Table 7 Rates of adverse events in placebo and recommended dose anti-TNF groups of randomised controlled trials in RA
OutcomeUnadjusted event rate per 1000 subjects (controlled portions of trials only)Meta-analysis OR (95% CI)Exposure-adjusted event rate per 1000 subject/years (controlled portions of trials only)Meta-analysis RR (95% CI)Exposure-adjusted event rate per 1000 subject/years (controlled and uncontrolled portions of trial)Simple pooled RR (95% CI)
PlaceboBiologicalPlaceboBiologicalPlaceboBiological
Death4.15.61.39 (0.74 to 2.62)5.26.01.23 (0.66 to 2.29)5.25.91.13 (0.57 to 2.27)
Serious adverse event118.0139.31.11 (0.94 to 1.32)177.0164.60.94 (0.77 to 1.15)H177.0177.41.00 (0.87 to 1.16)
Serious infection27.532.51.21 (0.89 to 1.63)34.035.71.07 (0.81 to 1.43)34.036.71.08 (0.81 to 1.43)
Lymphoma0.41.01.26 (0.52 to 3.06)0.51.21.26 (0.53 to 3.01)0.51.22.41 (0.37 to 15.59)
Non-cutaneous cancers and melanoma3.75.41.31 (0.69 to 2.48)5.16.41.21 (0.63 to 2.32)5.17.11.40 (0.69 to 2.83)
Non-melanoma cutaneous cancer1.42.11.27 (0.67 to 2.42)1.81.91.01 (0.43 to 2.38)1.72.41.41 (0.41 to 4.91)
  • H, Evidence of heterogeneity with fixed effects method, random effects analysis shown. OR, odds ratio; RA, rheumatoid arthritis; RR, risk ratio; TNF, tumour necrosis factor.