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Table 2 Dosing of anti-TNFs as first or subsequent line biologic therapy and abatacept

From: Patterns of biologic agent utilization among patients with rheumatoid arthritis: a retrospective cohort study

  

First anti-TNF

Subsequent anti-TNF

 
  

Etanercept (N = 1593)

Adalimumab (N = 1040)

Infliximab (N = 584)

Etanercept (N = 258)

Adalimumab (N = 353)

Infliximab (N = 156)

Abatacept (N = 398)

Label dose[18, 19, 40, 41]

 

50 mg/week

40 mg/2 weeks

3 mg/kg a /infusion

50 mg/week

40 mg/2 weeks

3 mg/kg a /infusion

500-1000 mg b /infusion

Starting dosec

mean ± SD

48.8 ± 18.3 mg/week

43.0 ± 19.7 mg/2 weeks

313.9 ± 98.7 mg/infusion

49.4 ± 17.6 mg/week

43.2 ± 13.8 mg/2 weeks

311.8 ± 101.7 mg/infusion

756.8 ± 350.1 mg/infusion

Maintenance dosed

Eligible (n)

1229

799

528

191

248

143

347

 

mean ± SD

48.9 ± 13.1 mg/week

42.1 ± 10.4 mg/2 weeks

328.6 ± 109.0 mg/infusion

48.0 ± 6.6 mg/week

45.0 ± 13.7 mg/2 weeks

340.6 ± 107.6 mg/infusion

732.7 ± 221.0 mg/infusion

Average dosee

Eligible (n)

1593

1040

538f

258

353

144f

360f

 

mean ± SD

45.4 ± 8.8 mg/week

40.7 ± 10.4 mg/2 weeks

441.0 ± 209.2 mg/8 weeks

47.8 ± 19.0 mg/week

45.4 ± 14.9 mg/2 weeks

556.2 ± 694.1 mg/8 weeks

715.4 ± 214.5 mg/4 weeks

Dose escalation

Eligibleg (n)

112

139

279

25

48

97

--

 

Percentage of patients

11.1%

21.7%

61.2%

15.9%

24.1%

80.2%

--

  1. aPatient weight.
  2. bRecommended doses are 500 mg for patients < 60 kg, 750 mg for patients 60 to 100 kg, 1000 mg for patients > 100 kg.
  3. cStarting doses for etanercept and adalimumab defined as the average daily dose of the first fill, which was converted to milligrams per the label treatment interval by multiplying by the appropriate number of days. The starting infliximab and abatacept infusion doses are reported as milligrams administered.
  4. dMaintenance dose defined as the recorded dose of the third administration (infliximab and abatacept) or average daily dose (converted to milligrams per the recommended treatment interval) for the third prescription fill (etanercept and adalimumab) among patients who had at least 3 infusions/fills before discontinuation (> 90 day gap).
  5. eAverage daily dose calculated over the 1-year follow-up period (etanercept, adalimumab) or for the post-loading period (infliximab, abatacept) and converted to the label treatment interval by multiplying by the appropriate number of days.
  6. fRequires at least 3 infusions.
  7. gRequires at least 5 prescriptions fills or infusions.
  8. hLast dose defined as the recorded dose of the last administration (infliximab and abatacept) or average daily dose (converted to milligrams per the recommended treatment interval) for the last prescription fill (etanercept and adalimumab).