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Table 3 Patients with adverse events (AEs) and serious adverse events (SAEs)

From: Induction of sustained remission in early inflammatory arthritis with the combination of infliximab plus methotrexate: the DINORA trial

 

Total

n = 90

IFX + MTX

n = 38

MTX

n = 36

PL

n = 16

Adverse events, n (%)

    

 Infectious/parasitic disease

31 (35%)

19 (50%)

9 (25%)

3 (19%)

 Malignancy

1 (1%)

0

1 (3%)

0

 Disease of blood, blood-forming organs, and immune mechanisms (except arthritis)

1 (1%)

1 (3%)

0

0

 Endocrine, nutritional, and metabolic diseases

9 (10%)

2 (5%)

5 (14%)

2 (12%)

 Disease of the nervous system

17 (19%)

6 (16%)

9 (25%)

2 (13%)

 Diseases of the eye

3 (3%)

1 (3%)

2 (6%)

0

 Diseases of circulatory system

16 (18%)

6 (16%)

7 (19%)

3 (19%)

 Diseases of respiratory system

43 (48%)

23 (61%)

16 (44%)

4 (25%)

 Diseases of the digestive system

37 (41%)

15 (39%)

17 (47%)

5 (31%)

 Diseases of the skin and subcutaneous tissue

25 (28%)

12 (32%)

8 (22%)

5 (31%)

 Diseases of musculoskeletal system and connective tissue

30 (33%)

15 (39%)

9 (25%)

6 (38%)

 Diseases of urogenital system (pregnancy, childbirth, and puerperium)

4 (4%)

2 (5%)

2 (6%)

0

 Symptoms, signs, and abnormal clinical and laboratory findings not elsewhere classified

27 (30%)

11 (29%)

11 (31%)

5 (31%)

 Injury, poisoning and certain other consequences of external causes

9 (10%)

6 (16%)

3 (8%)

0

 External causes of morbidity

1 (1%)

1 (3%)

0

0

 Total

 

120

99

35

SAEs (n = 12)

 Hospitalisation due to different reasonsa

4

1

3

 Fainted during blood collection prior to administration of study drug

1

0

0

 Significantly raised transaminase levels

1

0

0

 Hematuria, followed by a diagnosis of bladder cancer

0

1

0

 Hypertensive episode 1 h after the last infusion with study drug

0

1

0

  1. Only 4 (0.9%) of all reported AEs and no SAEs were considered definitely related to the study drug. 155 AEs (37%) and no SAEs were regarded as possibly/probably related to one of the study drugs. No participant died during the 2-year study period. Two SAEs were related to infections (1 gastrointestinal, 1 genitourinary); however, in both cases patients were on PL only. One of these SAEs was related to a malignancy (bladder cancer on MTX monotherapy) and none to tuberculosis
  2. IFX infliximab, MTX methotrexate, PL placebo
  3. aHyperglycemia (PL), diarrhoea (PL), urinary tract infection (IFX + MTX), urinary tract infection with fever (PL), MTX pneumonitis (opportunistic) infection (IFX + MTX), significant flare of disease activity (IFX + MTX), myocardial infarction more than half a year after last study drug (MTX), and biliary pancreatitis in a time after the study medication (IFX + MTX)