Table 2:
Trial | Type | Length | Number | Efficacy | Safety |
---|---|---|---|---|---|
DARWIN 1 Annals Rheum Disease, 2017 [26]. |
Phase IIb, multicenter, multinational, including US | 24 weeks | 594 received placebo vs drug at various doses and methotrexate | Drug met ACR endpoints at 12 weeks for doses 100 mg and 200 mg, but not for lower doses | No significant differences in adverse events between placebo and drug groups |
DARWIN 2 Annals Rheum Disease, 2017 [27]. |
Phase IIb, multicenter, multinational including US | 24 weeks | 283 received placebo vs drug at various doses, no methotrexate | Drug met ACR endpoints starting at week 12 and persisted week 24 | No significant difference in adverse events between placebo and drug group |
Arthritis and Rheumatology, 2017 [24]. | Phase IIa, proof of concept study done in Republic of Maldova | 4 weeks | 36 received placebo vs drug at 100 or 200 mg dose | Drug met ACR endpoints vs placebo | No major safety signals. Hemoglobin went up, decrease in neutrophils without neutropenia |
Arthritis and Rheumatology, 2017 [24]. | Phase IIa, dose ranging study in Republic of Maldova, Ukraine, Russia, and Hungary | 4 weeks | 91 received placebo various doses of drug | 85% of 300 mg dose group had a ACR 20 response but this was not significantly better than placebo | No major safety signals. Hemoglobin went up, decrease in neutrophils without neutropenia. |
Abbreviations: ACR – American College of Rheumatology