Abatacept retention and clinical outcomes in Austrian patients with rheumatoid arthritis: real-world data from the 2-year ACTION study

Summary Background AbataCepT In rOutiNe clinical practice (ACTION; NCT02109666) was a 2-year international observational study of patients with moderate to severe rheumatoid arthritis. Methods Baseline characteristics, abatacept retention rates, and clinical outcomes were compared by treatment line...

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Veröffentlicht in:Wiener medizinische Wochenschrift 2020-04, Vol.170 (5-6), p.132-140
Hauptverfasser: Peichl, Peter, Alten, Rieke, Galeazzi, Mauro, Lorenz, Hanns-Martin, Nüßlein, Hubert, Navarro, Federico, Elbez, Yedid, Chartier, Melanie, Hackl, Roland, Rauch, Christiane, Connolly, Sean E
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container_issue 5-6
container_start_page 132
container_title Wiener medizinische Wochenschrift
container_volume 170
creator Peichl, Peter
Alten, Rieke
Galeazzi, Mauro
Lorenz, Hanns-Martin
Nüßlein, Hubert
Navarro, Federico
Elbez, Yedid
Chartier, Melanie
Hackl, Roland
Rauch, Christiane
Connolly, Sean E
description Summary Background AbataCepT In rOutiNe clinical practice (ACTION; NCT02109666) was a 2-year international observational study of patients with moderate to severe rheumatoid arthritis. Methods Baseline characteristics, abatacept retention rates, and clinical outcomes were compared by treatment line in the Austrian cohort of ACTION. Results Of 100 patients enrolled in Austria, 98 (98.0%) were evaluable: 33/98 (33.7%) biologic naïve and 65/98 (66.3%) with ≥1 prior biologic failure. At baseline, biologic-naïve patients had shorter disease duration and lower concomitant corticosteroid use than biologic-failure patients. Overall crude abatacept retention rate was 60.5% and retention rate was higher in biologic-naïve (65.1%) versus biologic-failure (58.0%) patients. Good/moderate EULAR (European League Against Rheumatism) response rates were 85.7% in biologic-naïve and 100% in biologic-failure patients. Conclusions In the Austrian cohort of ACTION, overall abatacept retention at 2 years was high, with higher retention rates in patients receiving abatacept as an earlier treatment line. Good/moderate EULAR response rate was higher in biologic-failure than in biologic-naïve patients.
doi_str_mv 10.1007/s10354-019-00710-8
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Methods Baseline characteristics, abatacept retention rates, and clinical outcomes were compared by treatment line in the Austrian cohort of ACTION. Results Of 100 patients enrolled in Austria, 98 (98.0%) were evaluable: 33/98 (33.7%) biologic naïve and 65/98 (66.3%) with ≥1 prior biologic failure. At baseline, biologic-naïve patients had shorter disease duration and lower concomitant corticosteroid use than biologic-failure patients. Overall crude abatacept retention rate was 60.5% and retention rate was higher in biologic-naïve (65.1%) versus biologic-failure (58.0%) patients. Good/moderate EULAR (European League Against Rheumatism) response rates were 85.7% in biologic-naïve and 100% in biologic-failure patients. Conclusions In the Austrian cohort of ACTION, overall abatacept retention at 2 years was high, with higher retention rates in patients receiving abatacept as an earlier treatment line. Good/moderate EULAR response rate was higher in biologic-failure than in biologic-naïve patients.</description><identifier>ISSN: 0043-5341</identifier><identifier>EISSN: 1563-258X</identifier><identifier>DOI: 10.1007/s10354-019-00710-8</identifier><identifier>PMID: 31654156</identifier><language>eng</language><publisher>Vienna: Springer Vienna</publisher><subject>Family Medicine ; General Practice ; Geriatrics/Gerontology ; Infectious Diseases ; Internal Medicine ; Medicine ; Medicine &amp; Public Health ; Original Article ; Pharmacology/Toxicology</subject><ispartof>Wiener medizinische Wochenschrift, 2020-04, Vol.170 (5-6), p.132-140</ispartof><rights>Springer-Verlag GmbH Austria, ein Teil von Springer Nature 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-9f045764c3d56027553e86d1e471d493821cbfe023fded5ec5698070fa65045a3</citedby><cites>FETCH-LOGICAL-c347t-9f045764c3d56027553e86d1e471d493821cbfe023fded5ec5698070fa65045a3</cites><orcidid>0000-0002-1090-7904</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10354-019-00710-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10354-019-00710-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31654156$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Peichl, Peter</creatorcontrib><creatorcontrib>Alten, Rieke</creatorcontrib><creatorcontrib>Galeazzi, Mauro</creatorcontrib><creatorcontrib>Lorenz, Hanns-Martin</creatorcontrib><creatorcontrib>Nüßlein, Hubert</creatorcontrib><creatorcontrib>Navarro, Federico</creatorcontrib><creatorcontrib>Elbez, Yedid</creatorcontrib><creatorcontrib>Chartier, Melanie</creatorcontrib><creatorcontrib>Hackl, Roland</creatorcontrib><creatorcontrib>Rauch, Christiane</creatorcontrib><creatorcontrib>Connolly, Sean E</creatorcontrib><title>Abatacept retention and clinical outcomes in Austrian patients with rheumatoid arthritis: real-world data from the 2-year ACTION study</title><title>Wiener medizinische Wochenschrift</title><addtitle>Wien Med Wochenschr</addtitle><addtitle>Wien Med Wochenschr</addtitle><description>Summary Background AbataCepT In rOutiNe clinical practice (ACTION; NCT02109666) was a 2-year international observational study of patients with moderate to severe rheumatoid arthritis. Methods Baseline characteristics, abatacept retention rates, and clinical outcomes were compared by treatment line in the Austrian cohort of ACTION. Results Of 100 patients enrolled in Austria, 98 (98.0%) were evaluable: 33/98 (33.7%) biologic naïve and 65/98 (66.3%) with ≥1 prior biologic failure. At baseline, biologic-naïve patients had shorter disease duration and lower concomitant corticosteroid use than biologic-failure patients. Overall crude abatacept retention rate was 60.5% and retention rate was higher in biologic-naïve (65.1%) versus biologic-failure (58.0%) patients. Good/moderate EULAR (European League Against Rheumatism) response rates were 85.7% in biologic-naïve and 100% in biologic-failure patients. Conclusions In the Austrian cohort of ACTION, overall abatacept retention at 2 years was high, with higher retention rates in patients receiving abatacept as an earlier treatment line. 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subjects Family Medicine
General Practice
Geriatrics/Gerontology
Infectious Diseases
Internal Medicine
Medicine
Medicine & Public Health
Original Article
Pharmacology/Toxicology
title Abatacept retention and clinical outcomes in Austrian patients with rheumatoid arthritis: real-world data from the 2-year ACTION study
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