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Table 2 Risk of hospitalized infections and malignancies associated with abatacept in RA by line of treatment

From: Safety of abatacept compared with other biologic and conventional synthetic disease-modifying antirheumatic drugs in patients with rheumatoid arthritis: data from an observational study

Outcomes

Using inverse probability of treatment weights

Abatacept vs other bDMARDs

Abatacept vs csDMARDs

No. of cases/no. of patients*

Unadjusted HR (95% CI)

Adjusted HR† (95% CI)

No. of cases/no. of patients*

Unadjusted HR (95% CI)

Adjusted HR† (95% CI)

Hospitalized infections

 Overall

37/1099 vs 25/3138

0.39 (0.17, 0.87)

0.37 (0.18, 0.75)

37/1099 vs 20/1103

0.52 (0.20, 1.39)

0.31 (0.09, 1.05)

 First-line

1/171 vs 13/1191

NR

NR

1/171 vs 15/304

NR

NR

 Second-line

15/409 vs 7/1132

0.49 (0.23, 1.03)

0.42 (0.18, 0.97)

15/409 vs 4/119

0.99 (0.26, 3.76)

NR

 Third- or greater line

21/659 vs 5/1192

0.76 (0.42, 1.38)

0.64 (0.35, 1.15)

21/659 vs 1/50

0.47 (0.13, 1.68)

0.42 (0.09, 2.10)

Malignancies*

 Overall

22/1099 vs 27/3138

2.32 (0.84, 6.44)

1.89 (0.93, 3.84)

22/1099 vs 24/1103

0.77 (0.29, 2.06)

0.93 (0.20, 4.27)

 First-line

3/171 vs 14/1191

NR

NR

3/171 vs 17/304

0.75 (0.09, 6.13)

0.36 (0.03, 3.83)

 Second-line

6/409 vs 8/1132

4.61 (0.98, 21.7)

NR

6/409 vs 6/119

NR

NR

 Third- or greater line

13/659 vs 5/1192

0.35 (0.04, 3.08)

1.34 (0.39, 4.57)

13/659 vs 1/50

0.61 (0.06, 5.75)

NR

Non-melanoma skin cancers

 Overall

37/1099 vs 25/3138

1.26 (0.69, 2.29)

1.10 (0.57, 2.11)

37/1099 vs 20/1103

0.90 (0.33, 2.46)

1.05 (0.22, 4.98)

 First-line

1/171 vs 13/1191

NR

NR

1/171 vs 15/304

0.88 (0.10, 7.37)

0.62 (0.05, 7.28)

 Second-line

15/409 vs 7/1132

4.08 (0.80, 20.67)

NR

15/409 vs 4/119

NR

NR

 Third- or greater line

21/659 vs 5/1192

0.35 (0.0, 3.08)

1.34 (0.39, 4.57)

21/659 vs 1/50

0.61 (0.06, 5.75)

NR

  1. *Patients with prior history of malignancy were excluded
  2. †Using inverse probability of treatment weights with further adjustment for time-varying age and disease duration, HAQ-DI, pain and patient global scores, RDCI and GC treatment duration
  3. bDMARD biologic synthetic disease-modifying antirheumatic drug, CI confidence interval, csDMARD conventional synthetic disease-modifying antirheumatic drug, GC glucocorticoid, HAQ-DI Health Assessment Questionnaire-Disability Index, HR hazard ratio, NR not reported due to low event numbers causing inability to achieve convergence, RA rheumatoid arthritis, RCDI Rheumatic Disease Comorbidity Index