Evidence map›Paper›PMID 29435360›Full record

ArticleRMD open2017

Real-world predictors of 12-month intravenous abatacept retention in patients with rheumatoid arthritis in the ACTION observational study.

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

Registry-linked trialOpen access · goldAbstract 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 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.1field-weighted citation impact, top 8% 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.

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

16 citing papers in PubMed, 30 citations in OpenAlex.

  1. Predicting abatacept retention using machine learning.Arthritis research & therapy · 2025
    Observational
  2. Article
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  5. Article
  6. Influence of theJournal of personalized medicine · 2021
    Article
  7. Review
  8. Impact of Single-Nucleotide Polymorphisms ofJournal of personalized medicine · 2020
    Article
  9. Article
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  11. Article
  12. Observational
  13. Observational
  14. Review
  15. Observational
  16. Observational
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 at 8 institutions in 3 countries.

Rieke AltenDepartment of Internal Medicine, Rheumatology, Clinical Immunology, and Osteology, Schlosspark-Klinik University Medicine, Berlin, Germany.ORCID 0000-0002-3395-4412
Xavier MarietteDepartment of Rheumatology, Université Paris-Sud, Assistance Publique - Hôpitaux de Paris, Hôpitaux Universitaires Paris-Sud, INSERM U1184, Le Kremlin Bicêtre, Paris, France.
Hanns-Martin LorenzDepartment of Rheumatology, University Hospital, Heidelberg, Germany.
Mauro GaleazziDepartment of Medical Sciences, Surgery and Neuroscience, University of Siena, Siena, Italy.
Alain CantagrelDepartment of Rheumatology, Purpan Hospital, Toulouse, France.
Hubert G NüßleinDepartment of Internal Medicine and Rheumatology, University of Erlangen-Nuremberg, Nuremberg, Germany.
Melanie ChartierDepartment of Medical Affairs, Bristol-Myers Squibb, Rueil-Malmaison, France.
Yedid ElbezExcelya, Boulogne-Billancourt, France.
Christiane RauchDepartment of Immunoscience, Bristol-Myers Squibb, Munich, Germany.
Manuela Le BarsDepartment of Medical Affairs, Bristol-Myers Squibb, Rueil-Malmaison, France.
Bristol-Myers Squibb (France) · FRBristol-Myers Squibb (Germany) · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DEHeidelberg University · DEHôpital Purpan · FRSchlosspark-Klinik · DEUniversité Paris-Sud · FRUniversity of Siena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAn understanding of real-world predictors of abatacept retention is limited. We analysed retention rates and predictors of abatacept retention in biologic-naïve and biologic-failure patients in a 12-month interim analysis of the 2-year

methodsACTION was an international, observational study of patients with moderate-to-severe rheumatoid arthritis (RA) who initiated intravenous abatacept. In this 12-month interim analysis, crude abatacept retention rates, predictors of retention and European League Against Rheumatism (EULAR) response were evaluated in both biologic-naïve and biologic-failure patients. Retention by rheumatoid factor (RF) and anti-cyclic citrullinated peptide (CCP) status was also assessed, in patients with or without baseline radiographic erosions, and by body mass index (BMI).

resultsOverall, 2350/2364 enrolled patients were evaluable (674 biologic naїve; 1676 biologic failure). Baseline characteristics were largely similar in biologic-naïve and biologic-failure groups. Crude retention rates (95% CI) at 12 months were significantly higher in biologic-naїve (78.1%(74.7% to 81.2%)) versus biologic-failure patients (69.9%(67.6% to 72.1%); P<0.001). RF/anti-CCP double positivity predicted higher retention in both patient groups, and remained associated with higher retention in patients with erosive disease. BMI did not impact abatacept retention in either patient group, irrespective of RF/anti-CCP serostatus. Good/moderate EULAR response rate at 12 months was numerically higher in biologic-naїve (83.8%) versus biologic-failure (73.3%) patients. There were no new safety signals.

conclusionHigh levels of intravenous abatacept retention in clinical practice were confirmed, particularly in biologic-naïve patients, including in those with poor RA prognostic factors. Retention was unaffected by BMI, regardless of RF/anti-CCP serostatus. TRIAL REGISTRATION NUMBER: NCT02109666; retrospectively registered 8 April 2014.

Indexed as

ant-ccpdmards (biologic)rheumatoid arthritisrheumatoid factor

Identifiers

PMID29435360
PMCPMC5761291
OpenAlexW2778619403

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.