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Table 2 Surveillance for hepatotoxicity during follow-up period among treatment episodes

From: Safety of biologic and nonbiologic disease-modifying antirheumatic drug therapy in veterans with rheumatoid arthritis and hepatitis B virus infection: a retrospective cohort study

Drug

Treatment episodes

Cumulative events within 12 months (%) *

Episodes in which any ALT testing occurred during follow - up period

Event rates for hepatotoxicity

0 - 3 month (%) Ï®

3 - 6 month (%) Ï®

6 - 12 month (%) Ï®

0 - 3 month events (% ) Ŧ

3 - 6 month events (%) Ŧ

6 - 12 month events (%) Ŧ

Biologic agents

309

8

271

201

179

4

3

1

Abatacept

27

2 (7.4)

24 (88.9)

21 (77.8)

18 (66.7)

0 (0)

1 (4.8)

1 (5.6)

Adalimumab

116

2 (1.7)

103 (88.8)

77 (66.4)

74 (63.8)

1 (1.0)

1 (1.3)

0 (0)

Etanercept

113

3 (2.7)

92 (81.4)

70 (61.9)

65 (57.5)

2 (2.2)

1 (1.4)

0 (0)

Infliximab

29

0 (0)

28 (96.6)

18 (62.1)

14 (48.3)

0 (0)

0 (0)

0 (0)

Rituximab

24

1 (4.2)

24 (100)

15 (62.5)

8 (33.3)

1 (4.2)

0 (0)

0 (0)

Nonbiologic agents

650

18

524

373

317

9

4

5

Leflunomide

110

3 (2.7)

93 (84.5)

71 (64.5)

50 (45.5)

1 (1.1)

1 (1.4)

1 (2.0)

Methotrexate

183

8 (4.4)

163 (89.1)

113 (61.7)

103 (56.3)

3 (1.8)

1 (0.9)

4 (3.9)

Sulfasalazine-Hydroxychloroquine

357

7 (2.2)

268 (75.1)

189 (52.9)

164 (45.9)

5 (1.9)

2 (1.1)

0 (0)

TOTAL (% of total episodes)

959

26 (2.7)

795 (82.9)

574 (59.9)

496 (51.7)

13 (1.6)

7 (1.2)

6 (1.2)

  1. *Hepatotoxic events in time period divided by treatment episodes for drug listed in row; Ϯrepresents episodes that had at least one ALT test performed in given follow-up time period. Summation of three columns will exceed the total episodes, since an ALT could be performed in all three follow-up periods, unless censuring occurred (failure or end of follow-up period). ŦEvent rate percentage equals the number of hepatotoxicity events in time period divided by the number of ALT tests performed in same time period for drug row. ALT, alanine aminotransferase.