PMID- 33050760 OWN - NLM STAT- MEDLINE DCOM- 20210621 LR - 20221207 IS - 1439-7609 (Electronic) IS - 1439-7595 (Linking) VI - 31 IP - 3 DP - 2021 May TI - A pooled safety analysis of peficitinib (ASP015K) in Asian patients with rheumatoid arthritis treated over a median of 2 years. PG - 543-555 LID - 10.1080/14397595.2020.1836789 [doi] AB - OBJECTIVE: To evaluate the safety of peficitinib for the treatment of rheumatoid arthritis (RA) in Asian patients. METHODS: Safety data from one Phase 2b, two Phase 3, and one open-label long-term extension study [data cut-off 31 May 2018] were pooled into Phase 3 studies (peficitinib 100 and 150 mg/day, and placebo) and Phase 2/3 studies (all peficitinib-treated patients). Incidence rates per 100 patient-years (PY) of adverse events (AEs) of special interest were calculated. RESULTS: Overall, 1052 patients received peficitinib for 2336.3 PY of exposure (median 2.1 years); four deaths occurred, including one death after the studies. AE incidence was similar across peficitinib 100 and 150 mg/day groups (Phase 3 studies). Respective peficitinib and placebo incidence rates (95% confidence interval) per 100 PY were 2.9 (1.9, 4.6) and 0.0 for serious infections, 5.7 (4.2, 7.9) and 2.3 (0.6, 9.4) for herpes zoster-related disease, and 0.6 (0.2, 1.6) and 1.2 (0.2, 8.3) for malignancies (excluding non-melanoma skin cancer) (Phase 3 studies), and 0.1 (0.0, 0.3) for venous thromboembolism in all peficitinib-treated patients (Phase 2/3 studies). CONCLUSION: Peficitinib was well tolerated in Asian patients with RA over a median of 2 years, with no observed dose or temporal dependency for AEs with prolonged administration. FAU - Takeuchi, Tsutomu AU - Takeuchi T AUID- ORCID: 0000-0003-1111-8218 AD - Division of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan. FAU - Tanaka, Yoshiya AU - Tanaka Y AUID- ORCID: 0000-0002-0807-7139 AD - The First Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health Japan, Kitakyushu, Japan. FAU - Rokuda, Mitsuhiro AU - Rokuda M AUID- ORCID: 0000-0001-5790-7146 AD - Astellas Pharma Inc., Tokyo, Japan. FAU - Izutsu, Hiroyuki AU - Izutsu H AUID- ORCID: 0000-0002-2193-8327 AD - Astellas Pharma Inc., Tokyo, Japan. FAU - Kaneko, Yuichiro AU - Kaneko Y AD - Astellas Pharma Inc., Tokyo, Japan. FAU - Fukuda, Musashi AU - Fukuda M AD - Astellas Pharma Inc., Tokyo, Japan. FAU - Kato, Daisuke AU - Kato D AUID- ORCID: 0000-0003-1710-4319 AD - Astellas Pharma Inc., Tokyo, Japan. LA - eng PT - Clinical Trial, Phase III PT - Journal Article DEP - 20201109 PL - England TA - Mod Rheumatol JT - Modern rheumatology JID - 100959226 RN - 0 (Antirheumatic Agents) RN - 25X51I8RD4 (Niacinamide) RN - HPH1166CKX (peficitinib) RN - PJY633525U (Adamantane) SB - IM MH - Adamantane/administration & dosage/adverse effects/*analogs & derivatives/therapeutic use MH - Adult MH - Antirheumatic Agents/administration & dosage/adverse effects/*therapeutic use MH - Arthritis, Rheumatoid/*drug therapy/ethnology MH - Asian People MH - Drug Tolerance MH - Female MH - Humans MH - Male MH - Middle Aged MH - Niacinamide/administration & dosage/adverse effects/*analogs & derivatives/therapeutic use MH - Treatment Outcome OTO - NOTNLM OT - Janus kinase OT - peficitinib OT - pooled safety analysis OT - rheumatoid arthritis EDAT- 2020/10/15 06:00 MHDA- 2021/06/22 06:00 CRDT- 2020/10/14 08:54 PHST- 2020/10/15 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2020/10/14 08:54 [entrez] AID - 10.1080/14397595.2020.1836789 [doi] PST - ppublish SO - Mod Rheumatol. 2021 May;31(3):543-555. doi: 10.1080/14397595.2020.1836789. Epub 2020 Nov 9.