Evidence map›Paper›PMID 26801332›Full record

ArticleClinical rheumatology2016

Body mass index and response to tocilizumab in rheumatoid arthritis: a real life study.

A Gardette, S Ottaviani, J Sellam, F Berenbaum, F Lioté, A Meyer, J Sibilia, B Fautrel, E Palazzo, P Dieudé

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Clinical rheumatology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
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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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

10 authors.

A GardetteCHU Bichat Claude Bernard, Service de Rhumatologie, Université Paris Diderot, Hôpital Bichat, AP-HP, 46 rue Henri Huchard, 75018, Paris, France.
S OttavianiCHU Bichat Claude Bernard, Service de Rhumatologie, Université Paris Diderot, Hôpital Bichat, AP-HP, 46 rue Henri Huchard, 75018, Paris, France.
J SellamCHU Saint Antoine, Service de Rhumatologie, DHU i2B and Inserm UMRS_938, Université Pierre et Marie Curie, 184 rue du Faubourg Saint-Antoine, 75012, Paris, France.
F BerenbaumCHU Saint Antoine, Service de Rhumatologie, DHU i2B and Inserm UMRS_938, Université Pierre et Marie Curie, 184 rue du Faubourg Saint-Antoine, 75012, Paris, France.
F LiotéInserm, UMR-S 606, CHU Lariboisière, Service de Rhumatologie, Université Paris Diderot, 2 rue Ambroise Paré, 75010, Paris, France.
A MeyerService de Rhumatologie, Hôpitaux Universitaires de Strasbourg, 1 avenue Molière, 67098, Strasbourg, France.
J SibiliaService de Rhumatologie, Hôpitaux Universitaires de Strasbourg, 1 avenue Molière, 67098, Strasbourg, France.
B FautrelCHU La Pitié Salpétrière, Service de Rhumatologie, Université Pierre et Marie Curie, 47-83 boulevard de l'Hôpital, 75013, Paris, France.
E PalazzoCHU Bichat Claude Bernard, Service de Rhumatologie, Université Paris Diderot, Hôpital Bichat, AP-HP, 46 rue Henri Huchard, 75018, Paris, France.
P DieudéCHU Bichat Claude Bernard, Service de Rhumatologie, Université Paris Diderot, Hôpital Bichat, AP-HP, 46 rue Henri Huchard, 75018, Paris, France. philippe.dieude@bch.aphp.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several studies have suggested that obesity could have a negative effect on response to anti-tumor necrosis factor α (anti-TNFα) in rheumatoid arthritis (RA). Little is known about the impact of body mass index (BMI) on other biologic agents. We aimed to evaluate the effect of BMI on response to tocilizumab (TCZ) in RA. RA patients treated with TCZ were included in this multicenter retrospective study. BMI was calculated at the initiation of treatment. After 6 months of treatment, change from baseline in DAS28, pain on a visual analog scale, erythrocyte sedimentation rate and C-reactive protein level, and tender and swollen joints were analyzed. The primary endpoint was decrease in DAS28 ≥ 1.2. Secondary outcomes were good response and remission by EULAR criteria. At baseline, among 115 RA patients included, the median (interquartile range) BMI was 25.4 (22.0-28.8) kg/m(2). The number of patients with normal weight, overweight, and obesity was 53 (46 %), 37 (32 %), and 25 (22 %), respectively. Baseline characteristics did not differ between the three subgroups of BMI. The median BMI did not differ between responders and non-responders for DAS28 decrease ≥1.2 (25.7 [22.1-29.9] vs 24.9 [22.0-27.1], P = 0.38), EULAR good response (25.9 [22.8-30.0] vs 25.4 [22.0-28.4], P = 0.61), and remission (25.1 [22.5-28.6] vs 25.4 [22.0-28.9], P = 0.76). BMI did not affect the response to TCZ in RA. If confirmed, these results could be helpful for the selection of a biologic agent in obese RA patients.

Indexed as

Body Mass IndexAdultAntibodies, Monoclonal, HumanizedAntirheumatic AgentsArthritis, RheumatoidBlood SedimentationBody WeightC-Reactive ProteinFemaleHumansMaleMiddle AgedOverweightRemission InductionRetrospective StudiesTumor Necrosis Factor-alphaAntibodies, Monoclonal, HumanizedAntirheumatic AgentsC-Reactive ProteintocilizumabTumor Necrosis Factor-alphaObesityRheumatoid arthritisTocilizumab

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Registered trials

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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.