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Table 1 Cumulative summary of golimumab safety and immunogenicity through week 268 of the GO-AFTER trial

From: Golimumab in patients with active rheumatoid arthritis after treatment with tumor necrosis factor α inhibitors: findings with up to five years of treatment in the multicenter, randomized, double-blind, placebo-controlled, phase 3 GO-AFTER study

 

Golimumab

 

50 mg only

50 and 100 mg

100 mg only

All patients

Number of treated patients

98

195

138

431

Mean duration of follow-up (weeks)

129.82

187.45

162.06

166.22

Mean number of injections

29.4

42.9

37.0

37.9

Patients with one or more adverse events

90 (91.8%)

186 (95.4%)

132 (95.7%)

408 (94.7%)

Common adverse eventsa

    

 Upper respiratory tract infection

25 (25.5%)

49 (25.1%)

43 (31.2%)

117 (27.1%)

 Rheumatoid arthritis

17 (17.3%)

57 (29.2%)

25 (18.1%)

99 (23.0%)

 Nasopharyngitis

10 (10.2%)

37 (19.0%)

26 (18.8%)

73 (16.9%)

 Sinusitis

19 (19.4%)

35 (17.9%)

23 (16.7%)

77 (17.9%)

 Back pain

8 (8.2%)

36 (18.5%)

18 (13.0%)

62 (14.4%)

 Hypertension

10 (10.2%)

34 (17.4%)

17 (12.3%)

61 (14.2%)

 Arthrlagia

13 (13.3%)

26 (13.3%)

21 (15.2%)

60 (13.9%)

 Bronchitis

12 (12.2%)

24 (12.3%)

22 (15.9%)

58 (13.5%)

 Diarrhea

5 (5.1%)

28 (14.4%)

22 (15.9%)

55 (12.8%)

 Urinary tract infection

13 (13.3%)

25 (12.8%)

13 (9.4%)

51 (11.8%)

 Nausea

10 (10.2%)

21 (10.8%)

18 (13.0%)

49 (11.4%)

 Headache

14 (14.3%)

19 (9.7%)

14 (10.1%)

47 (10.9%)

 Cough

10 (10.2%)

24 (12.3%)

13 (9.4%)

47 (10.9%)

Death

    

 Observed number of patients

2 (2.0%)

6 (3.1%)

1 (0.7%)

9 (2.1%)

 Incidence (95% CI)/100 pt-yrsb

0.82 (0.10, 2.95)

0.85 (0.31, 1.86)

0.23 (0.01, 1.30)

0.65 (0.30, 1.24)

Discontinuation due to adverse event(s)

24 (24.5%)

33 (16.9%)

24 (17.4%)

81 (18.8%)

Serious adverse events

34 (34.7%)

71 (36.4%)

46 (33.3%)

151 (35.0%)

Common serious adverse eventsc

    

 Pneumonia

3 (3.1%)

10 (5.1%)

5 (3.6%)

18 (4.2%)

 Urinary tract infection

0

5 (2.6%)

2 (1.4%)

7 (1.6%)

 Rheumatoid arthritis

4 (4.1%)

8 (4.1%)

2 (1.4%)

14 (3.2%)

 Osteoarthritis

2 (2.0%)

8 (4.1%)

1 (0.7%)

11 (2.6%)

 Sepsis

0

5 (2.6%)

1 (0.7%)

6 (1.4%)

 Arthralgia

1 (1.0%)

1 (0.5%)

2 (1.4%)

4 (0.9%)

Infections

64 (65.3%)

149 (76.4%)

108 (78.3%)

321 (74.5%)

Serious infections

    

 Observed number of patients

12 (12.2%)

29 (14.9%)

19 (13.8%)

60 (13.9%)

 Observed number of serious infections

16

46

35

97

 Incidence (95% CI)/100 pt-yrsd

6.54 (3.74, 10.62)

6.54 (4.79, 8.73)

8.14 (5.67, 11.32)

7.04 (5.71, 8.59)

Common serious infectionse

    

 Pneumonia

3 (3.1%)

10 (5.1%)

5 (3.6%)

18 (4.2%)

 Urinary tract infection

0

5 (2.6%)

2 (1.4%)

7 (1.6%)

 Sepsis

0

5 (2.6%)

1 (0.7%)

6 (1.4%)

 Cellulitis

1 (1.0%)

2 (1.0%)

1 (0.7%)

4 (0.9%)

 Diverticulitis

0

1 (0.5%)

2 (1.4%)

3 (0.7%)

 Pneumonitis

1 (1.0%)

0

1 (0.7%)

2 (0.5%)

 Colitis ulcerative

1 (1.0%)

0

0

1 (0.2%)

 Diarrhea

1 (1.0%)

0

0

1 (0.2%)

 Vomiting

1 (1.0%)

0

0

1 (0.2%)

Golimumab injection-site reactions

    

 Patients with reactions

11 (11.2%)

24 (12.3%)

18 (13.0%)

53 (12.3%)

 Injections with reactions

16 (0.6%)

49 (0.6%)

64 (1.3%)

129 (0.8%)

Antibodies to golimumab

    

 Week 52

5 (5.4%)

9 (5.4%)

6 (4.6%)

20 (5.2%)

  % with neutralizing antibodiesf

3/4 (75.0%)

5/5 (100.0%)

6/6 (100.0%)

14/15 (93.3%)

 Week 100

6 (6.5%)

12 (7.2%)

7 (5.4%)

25 (6.4%)

  % with neutralizing antibodiesf

4/5 (80.0%)

10/10 (100.0%)

6/7 (85.7%)

20/22 (90.9%)

 Week 268

7 (7.6%)

16 (9.6%)

8 (6.2%)

31 (8.0%)

  % with neutralizing antibodiesf

5/6 (83.3%)

14/14 (100.0%)

6/8 (75.0%)

25/28 (89.3%)

  1. Data presented are number (%) of patients unless noted otherwise. CI, confidence interval (based on exact method); GO-AFTER, GOlimumab After Former anti-tumor necrosis factor α Therapy Evaluated in Rheumatoid arthritis; pt-yrs, patient-years of follow-up. aOccurring in ≥10% of patients in the combined golimumab group. bThe incidence of death for placebo through week 24 was 0.00 (95% CI: 0.00, 6.20). cOccurring in ≥1% of patients in any golimumab group. dThe incidence of serious infections for placebo through week 24 was 2.07 (95% CI: 0.05, 11.52). eOccurring in ≥1% of patients in any golimumab group. fAmong patients with samples evaluable for testing.