Therapeutic efficacy in Polymyalgia Rheumatica associated with Giant Cell Arteritis

a systematic review

Authors

  • Laura de Souza Corrêa Netto
  • Maria Gabriela Medeiros Marques
  • Théo Ortega Cunha Vieira Marques
  • Luana Gerheim Machado

Keywords:

Giant Cell Arteritis, Polymyalgia Rheumatica, Therapeutics

Abstract

Objective: Polymyalgia rheumatica (PMR) is a disease caused by inflammation of deep joints, which appears in individuals over fifty years of age and is characterized by pain and stiffness. The objective of this study is to investigate the management of polymyalgia rheumatica associated with giant cell arteritis (GCA) for symptom remission. After applying the inclusion and exclusion criteria, only five studies were included in the final analysis. The studies revealed that remission after glucocorticoid withdrawal was more prevalent in the group receiving tocilizumab, as well as a reduction in adverse effects. Another study showed lower disease activity in the tocilizumab group. In the only study using rituximab, the group receiving the immunobiological also achieved greater symptom remission. The conclusion is that the administration of immunobiologicals proved to be an effective alternative for the treatment of PMR in GCA.  

References

Sociedade Brasileira de Reumatologia. Polimialgia Reumática e Arterite de Células Gigantes. Available from: URL: https://www.reumatologia.org. br/doencas-reumaticas/polimialgias. Accessed October 14, 2024.

Spiera R, Unizony SH, Bao M, Luder Y, Han J, Pavlov A, Stone JH. Tocilizumab vs placebo for the treatment of giant cell arteritis with polymyalgia rheumatica symptoms, cranial symptoms or both in a randomized trial. Semin Arthritis Rheum. 2021; 51(2): 469-76.

Espígol-Frigolé G, Dejaco C, Mackie SL, Salvarani C, Matteson EL, Cid MC. Polymyalgia rheumatica. Lancet. 2023; 402(10411): 1459-72.

Devauchelle-Pensec V, Carvajal-Alegria G, Dernis E, Richez C, Truchetet ME, Wendling D, et al. Effect of Tocilizumab on Disease Activity in Patients With Active Polymyalgia Rheumatica Receiving Glucocorticoid Therapy: A Randomized Clinical Trial. JAMA. 2022; 328(11): 1053-62.

Preuss CV, Anjum F. Tocilizumab. 2024 Feb 12. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025.

Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, et al. The PRISMA Statement for Reporting Sistematic Reviews and Meta-Analyses of Studies That Evaluated Health Care Interventions: Explanation and Elaboration. PLoS Med 2009; 6(7): e1000100.

Bolhuis TE, Marsman DE, den Broeder AA, den Broeder N, van der Maas A. 1-year results of treatment with rituximab in polymyalgia rheumatica: an extension study of a randomised double-blind placebo-controlled trial. Lancet Rheumatol. 2023; 5(4): e208-e214.

Hansen SB, Dreyer AF, Jørgensen NT, Al-Jorani H, Bislev LS, Boesen VB, et al. Changes in Adrenal Function and Insufficiency Symptoms After Cessation of Prednisolone. JAMA Netw Open. 2025; 8(3): e251029.

Published

2026-03-01

How to Cite

Corrêa Netto, L. de S., Marques, M. G. M., Marques, T. O. C. V., & Machado, L. G. (2026). Therapeutic efficacy in Polymyalgia Rheumatica associated with Giant Cell Arteritis: a systematic review. Revista De Divulgação Científica Sena Aires, 15(Esp.2), 54–59. Retrieved from https://rdcsa.emnuvens.com.br/revista/article/view/1156

Issue

Section

Literature Review