Evidence map›Paper›PMID 37694183›Full record

ArticleTherapeutic advances in musculoskeletal disease2023

Treatment with adalimumab in patients with chronic inflammatory rheumatic diseases: a study of treatment trajectories on a patient level in routine care.

Imke Redeker, Stefan Moustakis, Styliani Tsiami, Xenofon Baraliakos, Ioana Andreica, Bjoern Buehring, Jürgen Braun, Uta Kiltz

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in musculoskeletal disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 34% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Switching from Adalimumab Reference Product to and Among Adalimumab Biosimilars Outside the USA: Insights for US Clinicians.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Review
  3. Observational
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

8 authors at 2 institutions in 1 country.

Imke RedekerRuhr-Universität Bochum, Bochum, Germany Rheumazentrum Ruhrgebiet, Herne, Germany.ORCID https://orcid.org/0000-0003-3377-2683
Stefan MoustakisRuhr-Universität Bochum, Bochum, Germany Rheumazentrum Ruhrgebiet, Herne, Germany.
Styliani TsiamiRuhr-Universität Bochum, Bochum, Germany Rheumazentrum Ruhrgebiet, Herne, Germany.
Xenofon BaraliakosRuhr-Universität Bochum, Bochum, Germany Rheumazentrum Ruhrgebiet, Herne, Germany.
Ioana AndreicaRuhr-Universität Bochum, Bochum, Germany Rheumazentrum Ruhrgebiet, Herne, Germany.
Bjoern BuehringRuhr-Universität Bochum, Bochum, Germany Krankenhaus St. Josef, Wuppertal, Germany.
Jürgen BraunRuhr-Universität Bochum, Bochum, Germany.ORCID https://orcid.org/0000-0002-9156-5095
Uta KiltzRheumazentrum Ruhrgebiet, Claudiusstraße 45, Herne 44649, Germany Ruhr-Universität Bochum, Bochum, Germany.ORCID https://orcid.org/0000-0001-5668-4497
Rheumazentrum Ruhrgebiet · DERuhr University Bochum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Previous experiences with non-medical switching of adalimumab (ADA) in patients with chronic inflammatory rheumatic diseases (CIRD) come mainly from phase III extension of randomised clinical trials and little from routine care. Objectives: To analyse treatment trajectories over 2 years in patients with CIRD conducting a non-medical switch from originator to biosimilar ADA. Design: A retrospective observational cohort study was conducted with data from a third-level rheumatology centre in Germany. CIRD patients on originator ADA who switched to ADA biosimilar from October 2018 onwards were identified and followed until September 2020. Methods: Patients' characteristics were compared between the four Results: A total of 121 CIRD patients were included. Most patients (66.9%) continued therapy with biosimilar ADA over 2 years, with a treatment retention rate of 73.1%. Whereas 21 patients (17.4%) switched back to originator ADA, mainly due to adverse events, and 8 patients (6.6%) switched to a different bDMARD, mainly due to lack of effect. The estimated risk of withdrawal was lower for longer prior duration on originator ADA [hazard ratio (HR): 0.82; 95% CI: 0.69-0.97] and higher for higher C-reactive protein levels at baseline (HR: 1.18; 95% CI: 1.00-1.39). Male patients, older patients and those for whom originator ADA was their first bDMARD tended to have a lower risk of withdrawal. Conclusion: Our results indicated that three of four patients continue biosimilar ADA over 2 years with lower risks of withdrawal for male sex, older age, longer prior duration on originator ADA and originator ADA as first bDMARD.

Indexed as

adalimumabchronic inflammatory rheumatic diseasestreatment trajectories

Identifiers

PMID37694183
PMCPMC10492472
OpenAlexW4386549121

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.