Rheumatoid arthritis

Risk of cancer in patients with rheumatoid arthritis under tocilizumab: Data from the French national registry REGATE

Joint Bone SpinePublished Prospective cohort study

Authors' conclusion

We found no additional risk factors of cancer for RA patients under TCZ, beyond those already known in the general population.

Study context

Population
Rheumatoid arthritis (RA) patients treated with tocilizumab (TCZ), French registry REGATE, 2011–2016
Participants
1,496 patients3990.9 patient-years
Outcome
Incidence and risk factors of cancer
Follow-up
Five years
Methodological detailsnational registry, multivariate Cox proportional hazards models, Mean TCZ duration 32.0 (±22.0) months; mean follow-up 47 (±15.2) months
  • National registry
  • Multivariate Cox proportional hazards models
  • Mean TCZ duration 32.0 (±22.0) months; mean follow-up 47 (±15.2) months

Main finding

As reported in the abstract

Patients diagnosed with cancer during follow-up
63 (4.2%)
Total cancers
75
Cancers by type: solid neoplasms / hematological malignancies / melanomas / non-melanoma skin cancers (NMSC)
35 / 11 / 3 / 26
Overall incidence of cancer excluding NMSC
7.5/1000 patient-years (PY)
High age, risk factor for solid cancers (multivariate), HR
1.05 [1.02-1.08]
Current smoker, risk factor for solid cancers (multivariate), HR
2.65 [1.27-5.53]

Observational data: associations, not effects.

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

Original publication

Risk of cancer in patients with rheumatoid arthritis under tocilizumab: Data from the French national registry REGATE. Joint Bone Spine. Published 4 April 2025. doi:10.1016/j.jbspin.2025.105900

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