Results of Cox regression analysis of treatment retention
Univariable analysis | Adjusted analysis | |||||
HR | 95% CI | P value | HR | 95% CI | P value | |
JAKi to JAKi (ref: JAKi to bDMARD) | 0.93 | 0.79 to 1.10 | 0.39 | 0.82 | 0.68 to 0.99 | 0.04 |
Sex (ref: female) | 0.86 | 0.74 to 1.01 | 0.07 | 0.87 | 0.73 to 1.03 | 0.11 |
Age | 1.00 | 1.00 to 1.01 | 0.20 | 1.00 | 1.00 to 1.01 | 0.27 |
Disease duration in years | 0.99 | 0.99 to 1.00 | 0.20 | 0.99 | 0.98 to 1.00 | 0.16 |
Seropositive, RF or ACPA | 1.00 | 0.85 to 1.17 | 0.96 | 0.95 | 0.81 to 1.11 | 0.52 |
≥1 previous bDMARDs (ref: 0) | 1.01 | 0.85 to 1.20 | 0.88 | 1.05 | 0.88 to 1.26 | 0.55 |
Treatment duration of first JAKi, years | 1.12 | 1.02 to 1.22 | 0.02 | 1.16 | 1.05 to 1.28 | 0.003 |
Concomitant csDMARD | 0.73 | 0.64 to 0.84 | <0.001 | 0.73 | 0.63 to 0.84 | <0.001 |
GC at baseline | 0.98 | 0.83 to 1.15 | 0.80 | 0.98 | 0.83 to 1.15 | 0.79 |
CDAI | 1.01 | 1.00 to 1.01 | 0.06 | 1.01 | 1.00 to 1.02 | 0.14 |
HAQ-DI | 1.08 | 0.95 to 1.23 | 0.22 | 1.02 | 0.85 to 1.22 | 0.85 |
Tobacco (ref: never) | 1.03 | 0.86 to 1.24 | 0.73 | 0.99 | 0.82 to 1.20 | 0.95 |
Any comorbidities | 1.05 | 0.91 to 1.22 | 0.50 | 1.01 | 0.85 to 1.19 | 0.94 |
Analyses were adjusted for sex, age, disease duration, seropositivity, number of previously used bDMARDs/tsDMARDs, treatment duration of first JAKi, concomitant csDMARD treatment, concomitant GC, HAQ-DI, baseline disease activity values, smoking and comorbidity.
ACPA, anticitrullinated peptide antibodies; bDMARD, biologic disease-modifying antirheumatic drug; CDAI, Clinical Disease Activity Index; csDMARD, conventional synthetic disease-modifying antirheumatic drug; GC, glucocorticoid; HAQ-DI, Health Assessment Questionnaire Disability Index; JAKi, Janus kinase inhibitor; ref, reference; RF, rheumatoid factor; tsDMARD, targeted synthetic disease-modifying antirheumatic drug.