Evidence map›Paper›PMID 30632015›Full record

ArticleRheumatology and therapy2019

Tocilizumab Effectiveness After Switching from Intravenous to Subcutaneous Route in Patients with Rheumatoid Arthritis: The RoSwitch Study.

Jean Darloy, Nicolas Segaud, Jean-Hugues Salmon, Jean-Paul Eschard, Vincent Goëb, Xavier Deprez, Marie-Hélène Guyot, Eric Houvenagel, Nicolas Lecuyer, Laurent Marguerie and 5 more

Open access · goldAbstract read
In one paragraph

Article in Rheumatology and therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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.

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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. 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

15 authors at 11 institutions in 1 country.

Jean DarloyRheumatology Department, Hôpital Roger Salengro, University Hospital of Lille, Lille, France. jeandarloy@gmail.com.
Nicolas SegaudRheumatology Department, Hôpital Roger Salengro, University Hospital of Lille, Lille, France.
Jean-Hugues SalmonRheumatology Department, Hôpital Maison Blanche, University Hospital of Reims, Reims, France.
Jean-Paul EschardRheumatology Department, Hôpital Maison Blanche, University Hospital of Reims, Reims, France.
Vincent GoëbRheumatology Department, Hôpital Nord, University Hospital of Amiens-Picardie, Amiens, France.
Xavier DeprezRheumatology Department, Hôpital Jean Bernard, Hospital of Valenciennes, Valenciennes, France.
Marie-Hélène GuyotRheumatology Department, Hôpital Jean Bernard, Hospital of Valenciennes, Valenciennes, France.
Eric HouvenagelRheumatology Department, Hôpital Saint Philibert, Hospital of Lomme, Lomme, France.
Nicolas LecuyerRheumatology, Medical office, Saint-Quentin, France.
Laurent MarguerieRheumatology Department, Institut François Calot, Berck-Sur-Mer, France.
Samuel GallyClinical Operations, Roche SAS, Boulogne-Billancourt, France.
David PauClinical Operations, Roche SAS, Boulogne-Billancourt, France.
Isabelle IdierMedical Department, Chugai Pharma France, Paris La Défense, France.
Guy BaudensRheumatology, Medical office, Valenciennes, France.
René-Marc FlipoRheumatology Department, Hôpital Roger Salengro, University Hospital of Lille, Lille, France.
Hôpital Roger Salengro · FRRoche (France) · FRCentre Hospitalier de Roubaix · FRCentre Hospitalier de Saint-Quentin · FRCentre Hospitalier de Valenciennes · FRHôpital Maison Blanche · FRHôpital Nord · FRHôpital Saint-Philibert · FRInstitut Calot · FRLaboratoire d'Automatique, de Mécanique et d'Informatique Industrielles et Humaines · FRUniversité de Reims Champagne-Ardenne · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe main objective of this work was to assess the maintenance of effectiveness of subcutaneous tocilizumab 6 months after switching from intravenous to subcutaneous formulation in patients with rheumatoid arthritis (RA) in a real-world setting. Secondary objectives aimed to describe the characteristics of patients and disease, the effectiveness at 12 months after switching, the therapeutic maintenance, and to search for predictive factors of switching.

methodsWe analyzed all the RA patients of the shared medical file "RIC Nord de France", treated with tocilizumab, switching or not from intravenous to subcutaneous tocilizumab, between April 2015 and January 2016. The primary effectiveness endpoint was the proportion of patients remaining in their DAS28-ESR category remission/low disease activity (LDA) or moving to an inferior DAS28-ESR category at 6 months. Since RoSwitch was an observational study, without randomization, a propensity score was built in a sensitivity analysis to balance on RA and patients' characteristics at inclusion between switching and no-switching groups.

resultsAn improvement of initial DAS28-ESR category or maintenance in DAS28-ESR remission/LDA at 6 months was shown in 203 of the 285 patients with an evaluation for the primary criterion (71.2%, 95% CI [65.6-76.4%]) without differences between groups (73.3%, 95% CI [63.0-82.1%] vs. 70.3%, 95% CI [63.3-76.6%]). The RoSwitch study showed the maintenance of effectiveness at 6 and 12 months. Similar therapeutic maintenance rates were observed for switch and no-switch patients. No clinical factor was associated with the switch in patients in remission/LDA at inclusion.

conclusionsThe RoSwitch study showed the maintenance of effectiveness at 6 months in RA patients switching from intravenous (IV) to subcutaneous (SC) tocilizumab.

fundingRoche SAS and Chugai Pharma France.

Indexed as

Administration routeRheumatoid arthritisSubcutaneousSwitchTocilizumab

Identifiers

PMID30632015
PMCPMC6393270
OpenAlexW2911075975

What OpenQuestion holds

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LicenceCC BY-NC
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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.