PMID- 29611761 OWN - NLM STAT- MEDLINE DCOM- 20190503 LR - 20190503 IS - 1439-7609 (Electronic) IS - 1439-7595 (Linking) VI - 29 IP - 2 DP - 2019 Mar TI - Safety and effectiveness of iguratimod in patients with rheumatoid arthritis: Final report of a 52-week, multicenter postmarketing surveillance study. PG - 314-323 LID - 10.1080/14397595.2018.1460230 [doi] AB - OBJECTIVES: We evaluated the long-term (52 weeks) safety and effectiveness of iguratimod (IGU) in patients with rheumatoid arthritis (RA). METHODS: This multicenter, prospective, observational study included all evaluable RA patients who received IGU since its market launch in 2012. We evaluated adverse events (AEs); adverse drug reactions (ADRs); ADRs of special interest, including liver and renal dysfunctions, interstitial lung disease, gastrointestinal and blood disorders, and infection; and change in Disease Activity Score 28-C-reactive protein (DAS28-CRP) at week 52. RESULTS: Safety and effectiveness were analyzed in 2666 and 1614 patients, respectively. The incidences of AEs, serious AEs, ADRs, and serious ADRs were 46.92, 7.35, 38.26, and 4.58%, respectively. The incidence of ADRs peaked at approximately 4 weeks of treatment. Subsequently, the ADR incidence did not increase over time. Improvement of RA activity was shown up to week 52. CONCLUSION: Long-term treatment with IGU in patients with RA resulted in a tolerable safety profile and an improvement in RA activity. IGU could be considered a useful treatment option for patients with RA. FAU - Mimori, Tsuneyo AU - Mimori T AD - a Department of Rheumatology and Clinical Immunology, Graduate School of Medicine , Kyoto University , Kyoto , Japan. FAU - Harigai, Masayoshi AU - Harigai M AD - b Division of Epidemiology and Pharmacoepidemiology of Rheumatic Diseases , Institute of Rheumatology, Tokyo Women's Medical University , Tokyo , Japan. FAU - Atsumi, Tatsuya AU - Atsumi T AD - c Department of Rheumatology, Endocrinology and Nephrology, Faculty of Medicine , Hokkaido University Graduate School of Medicine , Hokkaido , Japan. FAU - Fujii, Takao AU - Fujii T AD - d Department of Rheumatology and Clinical Immunology , Wakayama Medical University , Wakayama , Japan. FAU - Kuwana, Masataka AU - Kuwana M AD - e Department of Allergy and Rheumatology , Nippon Medical School Graduate School of Medicine , Tokyo , Japan. FAU - Matsuno, Hiroaki AU - Matsuno H AD - f Matsuno Clinic for Rheumatic Diseases , Toyama , Japan. FAU - Momohara, Shigeki AU - Momohara S AD - g Hakkeikai Incorporated Medical Institution , Shizuoka , Japan. AD - h Department of Orthopaedic Surgery , Keio University , Tokyo , Japan. FAU - Takei, Syuji AU - Takei S AD - i Graduate School of Medical and Dental Sciences, Comprehensive Child Health and Development Medicine , Kagoshima University , Kagoshima , Japan. FAU - Tamura, Naoto AU - Tamura N AD - j Department of Internal Medicine and Rheumatology , Juntendo University Faculty of Medicine , Tokyo , Japan. FAU - Takasaki, Yoshinari AU - Takasaki Y AD - k Juntendo University Koshigaya Hospital, Juntendo University Faculty of Medicine , Saitama , Japan. FAU - Yamamoto, Kazuhiko AU - Yamamoto K AD - l Laboratory for Autoimmune Diseases , RIKEN Center for Integrative Medical Sciences , Kanagawa , Japan. FAU - Ikeuchi, Satoshi AU - Ikeuchi S AD - m Frontier PMS Section, Neurology Medical Department , Medical HQs, Eisai Co., Ltd. , Tokyo , Japan. FAU - Kushimoto, Satoru AU - Kushimoto S AD - n Post-Marketing Surveillance Group, Data Science and Administration Department , Toyama Chemical Co., Ltd. , Tokyo , Japan. FAU - Koike, Takao AU - Koike T AD - o Sapporo Medical Center NTT EC , Hokkaido , Japan. LA - eng PT - Journal Article PT - Multicenter Study PT - Observational Study DEP - 20180427 PL - England TA - Mod Rheumatol JT - Modern rheumatology JID - 100959226 RN - 0 (Antirheumatic Agents) RN - 0 (Chromones) RN - 0 (Immunosuppressive Agents) RN - 0 (Sulfonamides) RN - 4IHY34Y2NV (iguratimod) SB - IM MH - Adult MH - Aged MH - Antirheumatic Agents/administration & dosage/adverse effects MH - Arthritis, Rheumatoid/diagnosis/*drug therapy MH - *Chromones/administration & dosage/adverse effects MH - Drug Monitoring/methods MH - Drug-Related Side Effects and Adverse Reactions/*diagnosis MH - Female MH - Humans MH - Immunosuppressive Agents/administration & dosage/adverse effects MH - Male MH - Middle Aged MH - Product Surveillance, Postmarketing MH - Prospective Studies MH - *Sulfonamides/administration & dosage/adverse effects MH - Time MH - Treatment Outcome OTO - NOTNLM OT - Iguratimod OT - long-term effects OT - postmarketing surveillance study OT - rheumatoid arthritis OT - safety EDAT- 2018/04/04 06:00 MHDA- 2019/05/06 06:00 CRDT- 2018/04/04 06:00 PHST- 2018/04/04 06:00 [pubmed] PHST- 2019/05/06 06:00 [medline] PHST- 2018/04/04 06:00 [entrez] AID - 10.1080/14397595.2018.1460230 [doi] PST - ppublish SO - Mod Rheumatol. 2019 Mar;29(2):314-323. doi: 10.1080/14397595.2018.1460230. Epub 2018 Apr 27.