PMID- 31748904 OWN - NLM STAT- MEDLINE DCOM- 20200921 LR - 20200921 IS - 1865-8652 (Electronic) IS - 0741-238X (Print) IS - 0741-238X (Linking) VI - 37 IP - 1 DP - 2020 Jan TI - Long-Term Safety of Adalimumab in 29,967 Adult Patients From Global Clinical Trials Across Multiple Indications: An Updated Analysis. PG - 364-380 LID - 10.1007/s12325-019-01145-8 [doi] AB - INTRODUCTION: The safety profile of adalimumab was previously reported in 23,458 patients across multiple indications. Here we report the long-term safety of adalimumab in adults with plaque psoriasis (Ps), hidradenitis suppurativa (HS), rheumatoid arthritis (RA), ankylosing spondylitis, psoriatic arthritis, non-radiographic axial spondyloarthritis, peripheral spondyloarthritis, Crohn's disease (CD), ulcerative colitis (UC), and non-infectious uveitis (UV). METHODS: Safety data from 77 clinical trials were pooled. Safety assessments included adverse events (AEs) and serious AEs (SAEs) that occurred after the first study dose and within 70 days (5 half-lives) after the last study dose. RESULTS: A total of 29,967 patients were included, representing 56,916 patient-years (PY) of exposure. The most frequently reported SAE of interest was infection (3.7/100 PY) with highest incidences in CD, RA, UV, and UC (3.5/100 PY-6.9/100 PY); serious infections in Ps (1.8/100 PY) and HS (2.8/100 PY) were lower. The observed number of deaths was below what would be expected in an age- and sex-adjusted population for most adalimumab-treated patients (including Ps). Lack of real-life data and limited long-term data (> 5 years) for most patients are limitations of this analysis. CONCLUSION: The safety profile of adalimumab was consistent with previous findings and no new safety signals were observed. FAU - Burmester, Gerd R AU - Burmester GR AUID- ORCID: 0000-0001-7518-1131 AD - Charite Universitatsmedizin Berlin, Berlin, Germany. gerd.burmester@charite.de. FAU - Gordon, Kenneth B AU - Gordon KB AD - Medical College of Wisconsin, Milwaukee, WI, USA. FAU - Rosenbaum, James T AU - Rosenbaum JT AD - Oregon Health and Science University and Legacy Devers Eye Institute, Portland, OR, USA. FAU - Arikan, Dilek AU - Arikan D AD - AbbVie, North Chicago, IL, USA. FAU - Lau, Winnie L AU - Lau WL AD - AbbVie, North Chicago, IL, USA. FAU - Li, Peigang AU - Li P AD - AbbVie, North Chicago, IL, USA. FAU - Faccin, Freddy AU - Faccin F AD - AbbVie, North Chicago, IL, USA. FAU - Panaccione, Remo AU - Panaccione R AD - University of Calgary, Calgary, AB, Canada. LA - eng SI - figshare/10.6084/m9.figshare.10070138 PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20191120 PL - United States TA - Adv Ther JT - Advances in therapy JID - 8611864 RN - 0 (Anti-Inflammatory Agents) RN - FYS6T7F842 (Adalimumab) MH - Adalimumab/*therapeutic use MH - Adult MH - Aged MH - Aged, 80 and over MH - Anti-Inflammatory Agents/*therapeutic use MH - Arthritis, Psoriatic/*drug therapy MH - Arthritis, Rheumatoid/*drug therapy MH - Colitis, Ulcerative/*drug therapy MH - Crohn Disease/*drug therapy MH - Female MH - Hidradenitis Suppurativa/*drug therapy MH - Humans MH - Male MH - Middle Aged MH - Uveitis/*drug therapy PMC - PMC6979455 OTO - NOTNLM OT - Adalimumab OT - Ankylosing spondylitis OT - Crohn's disease OT - Hidradenitis suppurativa OT - Long-term safety OT - Plaque psoriasis OT - Psoriatic arthritis OT - Rheumatoid arthritis OT - Ulcerative colitis OT - Uveitis EDAT- 2019/11/22 06:00 MHDA- 2020/09/22 06:00 PMCR- 2019/11/20 CRDT- 2019/11/22 06:00 PHST- 2019/10/08 00:00 [received] PHST- 2019/11/22 06:00 [pubmed] PHST- 2020/09/22 06:00 [medline] PHST- 2019/11/22 06:00 [entrez] PHST- 2019/11/20 00:00 [pmc-release] AID - 10.1007/s12325-019-01145-8 [pii] AID - 1145 [pii] AID - 10.1007/s12325-019-01145-8 [doi] PST - ppublish SO - Adv Ther. 2020 Jan;37(1):364-380. doi: 10.1007/s12325-019-01145-8. Epub 2019 Nov 20.