Evidence map›Paper›PMID 30353269›Full record

ArticleRheumatology international2019

Factors associated with long-term retention of treatment with golimumab in a real-world setting: an analysis of the Spanish BIOBADASER registry.

Maria V Hernandez, Carlos Sanchez-Piedra, Blanca Garcia-Magallon, Eduardo Cuende, Javier Manero, Cristina Campos-Fernandez, Raquel Martin-Domenech, Javier Del Pino-Montes, Sara Manrique, Maria C Castro-Villegas and 6 more

Abstract read
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In one paragraph

Article in Rheumatology international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
–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

17 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

16 authors.

Maria V HernandezRheumatology Service, Hospital Clinic i Provincial, Barcelona, Spain.
Carlos Sanchez-PiedraResearch Unit, Sociedad Española de Reumatología, Madrid, Spain.
Blanca Garcia-MagallonRheumatology Service, Hospital San Jorge, Huesca, Spain.
Eduardo CuendeRheumatology Service, Hospital Universitario Príncipe de Asturias (Alcalá de Henares), Madrid, Spain.
Javier ManeroRheumatology Service, Hospital Miguel Servet, Zaragoza, Spain.
Cristina Campos-FernandezRheumatology Service, Hospital General Universitario Valencia, Valencia, Spain.
Raquel Martin-DomenechRheumatology Service, Hospital de Elda, Alicante, Spain.
Javier Del Pino-MontesRheumatology Service, Hospital de Salamanca, Salamanca, Spain.
Sara ManriqueRheumatology Service, Hospital Carlos Haya de Málaga, Málaga, Spain.
Maria C Castro-VillegasRheumatology Service, Hospital Reina Sofía (Córdoba), Córdoba, Spain.
Dolores Ruiz-MontesinosRheumatology Service, Hospital Virgen de Macarena (Sevilla), Seville, Spain.
Fernando Sanchez-AlonsoResearch Unit, Sociedad Española de Reumatología, Madrid, Spain.
Federico Diaz-GonzalezRheumatology Service, Hospital Universitario de Canarias, San Cristóbal de La Laguna, Spain.
Luis Cea-CalvoMedical Affairs, Department, Merck Sharp and Dohme of Spain, Madrid, Spain.
Juan J Gómez-ReinoRheumatology Department, Hospital Universitario de Santiago de Compostela, C/ Choupana s/n, 15701, Santiago de Compostela, Spain. Juan.Jesus.Gomez-Reino.Carnota@sergas.es.
BIOBADASER Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The retention rate of a biological drug (percentage of patients remaining on treatment over time) provides an index of a drug's overall effectiveness. The golimumab retention rate as first-line biological therapy was high in clinical trial extensions lasting 5 years. Real-world studies also indicate good retention rates but have been of shorter duration. The probability of retention with golimumab treatment was assessed, as any line of anti-tumor necrosis factor-alpha therapy, for up to 5 years in patients with rheumatoid arthritis (RA), axial spondyloarthritis (SpA) or psoriatic arthritis (PsA), associated factors were analyzed. A retrospective database analysis of the Spanish registry of patients with rheumatic disorders receiving biological drugs (BIOBADASER) was performed. Among 353 patients, 29.8% had RA, 41.6% SpA and 28.6% PsA. Golimumab was the first biological drug in 40.1% of patients, second in 30.1% and third/later in 29.8%. The overall probability of retention of golimumab at years 1, 2, 3, 4 and 5 was 85.9% (95% confidence interval 81.4-89.5%), 73.7% (67.1-79.1%), 68.5% (60.5-75.1%), 60.6% (50.2-69.5%) and 57.1% (44.9-67.5%), respectively. Retention was similar across indications (p = 0.070) but was greater when golimumab was used as the first biological agent compared with later therapy lines (p < 0.001). Factors associated with higher retention of golimumab treatment (Cox regression) were use as a first-line biological and concomitant methotrexate treatment; corticosteroid need was associated with lower retention. The long-term probability of golimumab retention was high in this real-world study of patients with rheumatic diseases, especially when used as the first biological drug.

Indexed as

Drug MonitoringAdrenal Cortex HormonesAdultAntibodies, MonoclonalAntirheumatic AgentsArthritis, PsoriaticArthritis, RheumatoidDrug Therapy, CombinationFemaleHumansMaleMethotrexateMiddle AgedProportional Hazards ModelsRegistriesRetrospective StudiesAdrenal Cortex HormonesAntibodies, MonoclonalAntirheumatic AgentsgolimumabMethotrexateTumor Necrosis Factor InhibitorsAnkylosing spondylitisAxial spondyloarthritisGolimumabMedication retention ratePsoriatic arthritisRheumatoid arthritis

Identifiers

What OpenQuestion holds

Textmetadata
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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.