Rheumatoid arthritis

Association between rapid and sustained remission and clinician- and patient-reported outcomes in patients with rheumatoid arthritis: post hoc analysis of data from the SELECT-COMPARE study

Arthritis Res TherPublished Post hoc analysis of the SELECT-COMPARE randomised trial

Authors' conclusion

Remission is a key outcome in RA; this study showed that achieving rapid remission, as well as reducing time to achieving remission, was associated with less pain and fatigue, and better physical functioning and quality of life over 5 years. Similarly, increasing time spent in sustained remission correlated with sustained improvement in CRO/PROs.

Study context

Population
Patients with moderately-to-severely active rheumatoid arthritis (RA) receiving upadacitinib or adalimumab in SELECT-COMPARE and its open-label long-term extensionmean disease duration 8.2 ± 7.8 years
Participants
865 patients
Comparison
Rapid remission vs no rapid remission
  • Rapid remissionn = 247
Methodological detailspooled data, open-label long-term extension (up to 5 years), multivariate regression adjusted for baseline covariates
  • Pooled data
  • Open-label long-term extension (up to 5 years)
  • Multivariate regression adjusted for baseline covariates

Primary result

As reported in the abstract

Association of rapid remission with CRO/PROs · up to 5 years

Rapid remission

28%

247

Odds of achieving minimal clinically important differences (MCIDs) in most PROs (aOR range)
2.2-5.6
Odds of achieving normative values in most PROs (aOR range)
1.6-9.8

Further findings

Time to remission

Decrease in likelihood of achieving MCIDs or normative values per month delay in remission, on average
13%

Time in sustained remission

Increasing time in sustained remission associated with long-term improvement in CRO/PROs

Original publication

Association between rapid and sustained remission and clinician- and patient-reported outcomes in patients with rheumatoid arthritis: post hoc analysis of data from the SELECT-COMPARE study. Arthritis Res Ther. Published 13 June 2025. doi:10.1186/s13075-025-03580-1

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