Evidence map›Paper›PMID 27990682›Full record

ReviewBritish journal of clinical pharmacology2017

Is there potential for therapeutic drug monitoring of biologic agents in rheumatoid arthritis?

Carla Bastida, Virginia Ruíz, Mariona Pascal, Jordi Yagüe, Raimon Sanmartí, Dolors Soy

Abstract readReview
In one paragraph

Review in British journal of clinical pharmacology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

  1. Trial
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  9. Observational
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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

6 authors.

Carla BastidaPharmacy Department, Hospital Clinic Barcelona, Barcelona, Spain.
Virginia RuízArthritis Unit, Rheumatology Department, Hospital Clinic Barcelona, Barcelona, Spain.
Mariona PascalImmunology Department, CDB, Hospital Clinic, IDIBAPS, Universitat de Barcelona, Spain.
Jordi YagüeImmunology Department, CDB, Hospital Clinic, IDIBAPS, Universitat de Barcelona, Spain.
Raimon SanmartíArthritis Unit, Rheumatology Department, Hospital Clinic Barcelona, Barcelona, Spain.
Dolors SoyPharmacy Department, Hospital Clinic Barcelona, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The use of biologics has significantly changed the management of rheumatoid arthritis over the last decade, becoming the cornerstone treatment for many patients. The current therapeutic arsenal consists of just under 10 biologic agents, with four different mechanisms of action. Several studies have demonstrated a large interindividual pharmacokinetic variability, which translates to unpredictability in clinical response among individuals. The present review focuses on the pharmacokinetics and pharmacodynamics of biologic agents approved for rheumatoid arthritis. The literature relating to their concentration-effect relationship and the use of pharmacokinetic-pharmacodynamic modelling to optimize drug regimens is analysed. Due to the scarcity and complexity of these studies, the current dosing strategy is based on clinical indexes/aspects. In general, dose individualization for biologics should be implemented increasingly in clinical practice as there is a direct benefit for treated rheumatoid arthritis patients. Moreover, there is an indirect benefit in terms of cost-effectiveness.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidBiological FactorsCost-Benefit AnalysisDose-Response Relationship, DrugDrug MonitoringHumansAntirheumatic AgentsBiological Factorsbiologicalsmonoclonal antibodiespharmacokinetic-pharmacodynamicrheumatoid arthritistherapeutic drug monitoring

Identifiers

PMID27990682
PMCPMC5401978

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.