PMID- 28361468 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210421 IS - 2198-6576 (Print) IS - 2198-6584 (Electronic) IS - 2198-6576 (Linking) VI - 4 IP - 1 DP - 2017 Jun TI - Impact of Participation in the Adalimumab (Humira) Patient Support Program on Rheumatoid Arthritis Treatment Course: Results from the PASSION Study. PG - 85-96 LID - 10.1007/s40744-017-0061-7 [doi] AB - INTRODUCTION: Patients with rheumatoid arthritis (RA) who are treated with adalimumab (ADA) are offered a proprietary patient support program (PSP, AbbVie Care((R))). The main objective of this study was to examine the effectiveness of ADA on RA treatment course over time in the context of PSP utilization. METHODS: PASSION was a 78-week post-marketing observational study of RA patients with an insufficient response to >/=1 DMARD newly initiating ADA in routine clinical care that was conducted in Europe, Israel, Mexico, Puerto Rico, and Australia. One prior biologic DMARD was allowed. The primary endpoint was percentage of patients achieving the minimal clinically important difference (MCID; improvement of >/=0.22 compared to baseline) in Health Assessment Questionnaire (HAQ) Disability Index (HAQ-DI) at week 78. Additionally, multiple clinical and patient-reported outcomes (PROs) were evaluated over time. Patients were categorized based on their participation in the PSP: ever (PSP users) vs. never (PSP non-users). Safety events were monitored throughout the study. RESULTS: Overall, 42.8% of PSP users achieved the MCID in HAQ-DI at week 78 (improvement of at least 0.22 compared to baseline). From 1025 enrolled, 48.7% of patients were PSP users while treated with ADA. The percentage of patients achieving MCID in the HAQ-DI was higher in PSP users vs. PSP non-users (48.1 vs. 37.8%) at week 78 (p < 0.001, NRI). Most of the studied clinical outcomes and PROs showed significant improvements (p < 0.05) from baseline to week 78 favoring PSP users over PSP non-users. CONCLUSIONS: In patients with moderate-to-severe RA who initiated ADA, improvements in clinical, functional, and PROs were achieved in real-world settings with significantly greater improvements among PSP users in comparison with PSP non-users. FUNDING: AbbVie. TRIAL REGISTRATION: ClinicalTrials.gov identifier, NCT01383421. FAU - Van den Bosch, Filip AU - Van den Bosch F AD - Ghent University Hospital and VIB Center for Inflammation Research, Ghent, Belgium. filip.vandenbosch@ugent.be. FAU - Ostor, Andrew J K AU - Ostor AJK AD - Addenbrooke's Hospital, Cambridge, UK. FAU - Wassenberg, Siegfried AU - Wassenberg S AD - Rheumazentrum, Ratingen, Germany. FAU - Chen, Naijun AU - Chen N AD - AbbVie Inc., North Chicago, IL, USA. FAU - Wang, Chen AU - Wang C AD - AbbVie Inc., North Chicago, IL, USA. FAU - Garg, Vishvas AU - Garg V AD - AbbVie Inc., North Chicago, IL, USA. FAU - Kalabic, Jasmina AU - Kalabic J AD - AbbVie Deutschland GmbH & Co. KG, Ludwigshafen, Germany. LA - eng SI - ClinicalTrials.gov/NCT01383421 PT - Journal Article DEP - 20170330 PL - England TA - Rheumatol Ther JT - Rheumatology and therapy JID - 101674543 EIN - Rheumatol Ther. 2017 Jun;4(1):97. PMID: 28474206 PMC - PMC5443730 OTO - NOTNLM OT - Adalimumab OT - Patient support program OT - Rheumatoid arthritis EDAT- 2017/04/01 06:00 MHDA- 2017/04/01 06:01 PMCR- 2017/03/30 CRDT- 2017/04/01 06:00 PHST- 2017/02/13 00:00 [received] PHST- 2017/04/01 06:00 [pubmed] PHST- 2017/04/01 06:01 [medline] PHST- 2017/04/01 06:00 [entrez] PHST- 2017/03/30 00:00 [pmc-release] AID - 10.1007/s40744-017-0061-7 [pii] AID - 61 [pii] AID - 10.1007/s40744-017-0061-7 [doi] PST - ppublish SO - Rheumatol Ther. 2017 Jun;4(1):85-96. doi: 10.1007/s40744-017-0061-7. Epub 2017 Mar 30.