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Table 1 Seminal studies describing TNFi drug retention rates and TNFi dose reduction, tapering or discontinuation

From: Biological treatment of ankylosing spondylitis: a nationwide study of treatment trajectories on a patient level in clinical practice

Author

No. AS patients

TNFi drug retention rate

 Carmona et al. 2006 [5]

657

1 year 88%, 2 years 82%, 3 years 76%

 Heiberg et al. 2008 [8]

249

1 year 78%

 Pavelka et al. 2009 [7]

310

1 year 84%, 2 years 76%, 3 years 72%

 Glintborg et al. 2010 [9]

842

1 year 74%, 2 years 63%

 Kristensen et al. 2010 [16]

243

2 years 74%

 Lie et al. 2011 [14]

514

1 year 76%, 2 years 65%

 Arends et al. 2011 [12]

220

1 year 71%, 2 years 66%

 Arends et al. 2012 [13]

111

3 years 65%

 Glintborg et al. 2013 [11]

1436

2 years 58%

 Heinonen et al. 2015 [15]

543

1 year 84%, 2 years 75%

 Lorenzin et al. 2015 [17]

70

1 year 77%, 2 years 70%, 3 years 57%, 4 years 53%, 5 years 50%

 Arends et al. 2017 [33]

89

7 years 51%

Author

No. AS patients

TNFi discontinuation or reduction

 Baraliakos et al. 2005 [31]

42

91% relapse 36 weeks after infliximab discontinuation

 Brandt et al. 2005 [32]

26

> 2/3 relapse 12 weeks after etanercept discontinuation

 Zhao et al. 2018 [34]

35

60% relapse 3 years after etanercept discontinuation

 Lee et al. 2010 [35]

109

Etanercept dose reduction may be possible

 De Stefano et al. 2014 [36]

38

Etanercept reduction may be possible at clinical remission

 Cantini et al. 2013 [37]

78

Etanercept reduction may be possible at clinical remission

 Yates et al. 2015 [38]

89

Etanercept dose reduction may be possible

 Zavada et al. 2016 [39]

136

TNFi reduction may be possible at low disease activity

 Park et al. 2016 [40]

165

TNFi reduction linked to more rapid radiographic progression

 Fong et al. 2016 [41]

125

TNFi reduction may be possible at low disease activity

  1. AS ankylosing spondylitis, TNFi tumour necrosis factor alpha inhibitor