PMID- 37266677 OWN - NLM STAT- MEDLINE DCOM- 20240221 LR - 20240221 IS - 1435-1250 (Electronic) IS - 0340-1855 (Linking) VI - 83 IP - Suppl 1 DP - 2024 Feb TI - Comparison of the efficacy and safety of olokizumab at different dosages in patients with active rheumatoid arthritis: a network meta-analysis of randomized controlled trials. PG - 107-114 LID - 10.1007/s00393-023-01367-w [doi] AB - OBJECTIVE: This study aimed to assess the relative efficacy and safety of olokizumab at different dosages in patients with active rheumatoid arthritis (RA). METHODS: We performed a Bayesian network meta-analysis to combine direct and indirect evidence from randomized controlled trials (RCTs) to examine the efficacy and safety of olokizumab administered intravenously to RA patients at 64 mg/kg every 2 or 4 weeks (Q2 or Q4W). RESULTS: Five RCTs comprising 2609 patients met the inclusion criteria. Both olokizumab Q2 and Q4W treatments achieved a significant American College of Rheumatology 20% response (ACR20) compared with the placebo (odds ratio [OR] 3.21, 95% credible interval [CrI] 2.53-4.09; OR 3.05, 95% CrI 2.43-3.86). However, olokizumab Q2W was associated with the most favorable surface using the cumulative ranking curve (SUCRA) for the ACR20 response rate. The ranking probability based on the SUCRA indicated that olokizumab Q2W had the highest probability of being considered the best treatment option for achieving the ACR20 response rate, followed by olokizumab Q4W, adalimumab, and placebo. The ACR50 and 70 response rates showed a similar distribution pattern to the ACR20 response rate, except that olokizumab Q4W had a higher-ranking probability than olokizumab Q2W for ACR50. The SUCRA rating likelihood of adverse events (AEs) and withdrawal due to AEs showed that a placebo was likely to be the best intervention. CONCLUSION: Both olokizumab Q2 and Q4W were efficacious and well-tolerated treatments for active RA. CI - (c) 2023. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature. FAU - Lee, Young Ho AU - Lee YH AD - Department of Rheumatology, Korea University Anam Hospital, Korea University College of Medicine, 73, Goryeodae-ro, Seongbuk-gu, 02841, Seoul, Korea (Republic of). lyhcgh@korea.ac.kr. FAU - Song, Gwan Gyu AU - Song GG AD - Department of Rheumatology, Korea University Anam Hospital, Korea University College of Medicine, 73, Goryeodae-ro, Seongbuk-gu, 02841, Seoul, Korea (Republic of). LA - eng PT - Journal Article PT - Meta-Analysis TT - Vergleich der Wirksamkeit und Sicherheit von Olokizumab in verschiedenen Dosierungen bei Patienten mit aktiver rheumatoider Arthritis: Netzwerk-Metaanalyse randomisierter kontrollierter Studien. DEP - 20230602 PL - Germany TA - Z Rheumatol JT - Zeitschrift fur Rheumatologie JID - 0414162 RN - 0 (Antirheumatic Agents) RN - YL5FZ2Y5U1 (Methotrexate) RN - PAI71R1D2W (olokizumab) RN - 0 (Antibodies, Monoclonal, Humanized) SB - IM MH - Humans MH - *Antirheumatic Agents/therapeutic use MH - Methotrexate/therapeutic use MH - Network Meta-Analysis MH - Treatment Outcome MH - Bayes Theorem MH - Randomized Controlled Trials as Topic MH - *Arthritis, Rheumatoid/diagnosis/drug therapy MH - *Antibodies, Monoclonal, Humanized OTO - NOTNLM OT - Efficacy OT - Network meta-analysis OT - Olokizumab OT - Rheumatoid arthritis OT - Safety EDAT- 2023/06/02 13:15 MHDA- 2024/02/21 11:15 CRDT- 2023/06/02 11:08 PHST- 2023/04/07 00:00 [accepted] PHST- 2024/02/21 11:15 [medline] PHST- 2023/06/02 13:15 [pubmed] PHST- 2023/06/02 11:08 [entrez] AID - 10.1007/s00393-023-01367-w [pii] AID - 10.1007/s00393-023-01367-w [doi] PST - ppublish SO - Z Rheumatol. 2024 Feb;83(Suppl 1):107-114. doi: 10.1007/s00393-023-01367-w. Epub 2023 Jun 2.