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Today's Rheumatology News: VGX-1027 To Undergo Additional Testing For RA
D Scott Cunningham MD, PhD, MDLinx Rheumatology
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Article Summary

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Loet XL et al. - These findings indicate that interleukin-1 receptor antagonist anakinra 100 mg/day in combination with DMARD therapy safely improved functional status in patients with active RA

Methods
  • Study to assess changes in functional status in RA pts receiving the anakinra in addition to a DMARD
  • Adult pts with RA receiving methotrexate, sulfasalazine, or hydroxychloroquine for ≥3 mos were given anakinra 100 mgx1/d for 36 wks
  • The primary objective was to evaluate changes from baseline to week 36 in the HAQ disability index and subscales
  • Changes in the DAS28, proportion of pts meeting EULAR response criteria, and the safety of each combination regimen were also assessed

Results
  • 1207 pts, received ≥1 dose of anakinra were included in the efficacy and safety analyses
  • A significant change in the HAQ disability index was observed; no differences were seen among the 3 DMARD groups
  • A clinically meaningful improvement in HAQ was observed in 51% of pts
  • Mean improvement in DAS28 was 1.5, and 64% of pts achieved a good or moderate EULAR response score
  • Injection site reaction was the most frequently reported AE
  • The incidence of infections most commonly respiratory infection, was similar across treatment groups
  • No notable changes were observed in laboratory findings and vital signs

 

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