Evidence map›Paper›PMID 34370130›Full record

ArticleClinical rheumatology2022

Real-world evaluation of effectiveness, persistence, and usage patterns of monotherapy and combination therapy tofacitinib in treatment of rheumatoid arthritis in Australia.

Paul Bird, Geoffrey Littlejohn, Belinda Butcher, Tegan Smith, Catherine O'Sullivan, David Witcombe, Hedley Griffiths

Open access · hybridAbstract read
In one paragraph

Article in Clinical rheumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 17 citations in OpenAlex.

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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

7 authors at 4 institutions in 1 country.

Paul BirdUniversity of New South Wales, Kensington, New South Wales, Australia.ORCID https://orcid.org/0000-0002-2277-8337
Geoffrey LittlejohnOPAL Rheumatology Ltd, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-7896-055X
Belinda ButcherUniversity of New South Wales, Kensington, New South Wales, Australia.ORCID https://orcid.org/0000-0002-1415-4065
Tegan SmithOPAL Rheumatology Ltd, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-2944-9712
Catherine O'SullivanOPAL Rheumatology Ltd, Sydney, New South Wales, Australia. cath.osullivan@opalrheumatology.com.au.ORCID https://orcid.org/0000-0003-0564-9768
David WitcombePfizer Australia, Sydney, New South Wales, Australia.
Hedley GriffithsOPAL Rheumatology Ltd, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0001-5869-797X
UNSW Sydney · AUBarwon Health · AUMonash University · AUPfizer (Australia) · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to describe the real-world effectiveness and treatment persistence among patients with rheumatoid arthritis treated with monotherapy and combination therapy tofacitinib and biologic disease-modifying antirheumatic drugs (bDMARDs).

methodsThis was a post hoc analysis of a retrospective, non-interventional study that extracted data for patients treated with tofacitinib or bDMARDs from the Australian OPAL dataset between March 2015 and September 2018. Monotherapy tofacitinib and bDMARDs and combination therapy tofactinib and bDMARDs were propensity score matched and treatment effectiveness and persistence of the groups were evaluated.

resultsIn the bDMARD and tofacitinib monotherapy and combination therapy matched populations there were 1300 bDMARD initiators (n = 564 monotherapy) and 650 tofacitinib initiators (n = 282 monotherapy). In the bDMARD and tofacitinib monotherapy matched groups, 62.9% and 66.7% were in DAS-28 CRP disease remission after 18 months of treatment, respectively. In the combination therapy bDMARD and tofacitinib groups, 50% and 58.9% were in DAS-28 CRP disease remission after 18 months, respectively. The median treatment persistence was similar between the monotherapy bDMARD and tofacitinib treatment groups (36.7 months (95% CI 27.4 to "not reached') and 34.2 months (95%CI 30.3 to "not reached") respectively) as well as the combination therapy bDMARD and tofacitinib groups (32.2 months (95% CI 25.7 to 34.4) and 32.7 months (95%CI 28.7 to "not reached", respectively).

conclusionsPatients receiving combination therapy with tofacitinib or bDMARDs had higher disease activity scores at index than patients receiving monotherapy. Monotherapy with tofacitinib or bDMARDs, and combination therapy with tofacitinib or bDMARDs demonstrated similar treatment effectiveness and persistence, respectively. Key Points • This study provides real-world evidence regarding effectiveness, treatment persistence, and treatment patterns, among patients with rheumatoid arthritis (RA) treated with monotherapy or combination therapy tofacitinib. • The study suggests that monotherapy and combination therapy tofacitinib is an effective intervention in RA with persistence and effectiveness comparable to bDMARDs.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidAustraliaHumansPiperidinesPyrimidinesRetrospective StudiesTreatment OutcomeAntirheumatic AgentsPiperidinesPyrimidinestofacitinibReal-worldRheumatoid arthritisTNF-inhibitorsTofacitinibTreatment persistence

Identifiers

PMID34370130
PMCPMC8724080
OpenAlexW3189817856

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.