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Table 3 Effects (RR and NNT (95% CI)) obtained with different doses of anti-TNFα drugs

From: Tumor necrosis factor alpha drugs in rheumatoid arthritis: systematic review and metaanalysis of efficacy and safety

  

All doses of anti-TNFα drugs vs. control 4618 vs. 2261*

Recommended doses of anti-TNFα drugs vs. control 2874 vs. 2260**

High-doses drugs vs. control 1169 vs. 921*** of anti-TNFα

Low-doses of anti-TNFα drugs vs. control 251 vs. 252****

Anti-TNFα

ACR

RR (CI 95%)

NNT

RR (CI 95%)

NNT

RR (CI 95%)

NNT

RR (CI 95%)

NNT

Adalimumab

ACR20

1.9 (1.3–2.8)

6 (5–7)

2.0 (1.3–2.9)

5 (4–6)

3.5 (1.6–7.3)

3 (2–4)

2.4 (1.4–4.1)

5 (4–8)

 

ACR50

2.7 (1.6–4.4)

6 (5–7)

2.8 (1.6–4.7)

5 (5–6)

4.7 (1.9–12.0)

4 (3–5)

2.9 (1.6–5.1)

7 (5–13)

 

ACR70

3.3 (1.8–6.3)

9 (7–11)

3.5 (1.9–6.7)

7 (6–8)

6.1 (1.8–20.8)

7 (5–11)

3.0 (1.1–7.9)

17 (9–77)

Etanercept

ACR20

1.7 (1.1–2.6)

7(5–10)

1.7 (1.1–2.7)

6 (5–8)

There are no trials with high doses of Etanercept

4.3 (1.9–10.1)

3 (2–5)

 

ACR50

2.1 (1.1–3.9)

6 (5–9)

2.2 (1.1–4.3)

6 (4–7)

  

4.7 (1.7–13.4)

6 (4–13)

 

ACR70

2.0 (0.9–4.4)

NS

2.1 (0.9–4.5)

NS

  

7.4 (0.9–58.5)

NS

Infliximab

ACR20

1.8 (1.2–2.8)

5 (4–6)

1.7 (1.1–2.6)

5 (4–6)

2.0 (1.2–3.6)

5 (4–5)

There are no trials with low doses of Infliximab

 

ACR50

2.6 (1.5–4.7)

5 (5–6)

2.2 (1.2–4.1)

6 (5–7)

2.8 (1.5–5.5)

5 (4–6)

  
 

ACR70

2.9 (1.4–5.8)

8 (6–10)

2.4 (1.2–5.0)

9 (7–13)

3.3 (1.5–7.2)

7 (6–7)

  

Overall

ACR20

1.8 (1.4–2.3)

6 (5–7)

1.8 (1.4–2.3)

5 (5–6)

2.5 (1.5–4.2)

4 (5–4)

2.9 (1.7–5.1)

4 (3–6)

 

ACR50

2.5 (1.8–3.4)

6 (5–6)

2.4 (1.7–3.4)

5 (5–6)

3.4 (2.0–5.8)

5 (4–5)

3.2 (2.0–5.3)

6 (5–10)

 

ACR70

2.8 (1.9–4.2)

8 (7–9)

2.7 (1.8–4.1)

7 (7–9)

3.9 (2.0–7.6)

7 (6–8)

3.5 (1.4–8.6)

15 (10–38)

  1. NNT: number of patients needed to be treated
  2. RR (95%CI): relative risk (95% confidence limits)
  3. NS: non-significant results
  4. *4618 patients being treated with anti-TNFα (except 208 patients Bathon's trial being treated with 10 mg of etanercept twice a week) vs 2261 patients of the control groups
  5. **2874 patients with recommended doses of anti-TNFα drugs (Infliximab 3 mg/Kg/8 week; etanercept 25 mg twice a week; adalimumab 40 mg every 2 weeks) vs 2260 patients of the control groups
  6. ***1169 patients with high-doses of anti-TNFα drugs (infliximab 3 mg/Kg 4 week, 6 mg/Kg 8 week, 10 mg/Kg 8 week and 10 mg/Kg 4 week; adalimumab 40 mg/week, 80 mg/2 week) vs 921 patients of the control groups
  7. ****251 patients with low-doses of anti-TNFα drugs (etanercept 10 mg twice weekly; adalimumab 20 mg/2 week) vs 252 patients of the control groups