Table 3.

Safety findings through 5 years: pooled data from phase 3 studies of SC GOL (with or without MTX) in rheumatological indications. Values are n (%) or n/N (%) of patients.

VariablesPlaceboGOL 50 mg OnlyGOL 50 and 100 mgGOL 100 mg OnlyAll GOL
Treated patients in 5 trials16396717657922228
  Patients with ≥ 1 AE470 (73.6)623 (92.8)704 (92.0)756 (95.5)2083 (93.5)
  Most common AE2
    Upper respiratory tract infection56 (8.8)215 (32.0)227 (29.7)246 (31.1)688 (30.9)
    Nasopharyngitis41 (6.4)117 (17.4)152 (19.9)164 (20.7)433 (19.4)
    Bronchitis24 (3.8)92 (13.7)114 (14.9)114 (14.4)320 (14.4)
    Back pain22 (3.4)91 (13.6)116 (15.2)112 (14.1)319 (14.3)
    Cough38 (5.9)93 (13.9)97 (12.7)112 (14.1)302 (13.6)
    Headache39 (6.1)91 (13.6)88 (11.5)114 (14.4)293 (13.2)
    Sinusitis15 (2.3)86 (12.8)108 (14.1)95 (12.0)289 (13.0)
    Arthralgia29 (4.5)87 (13.0)98 (12.8)99 (12.5)284 (12.7)
    Nausea51 (8.0)63 (9.4)94 (12.3)127 (16.0)284 (12.7)
    Hypertension17 (2.7)66 (9.8)112 (14.6)101 (12.8)279 (12.5)
    Diarrhea36 (5.6)69 (10.3)80 (10.5)96 (12.1)245 (11.0)
    Urinary tract infection20 (3.1)53 (7.9)75 (9.8)87 (11.0)215 (9.6)
    RA26 (4.1)34 (5.1)88 (11.5)75 (9.5)197 (8.8)
    Fatigue26 (4.1)48 (7.2)51 (6.7)84 (10.6)183 (8.2)
    Injection site erythema7 (1.1)39 (5.8)50 (6.5)86 (10.9)175 (7.9)
    ALT increased33 (5.2)80 (11.9)65 (8.5)83 (10.5)228 (10.2)
  Patients with ≥ 1 SAE58 (9.1)177 (26.4)230 (30.1)275 (34.7)682 (30.6)
  Most common SAE2
    Pneumonia5 (0.8)11 (1.6)22 (2.9)13 (1.6)46 (2.1)
    RA6 (0.9)6 (0.9)14 (1.8)14 (1.8)34 (1.5)
    Osteoarthritis06 (0.9)16 (2.1)8 (1.0)30 (1.3)
    Basal cell carcinoma3 (0.5)5 (0.7)8 (1.0)13 (1.6)26 (1.2)
    Cholelithiasis1 (0.2)4 (0.6)5 (0.7)11 (1.4)20 (0.9)
    Sepsis01 (0.1)7 (0.9)11 (1.4)19 (0.9)
    Arthralgia02 (0.3)6 (0.8)8 (1.0)16 (0.7)
  Patients discontinued due to ≥ 1 AE33 (5.2)103 (15.4)73 (9.5)158 (19.9)334 (15.0)
  Injection site reactions
    Injections with reactions31/8403 (0.4)260/39,944 (0.7)392/54,005 (0.7)398/50,999 (0.8)1050/144,948 (0.7)
    Patients with reactions318 (2.8)74 (11.0)89 (11.6)122 (15.4)285 (12.8)
      Mild18 (2.8)68 (10.1)85 (11.1)119 (15.0)272 (12.2)
      Moderate0 (0.0)9 (1.3)11 (1.4)10 (1.3)30 (1.3)
      Severe0 (0.0)0 (0.0)1 (0.1)40 (0.0)1 (< 0.1)
Treated patients in 3 RA trials14493745425651481
  Patients with ≥ 1 AE341 (75.9)349 (93.3)502 (92.6)541 (95.8)1392 (94.0)
  Patients with ≥ 1 SAE45 (10.0)121 (32.4)182 (33.6)224 (39.6)527 (35.6)
  Patients discontinued due to ≥ 1 AE27 (6.0)70 (18.7)58 (10.7)125 (22.1)253 (17.1)
  Injection site reactions
    Injections with reactions19/6623 (0.3)78/19,756 (0.4)284/36,304 (0.8)313/34,097 (0.9)675/90,157 (0.7)
    Patients with reactions313 (2.9)37 (9.9)64 (11.8)91 (16.1)192 (13.0)
  • 1 Note that some patients received placebo followed by GOL in early escape or following crossover per trial design.

  • 2 Defined as AE and SAE occurring in ≥ 10% and ≥ 1%, respectively, of patients in any treatment group. Common AE and SAE are presented in decreasing order of frequency in the GOL combined group.

  • 3 Patients may have reported ≥ 1 injection reaction.

  • 4 A serious event of erythema on the thigh in a patient with early RA receiving GOL 100 mg at the time of the reaction (Day 368). SC: subcutaneous; GOL: golimumab; MTX: methotrexate; AE: adverse event; ALT: alanine aminotransferase; SAE: serious AE; RA: rheumatoid arthritis.