Evidence map›Paper›PMID 36544236›Full record

ArticleArthritis research & therapy2022

The effect of targeted rheumatoid arthritis therapeutics on systemic inflammation and anemia: analysis of data from the CorEvitas RA registry.

Anthony S Padula, Dimitrios A Pappas, Stefano Fiore, Taylor S Blachley, Kerri Ford, Kelechi Emeanuru, Joel M Kremer

Open access · goldAbstract read
In one paragraph

Article in Arthritis research & therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 9 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 3 institutions in 1 country.

Anthony S PadulaNorthern California Arthritis Center, 120 La Casa Via, Suite 204, Walnut Creek, CA, 94598, USA. anthony.padula@gmail.com.
Dimitrios A PappasCorEvitas, Waltham, MA, USA.ORCID 0000-0001-8338-027X
Stefano FioreSanofi, Bridgewater, NJ, USA.
Taylor S BlachleyCorEvitas, Waltham, MA, USA.
Kerri FordSanofi, Bridgewater, NJ, USA.
Kelechi EmeanuruCorEvitas, Waltham, MA, USA.
Joel M KremerCorEvitas, Waltham, MA, USA.
Sanofi (United States) · USIthaka Harbors · USJohn Muir Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the effects of tumor necrosis factor inhibitors (TNFi), interleukin-6 receptor inhibitors (IL-6Ri), and Janus kinase inhibitors (JAKi) on hemoglobin (Hb) and C-reactive protein (CRP) levels in adults enrolled in CorEvitas (formerly Corrona), a large US rheumatoid arthritis (RA) registry.

methodsPatients who initiated TNFi, IL-6Ri, or JAKi treatment during or after January 2010, had Hb and CRP measurements at baseline and 6-month follow-up (± 3 months) and had continued therapy at least until that follow-up, through March 2020, were included in the analysis. Changes in Hb and CRP were assessed at month 6. Abnormal Hb was defined as < 12 g/dL (women) or < 13 g/dL (men); abnormal CRP was ≥ 0.8 mg/dL. Differences in Hb and CRP levels were evaluated using multivariable regression.

resultsOf 2772 patients (TNFi, 65%; IL-6Ri, 17%; JAKi, 17%) evaluated, 1044 (38%) had abnormal Hb or CRP at initiation; an additional 252 (9%) had both abnormal Hb and CRP. At month 6, the IL-6Ri group had a greater Hb increase than the TNFi (mean difference in effect on Hb: 0.28 g/dL; 95% CI 0.19-0.38) and JAKi (mean difference in effect on Hb: 0.47 g/dL; 95% CI 0.35-0.58) groups, regardless of baseline Hb status (both p < 0.001). The CRP decrease at month 6 was greater with IL-6Ri compared with TNFi and JAKi, regardless of baseline CRP status (both p < 0.05).

conclusionThese real-world results align with the mechanism of IL-6R inhibition and may inform treatment decisions for patients with RA.

Indexed as

AnemiaAntirheumatic AgentsArthritis, RheumatoidInflammationAdultFemaleHemoglobinsHumansMaleReceptors, Interleukin-6RegistriesTumor Necrosis Factor-alphaTumor Necrosis Factor InhibitorsAntirheumatic AgentsHemoglobinsReceptors, Interleukin-6Tumor Necrosis Factor-alphaTumor Necrosis Factor InhibitorsAnti-rheumatic agentsArthritisBiological therapyInflammationRheumatoid

Identifiers

PMID36544236
PMCPMC9769058
OpenAlexW4312129837

What OpenQuestion holds

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LicenceCC BY
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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.