Efficacy and safety of sarilumab plus prednisone versus prednisone alone in adults with early polymyalgia rheumatica

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What is this study about?

The study looks at adults with early polymyalgia rheumatica, an inflammatory condition that causes muscle pain and stiffness mainly in the shoulders and hips. The investigational medicine being tested is sarilumab, given as a solution for injection, and it is used together with a gradual reduction (taper) of the steroid prednisone. Participants may receive either the active medicine or a placebo that looks the same but does not contain the active drug.

The aim of the trial is to determine whether the combination of sarilumab and a 52‑week prednisone taper works better than prednisone taper alone in achieving lasting symptom control. Participants are randomly assigned to receive one of two dose levels of the study drug (150 mg or 200 mg) every two weeks, while all continue the steroid taper for one year, and they are followed for the same period to see how they respond.

Throughout the year, researchers check whether participants reach “remission,” meaning they have no significant pain or stiffness, and they record any side effects or laboratory changes. They also track how long remission lasts, whether symptoms return (a “flare”), and how the condition affects physical and mental well‑being using standard questionnaires. Safety is monitored continuously, and any serious problems are reported promptly.

1 baseline visit and randomization

you attend the first study visit after enrollment. during this visit, baseline measurements are taken and you are randomly assigned to receive either sarilumab or a matching placebo. the assignment is unknown to you and the study staff.

the study medication will be prepared in a pre‑filled syringe for subcutaneous injection.

2 start of study medication and prednisone

on day 1 you receive the first sarilumab injection (200 mg) administered under the skin. if you are assigned to the placebo group, you receive an injection that looks identical but contains no active drug.

you also begin taking prednisone tablets (15 mg) by mouth once daily. the prednisone dose will be reduced gradually over the next 52 weeks according to a taper schedule provided by the study team.

3 regular subcutaneous injections

every two weeks you return to the clinic for a follow‑up visit during which a new injection of sarilumab (200 mg) or placebo is given. the injection schedule continues for a total of 52 weeks.

each visit includes a brief physical check, review of any side effects, and collection of blood samples for safety monitoring.

4 prednisone taper

you continue taking the prednisone tablet each day, but the dose is lowered stepwise over the 52‑week period. the exact reduction schedule is individualized but follows a gradual decrease to reach a dose of zero by the end of week 52.

the taper is intended to assess whether disease control can be maintained with reduced steroid use.

5 interim assessments

in addition to the bi‑weekly injection visits, you have scheduled study visits at weeks 4, 8, 12, 24, and 36. during these visits, the study team records disease activity, asks you to complete questionnaires about symptoms and quality of life, and performs laboratory tests.

these assessments help determine whether you achieve remission and monitor safety.

6 final assessment and study completion

at week 52 you attend the final study visit. the last sarilumab or placebo injection is given, and the prednisone taper is completed, aiming for a dose‑free state.

comprehensive evaluations are performed to determine if sustained remission has been achieved, and all safety data are collected before the study ends.

Who Can Join the Study?

  • You must be an adult older than 50 years and have a condition called polymyalgia rheumatica (a disease that causes muscle pain and stiffness) that meets the official EULAR/ACR classification criteria (a set of guidelines doctors use to confirm the diagnosis).
  • You must either be newly diagnosed with PMR (you have taken corticosteroid medicines for less than 6 weeks before joining the study) or have early relapsing PMR (you started corticosteroid treatment within the past year, have been on prednisone at a dose of 10 mg or more each day for at least 8 weeks, and have had a worsening of symptoms, called a flare, in the last 12 weeks while taking more than 5 mg of prednisone each day).
  • You must be willing and able to take prednisone at a dose of 15 mg per day when you are randomly assigned to a treatment group.
  • You must use birth‑control methods that follow the rules of your country, for both men and women, as required for participants in clinical studies.

Who Cannot Join the Study?

  • You cannot join the study if you have been diagnosed with Giant Cell Arteritis (GCA), which is a type of inflammation of the blood vessels.
  • You cannot join if you have rheumatoid arthritis, other inflammatory arthritis, connective tissue diseases, or fibromyalgia, all of which cause joint pain and inflammation.
  • You cannot join if you have hypothyroidism that is not being treated well; this means your thyroid gland is not making enough hormones.
  • You cannot join if you have current or past tuberculosis (TB) or serious infections such as opportunistic infections, hepatitis B, hepatitis C, HIV, or repeated/active herpes zoster (shingles).
  • You cannot join if you have uncontrolled diabetes, shown by a blood‑sugar measure called HbA1c ≥9%.
  • You cannot join if you are taking immunosuppressive therapies, including systemic corticosteroids, which are medicines that lower the activity of your immune system.
  • You cannot join if you have any form of malignancy, which means a cancer diagnosis.
  • You cannot join if you are an organ transplant recipient, meaning you have received a donated organ.

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Site Name City Country Status
Frisius Heerenveen The Netherlands
Medical University Of Vienna Vienna Austria
Medical University Of Graz Graz Austria
Centre Hospitalier Regional Et Universitaire De Brest Brest France
Medizinische Universitaet Innsbruck Innsbruck Austria
Oncopole Claudius Regaud Toulouse France
Katholieke Universiteit te Leuven Leuven Belgium
Zuyderland Medisch Centrum Stichting Geleen The Netherlands
Université Libre de Bruxelles – Hôpital Erasme Brussels Belgium

Other Sites

Site Name City Country Status
Revmatologicky Ustav Prague Czechia
Hippokration Hospital Athens Greece
Virgen del Rocío University Hospital Sevilla Spain
Maasstad Ziekenhuis Stichting Rotterdam The Netherlands
Az St-Jan Brugge-Oostende A.V. Brugge Belgium
Semmelweis University Budapest Hungary
Hospital Universitario Quironsalud Madrid Pozuelo De Alarcon Spain
Centre Hospitalier Universitaire De Montpellier Montpellier France
Medical Center – University Of Freiburg Freiburg Im Breisgau Germany
Centre Hospitalier Universitaire De Nantes Nantes France
University Of Szeged Szeged Hungary
St. Elisabeth Gruppe GmbH Katholische Kliniken Rhein-Ruhr Herne Germany
Anima Alken Belgium
Hospital Universitario De Canarias La Laguna Spain
Centre hospitalier universitaire de Liege Liege Belgium
Universitair Ziekenhuis Gent Gent Belgium
Hopital Beaujon Clichy France
Hospital Universitario 12 De Octubre Madrid Spain
Medical Plus s.r.o. Uherske Hradiste Czechia
Stichting Viecuri Medisch Centrum voor Noord-Limburg Venlo The Netherlands
MVZ Rheumatologie und Autoimmunmedizin Hamburg GmbH Hamburg Germany
PV-Medical s.r.o. Zlin Czechia
Ziekenhuisgroep Twente Stichting Almelo The Netherlands
L.K.N. Arthrocentrum s.r.o. Hlucin Czechia
University General Hospital Attikon General Hospital Of West Attica H Agia Varvara Chaidari Greece
Reumacentrum Genk Genk Belgium
CAIR – Centrum für Angewandte Immunologie & Rheumatologie Heidelberg Germany
Asklepios Klinikum Bad Abbach Germany
Pmku Towyh Hblhkzgu Ucynyanjrpax Sabadell Spain
Kiwvdjytwgukp Svh Adcqjbit uhk Ssd Jektm Gatp Wuppertal Germany
Msicxpfvu Mzavmsf gayhn Munich Germany
Ijwripox dl Clhldymudqls Hamrzyzbmne Uggsozifstcvz dm Sntow Enuqazi (rnnultl Saint Priest En Jarez France
Hgttkplm Vkzm dfuaenjg Barcelona Spain
Heoxbcub Ukavbisstosyy dl A Cymewc A Coruna Galicia Spain
Kyfmtdkl dry Ueqqqqtjnihz Mxyrhpwr Aea Munich Germany
Ufyfqqxbbghbvvcltuggw Wytagokan Akh Wuerzburg Germany
Ikbjusfinswlfvxmhppe Gedw Berlin Germany
Foimypsea Pbim Lf Immdelnqnqtsp Bnrdlwrqf Dnf Hwjtnvwp Uldjghhnkblau Lb Pnd Madrid Spain
Awafmtucr stapzj Trebovice Czechia

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
Austria Austria
Not yet recruiting
01.07.2026
Belgium Belgium
Not yet recruiting
01.07.2026
Czechia Czechia
Not yet recruiting
01.07.2026
France France
Not yet recruiting
01.07.2026
Germany Germany
Not yet recruiting
01.07.2026
Greece Greece
Not yet recruiting
01.07.2026
Hungary Hungary
Not yet recruiting
01.07.2026
Spain Spain
Not yet recruiting
01.07.2026
The Netherlands The Netherlands
Not yet recruiting
01.07.2026

Trial locations

Investigated drugs:

sarilumab is an injectable medication that works by blocking a protein called interleukin‑6, which is involved in inflammation. In this study, participants received sarilumab by injection to see if it can reduce the symptoms of early polymyalgia rheumatica better than the standard treatment alone. The drug was given regularly throughout the 52‑week period while participants also followed a tapering schedule of prednisone.

prednisone is an oral steroid that helps lower inflammation and control pain. In the trial, all participants took prednisone for a year, with the dose gradually reduced over time. This steroid served as the background therapy, allowing researchers to compare the added benefit of sarilumab against prednisone alone.

Investigated diseases:

Polymyalgia rheumatica – Polymyalgia rheumatica is an inflammatory condition that causes pain and stiffness in the shoulders, neck, and hips. It typically begins suddenly and is most common in older adults. The stiffness is usually worse in the morning and improves with movement. Over weeks to months, symptoms may spread to other muscle groups and can fluctuate, with periods of improvement followed by relapses. The condition progresses slowly and can persist for many months if not managed.

Trial ID:
2024-511296-15-00
Protocol code:
EFC18055
Trial Phase:
Therapeutic confirmatory (Phase III)

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