Rheumatoid arthritis

Two-year treatment persistence with subcutaneous abatacept in rheumatoid arthritis: results from the French cohort of the ASCORE study

Clin Exp RheumatolPublished Prospective observational cohort study

Authors' conclusion

In current practice in France, the rate of subcutaneous abatacept persistence at 2 years was comparable with that of the intravenous form. Treatment persistence was higher when abatacept was used as first-line versus later-line biologic therapy.

Study context

Population
French rheumatoid arthritis (RA) patients who initiated subcutaneous abatacept between August 2014 and January 2017
Participants
546 evaluable patients
Exposure
Subcutaneous abatacept persistence by number of previous biologic therapies (biologic-naive vs 1 vs ≥2 failures)
  • Biologic-naiven = 281reference
  • 1 biologic failuren = 134
  • ≥2 biologic failuresn = 131
Outcome
Treatment maintenance, analysed according to the number of previous biologic therapies
Follow-up
2 years
Methodological detailsreal-world, French cohort of the international ASCORE study
  • Real-world
  • French cohort of the international ASCORE study

Main finding

As reported in the abstract

Subcutaneous abatacept persistence
Overall persistence
43.0% (95% CI 38.6-47.2)

Observational data: associations, not effects.

Further findings

Main reason for discontinuing abatacept

Lack of efficacy
46.6%

Original publication

Two-year treatment persistence with subcutaneous abatacept in rheumatoid arthritis: results from the French cohort of the ASCORE study. Clin Exp Rheumatol. Published 7 August 2023. doi:10.55563/clinexprheumatol/ddx0fz

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