Evidence map›Paper›PMID 33493312›Full record

Trial reportRheumatology (Oxford, England)2021

Open-label phase 3 study of intravenous golimumab in patients with polyarticular juvenile idiopathic arthritis.

Nicolino Ruperto, Hermine I Brunner, César Pacheco-Tena, Ingrid Louw, Gabriel Vega-Cornejo, Alberto J Spindler, Daniel J Kingsbury, Heinrike Schmeling, Arturo Borzutzky, Rubén Cuttica and 21 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase III
In one paragraph

Trial report in Rheumatology (Oxford, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02277444 (A Multicenter, Open-Label Trial of Intravenous Golimumab, a Human Anti-TNFα Antibody, in Pediatric Subjects With Active Polyarticular Course Juvenile Idiopathic Arthritis Despite Methotrexate Therapy), which is not on this map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
3.5field-weighted citation impact, top 7% 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.

NCT02277444 phase3completednot on this map

A Multicenter, Open-Label Trial of Intravenous Golimumab, a Human Anti-TNFα Antibody, in Pediatric Subjects With Active Polyarticular Course Juvenile Idiopathic Arthritis Despite Methotrexate Therapy

TypeinterventionalSponsorJanssen Research & Development, LLCRan2014 to 2024Enrolled130ConditionsArthritis, JuvenileArmsGolimumab, Methotrexate
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Guideline
  2. Tumor necrosis factor (TNF) inhibitors for juvenile idiopathic arthritis.The Cochrane database of systematic reviews · 2025
    Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. Juvenile idiopathic arthritis.Nature reviews. Disease primers · 2022
    Review
  16. Article
  17. Review
  18. Advances in Juvenile Spondyloarthritis.Current rheumatology reports · 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

31 authors at 17 institutions in 9 countries.

Nicolino RupertoIRCCS Istituto Giannina Gaslini, Clinica Pediatrica e Reumatologia, PRINTO, Genoa, Italy.ORCID 0000-0001-8407-7782
Hermine I BrunnerCincinnati Children's Hospital Medical Center, Division of Rheumatology, University of Cincinnati, Cincinnati, OH, USA.
César Pacheco-TenaFacultad de Medicina, Universidad Autónoma de Chihuahua, Circuito Universitario Campus II, Chihuahua, México.
Ingrid LouwPanorama Medical Centre, Rheumatology Private Practice, Cape Town, South Africa.
Gabriel Vega-CornejoCentro de Reumatología y Autoinmunidad (CREA)/Hospital México Americano, Guadalajara, Jalisco, México.
Alberto J SpindlerCentro Médico Privado de Reumatología, Rheumatology Section, San Miguel de Tucuman, Tucuman, Argentina.
Daniel J KingsburyRandall Children's Hospital at Legacy Emanuel, Portland, OR, USA.
Heinrike SchmelingDepartment of Pediatrics, Alberta Children's Hospital, Cumming School of Medicine/University of Calgary, Calgary, Alberta, Canada.
Arturo BorzutzkyDepartment of Pediatric Infectious Diseases and Immunology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Rubén CutticaRheumatology Section, Hospital Pedro de Elizalde, Buenos Aires, Argentina.
C J InmanPediatric Rheumatology, University of Utah, Salt Lake City, UT, USA.
Victor MalievskiyFederal State Budget Educational Institution of Higher Education, Bashkir State Medical University of the Ministry of Healthcare of Russian Federation, Ufa, Russian Federation.
Christiaan ScottRed Cross War Memorial Children's Hospital and Groote Schuur Hospital, Paediatric Rheumatology, University of Cape Town, Cape Town, South Africa.
Vladimir KeltsevPediatric Department, Clinical Hospital No. 5, Togliatti, Russian Federation.
Maria Teresa TerreriEscola Paulista de Medicina/Universidade Federal de São Paulo, Pediatrics, São Paulo, Brazil.
Diego Oscar ViolaInstituto CAICI, Rheumatology, Rosario, Argentina.
Ricardo M XavierHospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre.
Taciana A Pedrosa FernandesPaediatric Department, Hospital das Clinicas-Botucatu Medicine University, UNESP, Botucatu, Brazil.
María Del Rocío Maldonado VelázquezHospital Infantil de México Federico Gómez, Medicina Interna y Reumatologia, Mexico City, México.
Michael HenricksonCincinnati Children's Hospital Medical Center, Cincinnati, OH.
Michael B ClarkJanssen Research & Development, LLC, Spring House, PA.
Karen A BensleyJanssen Research & Development, LLC, Spring House, PA.
Xiaoming LiJanssen Research & Development, LLC, Spring House, PA.
Kim Hung LoJanssen Research & Development, LLC, Spring House, PA.
Jocelyn H LeuJanssen Research & Development, LLC, Spring House, PA.
Chyi-Hung HsuJanssen Research & Development, LLC, Raritan, NJ, USA.
Elizabeth C HsiaJanssen Research & Development, LLC, Spring House, PA.
Zhenhua XuJanssen Research & Development, LLC, Spring House, PA.
Alberto MartiniUniversità degli Studi di Genova, Dipartimento di Neuroscienze, Riabilitazione, Oftalmologia, Genetica e Scienze Materno-Infantili (DiNOGMI), Genova, Italy.
Daniel J LovellCincinnati Children's Hospital Medical Center, Division of Rheumatology, University of Cincinnati, Cincinnati, OH, USA.
Pediatric Rheumatology Collaborative Study Group (PRCSG) and the Paediatric Rheumatology International Trials Organisation (PRINTO)
Janssen (United States) · USCincinnati Children's Hospital Medical Center · USAutonomous University of Chihuahua · MXBashkir State Medical University · RUHospital Infantil de México Federico Gómez · MXHospital Pedro de Elizalde · ARHospital Privado · ARIstituto Giannina Gaslini · ITPontificia Universidad Católica de Chile · CLRandall Children's Hospital at Legacy Emanuel · USUniversidade Estadual Paulista (Unesp) · BRUniversidade Federal de São Paulo · BRUniversidade Federal do Rio Grande do Sul · BRUniversity of Calgary · CAUniversity of Cape Town · ZAUniversity of Genoa · ITUniversity of Utah · US

Funding

Janssen Research & Development, LLC
6 · The paper itself

Abstract

objectivesTo assess efficacy, pharmacokinetics (PK) and safety of intravenous (i.v.) golimumab in patients with polyarticular-course JIA (pc-JIA).

methodsChildren aged 2 to <18 years with active pc-JIA despite MTX therapy for ≥2 months received 80 mg/m2 golimumab at weeks 0, 4, then every 8 weeks through week 52 plus MTX weekly through week 28. The primary and major secondary endpoints were PK exposure and model-predicted steady-state area under the curve (AUCss) over an 8-week dosing interval at weeks 28 and 52, respectively. JIA ACR response and safety were also assessed.

resultsIn total, 127 children were treated with i.v. golimumab. JIA ACR 30, 50, 70, and 90 response rates were 84%, 80%, 70% and 47%, respectively, at week 28 and were maintained through week 52. Golimumab serum concentrations and AUCss were 0.40 µg/ml and 399 µg ⋅ day/ml at week 28. PK exposure was maintained at week 52. Steady-state trough golimumab concentrations and AUCss were consistent across age categories and comparable to i.v. golimumab dosed 2 mg/kg in adults with rheumatoid arthritis. Golimumab antibodies and neutralizing antibodies were detected via a highly sensitive drug-tolerant assay in 31% (39/125) and 19% (24/125) of patients, respectively. Median trough golimumab concentration was lower in antibody-positive vs antibody-negative patients. Serious infections were reported in 6% of patients, including one death due to septic shock.

conclusionBody surface area-based dosing of i.v. golimumab was well tolerated and provided adequate PK exposure for clinical efficacy in paediatric patients with active pc-JIA.ClinicalTrials.gov number NCT02277444.

Indexed as

Administration, IntravenousAdolescentAntibodies, MonoclonalAntirheumatic AgentsArthritisArthritis, JuvenileChildChild, PreschoolFemaleHumansMaleTreatment OutcomeAntibodies, MonoclonalAntirheumatic Agentsgolimumabgolimumabintravenousjuvenile idiopathic arthritispharmacokineticstumour necrosis factor alpha

Identifiers

PMID33493312
PMCPMC8487314
OpenAlexW3123561686

What OpenQuestion holds

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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.