Table 3

Median and median percentage change from baseline to week 52 in serum lipid and inflammatory markers of cardiovascular disease in patients with RA

 GO-FORWARD: RA patients with an inadequate response to MTXGO-BEFORE: MTX-naïve RA patients
Golimumab+MTXGolimumab+MTX
Golimumab 100 mg + Placebo50 mg100 mgCombinedPlacebo+MTXGolimumab 100 mg + Placebo50 mg100 mgCombined
Patients randomised,† n1338989178160159159159318
Serum lipid markers
 Triglycerides (mg/dl)−1.002.003.503.00−4.002.00*6.000.003.00*
−0.96%1.81%4.00%3.37%*−3.41%2.41%*8.01%**0.00%3.82%***
 Total cholesterol (mg/dl)8.00**7.00**11.50***9.00***5.003.00**12.00**8.00***10.00***
4.55%**4.02%***5.45%***4.58%***1.90%*1.80%**6.41%***3.56%***4.91%***
 LDL (mg/dl)8.50***7.00***11.50***8.00***6.00*7.00**8.00***6.00***7.00***
8.48%***6.19%***9.50%***7.09%***6.08%**5.93%**7.80%***6.04%***6.56%***
 HDL (mg/dl)−1.000.001.500.00−1.000.00−0.500.000.00
−2.49%0.00%1.78%0.00%−1.28%0.00%−0.85%0.00%0.00%
 Total cholesterol/HDL0.20***0.10**0.040.06***0.12*0.13**0.23***0.09*0.14***
6.37%***3.31%**1.03%*1.87%***2.91%*4.43%**7.51%***2.76%**4.16%***
 LDL/HDL0.22***0.09**0.09*0.09***0.09*0.12**0.16***0.15**0.15***
9.46%***5.09%***4.65%**5.03%***4.52%**5.25%**8.64%***7.98%***8.19%***
 Apolipoprotein B (mg/dl)5.00**2.00*1.001.00*0.003.003.00**3.00*3.00***
5.43%***2.35%**1.57%2.17%***0.00%3.33%4.41%**3.85%**3.95%***
 Apolipoprotein A1 (mg/dl)5.00*10.00***12.00***11.00***6.00**6.00**7.00**8.00***8.00***
3.16%**6.88%***8.30%***7.51%***4.55%***4.55%**5.08%***5.59%***5.26%***
 Apolipoprotein B/0.02−0.02−0.03*−0.02***−0.01−0.010.000.000.00
 Apolipoprotein A1 (mg/dl)3.99%−4.44%−5.48%−4.68%*−3.14%−1.82%−1.10%−0.69%−0.69%
 LDL subfractions
 Total LDL particles (nmol/l)66.50*−28.00−43.00−31.00−19.00−49.00−5.50−3.50−4.50
4.92%*−2.33%−3.82%−3.25%−1.58%−3.88%−0.42%−0.34%−0.42%
 Total small LDL (nmol/l)−1.00−98.00***−105.00*−105.00***−53.00*−104.00*−28.50*−72.50**−46.50***
−0.39%−17.87%**−19.09%*−18.93%***−7.41%−17.43%−6.72%−14.80%−10.60%*
 Very small LDL (nmol/l)7.50−78.00***−85.00*−78.00***−37.00*−76.00*−19.00−58.50*−42.50***
0.62%−19.17%**−21.00%**−19.81%***−8.29%−18.06%−6.50%−14.22%−11.90%*
 Medium small LDL (nmol/l)2.50−18.00***−17.00*−17.00***−11.50*−16.00*−10.50*−17.50*−16.00***
1.16%−21.84%**−19.51%*−19.75%***−9.30%−13.26%−14.68%−17.11%−15.38%*
Large LDL(nmol/l)16.5062.50***71.00***63.00***38.50**17.0074.00***54.00***60.00***
4.18%12.28%***14.12%***13.30%***14.56%**4.28%14.33%***14.40%***14.40%***
Mean LDL size (nM)0.000.30***0.20**0.20***0.20**0.200.10**0.20***0.20***
0.00%1.42%***0.96%**1.02%***0.95%**0.93%0.48%**0.93%***0.91%***
Inflammatory markers
 Serum amyloid A (µg/ml)−1.70*−8.80***−5.60***−8.00***−21.30***−7.30***−15.80***−11.90***−12.50***
−32.14%*−59.75%***−57.76%***−58.82%***−76.57%***−51.39%***−72.58%***−70.87%***−72.50%***
 hsCRP (mg/dl)−0.64−3.74***−5.20***−4.30***−8.35***−8.00***−4.14***−9.01***−6.27***
−18.60%−56.73%***−64.78%***−56.93%***−75.29%***−61.54%***−66.60%***−71.73%***−69.59%***
 Fibrinogen (mg/dl)−46.00*−40.50***−71.00***−57.00***−41.00**−44.00**−59.00***−61.00***−60.50***
−11.75%−10.73%***−15.63%***−12.00%***−9.33%*−11.55%*−13.90%**−12.00%***−13.18%***
 ICAM-1 (ng/ml)−69.50***−80.00***−96.50***−84.00***−59.50***−87.00***−86.00***−81.00***−81.00##/***
−22.59%***−25.00%***−25.53%***−25.17%***−17.48%***−26.32%***−27.78%***−24.23%***−25.81%***
 IL-6 (pg/ml)0.95−1.25**−0.60**−0.80***−4.55***−1.00*−3.80***−5.30***−4.00##/***
16.92%***−24.76%−10.71%−22.92%−49.82%−10.38%−50.70%−50.00%*−50.35%*
 IL-8 (pg/ml)−1.60−2.80***−1.15**−2.30***−1.80−0.20−3.10***−3.00***−3.00***
−9.61%−16.21%−10.74%−13.30%*−10.43%−1.74%−22.12%**−18.63%**−20.00%***
 MMP-3 (ng/ml)−10.54***−15.73***−16.82***−16.20***−24.43***−13.53***−25.76***−18.71***−22.21***
−32.72%***−41.05%***−44.74%***−42.56%***−56.46%***−37.53%***−61.74%***−49.52%***−57.34%***
 VEGF (pg/ml)−17.80***−23.50***−28.80***−26.70***−37.45***−20.10***−23.70***−29.90***−28.60***
−22.47%***−27.60%***−34.20%***−31.78%***−40.17%***−25.74%***−33.56%***−35.11%***−34.15%***
  • †Not all randomised patients had week 52 biomarker data.

  • *, **, ***indicate p<0.05, 0.01, 0.001, respectively, for change from baseline within group.

  • # #indicates p<0.01, for the comparison of the combined golimumab+MTX and placebo+MTX groups.

  • HDL, high-density lipoprotein; hsCRP, high sensitivity C-reactive protein; ICAM-1, intracellular adhesion molecule-1; IL, interleukin; LDL, low-density lipoprotein; MMP-3, matrix metalloproteinase; MTX, methotrexate; RA, rheumatoid arthritis, VEGF, vascular endothelial growth factor.