Across rheumatic diseases

A Bayesian model to analyse the association of comorbidities with biosimilar treatment retention in a non-medical switch scenario in patients with inflammatory rheumatic musculoskeletal diseases

Arthritis Res TherPublished Retrospective cohort study

Authors' conclusion

In a non-medical switch scenario of RMD patients, there was no evidence for a considerable difference in ABP retention rates over 6 months between comorbidity groups.

Study context

Population
Patients with inflammatory rheumatic musculoskeletal diseases (axSpA n = 68, RA n = 23, PsA n = 15) switching from originator adalimumab to ABP501 biosimilar, from October 2018 onwards
Participants
111 patients
Exposure
Charlson Comorbidity Index (CCI) > 0 vs CCI = 0 in rheumatic musculoskeletal diseases (RMD) patients switched from originator ADA to ABP501 biosimilar
Outcome
ABP retention rate
Follow-up
6 months
Methodological detailsroutine database, non-medical switch, Bayesian exponential regression
  • Routine database
  • Non-medical switch
  • Bayesian exponential regression

Main finding

As reported in the abstract

Bayesian estimate of difference, adjusted for age, sex, disease subtype

−0.0689

95% CrI −0.2246 to 0.0234

By group

CCI > 0vs CCI = 0
Bayesian estimate of difference, adjusted for age, sex, disease subtype −0.0689 (95% CrI −0.2246 to 0.0234)

Observational data: associations, not effects.

Further findings

Treatment status after 6 months, all patients

Continued ABP
74.8%
Switched to another ADA biosimilar
10.8%
Switched back to originator ADA
7.2%
Switched to a different biologic
3.6%
Dropped out
3.6%

Comorbidity at baseline

CCI > 0
38%
Cardiovascular comorbidities
40%
Skin diseases
33%
Gastrointestinal tract diseases
20%
Eye diseases
20%

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

A Bayesian model to analyse the association of comorbidities with biosimilar treatment retention in a non-medical switch scenario in patients with inflammatory rheumatic musculoskeletal diseases. Arthritis Res Ther. Published 4 September 2024. doi:10.1186/s13075-024-03386-7

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