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Table 2 Overview of TEAEs by age

From: Efficacy and safety of sarilumab in combination with csDMARDs or as monotherapy in subpopulations of patients with moderately to severely active rheumatoid arthritis in three phase III randomized, controlled studies

n/N (%)

Combination therapy with MTX in MTX-IR patients 52 weeks

Combination therapy with csDMARDs in TNF-IR/INT patients 24 weeks

Monotherapy in MTX-IR/INT patients 24 weeks

Placebo

Sarilumab 150 mg q2w

Sarilumab 200 mg q2w

Placebo

Sarilumab 150 mg q2w

Sarilumab 200 mg q2w

Adalimumab 40 mg q2w

Sarilumab 200 mg q2w

TEAEs

 Patients aged < 65 years

217/356 (61.0)

268/360 (74.4)

267/345 (77.4)

76/152 (50.0)

99/150 (66.0)

102/154 (66.2)

105/144 (72.9)

113/158 (71.5)

 Patients aged ≥ 65 years

29/41 (70.7)

32/41 (78.0)

45/51 (88.2)

14/29 (48.3)

20/31 (64.5)

18/30 (60.0)

36/40 (90.0)

14/26 (53.8)

Serious AEs

 Patients aged < 65 years

17/356 (4.8)

31/360 (8.6)

33/345 (9.6)

4/152 (2.6)

6/150 (4.0)

6/154 (3.9)

7/144 (4.9)

7/158 (4.4)

 Patients aged ≥ 65 years

4/41 (9.8)

6/41 (14.6)

12/51 (23.5)

2/29 (6.9)

0/31 (0.0)

4/30 (13.3)

11/40 (27.5)

3/26 (11.5)

AE leading to death

 Patients aged < 65 years

2/356 (0.6)

1/360 (0.3)

1/345 (0.3)

1/152 (0.7)

0/150 (0.0)

0/154 (0.0)

1/144 (0.7)

1/158 (0.6)

 Patients aged ≥ 65 years

0/41 (0.0)

1/41 (2.4)

0/51 (0.0)

0/29 (0.0)

0/31 (0.0)

0/30 (0.0)

0/40 (0.0)

0/26 (0.0)

AE leading to discontinuation

 Patients aged < 65 years

17/356 (4.8)

44/360 (12.2)

42/345 (12.2)

6/152 (3.9)

11/150 (7.3)

13/154 (8.4)

10/144 (6.9)

10/158 (6.3)

 Patients aged ≥ 65 years

5/41 (12.2)

8/41 (19.5)

12/51 (23.5)

2/29 (6.9)

3/31 (9.7)

4/30 (13.3)

4/40 (10.0)

3/26 (11.5)

Infections

 Patients aged < 65 years

112/356 (31.5)

149/360 (41.4)

133/345 (38.6)

43/152 (28.3)

35/150 (23.3)

45/154 (29.2)

49/144 (34.0)

54/158 (34.2)

 Patients aged ≥ 65 years

15/41 (36.6)

19/41 (46.3)

26/51 (51.0)

5/29 (17.2)

5/31 (16.1)

11/30 (36.7)

15/40 (37.5)

4/26 (15.4)

Serious infections

 Patients aged < 65 years

9/356 (2.5)

7/360 (1.9)

13/345 (3.8)

1/152 (0.7)

1/150 (0.7)

2/154 (1.3)

2/144 (1.4)

2/158 (1.3)

 Patients aged ≥ 65 years

1/41 (2.4)

4/41 (9.8)

2/51 (3.9)

1/29 (3.4)

0/31 (0.0)

0/30 (0.0)

1/40 (2.5)

0/26 (0.0)

Opportunistic infections

 Patients aged < 65 years

2/356 (0.6)

2/360 (0.6)

3/345 (0.9)

1/152 (0.7)

0/150 (0.0)

2/154 (1.3)

0/144 (0.0)

1/158 (0.6)

 Patients aged ≥ 65 years

0/41 (0.0)

0/41 (0.0)

1/51 (2.0)

0/29 (0.0)

0/31 (0.0)

0/30 (0.0)

1/40 (2.5)

0/26 (0.0)

Tuberculosis

 Patients aged < 65 years

0/356 (0.0)

0/360 (0.0)

0/345 (0.0)

0/152 (0.0)

0/150 (0.0)

0/154 (0.0)

0/26 (0.0)

1/158 (0.6)

 Patients aged ≥ 65 years

0/41 (0.0)

0/41 (0.0)

0/51 (0.0)

0/29 (0.0)

0/31 (0.0)

0/30 (0.0)

1/40 (2.5)

0/26 (0.0)

ANC < 1.5 × 109/L*

 Patients aged < 65 years

5/356 (1.4)

66/360 (18.3)

81/345 (23.5)

1/152 (0.7)

24/150 (16.0)

32/154 (20.8)

31/144 (21.5)

52/158 (32.9)

 Patients aged ≥ 65 years

1/41 (2.4)

7/41 (17.1)

12/51 (23.5)

1/29 (3.4)

7/31 (22.6)

10/30 (33.3)

9/40 (22.5)

10/26 (38.5)

ANC ≥ 0.5–1 × 109/L (grade 3)

 Patients aged < 65 years

0 (0.0)

16 (4.4)

26 (7.5)

0 (0.0)

9 (6.0)

11 (7.1)

15 (10.4)

23 (14.6)

 Patients aged ≥ 65 years

0 (0.0)

3 (7.3)

3 (5.9)

1 (3.4)

1 (3.2)

5 (16.7)

3 (7.5)

4 (15.4)

ANC < 0.5 × 109/L (grade 4)

 Patients aged < 65 years

0 (0.0)

4 (1.1)

1 (0.3)

0 (0.0)

2 (1.3)

1 (0.6)

0 (0.0)

0 (0.0)

 Patients aged ≥ 65 years

0 (0.0)

0 (0.0)

1 (2.0)

0 (0.0)

2 (6.5)

1 (3.3)

0 (0.0)

3 (11.5)

Platelets < 50 × 109/L

 Patients aged < 65 years

0/356 (0.0)

0/360 (0.0)

2/345 (0.6)

0/152 (0.0)

0/150 (0.0)

1/154 (0.6)

0/144 (0.0)

1/158 (0.6)

 Patients aged ≥ 65 years

0/41 (0.0)

0/41 (0.0)

0/51 (0.0)

0/29 (0.0)

0/31 (0.0)

0/30 (0.0)

0/40 (0.0)

0/26 (0.0)

ALT > 3 to ≤ 5× ULN

 Patients aged < 65 years

7/356 (2.0)

24/360 (6.7)

24/345 (7.0)

2/152 (1.3)

4/150 (2.7)

6/154 (3.9)

8/144 (5.6)

9/158 (5.7)

 Patients aged ≥ 65 years

1/41 (2.4)

1/41 (2.4)

0/51 (0.0)

0/29 (0.0)

0/31 (0.0)

1/30 (3.3)

1/40 (2.5)

0/26 (0.0)

ALT > 5 to ≤ 10× ULN

 Patients aged < 65 years

1/356 (0.3)

9/360 (2.5)

9/345 (2.6)

0/152 (0.0)

0/150 (0.0)

0/154 (0.0)

2/144 (1.4)

3/158 (1.9)

 Patients aged ≥ 65 years

0/41 (0.0)

0/41 (0.0)

0/51 (0.0)

0/29 (0.0)

0/31 (0.0)

0/30 (0.0)

0/40 (0.0)

0/26 (0.0)

  1. AE adverse event, ALT alanine aminotransferase, ANC absolute neutrophil count, csDMARD conventional synthetic disease-modifying antirheumatic drug, INT intolerant, IR inadequate response, MTX methotrexate, q2w every 2 weeks, TNF tumour necrosis factor
  2. *For Black patients, a cut-off value of < 1.0 × 109 ANC is reported, due to differences in ANC reference ranges according to racial group