Evidence map›Paper›PMID 41939521›Full record

Observational studyThe Pan African medical journal2025

[Predictive factors of response to biotherapies in patients with rheumatoid arthritis: a cross-sectional observational study conducted in the Rheumatology Department of the Mohammed V Military Teaching Hospital, Rabat (Morocco)].

Mahamadou Sagara, Abderrahim Majjad, Hamza Toufik, Ahmed Bezza

Abstract readObservational StudyEnglish Abstract
In one paragraph

Observational study in The Pan African medical journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Mahamadou SagaraService de Rhumatologie, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc.
Abderrahim MajjadService de Rhumatologie, Faculté de Médecine, de Pharmacie de Rabat, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc.
Hamza ToufikService de Rhumatologie, Faculté de Médecine, de Pharmacie de Rabat, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc.
Ahmed BezzaService de Rhumatologie, Faculté de Médecine, de Pharmacie de Rabat, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: therapeutic response to biologic agents in rheumatoid arthritis (RA) remains heterogeneous and is influenced by clinical, biological, and comorbid factors. This study aimed to identify the factors associated with a good clinical response to biologic therapy among RA patients followed in a North African context. Methods: a cross-sectional observational study was conducted at the Rheumatology Department of Mohammed V Military Teaching Hospital, Rabat, between January and December 2024. Sociodemographic, clinical, biological, and comorbidity data of patients treated with biologic agents were collected at the time of follow-up. Multivariable logistic regression analysis was performed to identify independent factors associated with a good clinical response according to the European League Against Rheumatism (EULAR) criteria. Results: a total of 153 patients were included, of whom 75.8% were women (mean age 57.5 ± 13.7 years). In multivariable analysis, anti-CCP antibody positivity (aOR = 3.15; 95% CI 1.62-6.14; P = 0.001) and initiation of biologic therapy within 1 year of diagnosis (aOR = 4.55; 95% CI 2.12-9.76; P < 0.001) were significantly associated with a better clinical response. Conversely, C-reactive protein > 15 mg/L (aOR = 0.29; 95% CI 0.14-0.63; P < 0.001) and diabetes (aOR = 0.33; 95% CI 0.15-0.74; P = 0.003) were associated with a poorer response. Conclusion: anti-CCP antibody positivity and early initiation of biologic therapy were associated with a better clinical response, whereas elevated CRP levels and diabetes were linked to an unfavourable therapeutic outcome. These findings highlight the importance of early and individualised management of RA, particularly in resource-limited settings.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidBiological ProductsBiological TherapyAdultAgedCross-Sectional StudiesFemaleFollow-Up StudiesHospitals, MilitaryHospitals, TeachingHumansMaleMiddle AgedMoroccoTreatment OutcomeAntirheumatic AgentsBiological ProductsbiomarqueursbiothérapiecomorbiditésdiabètePolyarthrite rhumatoïdeprotéine C réactiveréponse clinique

Identifiers

PMID41939521
PMCPMC13044235

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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.