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Table 2 Causes of treatment discontinuation at 36 months (Cox proportional hazards model, adjusted analysis)

From: Drug tolerability and reasons for discontinuation of seven biologics in 4466 treatment courses of rheumatoid arthritis—the ANSWER cohort study

Variable

Reference

HR (95% CI)

IFX (n = 748)

ABT (n = 681)

ADA (n = 558)

CZP (n = 229)

ETN (n = 891)

GLM (n = 464)

TCZ (n = 895)

P value

Total discontinuation (excluding non-toxic reasons and remission)

1

0.56 (0.46–0.68)***

0.99 (0.82–1.20)

0.96 (0.74–1.23)

0.92 (0.78–1.08)

0.71 (0.58–0.88) **

0.59 (0.49–0.71)***

< 0.001

Lack of effectiveness

1

0.65 (0.52–0.82)***

1.03 (0.82–1.29)

1.16 (0.87–1.55)

0.97 (0.80–1.17)

0.74 (0.57–0.95) **

0.54 (0.43–0.67)***

< 0.001

All toxic adverse events

1

0.32 (0.22–0.49)***

0.83 (0.58–1.18)

0.43 (0.24–0.78)**

0.66 (0.47–0.93)*

0.57 (0.38–0.85)**

0.61 (0.43–0.85)**

< 0.001

Non-toxic reasons

1

0.92 (0.64–1.34)

0.98 (0.67–1.42)

0.40 (0.18–0.87)*

0.84 (0.60–1.18)

1.20 (0.83–1.77)

0.84 (0.60–1.19)

0.12

Remission

1

0.35 (0.20–0.60)***

0.98 (0.67–1.44)

0.80 (0.41–1.56)

0.40 (0.26–0.60)***

0.96 (0.60–1.56)

0.77 (0.52–1.14)

< 0.001

  1. Differences between drugs were assessed using the Cox-P value.
  2. HR hazard ratio; 95%CI 95% confidence interval, IFX infliximab, ABT abatacept, ADA adalimumab, CZP certolizumab pegol, ETN etanercept, GLM golimumab, TCZ tocilizumab
  3. *P < 0.05, **P < 0.01, ***P < 0.001