Drug survival and causes of discontinuation of the first anti-TNF in ankylosing spondylitis compared with rheumatoid arthritis: analysis from BIOBADABRASIL

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dc.contributor.authorFafa B.P.
dc.contributor.authorLouzada-Junior P.
dc.contributor.authorTitton D.C.
dc.contributor.authorZandonade E.
dc.contributor.authorRanza R.
dc.contributor.authorLaurindo I.
dc.contributor.authorPecanha P.
dc.contributor.authorRanzolin A.
dc.contributor.authorHayata A.L.
dc.contributor.authorDuarte A.
dc.contributor.authorSilveira I.G.
dc.contributor.authorCosta I.
dc.contributor.authorMacieira J.C.
dc.contributor.authorGuedes-Barbosa L.S.
dc.contributor.authorBertolo M.B.
dc.contributor.authorSauma M.F.L.C.
dc.contributor.authorSilva M.B.G.
dc.contributor.authorFreire M.
dc.contributor.authorScheinberg M.A.
dc.contributor.authorFernandes V.
dc.contributor.authorBianchi W.
dc.contributor.authorMiranda J.R.S.
dc.contributor.authorPinheiro G.R.C.
dc.contributor.authorCarvalho H.M.S.
dc.contributor.authorBrenol C.V.
dc.contributor.authorPereira I.A.
dc.contributor.authorde Castro G.R.W.
dc.contributor.authorde Morais J.C.B.
dc.contributor.authorOliveira S.K.F.
dc.contributor.authorde Abreu M.M.
dc.contributor.authorToledo R.A.
dc.contributor.authorPinheiro M.M.
dc.contributor.authorVieira W.P.
dc.contributor.authorValim V.
dc.date.accessioned2024-03-13T00:57:12Z
dc.date.available2024-03-13T00:57:12Z
dc.date.issued2015
dc.description.abstract© 2015, International League of Associations for Rheumatology (ILAR).Treatment survival with biological therapy may be influenced by many factors, and it seems to be different among various rheumatic diseases and biological agents. The goal of the study was to compare the drug survival and the causes of discontinuation of anti-tumoral necrosis factor (anti-TNF) therapy in ankylosing spondylitis (AS) with rheumatoid arthritis (RA). Study participants were a cohort from the Brazilian Registry of Biological Therapies in Rheumatic Diseases (BIOBADABRASIL) between 2008 and 2012. The observation time was up to 4 years following the introduction of the first treatment. Gender, age, disease duration, disease activity, comorbidities, and concomitant therapies were assessed. A total of 1303 patients were included: 372 had AS and 931 had RA in which 38.7 % (n = 504) used infliximab (IFX), 34.9 % (n = 455) used adalimumab (ADA), and 26.4 % (n = 344) used etanercept (ETA). The anti-TNF drug survival of patients with AS was 63.08 months (confidence interval (CI) 60.24, 65.92) and patients with RA was 47.5 months (CI 45.65, 49.36). It was significant higher in AS (log-rank; p ≤ 0.001). Patients with RA discontinued anti-TNF more than patients with AS when adjusted to gender and corticosteroid. The adjHR (95 % CI) was 1.6 (1.14, 2.31). Female patients who were also corticosteroid users, but not of advanced age, have shown lower survival for both diseases (log-rank, p ≤ 0.001). The discontinuation rate of IFX, but not of ADA or ETA, was significantly higher in RA than in SA; HR (95 % CI) was 2.49 (1.46, 4.24). The main causes of discontinuation were ineffectiveness and adverse event in both diseases. AS patients have better drug survival adjusted to gender, age, and corticosteroid. This results appear to be related to the disease mechanism.
dc.description.firstpage921
dc.description.issuenumber5
dc.description.lastpage927
dc.description.volume34
dc.identifier.doi10.1007/s10067-015-2929-7
dc.identifier.issn1434-9949
dc.identifier.urihttps://dspace.mackenzie.br/handle/10899/36198
dc.relation.ispartofClinical Rheumatology
dc.rightsAcesso Restrito
dc.subject.otherlanguageAnkylosing spondylitis
dc.subject.otherlanguageAnti-TNF
dc.subject.otherlanguageBiological therapy
dc.subject.otherlanguageRheumatoid arthritis
dc.subject.otherlanguageSurvival
dc.titleDrug survival and causes of discontinuation of the first anti-TNF in ankylosing spondylitis compared with rheumatoid arthritis: analysis from BIOBADABRASIL
dc.typeArtigo
local.scopus.citations35
local.scopus.eid2-s2.0-84937758454
local.scopus.subjectAdalimumab
local.scopus.subjectAdrenal Cortex Hormones
local.scopus.subjectAdult
local.scopus.subjectAge Factors
local.scopus.subjectAged
local.scopus.subjectAntirheumatic Agents
local.scopus.subjectArthritis, Rheumatoid
local.scopus.subjectBrazil
local.scopus.subjectCohort Studies
local.scopus.subjectDrug Therapy, Combination
local.scopus.subjectEtanercept
local.scopus.subjectFemale
local.scopus.subjectHumans
local.scopus.subjectInfliximab
local.scopus.subjectMale
local.scopus.subjectMiddle Aged
local.scopus.subjectRegistries
local.scopus.subjectSex Factors
local.scopus.subjectSpondylitis, Ankylosing
local.scopus.subjectTime Factors
local.scopus.subjectTreatment Failure
local.scopus.subjectTreatment Outcome
local.scopus.subjectTumor Necrosis Factor-alpha
local.scopus.updated2024-05-01
local.scopus.urlhttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84937758454&origin=inward
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