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Table 1 Tocilizumab-associated adverse events

From: Effectiveness of TOcilizumab in comparison to Prednisone In Rheumatoid Arthritis patients with insufficient response to disease-modifying antirheumatic drugs (TOPIRA): study protocol for a pragmatic trial

Category

Additional criteria

Serious and/or medically significant infections

Opportunistic infections

Infections treated with intravenous (IV) anti-infectives

Myocardial infarction (MI)/ acute coronary syndrome (ACS)

All MI/ACS events

Gastrointestinal perforations

Gastrointestinal perforation includes related fistulae and related intra-abdominal abscesses

Malignancies

All malignancies

Anaphylaxis/hypersensitivity reactions

Anaphylaxis as per Sampson’s criteria [26]

Hypersensitivity based on investigators’ medical judgment

Demyelinating disorders

All demyelinating disorders

Stroke

Includes stroke and transient ischemic attack (TIA) events

Serious and/or medically significant bleeding events

Bleeding requiring transfusion

Bleeding with hospital visit for evaluation (including emergency department for outpatient clinic)

Serious and/or medically significant hepatic events

Event with hepatic clinical diagnosis

Meets hepatic laboratory criteria for Hy’s Lawa

Hepatic laboratory abnormality resulting in TCZ withdrawal (i.e., permanent discontinuation of TCZ therapy)

  1. a ALAT or ASAT concentrations greater than three times the upper limit AND serum bilirubin greater than two times the upper limit (without cholestasis) AND no other reason than the medication to explain these values