Indirect comparisons between biologicals in active rheumatoid arthritis (RA) despite methotrexate (MTX) expressed in ORs for American College of Rheumatology 50% improvement (ACR50) response rate at 6 months (weeks 24 to 30), with sensitive analysis (exclusion of certolizumab trials)
ACR50 response rate, OR (95% CI), p value | ||
---|---|---|
Indirect comparisons | Including certolizumab trials in the ‘all anti-TNFs group’* | Excluding certolizumab trials of the ‘all anti-TNFs group’* |
All anti-TNF–all non-anti-TNF biologicals† | 1.55 (1.12 to 2.16), 0.008 | 1.30 (0.91 to 1.86), 0.15 |
All anti-TNF–rituximab16–18 | 1.62 (1.00 to 2.66), 0.05 | 1.36 (0.81 to 2.27), 0.24 |
All anti-TNF–abatacept7 19 20 | 1.81 (1.23 to 2.65), 0.002 | 1.52 (1.01 to 2.28), 0.04 |
All anti-TNF–tocilizumab21 | 0.92 (0.51 to 1.63), 0.77 | 0.77 (0.43 to 1.39), 0.38 |
Abatacept7 19 20–rituximab16–18 | 1.12 (0.66 to 1.89), 0.67 | – |
Rituximab16–18–tocilizumab21 | 0.57 (0.29 to 1.12), 0.10 | – |
Tocilizumab21–abatacept7 19 20 | 1.97 (1.08 to 3.59), 0.02 | – |