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2017 ; 11
(ä): 719-729
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Persistence with golimumab in immune-mediated rheumatic diseases: a systematic
review of real-world evidence in rheumatoid arthritis, axial spondyloarthritis,
and psoriatic arthritis
#MMPMID28435230
Svedbom A
; Storck C
; Kachroo S
; Govoni M
; Khalifa A
Patient Prefer Adherence
2017[]; 11
(ä): 719-729
PMID28435230
show ga
PURPOSE: In immune-mediated rheumatic diseases (IMRDs), persistence to treatment
may be used as a surrogate marker for long-term treatment success. In previous
comparisons of persistence to tumor necrosis factor ? inhibitors (TNFis), a
paucity of data for subcutaneous (SC) golimumab was identified. The aim of this
study was to conduct a systematic review of persistence to SC golimumab in
clinical practice and contextualize these data with five-year persistence
estimates from long-term open-label extension (OLE) trials of SC TNFis in IMRDs.
PATIENTS AND METHODS: PubMed, Embase, MEDLINE, and conference proceedings from
European League Against Rheumatism (EULAR), American College of Rheumatology
(ACR), and International Society for Pharmacoeconomics and Outcomes Research
(ISPOR) were searched. All studies on patients treated with SC golimumab for IMRD
were included if they reported data on the persistence to golimumab. RESULTS: Of
376 available references identified through the searches, 12 studies with a total
of 4,910 patients met the inclusion criteria. Furthermore, nine OLE trials were
available. Among the included studies from clinical practice, at six months, one
year, two years, and three years, the proportion of patients persistent to
treatment ranged from 63% to 91%, 47% to 80%, 40% to 77%, and 32% to 67%,
respectively. In the four studies that included comparisons to other biologics,
golimumab was either statistically noninferior or statistically superior to other
treatments, an observation that was supported by indirect comparisons of
unadjusted point estimates of OLE trials. CONCLUSION: The data reviewed in this
study indicate that golimumab may have higher persistence than other TNFis, a
notion that is supported by indirect comparisons of persistence data from OLEs of
randomized controlled trials (RCTs). Furthermore, the study suggests that
persistence may be lower in biologic-experienced compared with biologic-naive
patients and higher in axial spondyloarthritis compared with rheumatoid arthritis
and psoriatic arthritis.