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