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
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
Université Libre de Bruxelles – Hôpital Erasme Brussels Belgium
Frisius Heerenveen The Netherlands
Zuyderland Medisch Centrum Stichting Geleen The Netherlands

Other Sites

Site Name City Country Status
Semmelweis University Budapest Hungary
Centre Hospitalier Universitaire De Nantes Nantes France
Hopital Beaujon Clichy France
Az St-Jan Brugge-Oostende A.V. Brugge Belgium
Hospital Universitario De Canarias La Laguna Spain
MVZ Rheumatologie und Autoimmunmedizin Hamburg GmbH Hamburg Germany
Asklepios Klinikum Bad Abbach Germany
Rukeapoaysywtw Ufatb Prague Czechia
Hyztbicnxgtg Hmyxxfya Athens Greece
Hbleaaih Vhjp dkbosqdi Barcelona Spain
Hqmzqpal Uxluyipxrfgvg du A Cmdsgr A Coruna Galicia Spain
Vdnycl dus Rnypc Urootgupfk Hntnkuup Sevilla Spain
Ctkptq Hbdgtilektb Umygkmmxexbpu Di Mhngvtcidqc Montpellier France
Mqbqzrq Crqfss &hamptw Ulvmmbchax Oe Fzwtmrrj Freiburg Im Breisgau Germany
Kenmokzq dxj Uqlwcixdpdwv Mgeptndm Ayt Munich Germany
Ujnrjsvrhwfobaflmkyyp Wctxgzjve Axr Wuerzburg Germany
Uqeauvyuon Or Sbffpx Szeged Hungary
Ciyses hneqkdqdzcd uuvmlcriewrzk dj Ldwta Liege Belgium
Uelmfpwoxvma Zuwbfpxsyb Glww Gent Belgium
Hflrmvcn Unafcuehjfojd 1z Dh Owgrjpe Madrid Spain
Ffwexoekj Pfcj Lr Iplsxtrchduhi Bjaymgysw Dmu Hxxtmkir Ucegzlawphrhq Lu Pxh Madrid Spain
Ubcbctwuze Gtknfve Hzduzpuv Accdoan Gmbkopc Hczvqruv Oe Wyya Amppgs H Ahcp Vrzmsax Chaidari Greece
Pcpw Trkuh Hrorgycs Ubgiocrzhssn Sabadell Spain
Khmjgrgsxdonw Slg Acebhrqm uvm Sqo Jyqhy Gpxt Wuppertal Germany
Mnffpbwof Mhxhbve gjpjo Munich Germany
Ixnemoak dr Curwqjetnseu Hjkusalldwe Upxywdyhttlus df Sijtj Edoszro (vwfnouy Saint Priest En Jarez France
Mztloikb Zhqlufjqzm Smzaepmcf Rotterdam The Netherlands
Hohjfyjj Unakezgwnfuvo Qvvngmxzfxy Myhgkj Pozuelo De Alarcon Spain
Sfe Ehxosasvl Gocukw Gksi Kajecasyxhr Kbzcaatg Rzyjyvvvgq Herne Germany
Ivrowxnjvesyoaajaymw Gbxf Berlin Germany
Admak Alken Belgium
Mzvycsy Plfv sjtnqv Uherske Hradiste Czechia
Svrpxpshj Vjcgicl Mddbdwa Crhxecx vyzq Nmveszkdywdxi Venlo The Netherlands
Pasrrohrrx skiaew Zlin Czechia
Zdzfsunpznhrdjq Tnrmtz Sapfjikwr Almelo The Netherlands
Ltnjrk Abgjkpysfbpim smefit Hlucin Czechia
Aqnypgpwj sqlgfb Trebovice Czechia
Rjkpxqowvjjd Gheg Genk Belgium
Cshj &vidnvg Crbdcbk fot Aecyhptssh Inlhcxfqhrm &stnw Raoxlsljkowff Heidelberg Germany

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
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
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)

Other Trials to Consider

  • Study of baricitinib versus placebo for treating polymyalgia rheumatica in adult patients

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  • Study on Leflunomide for Preventing Relapses in Patients with Polymyalgia Rheumatica During Steroid Reduction

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