Rheumatoid arthritis

Gender differences in clinical and prescribing characteristics of biologic and targeted synthetic drugs in naïve patients with rheumatoid arthritis: Data from BIOBADASER III registry

Arthritis Res TherPublished Registry-based cohort study

Main finding · Disease duration to first b/tsDMARD, female vs male, most recent cohort (≥ 2017)Result — go to the resultHazard ratio 0.9 95% CI 0.81–0.99

Authors' conclusion

Later prescribing in women despite higher activity rates merits reflection.

Study context

Population
Bio-naïve rheumatoid arthritis (RA) patients from the BIOBADASER III registry who began their first b/tsDMARD between 2000 and 202378.1% women
Participants
3,384 patients
Exposure
Women vs men with bio-naïve RA starting first b/tsDMARD
Outcome
Time from RA diagnosis to initiation of first biologic disease-modifying antirheumatic drug (bDMARD) or tsDMARD, by gender
Methodological detailsmultivariate Cox regression, Kaplan-Meier curves, linear regression models for DAS28, stratified by treatment start year
  • Multivariate Cox regression
  • Kaplan-Meier curves
  • Linear regression models for DAS28
  • Stratified by treatment start year

Main finding

As reported in the abstract

Disease duration to first b/tsDMARD, female vs male, most recent cohort (≥ 2017)

Hazard ratio

0.9

95% CI 0.81–0.99

P = 0.026

Womenvs Men
HR 0.9 (95% CI 0.81–0.99); P = 0.026

Observational data: associations, not effects.

Further findings

Age at treatment start

P < 0.001

Disease duration at treatment start

P = 0.031

Disease activity at treatment start

Women: higher DAS28-ESR but not DAS28-CRP; higher subjective DAS28 components and ESR, lower CRP; no differences in objective components

Comorbidities

Men higher CV risk; women more osteoporosis and Sjögren Syndrome

Original publication

Gender differences in clinical and prescribing characteristics of biologic and targeted synthetic drugs in naïve patients with rheumatoid arthritis: Data from BIOBADASER III registry. Arthritis Res Ther. Published 14 May 2025. doi:10.1186/s13075-025-03571-2

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