依那西普与单克隆抗体肿瘤坏死因子-α抑制剂在类风湿性关节炎、银屑病关节炎和强直性脊柱炎中的药物存活率分析:来自捷克 ATTRA 登记处的倾向得分匹配分析。

IF 2.2 4区 医学 Q3 RHEUMATOLOGY
Š Tichý, L Nekvindová, J Baranová, J Vencovský, K Pavelka, P Horák, J Závada
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引用次数: 0

摘要

研究目的比较依那西普与单克隆肿瘤坏死因子-α抑制剂在类风湿性关节炎、强直性脊柱炎和银屑病关节炎中的药物存活率:对开始接受肿瘤坏死因子-α一线生物治疗的患者进行倾向评分匹配,并通过卡普兰-梅耶尔分析比较药物生存率:我们将 657 名类风湿性关节炎患者与 657 名单克隆抗体肿瘤坏死因子-α抑制剂患者进行匹配,结果显示,依那西普的中位生存期为 44.6 个月,而单克隆抗体肿瘤坏死因子-α抑制剂的中位生存期为 36.8 个月,危险比为 0.94,P = 0.9。416 我们将 187 名强直性脊柱炎患者与 356 名etanercept 患者进行了配对,结果显示,etanercept 患者的中位生存时间为 75.1 个月,而强直性脊柱炎患者为 68.0 个月,危险比为 0.78,p = 0.087 我们将 81 名银屑病关节炎患者与 160 名etanercept 患者进行了配对,结果显示,etanercept 患者的中位生存时间为 35.8 个月,而银屑病关节炎患者为 65.7 个月,危险比为 1.61,p = 0.011。接受依那西普治疗的患者在随访期间的银屑病评分明显降低:结论:我们发现类风湿性关节炎和强直性脊柱炎患者的生存期相当。在银屑病关节炎中,我们发现使用依那西普治疗的患者生存期明显较短,这可能是由于皮肤和指甲表现的反应较差。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Drug survival analysis of etanercept compared with monoclonal antibody tumour necrosis factor-α inhibitors in rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis: a propensity score-matched analysis from the Czech ATTRA registry.

Objectives: To compare the drug survival of etanercept to monoclonal tumour necrosis factor-α inhibitors in rheumatoid arthritis, ankylosing spondylitis and psoriatic arthritis.

Methods: Patients initiating first line biological therapy with tumour necrosis factor-α were propensity score matched and compared for drug survival with a Kaplan-Meier analysis.

Results: We matched 657 to 657 patients in rheumatoid arthritis, the median survival time on etanercept was 44.6 months vs. 36.8 months on monoclonal antibody tumour necrosis factor-α inhibitors, with a hazard ratio of 0.94, p = 0.416 We matched 187 to 356 patients in ankylosing spondylitis, the median survival time on etanercept was 75.1 compared to 68.0 months, hazard ratio of 0.78, p = 0.087 We matched 81 to 160 psoriatic arthritis patients, the median survival time on etanercept was 35.8. compared to 65.7 months, hazard ratio 1.61, p = 0.011. Patients treated with etanercept had significantly worse psoriasis scoring during follow up.

Conclusions: We found comparable survival in rheumatoid arthritis and ankylosing spondylitis. In psoriatic arthritis, we found significantly shorter survival on etanercept, possibly due to worse response of skin and nail manifestations.

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来源期刊
CiteScore
3.70
自引率
4.80%
发文量
90
审稿时长
6-12 weeks
期刊介绍: Scandinavian Journal of Rheumatology is the official journal of the Scandinavian Society for Rheumatology, a non-profit organization following the statutes of the Scandinavian Society for Rheumatology/Scandinavian Research Foundation. The main objective of the Foundation is to support research and promote information and knowledge about rheumatology and related fields. The annual surplus by running the Journal is awarded to young, talented, researchers within the field of rheumatology.pasting The Scandinavian Journal of Rheumatology is an international scientific journal covering clinical and experimental aspects of rheumatic diseases. The journal provides essential reading for rheumatologists as well as general practitioners, orthopaedic surgeons, radiologists, pharmacologists, pathologists and other health professionals with an interest in patients with rheumatic diseases. The journal publishes original articles as well as reviews, editorials, letters and supplements within the various fields of clinical and experimental rheumatology, including; Epidemiology Aetiology and pathogenesis Treatment and prophylaxis Laboratory aspects including genetics, biochemistry, immunology, immunopathology, microbiology, histopathology, pathophysiology and pharmacology Radiological aspects including X-ray, ultrasonography, CT, MRI and other forms of imaging.
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