Across rheumatic diseases

Baseline predictors of disease severity in immune checkpoint inhibitor-induced inflammatory arthritis

Rheumatology (Oxford)Published Cohort study

Authors' conclusion

Higher levels of disease activity, tenosynovitis and longer symptom duration prior to rheumatology referral were associated with requiring DMARDs for ICI-inflammatory arthritis, while those treated previously with chemotherapy were less likely to require additional immunosuppression.

Study context

Population
Adults with rheumatologist-diagnosed ICI-induced inflammatory arthritis
Participants
126 adults
Outcome
Requirement of conventional synthetic (cs) or biologic (b) DMARDs
Methodological detailslogistic regression, adjusted for potential confounders
  • Logistic regression
  • Adjusted for potential confounders

Main finding

As reported in the abstract

Requirement of csDMARD/bDMARD

Required a csDMARD/bDMARD

53

42%

Observational data: associations, not effects.

Secondary outcomes

Persistent inflammatory arthritis (>6 months after ICI cessation)

Combination anti-CTLA-4/PD-1 therapy and GC use at baseline associated with higher risk of persistent inflammatory arthritis

Original publication

Baseline predictors of disease severity in immune checkpoint inhibitor-induced inflammatory arthritis. Rheumatology (Oxford). Published 30 August 2023. doi:10.1093/rheumatology/kead438

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