Evidence map›Paper›PMID 35434764›Full record

ArticleClinical rheumatology2022

Clinical efficacy and safety of adalimumab versus etanercept in patients with ankylosing spondylitis and total spinal ankylosis in Croatia: a multicentre 12-month follow-up study.

Frane Grubišić, Đurđica Babić Naglić, Porin Perić, Jadranka Morović-Vergles, Branimir Anić, Tatjana Kehler, Srđan Novak, Marino Hanih, Ana Gudelj Gračanin, Nikolina Ljubičić Marković and 1 more

Abstract readMulticenter Study
PubMed Publisher
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. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

0 citing papers in PubMed, 3 citations in OpenAlex.

No citing paper in PubMed yet.

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

11 authors at 6 institutions in 2 countries.

Frane GrubišićDepartment of Rheumatology, Physical Medicine and Rehabilitation, School of Medicine, University of Zagreb, Referral Center for Spondyloarthropathis Ministry of Health of the Republic of Croatia, University Hospital Center Sestre Milosrdnice, Zagreb, Croatia. franegrubisic@gmail.com.ORCID http://orcid.org/0000-0002-3429-0849
Đurđica Babić NaglićDepartment of Rheumatology and Rehabilitation, School of Medicine, University of Zagreb, Clinical Hospital Center Zagreb, Zagreb, Croatia.
Porin PerićDepartment of Rheumatology and Rehabilitation, School of Medicine, University of Zagreb, Clinical Hospital Center Zagreb, Zagreb, Croatia.
Jadranka Morović-VerglesDivision of Clinical Immunology and Rheumatology, Department of Internal Medicine, University Hospital Center Dubrava, Zagreb, Croatia.
Branimir AnićDivision of Clinical Immunology and Rheumatology, Department of Internal Medicine, Clinical Hospital Center Zagreb, Zagreb, Croatia.
Tatjana KehlerRheumatology, Physical Medicine and Rehabilitation, Thalassotherapia Opatija, Opatija, Croatia.
Srđan NovakRheumatology and Clinical Immunology, Department of Internal Medicine, Clinical Hospital Center Rijeka, Rijeka, Croatia.
Marino HanihDepartment for Rheumatic Diseases, Physical Medicine and Rehabilitation, General Hospital "Dr. Josip Benčević", Slavonski Brod, Croatia.
Ana Gudelj GračaninDivision of Clinical Immunology and Rheumatology, Department of Internal Medicine, University Hospital Center Dubrava, Zagreb, Croatia.
Nikolina Ljubičić MarkovićPolyclinic for Rheumatic Diseases, Physical Medicine and Rehabilitation "Dr. Drago Ćop", Zagreb, Croatia.
Simeon GrazioDepartment of Rheumatology, Physical Medicine and Rehabilitation, School of Medicine, University of Zagreb, Referral Center for Spondyloarthropathis Ministry of Health of the Republic of Croatia, University Hospital Center Sestre Milosrdnice, Zagreb, Croatia.
University Hospital Centre Zagreb · HRUniversity Hospital Dubrava · HRInstitute for Rheumatic Diseases (Japan) · JPUniversity of Rijeka · HRUniversity of Slavonski Brod · HRUniversity of Zagreb · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the 12-month efficacy and safety profile of adalimumab and etanercept in patients with ankylosing spondylitis (AS) and total spinal ankylosis (TSA). TYPE OF STUDY

designCase-series follow-up study.

designTwenty-eight patients (26 men and 2 women) with active AS (BASDAI > 4) and TSA were treated as follows: 19 patients receiving adalimumab and 9 patients receiving etanercept. Twelve-month data related to the efficacy and safety of these two TNF-alpha inhibitors were evaluated. The primary endpoint was ASAS 20 (the ASsessment in AS International Working Group criteria for 20% improvement) at weeks 12 and 52. Other measures that were evaluated were function (BASFI), disease activity (BASDAI), patient's and physician's global disease assessment on visual analogue scale (VAS) and C-reactive protein.

resultsIn both adalimumab and etanercept groups, there was a significant improvement in all observed variables (baseline compared to weeks 12 and 52). This improvement was sustained for the whole follow-up period. In the adalimumab group, at week 12, ASAS 20 was achieved in 18/19 patients and at week 52 in 17/19 patients. In the etanercept group, at week 12 ASAS 20 was achieved in all patients and at week 52 in 6/9 patients.

conclusionIn patients with active AS and TSA, adalimumab and etanercept treatment showed significant improvement in function and disease activity. No serious side effects or adverse effects were observed in our cohort. Key Points • TNF-alpha inhibitors can be effective treatment options for patients with AS and having total spinal ankylosis. • Patients with advanced AS should not be disregarded as good candidates for treatment with biologic disease-modifying antirheumatic drugs.

Indexed as

AdalimumabAntirheumatic AgentsEtanerceptSpondylitis, AnkylosingCroatiaFemaleFollow-Up StudiesHumansMaleTreatment OutcomeAdalimumabAntirheumatic AgentsEtanerceptAdalimumabAnkylosis spinalEfficacyEtanerceptSafetySpondylitis ankylosans

Identifiers

PMID35434764
OpenAlexW4224117766

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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.