Evidence map›Paper›PMID 25759761›Full record

ArticleArthritis2015

Antibodies to infliximab and adalimumab in patients with rheumatoid arthritis in clinical remission: a cross-sectional study.

Grith P Eng, Klaus Bendtzen, Henning Bliddal, Michael Stoltenberg, Marcin Szkudlarek, Viktoria Fana, Hanne M Lindegaard, Emina Omerovic, Pil Højgaard, Elmo K Jensen and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Arthritis, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 11% of its field
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Immunogenicity of Biologics in Chronic Inflammatory Diseases: A Systematic Review.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2017
    Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 2 countries.

Grith P EngDepartment of Clinical Biochemistry, Copenhagen University Hospital at Køge, 4600 Køge, Denmark ; Department of Rheumatology, Copenhagen University Hospital at Køge, 4600 Køge, Denmark ; The Parker Institute, Department of Rheumatology, Copenhagen University Hospitals at Frederiksberg and Bispebjerg, 2000 Copenhagen F, Denmark.
Klaus BendtzenInstitute for Inflammation Research (IIR), Rigshospitalet University Hospital, 2100 Copenhagen, Denmark.
Henning BliddalThe Parker Institute, Department of Rheumatology, Copenhagen University Hospitals at Frederiksberg and Bispebjerg, 2000 Copenhagen F, Denmark.ORCID 0000-0002-7951-1668
Michael StoltenbergDepartment of Rheumatology, Copenhagen University Hospital at Køge, 4600 Køge, Denmark ; DANBIO registry, Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital Glostrup, 2600 Glostrup, Denmark.
Marcin SzkudlarekDepartment of Rheumatology, Copenhagen University Hospital at Køge, 4600 Køge, Denmark.
Viktoria FanaDepartment of Rheumatology, Copenhagen University Hospital Glostrup, 2600 Glostrup, Denmark.
Hanne M LindegaardDepartment of Rheumatology, Odense University Hospital, 5000 Odense, Denmark.
Emina OmerovicDepartment of Rheumatology, Copenhagen University Hospitals at Frederiksberg and Bispebjerg, 2000 Frederiksberg, Denmark.
Pil HøjgaardDepartment of Rheumatology, Copenhagen University Hospital at Gentofte, 2900 Gentofte, Denmark.
Elmo K JensenDepartment of Rheumatology, Copenhagen University Hospital at Holbæk, 4300 Holbæk, Denmark.
Pierre N BoucheloucheDepartment of Clinical Biochemistry, Copenhagen University Hospital at Køge, 4600 Køge, Denmark.
Copenhagen University Hospital · DKFrederiksberg Hospital · DKGlostrup Hospital · DKGentofte Hospital · DKOdense University Hospital · DKRigshospitalet · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective. To investigate if antibodies towards biological TNF-α inhibitors (anti-TNFi Abs) are present in patients with rheumatoid arthritis (RA) in clinical remission and to relate any anti-TNFi Abs to circulating level of TNF-α inhibitor (TNFi). Methods. Patients with RA, treated with infliximab or adalimumab, and in clinical remission (DAS28(CRP) < 2.6) were included from 6 out-patient clinics. In blood samples, presence of anti-TNFi Abs was determined by radioimmunoassay, and concentration of bioactive TNFi was measured by a cell-based reporter gene assay. Results. Anti-TNFi Abs were present in 8/44 patients (18%) treated with infliximab and 1/49 patients (2%) treated with adalimumab (p = 0.012). In the former group, anti-TNFi Abs corresponded with low levels of TNFi (p = 0.048). Anti-TNFi Ab-positive patients had shorter disease duration at initiation of TNFi therapy (p = 0.023) but were similar for the rest of the compared parameters. Conclusions. In RA patients in clinical remission, anti-TNFi Abs occur frequently in patients treated with infliximab, while they occur rarely in patients treated with adalimumab. Presence of anti-infliximab Abs is accompanied by low or undetectable levels of infliximab. These data suggest that continued infliximab treatment may be redundant in a proportion of RA patients treated with infliximab and in clinical remission.

Identifiers

PMID25759761
PMCPMC4339793
OpenAlexW2076973401

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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.