Evidence map›Paper›PMID 21893583›Full record

Trial reportAnnals of the rheumatic diseases2011

Long-term safety, efficacy and inhibition of radiographic progression with abatacept treatment in patients with rheumatoid arthritis and an inadequate response to methotrexate: 3-year results from the AIM trial.

Joel M Kremer, Anthony S Russell, Paul Emery, Carlos Abud-Mendoza, Jacek Szechinski, Rene Westhovens, Tracy Li, Xianhuang Zhou, Jean-Claude Becker, Richard Aranda and 2 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Annals of the rheumatic diseases, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Joel M KremerCenter for Rheumatology, Albany Medical College, 1367 Washington Ave, Albany, NY 12206, USA. jkremer@joint-docs.com
Anthony S Russell
Paul Emery
Carlos Abud-Mendoza
Jacek Szechinski
Rene Westhovens
Tracy Li
Xianhuang Zhou
Jean-Claude Becker
Richard Aranda
Charles Peterfy
Harry K Genant

Funding

Arthritis Research UK 18475
6 · The paper itself

Abstract

objectiveTo evaluate abatacept treatment over 3 years in patients with rheumatoid arthritis (RA) refractory to methotrexate (MTX).

methodsPatients randomised to abatacept or placebo (+MTX) during the 1-year double-blind period of the Abatacept in Inadequate responders to Methotrexate (AIM) trial received open-label abatacept (+MTX) in the long-term extension (LTE). Safety was assessed for patients who received ≥ 1 dose of abatacept, regardless of randomisation group. Efficacy was assessed for patients randomised to abatacept who entered the LTE.

results433 and 219 patients were randomised and treated with abatacept or placebo, respectively; 378 and 161 entered the LTE. At year 3, 440/539 patients were ongoing. No unexpected safety events were observed in the LTE. By year 3, incidence rates of adverse event and serious adverse events were 249.8/100 and 15.1/100 patient-years, respectively. Incidence rates were generally stable over time. At year 3, 84.8%, 63.4% and 37.5% of patients achieved American College of Rheumatology (ACR) criteria of 20, 50 and 70, respectively, compared with 82.3%, 54.3% and 32.4% of patients at year 1. Mean changes in Genant-modified Sharp scores were reduced progressively over 3 years, with significantly greater inhibition during year 3 compared with year 2 (p=0.022 for total score).

conclusionIn MTX-inadequate responders with RA, abatacept provided consistent safety and sustained efficacy over 3 years. The data suggest an increasing inhibitory disease-modifying effect on radiographic progression.

Indexed as

AbataceptAdultAntirheumatic AgentsArthritis, RheumatoidAutoimmune DiseasesDisease ProgressionDouble-Blind MethodDrug Therapy, CombinationFemaleHumansImmunoconjugatesImmunosuppressive AgentsMaleMethotrexateMiddle AgedNeoplasmsAbataceptAntirheumatic AgentsImmunoconjugatesImmunosuppressive AgentsMethotrexate

Identifiers

PMID21893583
PMCPMC3171107

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.