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Table 2 Efficacy and safety outcomes of tocilizumab 8 mg/kg monotherapy and combination therapy comprising tocilizumab and a conventional synthetic disease modifying anti-rheumatic drug

From: Tocilizumab as monotherapy or combination therapy for treating active rheumatoid arthritis: a meta-analysis of efficacy and safety reported in randomized controlled trials

 

Meta-analysis

Sensitivity analysesa

Outcome measures

RR

95 % CI

P

RR

95 % CI

P

TCZCOMBI vs. TCZMONO

 DAS28 < 2.6

1.21

1.09, 1.36

<0.001

1.20

1.07, 1.34

0.002

 ACR20

1.05

0.99, 1.12

0.11

1.05

0.98, 1.11

0.17

 ACR50

1.14

1.03, 1.26

0.008

1.13

1.02, 1.25

0.02

 ACR70

1.19

0.94, 1.51

0.14

1.12

0.95, 1.33

0.19

 AEs

1.08

0.97, 1.21

0.17

1.09

0.86, 1.38

0.48

 SAEs

1.40

1.03, 1.92

0.03

1.34

0.79, 2.27

0.27

TCZCOMBI vs. csDMARD

 DAS28 < 2.6

8.77

4.10, 18.75

<0.001

10.39

4.38, 24.65

<0.001

 ACR20

2.10

1.48, 2.99

<0.001

2.15

1.45, 3.19

<0.001

 ACR50

3.00

1.80, 4.99

<0.001

3.24

1.82, 5.78

<0.001

 ACR70

5.32

2.31, 12.25

<0.001

6.23

2.29, 16.93

<0.001

 AEs

1.12

1.06, 1.18

<0.001

1.14

1.07, 1.20

<0.001

 SAEs

1.21

0.91, 1.60

0.19

1.13

0.80, 1.60

0.48

TCZMONO vs. csDMARD

 DAS28 < 2.6

3.95

2.23, 7.00

<0.001

4.50

2.34, 8.64

<0.001

 ACR20

1.68

1.21, 2.32

0.002

1.71

1.18, 2.48

0.005

 ACR50

1.87

1.19, 2.95

0.007

2.01

1.18, 3.42

0.01

 ACR70

2.11

1.18, 3.78

0.01

2.49

1.29, 4.81

0.007

 AEs

1.08

1.01, 1.15

0.03

1.13

0.92, 1.39

0.24

 SAEs

1.21

0.87, 1.69

0.26

1.37

0.64, 2.93

0.42

  1. aThe CHARISMA study was excluded from all meta-analyses; the FUNCTION study was excluded from all meta-analyses of safety outcomes (adverse events (AEs) and serious AEs (SAEs)); the SAMURAI study was excluded from meta-analyses of the safety of tocilizumab monotherapy (TCZMONO) vs. a conventional synthetic disease-modifying anti-rheumatic drug (csDMARD); the SURPRISE study was excluded (from meta-analyses of the safety of tocilizumab combination therapy (TCZCOMBI) vs. TCZMONO. RR relative risk, CI confidence interval, DAS28 Disease Activity Score in 28 joints, ACR American college of Rheumatology, AEs adverse events, SAEs serious AEs