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Safety and tolerability of sifalimumab, an anti-interferonmonoclonal antibody, in Japanese patients with systemic lupus erythematosus: A multicenter, phase 2, open-label study.

Abstract
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.
AuthorsTsutomu Takeuchi, Yoshiya Tanaka, Ryutaro Matsumura, Kazuyoshi Saito, Mitsuhiro Yoshimura, Koichi Amano, Tatsuya Atsumi, Eiichi Suematsu, Nobuya Hayashi, Liangwei Wang, Raj Tummala
JournalModern rheumatology (Mod Rheumatol) Vol. 30 Issue 1 Pg. 93-100 (Jan 2020) ISSN: 1439-7609 [Electronic] England
PMID30791804 (Publication Type: Clinical Trial, Phase II, Journal Article, Multicenter Study, Randomized Controlled Trial)
Chemical References
  • Antibodies, Monoclonal, Humanized
  • Immunologic Factors
  • Interferon-alpha
  • sifalimumab
Topics
  • Adult
  • Antibodies, Monoclonal, Humanized (therapeutic use)
  • Dose-Response Relationship, Drug
  • Drug Administration Routes
  • Female
  • Humans
  • Immunologic Factors (therapeutic use)
  • Interferon-alpha (immunology)
  • Japan
  • Lupus Erythematosus, Systemic (drug therapy)
  • Male
  • Middle Aged
  • Treatment Outcome

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