Evidence map›Paper›PMID 36407801›Full record

ArticleRheumatology advances in practice2022

Real-world effectiveness and safety of tofacitinib and abatacept in patients with rheumatoid arthritis.

Wataru Hirose, Masayoshi Harigai, Koichi Amano, Toshihiko Hidaka, Kenji Itoh, Kazutoshi Aoki, Masahiro Nakashima, Hayato Nagasawa, Yukiko Komano, Toshihiro Nanki

Abstract read
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Article in Rheumatology advances in practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Review
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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

10 authors.

Wataru HiroseHirose Clinic of Rheumatology, Saitama, Japan.ORCID https://orcid.org/0000-0001-9095-6951
Masayoshi HarigaiDivision of Rheumatology, Department of Internal Medicine, Tokyo Women's Medical University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0002-6418-2603
Koichi AmanoDepartment of Rheumatology and Clinical Immunology, Saitama Medical Center, Saitama Medical University, Saitama, Japan.
Toshihiko HidakaInstitute of Rheumatology, Zenjinkai Miyazaki-Zenjinkai Hospital, Miyazaki, Japan.
Kenji ItohDivision of Rheumatology, Department of Internal Medicine, National Defense Medical College, Saitama, Japan.ORCID https://orcid.org/0000-0002-4122-2983
Kazutoshi AokiAoki Clinic of Rheumatology, Saitama, Japan.
Masahiro NakashimaDepartment of Immunology and Microbiology, National Defense Medical College, Saitama, Japan.ORCID https://orcid.org/0000-0003-4385-5802
Hayato NagasawaNagasawa Clinic of Rheumatology,, Saitama, Japan.
Yukiko KomanoDivision of Rheumatology, Department of Internal Medicine, Jujo Takeda Rehabilitation Hospital, Kyoto, Japan.
Toshihiro NankiDivision of Rheumatology, Department of Internal Medicine, Toho University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0002-3482-074X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: We compared the 52-week effectiveness and safety of tofacitinib (TOF) and abatacept (ABT) in patients with RA in a real-world setting and investigated a role of human leucocyte antigens (HLA)-DRB1 shared epitope (SE) in the effectiveness. Methods: RA patients starting TOF ( Results: Herpes zoster and some laboratory abnormalities were more frequent in the TOF group than in the ABT group. Patient characteristics did not differ significantly between treatment groups after adjustments with IPTW. The TOF group had a significantly higher proportion of DAS in 28 joints using ESR (DAS28-ESR) remission at week 52 than the ABT group. The DAS28-ESR at week 12 and thereafter was not affected by the copy number of SE alleles in the TOF group, but decreased significantly as the copy number increased in the ABT group. In SE-positive patients, remission and drug retention rates did not differ significantly between the two treatment groups. In SE-negative patients, the TOF group showed significantly higher remission and drug retention rates than the ABT group. Conclusion: The present results suggest that TOF is more effective with regard to remission at week 52 based on treatment responses in SE-negative RA patients.

Indexed as

abataceptinverse probability of treatment weightingRAshared epitopetofacitinib

Identifiers

PMID36407801
PMCPMC9667967

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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.