Evidence map›Paper›PMID 32844378›Full record

ArticleRheumatology and therapy2020

A Multicentre, Randomised, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of Sirukumab in the Treatment of Giant Cell Arteritis.

Wolfgang A Schmidt, Bhaskar Dasgupta, Raashid Luqmani, Sebastian H Unizony, Daniel Blockmans, Zhihong Lai, Regina H Kurrasch, Ivana Lazic, Kurt Brown, Ravi Rao

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Rheumatology and therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02531633 (A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel Group Study to Evaluate the Efficacy and Safety of Sirukumab in the Treatment of Patients With Giant Cell Arteritis), which is not on this map. Cited by 19 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 4 pooled it
4.3field-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.

NCT02531633 phase3terminatednot on this map

A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel Group Study to Evaluate the Efficacy and Safety of Sirukumab in the Treatment of Patients With Giant Cell Arteritis

TypeinterventionalSponsorGlaxoSmithKlineRan2015 to 2018Enrolled161ConditionsGiant Cell ArteritisArmsSirukumab, Placebo to match sirukumab, Prednisone, Placebo to match prednisone
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 4 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Review
  7. Review
  8. [News on the treatment of large vessel vasculitis].Zeitschrift fur Rheumatologie · 2024
    Review
  9. Diagnosing vasculitis with ultrasound: findings and pitfalls.Therapeutic advances in musculoskeletal disease · 2024
    Review
  10. Observational
  11. Review
  12. Advances in the Treatment of Giant Cell Arteritis.Journal of clinical medicine · 2022
    Review
  13. Review
  14. Large-vessel vasculitis.Nature reviews. Disease primers · 2022
    Review
  15. Looking ahead: giant-cell arteritis in 10 years time.Therapeutic advances in musculoskeletal disease · 2022
    Review
  16. Review
  17. Review
  18. Article
  19. Biologic Therapies for Giant Cell Arteritis.Biologics : targets & therapy · 2021
    Review
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

10 authors at 6 institutions in 3 countries.

Wolfgang A SchmidtMedical Center for Rheumatology, Immanuel Krankenhaus Berlin (Buch), Berlin, Germany.
Bhaskar DasguptaRheumatology, Southend University Hospital NHS Foundation Trust, Essex, UK.
Raashid LuqmaniNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Science, University of Oxford, Oxford, UK.
Sebastian H UnizonyRheumatology, Massachusetts General Hospital, Boston, MA, USA.
Daniel BlockmansDepartment of General Internal Medicine, University Hospital Gasthuisberg, Leuven, Belgium.
Zhihong LaiImmunoinflammation, GlaxoSmithKline, Collegeville, PA, USA. zhihong.v.lai@gsk.com.ORCID http://orcid.org/0000-0001-6475-4360
Regina H KurraschImmunoinflammation, GlaxoSmithKline, Collegeville, PA, USA.
Ivana LazicBiostatistics, GlaxoSmithKline, Stevenage, Hertfordshire, UK.
Kurt BrownImmunoinflammation, GlaxoSmithKline, Collegeville, PA, USA.
Ravi RaoImmunology and Specialty Medicine, GlaxoSmithKline, Stevenage, Hertfordshire, UK.
GlaxoSmithKline (United States) · USGlaxoSmithKline (United Kingdom) · GBImmanuel Krankenhaus · DEMassachusetts General Hospital · USNuffield Orthopaedic Centre · GBSouthend University Hospital NHS Foundation Trust · GB

Funding

GlaxoSmithKline Study number 201677Medical Research Council MR/N011775/1
6 · The paper itself

Abstract

introductionTo evaluate the efficacy and safety of sirukumab in giant cell arteritis (GCA).

methodsIn this multicentre, randomised, double-blind, placebo-controlled, two-part phase 3 trial (NCT02531633; Part A [52-week double-blind treatment]; Part B [104-week follow-up]), patients with GCA were randomised (3:3:2:2:2) to sirukumab 100 mg every 2 weeks plus 6-month or 3-month prednisone taper, sirukumab 50 mg every 4 weeks plus 6-month prednisone taper, or placebo every 2 weeks plus 6-month or 12-month prednisone taper. The primary endpoint was the proportion of patients in sustained remission at week 52. Secondary endpoints included disease flare and safety. The study was terminated early (October 2017; sponsor decision).

resultsOf 161 patients randomised (sirukumab: n = 107; placebo: n = 54), 28 (17.4%) completed week 52 (median treatment duration: 24-30 weeks). In a revised intent-to-treat (ITT) subgroup (completed week 52 or discontinued before study termination [n = 55]); six patients (all receiving sirukumab) achieved the primary endpoint. In the ITT population (n = 161), the proportion of patients with flares (week 2-52) was lower with sirukumab (18.4-30.8%) than placebo (37.0-40.0%). The proportion of patients with flares (week 2-12) was highest with sirukumab 100 mg every 2 weeks plus 3-month prednisone taper (23.1%). In Part A, 94.4% of patients reported ≥ 1 treatment-emergent adverse event (TEAE); 19.3% reported serious TEAEs. The proportions of patients with TEAEs were generally similar across treatment arms. No deaths occurred.

conclusionsAlthough data were limited due to early termination and shortened treatment duration, sirukumab treatment resulted in numerically lower proportions of patients with flare by week 52 versus placebo, with no unexpected safety findings.

trial registrationClinicaltrials.gov: NCT02531633.

Indexed as

Clinical trialCorticosteroid taperGiant cell arteritisInterleukin-6Sirukumab

Identifiers

PMID32844378
PMCPMC7695797
OpenAlexW3081367915

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.