Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions
After initial TNFi, RA patients stay on subsequent nonTNFi drug longer
Key clinical point: RA patients who switched from a TNF inhibitor (TNFi) as their first biologic to a non-TNFi were more likely to continue therapy, but those who cycled to a second TNFi incurred lower overall costs.
Major finding: Among RA patients who failed initial TNFi therapy, 63.5% cycled to a second TNFi and 36.5% switched to a non-TNFi drug,
Study details: The data come from a database review of 10,442 adults with RA.
Disclosures: The study was supported in part by an Investigator Award from the Rheumatology Research Foundation to Dr. Matusevich. One author is an employee of Optum, and one author disclosed financial relationships with multiple pharmaceutical companies.
Matusevich ARK et al. Arthritis Care Res. 2020 June 17. doi: 10.1002/acr.24358.