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Actual Persistence of Abatacept in Rheumatoid Arthritis: Results of the French-Ric Network


 Clin Med 2020 May 19;9(5):E1528.doi: 10.3390/jcm9051528.

Jean-Hugues Salmon 1 2, Jean-Guillaume Letarouilly 3, Vincent Goëb 4, Lukshe Kanagaratnam 1 5, Pascal Coquerelle 6, Marie-Hélène Guyot 7, Eric Houvenagel 8, Nicolas Lecuyer 9, Laurent Marguerie 10, Gauthier Morel 11, Guy Baudens 12, Elisabeth Gervais 13, René-Marc Flipo 3

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Objectives: Data on abatacept (ABA) persistence in routine practice are limited. We aimed to study ABA persistence rates at 12 months, according to the date of initiation, and to analyze the factors associated with persistence at 12 months.

Methods: We performed an observational, ambispective, multi-center study from January 2008 to July 2016, based on the French-RIC Network. We defined three groups of patients followed up for rheumatoid arthritis (RA), according to the date of initiation of ABA therapy: Group 1 (from 2007 to 31 July 2010: ABA indicated after anti-TNF failure); Group 2 (from 1 August 2010 to 31 March 2014: ABA indicated after conventional antirheumatic drugs failure); Group 3 (from 1 April 2014 to 1 July 2016: ABA available by the subcutaneous injection).

Results: Among 517 patients who initiated ABA, drug persistence at 12 months was 68%. The only factor significantly associated with persistence rate at 12 months was C-reactive protein (CRP) < 10 mg/L at ABA initiation (odds ratio (OR) 0.6, 95% confidence interval 0.3-0.9; p = 0.0016). There was no significant difference in drug persistence according to date of initiation, the line of biological disease-modifying antirheumatic drugs (bDMARD) therapy or the route of administration.

Conclusions: In routine practice, over time, ABA has come to be initiated earlier in the course of therapy for RA in France. Abatacept persistence is similar to that reported in the Orencia Rheumatoid Arthritis (ORA) registry, and does not differ according to the date of initiation. The only factor found to be associated with the persistence rate at 12 months was CRP < 10 mg/L at ABA initiation.