Rheumatoid arthritis

Effectiveness and Persistence in SB4‐ and Reference Etanercept–Treated Rheumatoid Arthritis Patients in Ordinary Clinical Practice in Norway

Arthritis Care Res (Hoboken)Published Retrospective cohort study

Main finding · Change from baseline in DAS28, unmatched analysisResult — go to the resultMean difference −0.02 95% CI −0.32 to 0.27

Authors' conclusion

Outcomes for disease status/drug persistence at week 52 were similar between patients with RA treated with etanercept or SB4.

Study context

Population
Patients with rheumatoid arthritis (RA) treated with etanercept or SB4 between 2010 and 2018 at 5 centers in Norway with ≥1 year of follow-upmatched analyses n = 172
Participants
1,455 patients
Exposure
SB4 vs reference etanercept
  • SB4n = 299
  • Etanerceptn = 575reference
Outcome
Change from baseline in DAS28
Follow-up
Week 52
Methodological detailscomparative effectiveness, propensity-score matched, multicentre (5 centers), EULAR Points to Consider for Comparative Effectiveness Research, equivalence margin ±0.6
  • Comparative effectiveness
  • Propensity-score matched
  • Multicentre (5 centers)
  • EULAR Points to Consider for Comparative Effectiveness Research
  • Equivalence margin ±0.6

Main finding

As reported in the abstract

Change from baseline in DAS28, unmatched analysis

Mean difference

−0.02

95% CI −0.32 to 0.27

Etanerceptvs SB4
mean difference −0.02 (95% CI −0.32 to 0.27)

Observational data: associations, not effects.

Further findings

OutcomeDifference (95% CI)
Change from baseline in DAS28, PS-matched analysis · week 52n = 49 each; within predefined equivalence margin · propensity-score matched0.03 (−0.46 to 0.52)
OutcomeEtanerceptSB4
Drug persistence, unmatched analysis · week 52Unmatched analysis0.62 (95% CI 0.57–0.65)0.66 (95% CI 0.60–0.71)
Drug persistence, PS-matched analysis · week 52Propensity-score matched0.52 (95% CI 0.44–0.59)0.68 (95% CI 0.61–0.75)

Drug persistence, unmatched analysis · week 52

Persistence similar between cohorts

Original publication

Effectiveness and Persistence in SB4‐ and Reference Etanercept–Treated Rheumatoid Arthritis Patients in Ordinary Clinical Practice in Norway. Arthritis Care Res (Hoboken). Published 7 March 2023. doi:10.1002/acr.25092

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