Evidence map›Paper›PMID 34028703›Full record

ArticleRheumatology and therapy2021

Efficacy of Long-Term Treatment with Once-Daily Baricitinib 2 mg in Patients with Active Rheumatoid Arthritis: Post Hoc Analysis of Two 24-Week, Phase III, Randomized, Controlled Studies and One Long-Term Extension Study.

Alvin F Wells, Bochao Jia, Li Xie, Guillermo J Valenzuela, Edward C Keystone, Zhanguo Li, Amanda K Quebe, Kirstin Griffing, Susan Otawa, Boulos Haraoui

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

Article in Rheumatology and therapy, 2021. 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 34% 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.

NCT01721044 phase3completednot on this map

A Randomized, Double-Blind, Placebo-Controlled, Phase 3 Study Evaluating the Efficacy and Safety of Baricitinib (LY3009104) in Patients With Moderately to Severely Active Rheumatoid Arthritis Who Have Had an Inadequate Response to Tumor Necrosis Factor Inhibitors

TypeinterventionalSponsorEli Lilly and CompanyRan2013 to 2014Enrolled527ConditionsRheumatoid ArthritisArmsPlacebo, Baricitinib, cDMARD
NCT01721057 phase3completednot on this map

A Randomized, Double-Blind, Placebo-Controlled, Phase 3 Study to Evaluate the Efficacy and Safety of Baricitinib (LY3009104) in Patients With Inadequate Response to Conventional Disease-Modifying Antirheumatic Drugs With Moderately to Severely Active Rheumatoid Arthritis

TypeinterventionalSponsorEli Lilly and CompanyRan2012 to 2014Enrolled684ConditionsRheumatoid ArthritisArmsPlacebo, Baricitinib, cDMARD
NCT01885078 phase3completednot on this map

A Phase 3, Multicenter Study to Evaluate the Long-Term Safety and Efficacy of Baricitinib in Patients With Rheumatoid Arthritis

TypeinterventionalSponsorEli Lilly and CompanyRan2013 to 2020Enrolled2,877ConditionsRheumatoid ArthritisArmsBaricitinib, Placebo
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. 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

10 authors at 5 institutions in 3 countries.

Alvin F WellsAurora Rheumatology and Immunotherapy Center, Franklin, WI, USA.
Bochao JiaEli Lilly and Company, Lilly Technology Center South, 1555 South Harding Street, Indianapolis, IN, 46221, USA.
Li XieEli Lilly and Company, Lilly Technology Center South, 1555 South Harding Street, Indianapolis, IN, 46221, USA.
Guillermo J ValenzuelaIntegral Rheumatology and Immunology Specialists, Fort Lauderdale, FL, USA.
Edward C KeystoneUniversity of Toronto, Toronto, ON, Canada.
Zhanguo LiDepartment of Rheumatology and Immunology, Peking University People's Hospital, Beijing, People's Republic of China.
Amanda K QuebeEli Lilly and Company, Lilly Technology Center South, 1555 South Harding Street, Indianapolis, IN, 46221, USA. amanda.quebe@lilly.com.
Kirstin GriffingEli Lilly and Company, Lilly Technology Center South, 1555 South Harding Street, Indianapolis, IN, 46221, USA.
Susan OtawaEli Lilly and Company, Lilly Technology Center South, 1555 South Harding Street, Indianapolis, IN, 46221, USA.
Boulos HaraouiInstitut de Rhumatologie de Montréal, Montreal, QC, Canada.
Eli Lilly (United States) · USDermatology Specialists · USMontreal Clinical Research Institute · CAPeking University People's Hospital · CNUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTo evaluate long-term efficacy of once-daily baricitinib 2 mg in patients with active rheumatoid arthritis who had an inadequate response (IR) to conventional synthetic disease-modifying antirheumatic drugs (csDMARD) or biologic DMARDs (bDMARD).

methodsData from patients treated with baricitinib 2 mg daily in two 24-week, phase III studies, RA-BUILD (csDMARD-IR; NCT01721057) and RA-BEACON (bDMARD-IR; NCT01721044), and one long-term extension study (RA-BEYOND; NCT01885078), were analyzed (120 weeks). The main outcomes were achievement of low-disease activity (LDA; Simple Disease Activity Index [SDAI] ≤ 11), clinical remission (SDAI ≤ 3.3), Health Assessment Questionnaire Disability Index (HAQ-DI) ≤ 0.5 and improvement from baseline of ≥ 0.22, and safety. Analysis populations included (1) all patients and (2) never-rescued patients. Completer and non-responder imputation (NRI) analyses were conducted on each population.

resultsIn RA-BUILD, 684 were randomized (229 to baricitinib 2 mg, 180 of whom completed RA-BUILD and entered RA-BEYOND). In RA-BEACON, 527 were randomized (174 to baricitinib 2 mg, 117 of whom completed RA-BEACON and entered RA-BEYOND). In RA-BUILD-BEYOND, 85.1% (63/74, completer) and 27.5% (63/229, NRI) of csDMARD-IR patients treated with baricitinib 2 mg achieved SDAI LDA; 40.5% (30/74, completer) and 13.1% (30/229, NRI) were in SDAI remission; 62.2% (46/74, completer) and 20.1% (46/229, NRI) had HAQ-DI ≤ 0.5 and 81.1% (60/74, completer); and 26.2% (60/229, NRI) achieved ≥ 0.22 change from baseline at week 120. In RA-BEACON-BEYOND, 86.5% (32/37, completer) and 18.4% (32/174, NRI) of bDMARD-IR patients treated with baricitinib 2 mg achieved SDAI LDA; 24.3% (9/37, completer) and 5.2% (9/174, NRI) were in SDAI remission; 50.0% (19/38, completer) and 10.9% (19/174, NRI) had HAQ-DI ≤ 0.5; and 73.7% (28/38, completer) and 16.1% (28/174, NRI) achieved ≥ 0.22 change from baseline at week 120. Rates of adverse events of special interest were consistent with previous reports.

conclusionsLong-term treatment with baricitinib 2 mg demonstrated efficacy for up to 120 weeks and was well tolerated.

trial registrationClinicalTrials.gov identifier, NCT01721057, NCT01721044, and NCT01885078.

Indexed as

ArthritisBaricitinibRheumatoid

Identifiers

PMID34028703
PMCPMC8217400
OpenAlexW3165653864

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.