Methods: Patients (n=1197) with moderately to severely active RA were initially randomised to placebo, sarilumab 150 mg or sarilumab 200 mg subcutaneously q2w plus weekly methotrexate for 52 weeks. Completers were eligible to enrol in the open-label extension and receive sarilumab 200 mg q2w + methotrexate. Results: Overall, 901 patients entered the open-label extension. The safety profile remained stable over 5-year follow-up and consistent with interleukin-6 receptor blockade. Absolute neutrophil count <1000 cells/mm Conclusion: Clinical efficacy, including inhibition of radiographic progression, reduction in disease activity and improvement in physical function, was sustained with sarilumab + methotrexate over 5 years. Safety appeared stable over the 5-year period.

Indexed as

AdultAntibodies, Monoclonal, HumanizedAntirheumatic AgentsArthritis, RheumatoidC-Reactive ProteinDisease ProgressionDrug Therapy, CombinationExerciseFemaleHumansInjections, SubcutaneousMaleMethotrexateMiddle AgedNeutrophilsPatient SafetyAntibodies, Monoclonal, HumanizedAntirheumatic AgentsC-Reactive ProteinMethotrexatePlacebosReceptors, Interleukin-6sarilumabDMARDs (biological)rheumatoid arthritistreatment

Identifiers

PMID31452928
PMCPMC6691511
OpenAlexW2966045035

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.