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2025 ; 19
(ä): 1843-1853
Nephropedia Template TP
gab.com Text
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English Wikipedia
Impact of Adherence to Golimumab on Disease Flares in Rheumatoid Arthritis:
Results from a Canadian Observational Study
#MMPMID40585577
Bessette L
; Boulos P
; Arendse R
; Rahman P
; Aseer S
; Ruban T
; Rachich M
; Nantel F
; Calce A
; Asin-Milan O
; Haaland D
Patient Prefer Adherence
2025[]; 19
(ä): 1843-1853
PMID40585577
show ga
OBJECTIVE: To assess the association between adherence to golimumab treatment and
the incidence of disease flares in patients with rheumatoid arthritis (RA) in
routine clinical practice. METHODS: A 12-month (M) prospective observational
study conducted across 27 Canadian centers, involving patients with RA receiving
golimumab as part of routine clinical care. Treatment adherence was assessed with
the Compliance Questionnaire in Rheumatology (CQR); non-adherence was defined as
a weighted baseline score predictive of ?80% compliance. Secondary definitions
involved the CQR score at M6 and M12. Disease flaring was assessed with the
RA-Flare Questionnaire (RA-FQ); flare was defined as a positive response to
question 7 ("Are you having a flare?"). The association between adherence and
disease flares was analyzed by comparing RA-FQ scores and the proportion of
patients reporting flares between the high and low adherence groups. The
association between adherence and glucocorticoid use or adverse event (AE)
incidence was similarly assessed. RESULTS: Of 215 patients enrolled, 169 (78.6%)
completed the study. No significant difference in mean RA-FQ scores was observed
between low and high adherence groups at M6 (22.5 vs 23.8; p=0.56) and M12 (20.8
vs 19.9; p=0.70); disease flares were reported by 35.7% of low adherence
patients, compared to 28.2% in the high adherence group (p=0.34). At M12, these
rates were 30% vs 24.7%, respectively (p=0.49). Glucocorticoid use was comparable
between baseline adherence groups, although a higher rate was observed in the low
visit-predicted adherence group based on the M6 CQR score (30.5% vs 16.3%;
p=0.04). No significant differences were observed in AE incidence. CONCLUSION: In
this study, no significant differences in RA-FQ scores and the proportions of
patients reporting disease flares or AEs were observed between patients with RA
with low and high predicted adherence to golimumab. The increased glucocorticoid
use in patients with low adherence merits further investigation. TRIAL
REGISTRATION: ClinicalTrials.gov identifier, NCT03729349.