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Table 2 Switch, discontinuation, and continuation rates of second bDMARD therapies

From: Drug survival of second biological DMARD therapy in patients with rheumatoid arthritis: a retrospective non-interventional cohort analysis

 

Full patient population [n (%, 95%-CI)]

Patients with anti-TNFs as second bDMARD [n (%, 95%-CI)]

Patients with non-anti-TNFs as second bDMARD [n (%, 95%-CI)]

Difference in percentage points, p-value (anti-TNF versus non-anti-TNF)

Observed patients

451

(100.0%)

340

(100.0%)

111

(100.0%)

 

Switchers

111

(24.6%, 95%-CI: 20.8–28.8)

98

(28.8%, 95%-CI: 24.2–33.9)

13

(11.7%, 95%-CI: 6.9–19.2)

−17.1%, p < 0.001

Discontinuers (90 day gap)

85

(18.8%, 95%-CI: 15.5–22.7)

61

(17.9%, 95%-CI: 14.2–22.4)

24

(21.6%, 95%-CI: 14.9–30.3)

3.7%, p = 0.403

Among discontinuers (90 day gap): patients who re-started therapy

15

(17.6%, 95%-CI: 10.8–27.5)

13

(21.3%, 95%-CI: 12.6–33.6)

2

(8.3%, 95%-CI: 2.0–29.0)

−13.0%, p = 0.158

Continuers (90 day gap)

256

(56.8%, 95%-CI: 52.1–61.3)

182

(53.5%, 95%-CI: 48.2–58.8)

74

(66.7%, 95%-CI: 57.3–74.9)

13.2%, p = 0.015

Discontinuers (180 day gap)

67

(14.9%, 95%-CI: 11.9–18.5)

45

(13.2%, 95%-CI: 10.0–17.3)

22

(19.8%, 95%-CI: 13.4–28.3)

6.6%, p = 0.093

Continuers (180 day gap)

273

(60.5%, 95%-CI: 55.9–65.0)

197

(57.9%, 95%-CI: 52.6–63.1)

76

(68.5%, 95%-CI: 59.2–76.5)

10.6%, p = 0.045

  1. Notes: Switcher: a patients who received a third bDMARD within 12 months after index date (in the anti-TNF group, prescribed 3rd bDMARD agents were Etanercept (23.5%), Tocilizumab (18.4%), Golimumab (17.3%), Adalimumab (15.3%), Abatacept (11.2%), Rituximab (7.1%), Certolizumab (5.1%), Anakinra (1.0%), and Infliximab (1.0%); in the non-anti-TNF group, prescribed 3rd bDMARD agents were Abatacept (38.5%), Tocilizumab (23.1%), Golimumab (15.4%), Etanercept (7.7%), Rituximab (7.7%), and Certolizumab (7.7%)); Discontinuer: a patient who discontinued the second bDMARD with or without re-starting the treatment after a 90 days / 180 days of treatment gap, Re-starter: a patient who received at least one prescription of the second bDMARD agent (same agent) after a treatment discontinuation; Continuer: a patient who neither switched nor discontinued the second bDMARD treatment during the 12 months follow up
  2. Note that one patient belonging to the anti-TNF group switched his second bDMARD therapy after a previous discontinuation and re-start. Here, we opted for double-counting, so that this patient belongs to both the re-starter and the switch group