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Long‐term efficacy and safety of guselkumab, a monoclonal antibody specific to the p19 subunit of interleukin‐23, through 2 years in biologic‐naïve patients with active psoriatic arthritis

Arthritis & Rheumatology Nov 04, 2021

McInnes IB, Rahman P, Gottlieb AB, et al. - Treatment with guselkumab (an IL-23p19-subunit inhibitor) in biologic-naïve psoriatic arthritis (PsA) patients resulted in durable improvements in multiple disease domains with no unexpected safety findings through 2 years.

  • A total of 739 patients with active PsA despite prior nonbiologic therapy were randomized to: guselkumab 100mg every-4-weeks (Q4W); at Week0, Week4, and Q8W; or placebo➔guselkumab Q4W at Week24, in the phase-3 DISCOVER-2 trial.

  • Overall 652 (88%) completed treatment through Week100.

  • Guselkumab-induced relief of arthritis signs/symptoms and extra-articular manifestations was durable through 2 years.

  • Rates of radiographic progression were low among guselkumab-treated patients at earlier timepoints extended through Week100.

  • A serious adverse event or serious infection occurred in 8% and 3% of 731 guselkumab-treated patients, respectively, through Week112; one death was documented (road traffic accident).

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