Evidence map›Paper›PMID 34997059›Full record

Observational studyScientific reports2022

Factors affecting drug retention of Janus kinase inhibitors in patients with rheumatoid arthritis: the ANSWER cohort study.

Kosuke Ebina, Toru Hirano, Yuichi Maeda, Wataru Yamamoto, Motomu Hashimoto, Koichi Murata, Akira Onishi, Sadao Jinno, Ryota Hara, Yonsu Son and 11 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
6.3field-weighted citation impact, top 3% 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

27 citing papers in PubMed, 37 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

21 authors at 10 institutions in 1 country.

Kosuke EbinaDepartment of Musculoskeletal Regenerative Medicine, Osaka University Graduate School of Medicine, Osaka, Japan. k-ebina@ort.med.osaka-u.ac.jp.ORCID 0000-0002-2426-1024
Toru HiranoDepartment of Rheumatology, Nishinomiya Municipal Hospital, Hyogo, Japan.
Yuichi MaedaDepartment of Respiratory Medicine and Clinical Immunology, Osaka University Graduate School of Medicine, Osaka, Japan.
Wataru YamamotoDepartment of Health Information Management, Kurashiki Sweet Hospital, Okayama, Japan.
Motomu HashimotoDepartment of Advanced Medicine for Rheumatic Diseases, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Koichi MurataDepartment of Advanced Medicine for Rheumatic Diseases, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Akira OnishiDepartment of Advanced Medicine for Rheumatic Diseases, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Sadao JinnoDepartment of Rheumatology and Clinical Immunology, Kobe University Graduate School of Medicine, Hyogo, Japan.
Ryota HaraDepartment of Orthopaedic Surgery, Nara Medical University, Nara, Japan.
Yonsu SonFirst Department of Internal Medicine, Kansai Medical University, Osaka, Japan.
Hideki AmuroFirst Department of Internal Medicine, Kansai Medical University, Osaka, Japan.
Tohru TakeuchiDepartment of Internal Medicine (IV), Osaka Medical and Pharmaceutical University, Osaka, Japan.
Ayaka YoshikawaDepartment of Internal Medicine (IV), Osaka Medical and Pharmaceutical University, Osaka, Japan.
Masaki KatayamaDepartment of Rheumatology, Osaka Red Cross Hospital, Osaka, Japan.
Keiichi YamamotoInformation Technology Center, Wakayama Medical University, Wakayama, Japan.
Yasutaka OkitaDepartment of Respiratory Medicine and Clinical Immunology, Osaka University Graduate School of Medicine, Osaka, Japan.
Makoto HiraoDepartment of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Yuki EtaniDepartment of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Atsushi KumanogohDepartment of Respiratory Medicine and Clinical Immunology, Osaka University Graduate School of Medicine, Osaka, Japan.
Seiji OkadaDepartment of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Ken NakataDepartment of Health and Sport Sciences, Osaka University Graduate School of Medicine, Osaka, Japan.
The University of Osaka · JPKyoto University · JPKansai Medical University · JPOsaka University of Pharmaceutical Sciences · JPKobe University · JPNara Medical University · JPNishinomiya Municipal Central Hospital · JPOsaka Red Cross Hospital · JPOsaka University of Health and Sport Sciences · JPWakayama Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This multi-center, retrospective study aimed to clarify the factors affecting drug retention of the Janus kinase inhibitors (JAKi) including baricitinib (BAR) and tofacitinib (TOF) in patients with RA. Patients were as follows; females, 80.6%; age, 60.5 years; DAS28-ESR, 4.3; treated with either BAR (n = 166) or TOF (n = 185); bDMARDs- or JAKi-switched cases (76.6%). The reasons for drug discontinuation were classified into four major categories. The drug retention was evaluated at 24 months using the Kaplan-Meier method and multivariate Cox proportional hazards modelling adjusted by confounders. Discontinuation rates for the corresponding reasons were as follows; ineffectiveness (22.3%), toxic adverse events (13.3%), non-toxic reasons (7.2%) and remission (0.0%). Prior history of anti-interleukin-6 receptor antibody (aIL-6R) ineffectiveness significantly increased the risk of treatment discontinuation due to ineffectiveness (p = 0.020). Aging (≥ 75 years) (p = 0.028), usage of PSL ≥ 5 mg/day (p = 0.017) and female sex (p = 0.041) significantly increased the risk of treatment discontinuation due to toxic adverse events. Factors not associated with treatment discontinuation were: number of prior bDMARDs or JAKi, concomitant MTX usage, difference of JAKi, and prior use of TNF inhibitor, CTLA4-Ig or other JAKi.

Indexed as

AgedAge FactorsAntirheumatic AgentsArthritis, RheumatoidAzetidinesDrug-Related Side Effects and Adverse ReactionsFemaleHumansJanus Kinase InhibitorsJapanMaleMiddle AgedPiperidinesPurinesPyrazolesPyrimidinesAntirheumatic AgentsAzetidinesbaricitinibJanus Kinase InhibitorsPiperidinesPurinesPyrazolesPyrimidinesSulfonamidestofacitinib

Identifiers

PMID34997059
PMCPMC8742057
OpenAlexW4220675257

What OpenQuestion holds

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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.