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. 2020 Aug 6;43(5):178–179. doi: 10.18773/austprescr.2020.053

Table. Efficacy of upadacitinib in moderate–severe rheumatoid arthritis.

Trial Treatment Efficacy - ACR20*
SELECT EARLY3
947 methotrexate-naïve patients randomised to upadacitinib or methotrexate for 12 weeks
upadacitinib 15 mg/day 76%
upadacitinib 30 mg/day 77%
methotrexate 54%
SELECT MONOTHERAPY4
648 patients with inadequate response to methotrexate randomised to switch to upadacitinib monotherapy or continue methotrexate for 14 weeks
upadacitinib 15 mg/day 68%
upadacitinib 30 mg/day 71%
methotrexate 41%
SELECT NEXT5
661 patients with inadequate response to at least one conventional DMARD (methotrexate, sulfazine or leflunomide) randomised to add upadacitinib or placebo for 12 weeks
upadacitinib 15 mg/day 64%
upadacitinib 30 mg/day 66%
placebo 36%
SELECT COMPARE6
1629 patients with inadequate response to methotrexate randomised to add upadacitinib, adalimumab or placebo for 48 weeks (ACR20 measured at 12 weeks)
upadacitinib 15 mg/day 71%
adalimumab 40 mg every 2 weeks 63%
placebo 36%
SELECT BEYOND7
499 patients with inadequate response or intolerance to biological DMARDs and receiving conventional DMARDs randomised to add upadacitinib or placebo for 12 weeks
upadacitinib 15 mg/day 65%
upadacitinib 30 mg/day 56%
placebo 28%

DMARD disease-modifying antirheumatic drug

* defined as the proportion of patients who had at least a 20% improvement on the American College of Rheumatology scale