Switching of Biological Therapies in Brazilian Patients With Rheumatoid Arthritis
Author(s) -
Juliana Miranda de Lucena Valim,
Fernanda Gomes Gonçalves Chaer,
Fernanda D’Oliveira Guimarães da Silveira,
Verônica Palmiro da Silva e Lima,
Branca Dias Batista de Souza
Publication year - 2018
Publication title -
future science oa
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.825
H-Index - 23
ISSN - 2056-5623
DOI - 10.4155/fsoa-2018-0025
Subject(s) - abatacept , tocilizumab , medicine , rheumatoid arthritis , rituximab , biologic agents , biological drugs , retrospective cohort study , tofacitinib , lymphoma
Aim: To assess drug switching, rates of remission and disease activity in Brazilian patients with rheumatoid arthritis (RA) treated with biologic agents. Materials & methods: Using a retrospective method, a total of 94 adult patients were included. Results: Anti-TNF was the first choice therapy in 85 (90.4%) patients. After an average of 8 years of follow-up, 55 (59%) patients were taking anti-TNF, 18 (19%) abatacept, eight (9%) tocilizumab and 13 (14%) rituximab. In this period, 99 switches of biological therapy were registered in 55 patients. Conclusion: After 8 years of follow-up, 54% of the RA patients on biological therapy were still experiencing high or moderate activity despite established treatment, including switching between different biologic agents.
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