In the phase III SIRROUND-T study, treatment with the IL-6-specific antibody sirukumab was well tolerated and showed clinical efficacy in patients with RA refractory to anti-TNF therapy. At week 16, 40% (117 of 292) of patients treated with 50 mg sirukumab every 4 weeks and 45% (132 of 292) of patients treated with 100 mg sirukumab every 2 weeks achieved the primary outcome of ≥20% improvement according to ACR criteria (ACR20 response), compared with 24% (71 of 294) of patients treated with placebo. Adverse event incidences were similar across groups, with the most common being injection-site erythema.