Evidence map›Paper›PMID 28243468›Full record

ArticleRMD open2017

Baseline autoantibodies preferentially impact abatacept efficacy in patients with rheumatoid arthritis who are biologic naïve: 6-month results from a real-world, international, prospective study.

Rieke Alten, Hubert G Nüßlein, Xavier Mariette, Mauro Galeazzi, Hanns-Martin Lorenz, Alain Cantagrel, Melanie Chartier, Coralie Poncet, Christiane Rauch, Manuela Le Bars

Registry-linked trialAbstract read
In one paragraph

Article in RMD open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02109666 (Long Term Experience With Abatacept in Routine Clinical Practice), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing 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.

NCT02109666 completednot on this map

Long Term Experience With Abatacept in Routine Clinical Practice

TypeobservationalSponsorBristol-Myers SquibbRan2008 to 2016Enrolled2,364ConditionsRheumatoid ArthritisArmsAbatacept
3 · Its place in the literature

Who cites it

27 citing papers in PubMed.

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  19. Article
  20. Autoantibody Biomarkers in Rheumatic Diseases.International journal of molecular sciences · 2020
    Review
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.

Rieke AltenDepartment of Internal Medicine, Rheumatology, Clinical Immunology, Osteology , Schlosspark-Klinik University Medicine , Berlin , Germany.ORCID 0000-0002-3395-4412
Hubert G NüßleinDepartment of Internal Medicine and Rheumatology , University of Erlangen , Nuremberg , Germany.
Xavier MarietteDepartment of Rheumatology , Université Paris-Sud, Assistance Publique-Hôpitaux de Paris, Hôpitaux Universitaires Paris-Sud, INSERM U1184 , Le Kremlin Bicêtre, Paris , France.
Mauro GaleazziDepartment of Medical Sciences, Surgery, and Neuroscience , University of Siena , Siena , Italy.
Hanns-Martin LorenzDivision of Rheumatology , University Hospital , Heidelberg , Germany.
Alain CantagrelDepartment of Rheumatology , Purpan Hospital , Toulouse , France.
Melanie ChartierMedical Data Operations , Bristol-Myers Squibb , Rueil-Malmaison , France.
Coralie PoncetDepartment of Biostatistics , DOCS International , Nanterre , France.
Christiane RauchDepartment of Immunoscience , Bristol-Myers Squibb , Munich , Germany.
Manuela Le BarsMedical Affairs, Europe , Bristol-Myers Squibb , Rueil-Malmaison , France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine the impact of baseline rheumatoid factor (RF) and anticyclic citrullinated peptide (anti-CCP) status on the clinical efficacy of intravenous abatacept in biologic-naïve patients with rheumatoid arthritis (RA) enrolled in the real-world ACTION study.

methodsClinical outcomes (European League Against Rheumatism (EULAR) response, mean Clinical Disease Activity Index (CDAI) and Boolean remission) at 6 months were compared by baseline RF and anti-CCP status.

resultsOf 672 biologic-naïve patients, RF status was reported in 577 (86%) (412 (71%) positive) and anti-CCP status in 552 (82%) (364 (66%) positive); of 511 patients for whom data were available, 308/511 (60%) were double positive and 127/511 (25%) were double negative. Clinical outcomes were improved with RF-positive or anti-CCP-positive versus RF-negative/anti-CCP-negative status-good or moderate EULAR response: RF: 84.6 vs 72.9%, p=0.012; anti-CCP: 85.2 vs 74.2%, p=0.015; mean CDAI (calculated): RF: 10.8 vs 15.3, p<0.001; anti-CCP: 10.9 vs 14.3, p=0.002; and Boolean remission: RF: 13.3 vs 4.0%, p=0.008; anti-CCP: 12.5 vs 6.3%, p=0.096. Clinical outcomes were also improved with single or double RF-positive/anti-CCP-positive versus double-negative status.

conclusionsIn biologic-naïve patients with RA, RF-positive and/or anti-CCP-positive status is associated with greater efficacy of intravenous abatacept than seronegative status. TRIAL REGISTRATION NUMBER: NCT02109666.

Indexed as

Ant-CCPRheumatoid ArthritisRheumatoid Factor

Identifiers

PMID28243468
PMCPMC5307376

What OpenQuestion holds

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Registered trials

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.