Evidence map›Paper›PMID 35536413›Full record

Observational studyClinical rheumatology2022

Retention of subcutaneous abatacept for the treatment of rheumatoid arthritis: real-world results from the ASCORE study: an international 2-year observational study.

Rieke Alten, Xavier Mariette, René-Marc Flipo, Roberto Caporali, Maya H Buch, Yusuf Patel, Sara Marsal, Raimon Sanmartí, Michael T Nurmohamed, Hedley Griffiths and 6 more

Registry-linked trialOpen access · hybridAbstract readObservational Study
In one paragraph

Observational study in Clinical rheumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02090556 (Long-term Experience With Abatacept SC in Routine Clinical Practice), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.4field-weighted citation impact, top 7% 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.

NCT02090556 completednot on this map

Long-term Experience With Abatacept SC in Routine Clinical Practice

TypeobservationalSponsorBristol-Myers SquibbRan2013 to 2019Enrolled2,954ConditionsRheumatoid Arthritis
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Predicting abatacept retention using machine learning.Arthritis research & therapy · 2025
    Observational
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
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

16 authors at 14 institutions in 9 countries.

Rieke AltenSchlosspark-Klinik, University Medicine Berlin, Heubnerweg 2, 14059, Berlin, Germany. Rieke.alten@schlosspark-klinik.de.
Xavier MarietteUniversité Paris-Saclay, AP-HP, Hospital Bicêtre, INSERM UMR1184, Le Kremlin Bicêtre, France.
René-Marc FlipoCentre Hospitalier Universitaire de Lille, Lille, France.
Roberto CaporaliUniversity of Milan, Milan, Italy.
Maya H BuchUniversity of Leeds, Leeds, UK.
Yusuf PatelHull University Teaching Hospitals NHS Trust, Hull, UK.
Sara MarsalHospital Universitari Vall d'Hebron, Barcelona, Spain.
Raimon SanmartíHospital Clínic de Barcelona, Barcelona, Spain.
Michael T NurmohamedARC Amsterdam University Hospitals - VU University Medical & Reade, Amsterdam, Netherlands.
Hedley GriffithsUniversity Hospital Geelong, Geelong, VIC, Australia.
Peter PeichlEvangelical Hospital, Vienna, Austria.
Bettina BannertUniversitätsspital Basel, Basel, Switzerland.
Melanie ChartierBristol Myers Squibb, Rueil-Malmaison, France.
Sean E ConnollyBristol Myers Squibb, Princeton, NJ, USA.
Karissa LozenskiBristol Myers Squibb, Princeton, NJ, USA.
Christiane RauchBristol Myers Squibb, Munich, Germany.
Bristol-Myers Squibb (United States) · USBristol-Myers Squibb (France) · FRBristol-Myers Squibb (Germany) · DECentre Hospitalier Universitaire de Lille · FRGeelong Hospital · AUHospital Clínic de Barcelona · ESInserm · FRReade · NLSchlosspark-Klinik · DEUniversity Hospital of Basel · CHUniversity of Hull · GBUniversity of Leeds · GBUniversity of Milan · ITVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate retention, efficacy, and safety of subcutaneous (SC) abatacept over 2 years in patients with moderate-to-severe RA in the Abatacept SubCutaneOus in Routine clinical practicE (ASCORE) study.

methodsPatients with RA who initiated SC abatacept 125 mg once weekly were enrolled in the international, observational, prospective multicentre ASCORE study into biologic-naïve or ≥ 1 prior biologic failure cohorts. PRIMARY ENDPOINT: abatacept retention rate at 2 years. Secondary endpoints: proportion of patients with good/moderate EULAR response rates based on DAS28 (ESR), low disease activity and/or remission according to DAS28 (ESR; ≤ 3.2/ < 2.6), SDAI (≤ 11/ ≤ 3.3), CDAI (≤ 10/ ≤ 2.8), and Boolean criteria. Retention rate by baseline serostatus was evaluated post hoc.

resultsOverall, 47% of patients remained on abatacept for 2 years, irrespective of treatment line. Higher abatacept retention rates were associated with lower prior biologic exposure. Generally, clinical outcomes showed that the proportion of patients with low disease activity/remission was higher in biologic-naïve patients (vs biologic-failure) and similar in those with 1 and ≥ 2 prior biologic failures. In patients on treatment at 2 years, good/moderate EULAR response rates of ~ 80% were consistently noted irrespective of prior biologic exposure. Across treatment lines, retention was greater in patients with seropositive (vs seronegative) RA. Patients with rheumatoid factor/anti-citrullinated protein antibody single-positive RA who were bio-naïve had higher retention than patients who were bio-experienced.

conclusionsIn the ASCORE study, SC abatacept retention was 47% at 2 years with good clinical outcomes and was well-tolerated in the real-world setting. Abatacept retention and clinical response rates were higher in patients who received abatacept as an earlier- versus later-line biologic drug treatment and in those with seropositive RA.

trial registrationClinicalTrials.gov, NCT02090556.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidBiological ProductsAbataceptHumansProspective StudiesTreatment OutcomeAbataceptAntirheumatic AgentsBiological ProductsAbataceptBiological therapyRetentionRheumatoid arthritis

Identifiers

PMID35536413
PMCPMC9287226
OpenAlexW4229449907

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.