PMID- 32968710 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240329 IS - 2520-1026 (Electronic) IS - 2520-1026 (Linking) VI - 4 DP - 2020 TI - Long-term effectiveness and safety of infliximab, golimumab and golimumab-IV in rheumatoid arthritis patients from a Canadian prospective observational registry. PG - 46 LID - 10.1186/s41927-020-00145-4 [doi] LID - 46 AB - BACKGROUND: Long-term clinical registries are essential tools to evaluate new therapies in a patient population that differs from those in randomized clinical trials. The objectives are to describe the profile of rheumatoid arthritis (RA) patients treated with anti-TNF agents in Canadian routine care. METHODS: RA patients eligible for treatment with Infliximab (IFX), golimumab (GLM) or intravenous golimumab (GLM-IV) as per their respective Canadian product monographs were enrolled into the BioTRAC registry between 2002 and 2017. Study visits occurred at baseline and every 6 months thereafter. Effectiveness was assessed by changes in disease activity. Safety was evaluated by the incidence of adverse events (AEs) and drug survival. RESULTS: Of the 890 IFX-, 530 GLM- and 157 GLM-IV-treated patients, the proportion of females ranged from 77.0-86.6%, the mean ages from 55.8-57.7 and the mean disease duration from 6.5-8.6 years. A significant decrease in baseline disease duration and disease activity parameters (DAS, TJC, SJC, HAQ, AM stiffness, MDGA, PtGA, CRP, ESR) was observed over time. Treatment with IFX, GLM- and GLM-IV significantly improved all disease parameters over time. The incidence of AEs was 105, 113 and 82.6 /100 PYs and the incidence of SAEs was 11.7, 11.2 and 4.68 /100 PYs for IFX, GLM- and GLM-IV-treated patients, respectively. CONCLUSION: Differences in baseline characteristics between patients treated with an anti-TNFs over time shows the evolution of treatment modalities over time. All treatments significantly reduced disease activity and improved functionality in a similar fashion. The incidence of adverse events was consistent with the safety profiles of IFX and GLM. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT00741793 (Retrospectively registered on August 26, 2008). CI - (c) The Author(s) 2020. FAU - Rahman, Proton AU - Rahman P AD - Memorial University, St. John's, NL Canada. GRID: grid.25055.37. ISNI: 0000 0000 9130 6822 FAU - Baer, Philip AU - Baer P AD - Scarborough, Canada. FAU - Keystone, Ed AU - Keystone E AD - University of Toronto, Toronto, ON Canada. GRID: grid.17063.33. ISNI: 0000 0001 2157 2938 FAU - Choquette, Denis AU - Choquette D AD - Institut de Rhumatologie de Montreal, Montreal, QC Canada. FAU - Thorne, Carter AU - Thorne C AD - Newmarket, Canada. FAU - Haraoui, Boulos AU - Haraoui B AD - Institut de Rhumatologie de Montreal, Montreal, QC Canada. FAU - Chow, Andrew AU - Chow A AD - Mississauga, ON Canada. FAU - Faraawi, Rafat AU - Faraawi R AD - McMaster University, Hamilton, ON Canada. GRID: grid.25073.33. ISNI: 0000 0004 1936 8227 FAU - Olszynski, Wojciech AU - Olszynski W AD - University of Saskatchewan, Saskatoon, SK Canada. GRID: grid.25152.31. ISNI: 0000 0001 2154 235X FAU - Kelsall, John AU - Kelsall J AD - Providence Health, Vancouver, BC Canada. FAU - Rampakakis, Emmanouil AU - Rampakakis E AD - JSS Medical Research, Montreal, QC Canada. FAU - Lehman, Allen J AU - Lehman AJ AD - Janssen Inc., 19 Green Belt Dr., Toronto, ON M3C 1N9 Canada. FAU - Nantel, Francois AU - Nantel F AUID- ORCID: 0000-0002-7970-3328 AD - Janssen Inc., 19 Green Belt Dr., Toronto, ON M3C 1N9 Canada. LA - eng SI - ClinicalTrials.gov/NCT00741793 PT - Journal Article DEP - 20200919 PL - England TA - BMC Rheumatol JT - BMC rheumatology JID - 101738571 PMC - PMC7501619 OTO - NOTNLM OT - Effectiveness OT - Golimumab OT - Infliximab OT - Registry OT - Rheumatoid arthritis OT - Safety COIS- Competing interestsProton Rahman has received consulting fees for Abbott, AbbVie, Amgen, BMS, Celgene, Janssen, Novartis, Pfizer and Roche; and received research grant from Janssen. Philip Baer has received consultant fees from AbbVie, Amgen, Janssen, Lilly, Novartis, Boehringer Ingelheim, Pfizer Inc., Sanofi-Genzyme and Merck and speaker's fees from Amgen, Janssen, Abbvie, Pfizer Inc. and Lilly. Ed Keystone received funding for research from AbbVie, Amgen, Gilead Sciences, Lilly Pharmaceuticals, Merck, Pfizer Pharmaceuticals, PuraPharm, Sanofi; consulting agreements/advisory board membership from AbbVie, Amgen, AstraZeneca Pharma, Bristol-Myers Squibb Company, Celltrion, Myriad Autoimmune, F. Hoffmann-La Roche Inc., Genentech Inc., Gilead, Janssen Inc., Lilly Pharmaceuticals, Merck, Pfizer Pharmaceuticals, Sandoz, Sanofi-Genzyme, Samsung Bioepsis; speaker honoraria from Amgen, AbbVie, Bristol-Myers Squibb, Hoffmann-La Roche Inc., Janssen Inc., Merck, Pfizer Pharmaceuticals, Sanofi Genzyme and UCB. Denis Choquette has received consulting and speaking fees from Bristol-Myers Squibb, Abbvie, Amgen, Celgene, Genentech, Amgen, Pfzer, Roche and Novartis. Boulos Haraoui received advisory boards/consulting, and/or received research grants from AbbVie, Amgen, BMS, Celgene, Janssen, Eli Lilly, Merck, Novartis, UCB Pharma and Pfizer. Andrew Chow received advisory boards/consulting, and/or received research grants: AbbVie, Amgen, AstraZeneca, BMS, Celgene, Eli Lilly, Genzyme, GSK, Janssen, Merck, Novartis, Pfizer, Roche, Sanofi Aventis and UCB Pharma. Rafat Faraawi received consultant and speaker fees from Janssen Inc. Wojciech Olszynski received speaker/consultant fees for Amgen, Merck, Novartis, and Warner Chilcott. JPB: research grants, consulting fees, or speakers' bureau fees from Abbott, Amgen, Bristol Myers Squibb, Eli Lilly, Merck, Novartis, Pfizer, Roche, Sanofi-Aventis, Servier, Takeda, and Warner Chilcott. John Kelsall reports personal fees from Abbott, AstraZeneca, BMS, Merck-Schering, Lilly, Pfizer, Wyeth, Roche, Takeda and UCB. Allen Lehman and Francois Nantel are employees of Janssen Inc. and are JNJ stockholders. EDAT- 2020/09/25 06:00 MHDA- 2020/09/25 06:01 PMCR- 2020/09/19 CRDT- 2020/09/24 05:35 PHST- 2020/01/30 00:00 [received] PHST- 2020/06/03 00:00 [accepted] PHST- 2020/09/24 05:35 [entrez] PHST- 2020/09/25 06:00 [pubmed] PHST- 2020/09/25 06:01 [medline] PHST- 2020/09/19 00:00 [pmc-release] AID - 145 [pii] AID - 10.1186/s41927-020-00145-4 [doi] PST - epublish SO - BMC Rheumatol. 2020 Sep 19;4:46. doi: 10.1186/s41927-020-00145-4. eCollection 2020.