Conclusions
These pooled analyses from three double-blind, randomized, placebo-controlled, phase 3 trials of patients with RA, PsA, and AS included safety data from 1280 patients for a total of 1697 PY of follow-up. Infusion reactions were uncommon across the three studies. Concomitant use of MTX and of low-dose oral corticosteroids was associated with a higher occurrence of ALT elevations and serious infections, respectively. Overall, most elevations in liver transaminases were mild and transient, and few patients experienced a serious infection. The safety profile of IV golimumab was generally consistent across the RA, PsA, and AS trials, as well as with other TNFi.
Abbreviations
AE: Adverse event; ALT: Alanine aminotransferase; AS: Ankylosing spondylitis; AST: Aspartate aminotransferase; BASDAI: Bath Ankylosing Spondylitis Disease Activity Index; BMI: Body mass index; CI: Confidence interval; CRP: C-reactive protein; EE: Early escape; GLM: Golimumab; IV: Intravenous; MACE: Major adverse cardiovascular events; MTX: Methotrexate; NSAIDs: Non-steroidal anti-inflammatory drugs; PBO: Placebo; PE: Primary endpoint; PsA: Psoriatic arthritis; PY: Patient years; R: Randomization; RA: Rheumatoid arthritis; SAE: Serious adverse event; SD: Standard deviation; TB: Tuberculosis; TNFα: Tumor necrosis factor alpha; TNFi: Tumor necrosis factor inhibitor; ULN: Upper limit of normal.
Acknowledgements
Medical writing support was provided by Rebecca Clemente, PhD (Janssen Scientific Affairs, LLC) and Elizabeth Rosenberg, PhD (Kelly Services, funded by Janssen) under the direction of the authors in accordance with Good Publication Practice guidelines (Ann Intern Med 2015;163:461–4). The authors thank Diane D. Harrison, MD, MPH (consultant funded by Janssen Research & Development, LLC) and Shelly Kafka, MD (formerly of Janssen Scientific Affairs, LLC) for substantive review.
Funding
This study was funded by Janssen Research & Development, LLC.
Availability of data and materials
The data sharing policy of Janssen Pharmaceutical Companies of Johnson & Johnson is available at https://www.janssen.com/clinical-trials/ trans parency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at https://yoda.yale.edu.
Declarations
Ethics approval and consent to participate
The GO-FURTHER, GO-VIBRANT, and GO-ALIVE trials were conducted in accordance with Good Clinical Practice guidelines and the Declaration of Helsinki. The protocols were approved by the Institutional Review Boards. All patients gave written informed consent before any study-related procedures were performed.
Consent for publication
Not applicable.
Arthritis Res Ther. 2022;24(73) © 2022 BioMed Central, Ltd.
Copyright to this article is held by the author(s), licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original citation.