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FDA Provides 2020 Rheumatology Drug Update

Susan Bernstein  |  Issue: January 2021  |  December 17, 2020

In response to small COVID-19 drug trials with low-quality evidence, the FDA issued a guidance statement for industry in May.21 The agency stressed the need for randomized, placebo-controlled, double-blind trials using a superiority design, defining endpoints to assess clinically meaningful aspects of the disease, and the inclusion of a broad range of participants, including patients from ethnic and racial minorities, Dr. Nikolov said. In research to find effective COVID-19 treatments, “there is a need for a multidisciplinary approach, coordinated global efforts and multi-stakeholder engagement,” he said.


Susan Bernstein is a freelance journalist based in Atlanta.

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References

  1. Janssen Pharmaceutical Companies of Johnson & Johnson. News release: SIMPONI ARIA (golimumab) approved by the U.S. Food and Drug Administration for active polyarticular juvenile idiopathic arthritis and extension of its active psoriatic arthritis indication in patients 2 years of age and older. 2020 Sep 30.
  2. S. National Institutes of Health. Efficacy study of tofacitinib in pediatric JIA Population (NCT02592434). ClinicalTrials.gov. 2020 Apr 13.
  3. S. Food and Drug Administration. News release: FDA approves first treatment for adult onset Still’s disease, a severe and rare disease. 2020 Jun 16.
  4. Deodhar A, Blanco R, Dokoupilová E, et al. Improvement of signs and symptoms of nonradiographic axial spondyloarthritis in patients treated with secukinumab: Primary results of a randomized, placebo-controlled phase III study. Arthritis Rheumatol. 2020 Aug 7. [Epub ahead of print].
  5. Pavelka K, Kivitz AJ, Dokoupilova E, et al. Secukinumab 150/300 mg provides sustained improvements in the signs and symptoms of active ankylosing spondylitis: 3‐year results from the phase 3 MEASURE 3 study. ACR Open Rheumatol. 2020 Feb;2(2):119–127.
  6. Deodhar A, van der Heidje D, Gensler LS, et al. Ixekizumab for patients with non-radiographic axial spondyloarthritis (COAST-X): A randomised, placebo-controlled trial. Lancet. 2020 Jan 4;395(10217):53–64.
  7. Wells AU, Flaherty KR, Brown KK, et al. Nintedanib in patients with progressive fibrosing interstitial lung diseases-subgroup analyses by interstitial lung disease diagnosis in the INBUILD trial: A randomised, double-blind, placebo-controlled, parallel-group trial. Lancet Respir Med. 2020 May;8(5):453–460.
  8. D’Cruz D, Maksimowicz-McKinnon K, Oates J, et al. Efficacy and safety of belimumab in patients of black race with systemic lupus erythematosus: Results from the EMBRACE study. Lupus Sci Med 2019 Apr;6(Suppl 1):A149–A150.
  9. S. Food and Drug Administration. First generic drug approvals. 2020 Nov 18.
  10. S. Food and Drug Administration Drug Safety Communication. FDA cautions against use of hydroxychloroquine or chloroquine for COVID-19 outside of the hospital setting or a clinical trial due to risk of heart rhythm problems. 2020 Apr 24.
  11. Sheikh S, Scheinberg M, Wei JCC, et al. LB0012 Headline results for a phase 4, 52-week, randomised, double-blind, placebo-controlled study to assess adverse events of special interest (AESI) in adults with active, autoantibody-positive systemic lupus erythematosus (SLE) receiving belimumab. Ann Rheum Dis. 2019;78(Suppl 2):266.
  12. S. Food and Drug Administration. Pharmacovigilance review. 2020 Jan 8.
  13. S. Food and Drug Administration. Drug safety-related labeling changes. 2020 Jul 8.
  14. S. Food and Drug Administration. News release. FDA in brief: FDA requires new warnings for gabapentinoids about risk of respiratory depression. 2019 Dec 19.
  15. Oberfeld B, Achanta A, Carpenter K, et al. SnapShot: COVID-19. Cell. 2020 May 14;181(4):954–954.e1.
  16. RECOVERY Collaborative Group, Horby P, Lim WS, et al. Dexamethasone in hospitalized patients with COVID-19: Preliminary report. New Engl J Med. 2020 Jul 17;NEJMoa2021436. [Epub ahead of print].
  17. National Institute of Allergy and Infectious Diseases. Adaptive COVID-19 treatment trial (ACTT-2) (NCT04401579). gov. 2020 Dec 2.
  18. Sanofi S.A. News release. Sanofi provides update on Kevzara (sarilumab) phase 3 trial in severe and critically ill COVID-19 patients outside the U.S. 2020 Sep 1.
  19. Roche Group. News release: Roche provides an update on the phase III COVACTA trial of Actemra/RoActemra in hospitalised patients with severe COVID-19 associated pneumonia. 2020 Jul 29.
  20. Roche Group. News release: Roche’s phase III EMPACTA study showed Actemra/RoActemra reduced the likelihood of needing mechanical ventilation in hospitalised patients with COVID-19 associated pneumonia. 2020 Sep 18.
  21. S. Food and Drug Administration. COVID-19: Developing drugs and biological products for treatment or prevention: Guidance for industry. 2020 May.

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Filed under:ACR ConvergenceDrug UpdatesMeeting Reports Tagged with:ACR Convergence 2020FDAmeeting reportsU.S. Food and Drug Administration (FDA)

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