Evidence map›Paper›PMID 39196526›Full record

Trial reportDoklady. Biochemistry and biophysics2024

Efficacy and Safety of Levilimab in Combination with Methotrexate in Patients with Active Rheumatoid Arthritis: 56-Week Results of Phase III Randomized Double-Blind Placebo-Controlled Trial SOLAR.

V I Mazurov, E L Nasonov, A M Lila, M A Korolev, A M Prystrom, E V Kundzer, N F Soroka, A A Kastanayan, T V Povarova, T V Plaksina and 18 more

Abstract readRandomized Controlled TrialClinical Trial, Phase IIIMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Doklady. Biochemistry and biophysics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

28 authors.

V I MazurovMechnikov North-Western State Medical University, St-Petersburg, Russia.
E L NasonovNasonova Research Institute of Rheumatology, Moscow, Russia.
A M LilaNasonova Research Institute of Rheumatology, Moscow, Russia.
M A KorolevFederal Research Center Institute of Cytology and Genetics, Novosibirsk, Russia.
A M PrystromHealthcare Institution Municipal Clinical Hospital No. 1, Minsk, Belarus.
E V KundzerHealthcare Institution Municipal Clinical Hospital No. 1, Minsk, Belarus.
N F SorokaBelarusian State Medical University, Minsk, Republic of Belarus.
A A KastanayanRostov State Medical University, Ministry of Healthcare of the Russian Federation, Rostov-on-Don, Russia.
T V PovarovaRoad Clinical Hospital, Saratov, Russia.
T V PlaksinaSemashko Nizhny Novgorod Regional Clinical Hospital, Nizhny Novgorod, Russia.
O V AntipovaIrkutsk City Clinical Hospital No. 1, Medical Rheumatological Center, Irkutsk, Russia.
D G KrechikovaClinical Hospital Russian Railways Medicine, Smolensk, Russia.
S A SmakotinaBelyaev Kemerovo Regional Clinical Hospital, Regional Rheumatological Center, Kemerovo, Russia.
O A TciupaDepartment of Rheumatology, Gull City Hospital No. 4, Barnaul, Russia.
E V PuntusPerm Regional Clinical Hospital, Perm, Russia.
T A RaskinaKuzbass Clinical Hospital for War Veterans, Kemerovo, Russia.
L N ShilovaCity Clinical Hospital of Emergency Medical Aid No. 25, Volgograd, Russia.
T V KropotinaRegional Clinical Hospital, Omsk, Russia.
O B NesmeyanovaChelyabinsk Regional Clinical Hospital, Chelyabinsk, Russia.
T A PopovaJoint Stock Company "Center for Family Medicine", Yekaterinburg, Russia.
I B VinogradovaUlyanovsk Regional Clinical Hospital, Ulyanovsk, Russia.
E A DokukinaJSC BIOCAD, St. Petersburg, Russia.
A V PlotnikovaJSC BIOCAD, St. Petersburg, Russia.
P S PukhtinskaiaJSC BIOCAD, St. Petersburg, Russia.
A V Zinkina-OrikhanJSC BIOCAD, St. Petersburg, Russia.
Yu N LinkovaJSC BIOCAD, St. Petersburg, Russia.
A V EremeevaJSC BIOCAD, St. Petersburg, Russia.
A A LutckiiJSC BIOCAD, St. Petersburg, Russia. lutskii@biocad.ru.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

. Previously, 24-week results of phase III double-blind, placebo-controlled randomized clinical study (SOLAR) of levilimab in subjects with active rheumatoid arthritis (RA) proved a superiority of levilimab over placebo. Here, we present 1-year efficacy and safety data of the SOLAR study.

objectives. To evaluate the efficacy and safety of levilimab in combination with methotrexate (MTX) in subjects with MTX resistant active RA. MATERIALS AND

methods: The study was conducted at 21 clinical sites in Russia and Belarus. All randomized subjects have completed the study between November 2019 and October 2021. Adult subjects (154) aged ≥18 years with confirmed diagnosis of RA

results: Better response to treatment was observed in LVL QW/Q2W as it composed of those who reach DAS28-CRP ≤ 2.6 at W24. At this time point 15/27 (55.6%) of them achieved ACR70; 23/27 (85.2%) achieved DAS28-CRP remission (<2.6) and 7/27 (25.9%) achieved ACR/EULAR2011 remission of RA. After switching to LVL Q2W, rates of ACR70 and DAS28-CRP<2.6 did not significantly changed until W52: 17/27 (63.0%) and 21/27 (77.8%), respectively, yet the proportion of subject with ACR/EULAR 2011 remission further increased and reached 12/27 (44.4%). LVL QW arm was diminished by subjects who achieved high response to treatment at W24 and composed LVL QW/Q2W arm. Thus, ACR70, and remissions rate in this arm was close to zero at W24. However, continuation of LVL QW in those who not achieved DAS28-CRP ≤ 2.6 at W24 induced ACR70 response in 37/75 (36.0%), DAS28-CRP remission in 35/75 (46.7%) and ACR/EULAR 2011 remission in 8/75 (10.7%) at W52. The most common adverse events (reported in ≥5% of subjects) were blood cholesterol increase (30.3%), ALT increase (23.0%), lymphocyte count decrease (17.1%), ANC decrease (16.4%), blood triglycerides increase (13.8%), bilirubin increase (11.2%), AST increase (9.9%), WBC decrease (9.9%), IGRA with Mycobacterium tuberculosis antigen positive (7.2%), and injection site reactions (5.9%). No deaths occurred.

conclusions: Open label period confirmed the lasting efficacy and safety of levilimab in combination with MTX in subjects with MTX resistant active RA and suggested the possibility of switching to levilimab maintenance regimen (once every 2 weeks) (Q2W) in those who achieved remission of RA at week 24.

Indexed as

Arthritis, RheumatoidDrug Therapy, CombinationMethotrexateAdultAntibodies, Monoclonal, HumanizedAntirheumatic AgentsDouble-Blind MethodFemaleHumansMaleMiddle AgedTreatment OutcomeAntibodies, Monoclonal, HumanizedAntirheumatic AgentsMethotrexatelevilimabmonoclonal anti-IL-6 receptor antibodyrheumatoid arthritis

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Registered trials

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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.