Spondyloarthritis & psoriatic arthritis

No difference in clinical parameters and drug retention in psoriatic arthritis (PsA) patients receiving b/tsDMARD monotherapy versus combination with methotrexate: data from the RABBIT-SpA registry

RMD OpenPublished Prospective longitudinal cohort study

Authors' conclusion

We did not identify any clinical parameters with notable influence on the choice of b/tsDMARD mono or MTX-combination therapy in PsA. Drug retention rates are similar between mono and combination therapy.

Study context

Population
PsA patients starting b/tsDMARD in the RABBIT-SpA registry
Participants
900 vs 405
Exposure
b/tsDMARD monotherapy vs b/tsDMARD in combination with methotrexate (MTX)
  • Monotherapyn = 900reference
  • Combinationn = 405
Outcome
Drug retention (drug survival analysis)
Methodological detailsregistry (RABBIT-SpA), drug survival analysis
  • Registry (RABBIT-SpA)
  • Drug survival analysis

Main finding

As reported in the abstract

Drug retention

Still on original treatment at 6 months

Still on original treatment at 12 months

  • Combination vs Monotherapy: P = 0.4 — drug retention rates did not differ

Observational data: associations, not effects.

Further findings

Baseline clinical domains (skin, nail, joint, dactylitis, enthesitis, axial involvement)

Similar between the groups

Patients' satisfaction with tolerability of previous treatment · treatment start

Significantly better in the combination group

Original publication

No difference in clinical parameters and drug retention in PsA patients receiving b/tsDMARD monotherapy versus combination with methotrexate: data from the RABBIT-SpA registry. RMD Open. Published 23 July 2024. doi:10.1136/rmdopen-2024-004389

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