Rheumatoid arthritis

Exploring the effect on primary endpoints in trials testing targeted therapy interventions for rheumatoid arthritis: a meta-epidemiological study on the appropriate use of a core outcome set

Ann Rheum DisPublished Meta-epidemiological study of randomised trials

Primary result · ACR20 responseResult — go to the resultOdds ratio 3.19 95% CI 2.96–3.44

Authors' conclusion

Within this dataset, it is evident that the conclusions concerning our primary objective were significantly influenced by both the amount and characteristics of missing data.

Study context

Population
Patients with rheumatoid arthritis (RA) in randomised trials of targeted interventions
Participants
55,422 patients115 trials
Comparison
Biologics and targeted agents vs placebo or conventional DMARDs
Primary endpoint
ORs for ACR20 response and at least one of the eight core domains of the RA core outcome set (COS), analysed as SMDs
Methodological detailsunivariable meta-regression
  • Univariable meta-regression

Primary result

ACR20 response

Odds ratio

3.19

95% CI 2.96–3.44

Experimental interventionsvs Comparators
OR 3.19 (95% CI 2.96–3.44)

As reported in the abstract

Further findings

Number of core outcome set (COS) domains reported

Median number of COS domains reported
6
Trials reporting only 1 domain
18
Trials reporting all 8 domains
17

Trials reporting all eight core domains only

Improvement in fatigue explains successful ACR20 response the most

Original publication

Exploring the effect on primary endpoints in trials testing targeted therapy interventions for rheumatoid arthritis: a meta-epidemiological study on the appropriate use of a core outcome set. Ann Rheum Dis. Published 30 September 2024. doi:10.1136/ard-2024-225523

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