Differential long-term retention of biological disease-modifying antirheumatic drugs in patients with rheumatoid arthritis by age group from the FIRST registry
Abstract Background The effectiveness and safety of biological disease-modifying antirheumatic drugs (bDMARDs) by age group (< 65, 65–74, and ≥ 75 years) are uncertain. We examined retention rates reflecting the effectiveness and safety of bDMARDs in actual clinical practice for clarifying optima...
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| Format: | Article |
| Language: | English |
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BMC
2020-06-01
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| Series: | Arthritis Research & Therapy |
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| Online Access: | http://link.springer.com/article/10.1186/s13075-020-02233-9 |
| _version_ | 1818210598875299840 |
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| author | Akio Kawabe Kazuhisa Nakano Satoshi Kubo Takeshi Asakawa Yoshiya Tanaka |
| author_facet | Akio Kawabe Kazuhisa Nakano Satoshi Kubo Takeshi Asakawa Yoshiya Tanaka |
| author_sort | Akio Kawabe |
| collection | DOAJ |
| description | Abstract Background The effectiveness and safety of biological disease-modifying antirheumatic drugs (bDMARDs) by age group (< 65, 65–74, and ≥ 75 years) are uncertain. We examined retention rates reflecting the effectiveness and safety of bDMARDs in actual clinical practice for clarifying optimal therapeutic strategies for rheumatoid arthritis (RA) by age groups. Methods Data of patients who were treated with tumor necrosis factor inhibitors (TNFi), abatacept (ABA), and tocilizumab (TCZ) between February 2011 and April 2017 were collected from a prospective observational registry of RA patients. A total of 1362 patients were enrolled, of which 695 were aged < 65 years, 402 were aged 65–74 years, and 265 were aged ≥ 75 years. Primary outcome was the drug retention rate in adjusted data using inverse probability of treatment weighting based on generalized propensity scores. Results In patients aged < 65 years, 3-year retention rates of TNFi, ABA, and TCZ were 43%, 47%, and 69%, respectively (ABA versus TCZ, p = 0.017; TNFi versus TCZ, p = 0.002). In patients aged 65–74 years, 3-year retention rates of TNFi, ABA, and TCZ were 44%, 53%, and 60%, respectively (TCZ versus TNFi, p = 0.034). In patients aged ≥ 75 years, 3-year retention rates for TNFi, ABA, and TCZ were 38%, 63%, and 58%, respectively (ABA versus TNFi, p = 0.017). Conclusions We found that the effectiveness and safety of TCZ were maximal in patients aged < 75 years and that patients aged ≥ 75 years might be suitable candidates for TCZ and ABA therapy. The use of therapeutic strategies appropriate to each age group might improve the outcomes of bDMARD therapy for RA. |
| first_indexed | 2024-12-12T05:19:09Z |
| format | Article |
| id | doaj.art-49f9215b7cbe470aa0456db8406290ac |
| institution | Directory Open Access Journal |
| issn | 1478-6362 |
| language | English |
| last_indexed | 2024-12-12T05:19:09Z |
| publishDate | 2020-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Arthritis Research & Therapy |
| spelling | doaj.art-49f9215b7cbe470aa0456db8406290ac2022-12-22T00:36:39ZengBMCArthritis Research & Therapy1478-63622020-06-0122111210.1186/s13075-020-02233-9Differential long-term retention of biological disease-modifying antirheumatic drugs in patients with rheumatoid arthritis by age group from the FIRST registryAkio Kawabe0Kazuhisa Nakano1Satoshi Kubo2Takeshi Asakawa3Yoshiya Tanaka4The First Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, JapanThe First Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, JapanThe First Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, JapanDepartment of Information Systems Center, University of Occupational and Environmental Health, JapanThe First Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, JapanAbstract Background The effectiveness and safety of biological disease-modifying antirheumatic drugs (bDMARDs) by age group (< 65, 65–74, and ≥ 75 years) are uncertain. We examined retention rates reflecting the effectiveness and safety of bDMARDs in actual clinical practice for clarifying optimal therapeutic strategies for rheumatoid arthritis (RA) by age groups. Methods Data of patients who were treated with tumor necrosis factor inhibitors (TNFi), abatacept (ABA), and tocilizumab (TCZ) between February 2011 and April 2017 were collected from a prospective observational registry of RA patients. A total of 1362 patients were enrolled, of which 695 were aged < 65 years, 402 were aged 65–74 years, and 265 were aged ≥ 75 years. Primary outcome was the drug retention rate in adjusted data using inverse probability of treatment weighting based on generalized propensity scores. Results In patients aged < 65 years, 3-year retention rates of TNFi, ABA, and TCZ were 43%, 47%, and 69%, respectively (ABA versus TCZ, p = 0.017; TNFi versus TCZ, p = 0.002). In patients aged 65–74 years, 3-year retention rates of TNFi, ABA, and TCZ were 44%, 53%, and 60%, respectively (TCZ versus TNFi, p = 0.034). In patients aged ≥ 75 years, 3-year retention rates for TNFi, ABA, and TCZ were 38%, 63%, and 58%, respectively (ABA versus TNFi, p = 0.017). Conclusions We found that the effectiveness and safety of TCZ were maximal in patients aged < 75 years and that patients aged ≥ 75 years might be suitable candidates for TCZ and ABA therapy. The use of therapeutic strategies appropriate to each age group might improve the outcomes of bDMARD therapy for RA.http://link.springer.com/article/10.1186/s13075-020-02233-9Rheumatoid arthritisBiological disease-modifying antirheumatic drugsRetention rateInverse probability of treatment weightingGeneralized propensity score |
| spellingShingle | Akio Kawabe Kazuhisa Nakano Satoshi Kubo Takeshi Asakawa Yoshiya Tanaka Differential long-term retention of biological disease-modifying antirheumatic drugs in patients with rheumatoid arthritis by age group from the FIRST registry Arthritis Research & Therapy Rheumatoid arthritis Biological disease-modifying antirheumatic drugs Retention rate Inverse probability of treatment weighting Generalized propensity score |
| title | Differential long-term retention of biological disease-modifying antirheumatic drugs in patients with rheumatoid arthritis by age group from the FIRST registry |
| title_full | Differential long-term retention of biological disease-modifying antirheumatic drugs in patients with rheumatoid arthritis by age group from the FIRST registry |
| title_fullStr | Differential long-term retention of biological disease-modifying antirheumatic drugs in patients with rheumatoid arthritis by age group from the FIRST registry |
| title_full_unstemmed | Differential long-term retention of biological disease-modifying antirheumatic drugs in patients with rheumatoid arthritis by age group from the FIRST registry |
| title_short | Differential long-term retention of biological disease-modifying antirheumatic drugs in patients with rheumatoid arthritis by age group from the FIRST registry |
| title_sort | differential long term retention of biological disease modifying antirheumatic drugs in patients with rheumatoid arthritis by age group from the first registry |
| topic | Rheumatoid arthritis Biological disease-modifying antirheumatic drugs Retention rate Inverse probability of treatment weighting Generalized propensity score |
| url | http://link.springer.com/article/10.1186/s13075-020-02233-9 |
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