Reduction of anterior uveitis flares in patients with axial spondyloarthritis on certolizumab pegol treatment: final 2-year results from the multicenter phase IV C-VIEW study.

TNF inhibitor axial spondyloarthritis extra-articular manifestations uveitis

Journal

Therapeutic advances in musculoskeletal disease
ISSN: 1759-720X
Titre abrégé: Ther Adv Musculoskelet Dis
Pays: England
ID NLM: 101517322

Informations de publication

Date de publication:
2021
Historique:
received: 05 02 2021
accepted: 22 02 2021
entrez: 15 4 2021
pubmed: 16 4 2021
medline: 16 4 2021
Statut: epublish

Résumé

Acute anterior uveitis (AAU), affecting up to 40% of patients with axial spondyloarthritis (axSpA), risks permanent visual deficits if not adequately treated. We report 2-year results from C-VIEW, the first study to prospectively investigate certolizumab pegol (CZP) on AAU in patients with active axSpA at high risk of recurrent AAU. C-VIEW (NCT03020992) was a 104-week (96 weeks plus 8-week safety follow-up), open-label, multicenter study. Eligible patients had active axSpA, human leukocyte antigen-B27 (HLA-B27) positivity and a history of recurrent AAU (⩾2 AAU flares in total; ⩾1 in the year prior to baseline). Patients received CZP 400 mg at weeks 0, 2 and 4, then 200 mg every 2 weeks to week 96. The primary efficacy endpoint was the AAU flare event rate during 96 weeks' CZP Of 115 enrolled patients, 89 initiated CZP (male: 63%; radiographic/non-radiographic axSpA: 85%/15%; mean disease duration: 9.1 years); 83 completed week 96. There was a significant 82% reduction in AAU flare event rate during CZP CZP treatment significantly reduced AAU flare event rate in patients with axSpA and a history of AAU, indicating CZP is a suitable treatment option for patients at risk of recurrent AAU. NCT03020992, URL: https://clinicaltrials.gov/ct2/show/NCT03020992.

Identifiants

pubmed: 33854572
doi: 10.1177/1759720X211003803
pii: 10.1177_1759720X211003803
pmc: PMC8010825
doi:

Banques de données

ClinicalTrials.gov
['NCT03020992']

Types de publication

Journal Article

Langues

eng

Pagination

1759720X211003803

Informations de copyright

© The Author(s), 2021.

Déclaration de conflit d'intérêts

Conflict of interest statement: Irene E. van der Horst-Bruinsma: Honoraria/consulting fees/research grants from AbbVie, BMS, MSD, Novartis, Pfizer, UCB Pharma; Rianne E. van Bentum: none; Frank D. Verbraak: Honoraria/consulting fees/research grants from Bayer, Novartis, IDxDR, UCB Pharma; Atul Deodhar: Honoraria/consulting fees/research grants from AbbVie, Amgen, Boehringer Ingelheim, BMS, Eli Lilly, GSK, Janssen, Novartis, Pfizer, UCB Pharma; Thomas Rath: Honoraria/consulting fees from AbbVie, BMS, Chugai, Eli Lilly, MSD, Novartis, Pfizer, Roche, UCB Pharma; Bengt Hoepken, Oscar Irvin-Sellers, Lars Bauer: Employees of UCB Pharma; Karen Thomas: Former contractor with UCB Pharma; Martin Rudwaleit: Honoraria/consulting fees from AbbVie, BMS, Celgene, Eli Lilly, Janssen, MSD, Novartis, Pfizer, Roche, UCB Pharma.

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Auteurs

Irene E van der Horst-Bruinsma (IE)

Department of Rheumatology, Amsterdam University Medical Center, Location VU Medical Center, De Boelelaan 1117, Amsterdam, 1081 HV, The Netherlands.

Rianne E van Bentum (RE)

Department of Rheumatology, Amsterdam University Medical Centers, Location VU Medical Centre, Amsterdam, The Netherlands.

Frank D Verbraak (FD)

Department of Ophthalmology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

Atul Deodhar (A)

Division of Arthritis and Rheumatic Diseases, Oregon Health and Science University, Portland, OR, USA.

Thomas Rath (T)

Department of Opthalmology, St Franziskus-Hospital, Münster, Germany.

Bengt Hoepken (B)

UCB Pharma, Monheim am Rhein, Germany.

Oscar Irvin-Sellers (O)

UCB Pharma, Slough, UK.

Karen Thomas (K)

UCB Pharma, Monheim am Rhein, Germany.

Lars Bauer (L)

UCB Pharma, Monheim am Rhein, Germany.

Martin Rudwaleit (M)

Clinic for Internal Medicine and Rheumatology, Klinikum Bielefeld and Department of Gastroenterology, Infectiology and Rheumatology, Charité Berlin, Germany.

Classifications MeSH