A national, multicenter, retrospective study evaluating retention rate and efficacy of tocilizumab treatment in patients with active rheumatoid arthritis who had an inadequate response to csDMARDs and/or TNF inhibitors
Yıl: 2023 Cilt: 53 Sayı: 3 Sayfa Aralığı: 731 - 743 Metin Dili: İngilizce DOI: 10.55730/1300-0144.5636 İndeks Tarihi: 02-08-2023
A national, multicenter, retrospective study evaluating retention rate and efficacy of tocilizumab treatment in patients with active rheumatoid arthritis who had an inadequate response to csDMARDs and/or TNF inhibitors
Öz: Background/aim: To describe the disease activity and retention rate in rheumatoid arthritis (RA) patients with inadequate response (IR) to conventional synthetic disease-modifying antirheumatic drugs (csDMARDs) and/or tumor necrosis factor inhibitors (TNFis) who were prescribed tocilizumab (TCZ) as first-line or second-line biologic treatment in real-world setting. Materials and methods: Data gathered from patients’ files was used in a multicenter and retrospective context. Retention rates and the Disease Activity Score in 28 joints with CRP (DAS28-CRP) were evaluated at time points. The relationship of drug efficacy with factors such as smoking, obesity, and previous use of TNFis was also examined. Results: One hundred and twenty-four patients with a median (IQR) RA duration of 3.7 (7.4) years were included. Mean (SD) age was 52.9 (12.9) and 75% of the patients were female. TCZ retention rates in the 6th and 12th months were 94.1% and 86.6%, respectively. In all patients, DAS28-CRP level decreased significantly from baseline to Months 3 and 6. There was an increase in patients with remission and/or low disease activity and a decrease in patients with high disease activity at Month 3 and Month 6 (p < 0.001 for both). Disease activity was similar between subgroups based on body mass index, smoking status, and previous use of TNFis at any time point. Regres- sion analysis showed that absence of concomitant corticosteroid treatment independently was associated with remission/LDA achieve- ment at Month 6 [OR = 0.31, 95% CI (0.14– 0.72), p = 0.006], and Month 12 [OR = 0.35, 95% CI (0.13–0.94), p = 0.037]. Overall, 25 mild adverse events were reported. Conclusion: TCZ was found to be effective and safe in RA patients with IR to csDMARDs and/or TNFis. The drug retention rate was considered satisfactory with more than half of the patients continuing TCZ treatment at Month 12.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA | Inanc N, terzioglu e, Karabulut Y, YILMAZ Z, Tarhan F, enecik m, sahin a, Küçük A, Ayan A, Ozgen M, KARASU U, Yolbas S (2023). A national, multicenter, retrospective study evaluating retention rate and efficacy of tocilizumab treatment in patients with active rheumatoid arthritis who had an inadequate response to csDMARDs and/or TNF inhibitors. , 731 - 743. 10.55730/1300-0144.5636 |
Chicago | Inanc Nevsun,terzioglu ender,Karabulut Yusuf,YILMAZ ZEVCET,Tarhan Figen,enecik mehmet emin,sahin ali,Küçük Adem,Ayan Ayse,Ozgen Metin,KARASU UGUR,Yolbas Servet A national, multicenter, retrospective study evaluating retention rate and efficacy of tocilizumab treatment in patients with active rheumatoid arthritis who had an inadequate response to csDMARDs and/or TNF inhibitors. (2023): 731 - 743. 10.55730/1300-0144.5636 |
MLA | Inanc Nevsun,terzioglu ender,Karabulut Yusuf,YILMAZ ZEVCET,Tarhan Figen,enecik mehmet emin,sahin ali,Küçük Adem,Ayan Ayse,Ozgen Metin,KARASU UGUR,Yolbas Servet A national, multicenter, retrospective study evaluating retention rate and efficacy of tocilizumab treatment in patients with active rheumatoid arthritis who had an inadequate response to csDMARDs and/or TNF inhibitors. , 2023, ss.731 - 743. 10.55730/1300-0144.5636 |
AMA | Inanc N,terzioglu e,Karabulut Y,YILMAZ Z,Tarhan F,enecik m,sahin a,Küçük A,Ayan A,Ozgen M,KARASU U,Yolbas S A national, multicenter, retrospective study evaluating retention rate and efficacy of tocilizumab treatment in patients with active rheumatoid arthritis who had an inadequate response to csDMARDs and/or TNF inhibitors. . 2023; 731 - 743. 10.55730/1300-0144.5636 |
Vancouver | Inanc N,terzioglu e,Karabulut Y,YILMAZ Z,Tarhan F,enecik m,sahin a,Küçük A,Ayan A,Ozgen M,KARASU U,Yolbas S A national, multicenter, retrospective study evaluating retention rate and efficacy of tocilizumab treatment in patients with active rheumatoid arthritis who had an inadequate response to csDMARDs and/or TNF inhibitors. . 2023; 731 - 743. 10.55730/1300-0144.5636 |
IEEE | Inanc N,terzioglu e,Karabulut Y,YILMAZ Z,Tarhan F,enecik m,sahin a,Küçük A,Ayan A,Ozgen M,KARASU U,Yolbas S "A national, multicenter, retrospective study evaluating retention rate and efficacy of tocilizumab treatment in patients with active rheumatoid arthritis who had an inadequate response to csDMARDs and/or TNF inhibitors." , ss.731 - 743, 2023. 10.55730/1300-0144.5636 |
ISNAD | Inanc, Nevsun vd. "A national, multicenter, retrospective study evaluating retention rate and efficacy of tocilizumab treatment in patients with active rheumatoid arthritis who had an inadequate response to csDMARDs and/or TNF inhibitors". (2023), 731-743. https://doi.org/10.55730/1300-0144.5636 |
APA | Inanc N, terzioglu e, Karabulut Y, YILMAZ Z, Tarhan F, enecik m, sahin a, Küçük A, Ayan A, Ozgen M, KARASU U, Yolbas S (2023). A national, multicenter, retrospective study evaluating retention rate and efficacy of tocilizumab treatment in patients with active rheumatoid arthritis who had an inadequate response to csDMARDs and/or TNF inhibitors. Turkish Journal of Medical Sciences, 53(3), 731 - 743. 10.55730/1300-0144.5636 |
Chicago | Inanc Nevsun,terzioglu ender,Karabulut Yusuf,YILMAZ ZEVCET,Tarhan Figen,enecik mehmet emin,sahin ali,Küçük Adem,Ayan Ayse,Ozgen Metin,KARASU UGUR,Yolbas Servet A national, multicenter, retrospective study evaluating retention rate and efficacy of tocilizumab treatment in patients with active rheumatoid arthritis who had an inadequate response to csDMARDs and/or TNF inhibitors. Turkish Journal of Medical Sciences 53, no.3 (2023): 731 - 743. 10.55730/1300-0144.5636 |
MLA | Inanc Nevsun,terzioglu ender,Karabulut Yusuf,YILMAZ ZEVCET,Tarhan Figen,enecik mehmet emin,sahin ali,Küçük Adem,Ayan Ayse,Ozgen Metin,KARASU UGUR,Yolbas Servet A national, multicenter, retrospective study evaluating retention rate and efficacy of tocilizumab treatment in patients with active rheumatoid arthritis who had an inadequate response to csDMARDs and/or TNF inhibitors. Turkish Journal of Medical Sciences, vol.53, no.3, 2023, ss.731 - 743. 10.55730/1300-0144.5636 |
AMA | Inanc N,terzioglu e,Karabulut Y,YILMAZ Z,Tarhan F,enecik m,sahin a,Küçük A,Ayan A,Ozgen M,KARASU U,Yolbas S A national, multicenter, retrospective study evaluating retention rate and efficacy of tocilizumab treatment in patients with active rheumatoid arthritis who had an inadequate response to csDMARDs and/or TNF inhibitors. Turkish Journal of Medical Sciences. 2023; 53(3): 731 - 743. 10.55730/1300-0144.5636 |
Vancouver | Inanc N,terzioglu e,Karabulut Y,YILMAZ Z,Tarhan F,enecik m,sahin a,Küçük A,Ayan A,Ozgen M,KARASU U,Yolbas S A national, multicenter, retrospective study evaluating retention rate and efficacy of tocilizumab treatment in patients with active rheumatoid arthritis who had an inadequate response to csDMARDs and/or TNF inhibitors. Turkish Journal of Medical Sciences. 2023; 53(3): 731 - 743. 10.55730/1300-0144.5636 |
IEEE | Inanc N,terzioglu e,Karabulut Y,YILMAZ Z,Tarhan F,enecik m,sahin a,Küçük A,Ayan A,Ozgen M,KARASU U,Yolbas S "A national, multicenter, retrospective study evaluating retention rate and efficacy of tocilizumab treatment in patients with active rheumatoid arthritis who had an inadequate response to csDMARDs and/or TNF inhibitors." Turkish Journal of Medical Sciences, 53, ss.731 - 743, 2023. 10.55730/1300-0144.5636 |
ISNAD | Inanc, Nevsun vd. "A national, multicenter, retrospective study evaluating retention rate and efficacy of tocilizumab treatment in patients with active rheumatoid arthritis who had an inadequate response to csDMARDs and/or TNF inhibitors". Turkish Journal of Medical Sciences 53/3 (2023), 731-743. https://doi.org/10.55730/1300-0144.5636 |