Evidence map›Paper›PMID 31142529›Full record

SynthesisBMJ open2019

Real-world treatment persistence of golimumab in the management of immune-mediated rheumatic diseases in Europe: a systematic literature review.

Karin Luttropp, Mary Dozier, Nahila Justo, Freddy Cornillie, Sumesh Kachroo, Marinella Govoni, Stina Salomonsson, Christopher M Black, Ahmed Khalifa

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

12 citing papers in PubMed, 1 synthesis or guideline 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

9 authors.

Karin LuttroppReal World Evidence Strategy & Analytics, ICON Clinical Research, Stockholm, Sweden.ORCID 0000-0002-6278-1354
Mary DozierReal World Evidence Strategy & Analytics, ICON Clinical Research, Boston, Massachusetts, USA.
Nahila JustoReal World Evidence Strategy & Analytics, ICON Clinical Research, Stockholm, Sweden.
Freddy CornillieMedical Affairs Immunology, MSD Switzerland, Lucerne, Switzerland.
Sumesh KachrooCenter for Observational and Real-world Evidence (CORE), Merck & Co., Inc., Kenilworth, New Jersey, USA.
Marinella GovoniMedical Affairs Rheumatology, MSD Italy, Rome, Italy.
Stina SalomonssonCenter for Observational and Real-world Evidence (CORE), MSD Sweden, Stockholm, Sweden.
Christopher M BlackCenter for Observational and Real-world Evidence (CORE), Merck & Co., Inc., Kenilworth, New Jersey, USA.
Ahmed KhalifaMedical Affairs Immunology, MSD Switzerland, Lucerne, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo summarise real-world data from studies reporting golimumab persistence in European immune-mediated rheumatic disease (IMRD) populations and to report pooled estimates.

designSystematic literature review. DATA SOURCES: Relevant literature was identified through searching Medline and Embase via Ovid as well as the conference databases of European League Against Rheumatism and American College of Rheumatology-Association of Rheumatology Health Professionals. ELIGIBILITY CRITERIA: We screened records using predefined patients, interventions, comparators, outcomes and study design criteria. Eligible studies included reports of persistence among adult IMRD patients in Europe receiving treatment with subcutaneous golimumab. Clinical trials, randomised controlled trials, literature reviews, editorials, guidelines and studies with <20 patients receiving golimumab were excluded. DATA EXTRACTION AND SYNTHESIS: Following double screening by two independent reviewers, 27 studies out of 578 identified records were selected for inclusion and subsequent data extraction. Persistence was most commonly reported at 12and 24 months; hence, pooled persistence estimates were calculated for these two time points and reported according to indication.

resultsPersistence ranged between 58.1% (psoriatic arthritis (PsA) patients regardless of treatment line) and 75.7% (biological-naïve rheumatoid arthritis patients) at 12 months; at 24 months, the range was 43% (axial spondyloarthritis (AxSpA) patients regardless of treatment line) and 69.6% (biological-naïve PsA patients). On the basis of data from 12 studies, persistence with golimumab treatment was either significantly higher or not significantly different from other tumour necrosis factor inhibitors (TNFi).

conclusionsGolimumab persistence at 24 months approximates 50%, with a lower persistence among AxSpA (43%) patients. However, as the number of studies in these populations was low, they warrant further research. In 12 studies comparing various TNFi treatments, golimumab was shown to have significantly better or equal persistence to its comparators.

Indexed as

Antibodies, MonoclonalAntirheumatic AgentsEuropeHumansRegistriesRheumatic DiseasesTreatment OutcomeAntibodies, MonoclonalAntirheumatic Agentsgolimumabdrug survivalgolimumabreal-world evidence (RWE)rheumatologytreatment persistence

Identifiers

PMID31142529
PMCPMC6549706

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.