New Phase 3 Data Show First-in-Class TREMFYA? (guselkumab) Achieved Complete Skin Clearance and Favorable Joint Efficacy in Adult Patients with Active Psoriatic Arthritis (PsA) Through Two Ye
SPRING HOUSE, PENNSYLVANIA, March 16, 2021?? The Janssen Pharmaceutical Companies of Johnson & Johnson today announced long-term data from the Phase 3 DISCOVER-2a study showing that the skin clearance, joint symptom relief, and safety of TREMFYA? (guselkumab) previously demonstrated through 24 weeks and one year (Week 52) in adults with active psoriatic arthritis (PsA) continued through two years (Week 112).1,2?These findings also confirmed that the robust efficacy TREMFYA demonstrated in patients at Week 24 on physical function, physical aspects of health-related quality of life, and resolution of enthesitisb and dactylitisc was also seen through Week 100.1-8?In addition, the extent of radiographic progressiond?was studied through two years. These data will be presented virtually in abstract, poster, and video form during the Innovations in Dermatology: Virtual Spring Conference, March 16?20, 2021.1,2?TREMFYA is the first and only IL-23 inhibitor therapy approved in the U.S. to treat both adults with active PsA and adults with moderate to severe plaque psoriasis (PsO).9
?PsA can be a chronically painful and debilitating disease, and many PsA patients are still searching for enduring relief of their symptoms,? said Philip J. Mease,e M.D., of the Swedish Medical Center/Providence St. Joseph Health and the University of Washington in Seattle, Washington and presenting author. ?These data, which show that the observed benefits of TREMFYA in PsA continue through two years, represent positive news for physicians and patients alike.?
Results showed that at Week 100:1,2
- Complete Skin Clearance:2?In patients who had clinically meaningful skin involvementf?at baseline, 59 percent of those receiving TREMFYA every four weeks (q4w)g?and 53 percent of those receiving TREMFYA every eight weeks (q8w) achieved complete skin clearance (Psoriasis Area Severity Index [PASI] 100;h?utilizing non-responder imputation [NRI], with this method of analysis, subjects with missing data are assumed to be non-responders).
- Joint Symptom Improvement:2?Among randomized patients, 76 percent of those receiving TREMFYA q4w and 74 percent of those receiving TREMFYA q8w achieved at least 20 percent improvement in the American College of Rheumatology (ACR 20) response criteriai (utilizing NRI).j
- Radiographic Progression: At Week 24, TREMFYA q4w demonstrated statistically significant inhibition of radiographic progression of joint structural damage (p=0.011) (as measured by PsA-modified van der Heijde-Sharp [vdH-S scores]).k?TREMFYA q8w afforded numerically, but not statistically significant, less radiographic progression (p=0.072) compared with placebo.3,4?From Week 52-100, low rates of radiographic progression of joint damage were observed in patients receiving TREMFYA q4w (0.75) and TREMFYA q8w (0.46), which were both further numerically reduced from the results observed during Weeks 0-52 (1.06, q4w; 0.99, q8w).1,2?In the group of patients who crossed over from placebo to TREMFYA q4w at Week 24, mean changes in vdH-S scores were 1.12 from Week 0-24 while receiving placebo, and 0.34 from Week 24-52 and 0.13 from Week 52-100 while receiving TREMFYA q4w, indicating that further numerical improvements were also made through Year Two in this group.1,2
- Durability:1,2?Robust joint and skin response rates and mean improvements from baseline in outcome measures were maintained through two years, and approximately 90 percent of patients randomized to TREMFYA q4w or q8w continued treatment with TREMFYA through Week 100.
- Safety:1,2?No new safety signals were observed in the safety analysis conducted through Week 112. TREMFYA safety in patients with active PsA through two years was comparable to safety at six months and one year and generally consistent with TREMFYA safety in patients with moderate to severe plaque PsO.10,11
- Serious Allergic Reactions.?Stop using TREMFYA? and get emergency medical help right away if you develop any of the following symptoms of a serious allergic reaction:
- Infections.?TREMFYA? may lower the ability of your immune system to fight infections and may increase your risk of infections. Your healthcare provider should check you for infections and tuberculosis (TB) before starting treatment with TREMFYA? and may treat you for TB before you begin treatment with TREMFYA? if you have a history of TB or have active TB. Your healthcare provider should watch you closely for signs and symptoms of TB during and after treatment with TREMFYA?.
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