PMID- 30791804 OWN - NLM STAT- MEDLINE DCOM- 20200601 LR - 20200601 IS - 1439-7609 (Electronic) IS - 1439-7595 (Linking) VI - 30 IP - 1 DP - 2020 Jan TI - Safety and tolerability of sifalimumab, an anti-interferon-alpha monoclonal antibody, in Japanese patients with systemic lupus erythematosus: A multicenter, phase 2, open-label study. PG - 93-100 LID - 10.1080/14397595.2019.1583832 [doi] AB - Objectives: To evaluate the safety of sifalimumab in Japanese patients with systemic lupus erythematosus (SLE).Methods: This phase 2, open-label study consisted of a 52-week initial stage (Stage I) and a long-term extension (Stage II). In Stage I, sequential cohorts of patients received ascending doses of sifalimumab (intravenous [IV] 1.0, 3.0, and 10.0 mg/kg or subcutaneous 100 mg every 2 weeks; IV 600 and 1200 mg every 6 weeks). In Stage II, patients enrolled before June 2012 received the same dose of sifalimumab as during Stage I for up to 157 weeks or sifalimumab 600 mg IV every 4 weeks if they enrolled later. The safety of sifalimumab was assessed by adverse events (AEs).Results: Thirty patients enrolled in Stage I and 21 patients entered Stage II. The majority of patients experienced AEs (96.7% in Stage I and 100% in Stage II); most were mild or moderate in severity. Serious AEs occurred in 30.0% and 57.1% of patients in Stage I and II, respectively; most were instances of SLE flares. The proportion of patients in Stage I and II who had AEs leading to discontinuation was 10.0% and 28.6%, respectively.Conclusion: Sifalimumab was well tolerated in Japanese patients with SLE. FAU - Takeuchi, Tsutomu AU - Takeuchi T AD - Division of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan. FAU - Tanaka, Yoshiya AU - Tanaka Y AD - First Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health Japan, Kitakyushu, Japan. FAU - Matsumura, Ryutaro AU - Matsumura R AD - Department of Allergy, National Hospital Organization, Chiba-East Hospital, Chiba, Japan. FAU - Saito, Kazuyoshi AU - Saito K AD - First Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health Japan, Kitakyushu, Japan. FAU - Yoshimura, Mitsuhiro AU - Yoshimura M AD - Department of Internal Medicine, National Hospital Organization, Kanazawa Medical Center, Ishikawa, Japan. FAU - Amano, Koichi AU - Amano K AD - Department of Rheumatology and Clinical Immunology, Saitama Medical Center, Saitama Medical University, Saitama, Japan. FAU - Atsumi, Tatsuya AU - Atsumi T AD - Department of Rheumatology, Endocrinology and Nephrology, Hokkaido University Hospital, Hokkaido, Japan. FAU - Suematsu, Eiichi AU - Suematsu E AD - Department of Internal Medicine and Rheumatology, National Hospital Organization, Kyushu Medical Center, Fukuoka, Japan. FAU - Hayashi, Nobuya AU - Hayashi N AD - Department of Research and Development, AstraZeneca K.K, Osaka, Japan. FAU - Wang, Liangwei AU - Wang L AD - AstraZeneca, Gaithersburg, MD, USA. FAU - Tummala, Raj AU - Tummala R AD - AstraZeneca, Gaithersburg, MD, USA. LA - eng PT - Clinical Trial, Phase II PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial DEP - 20190325 PL - England TA - Mod Rheumatol JT - Modern rheumatology JID - 100959226 RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Immunologic Factors) RN - 0 (Interferon-alpha) RN - XOY1YA7RMC (sifalimumab) SB - IM MH - Adult MH - Antibodies, Monoclonal, Humanized/*therapeutic use MH - Dose-Response Relationship, Drug MH - Drug Administration Routes MH - Female MH - Humans MH - Immunologic Factors/therapeutic use MH - Interferon-alpha/*immunology MH - Japan MH - Lupus Erythematosus, Systemic/*drug therapy MH - Male MH - Middle Aged MH - Treatment Outcome OTO - NOTNLM OT - Dose escalation OT - intravenous OT - safety OT - sifalimumab OT - subcutaneous OT - systemic lupus erythematosus EDAT- 2019/02/23 06:00 MHDA- 2020/06/02 06:00 CRDT- 2019/02/23 06:00 PHST- 2019/02/23 06:00 [pubmed] PHST- 2020/06/02 06:00 [medline] PHST- 2019/02/23 06:00 [entrez] AID - 10.1080/14397595.2019.1583832 [doi] PST - ppublish SO - Mod Rheumatol. 2020 Jan;30(1):93-100. doi: 10.1080/14397595.2019.1583832. Epub 2019 Mar 25.