Demyelinating events in rheumatoid arthritis after drug exposures.

Abstract:

OBJECTIVE:To estimate the effects of biological drugs on the risk of demyelinating events in rheumatoid arthritis (RA). METHODS:Case-control analyses nested in an administrative database cohort. RESULTS:Initially the risk of demyelinating events appeared to be increased after exposure to anakinra and decreased after exposure to antitumour necrosis factor (anti-TNF) agents. However, this apparent differential risk was due to more anakinra use (and avoidance of anti-TNF agents) in persons at high risk for demyelinating events. In individuals not at high risk, the adjusted rate ratio was 1.31 (95% CI 0.68 to 2.50) after exposure to anti-TNF agents and 0.80 (95% CI 0.29 to 2.24) after exposure to anakinra. CONCLUSIONS:When accounting for differential prescription patterns, there was a trend towards more events after exposure to anti-TNF agents. When studying rare but important potential drug associations, pharmacoepidemiological studies are valuable but must be carefully performed.

journal_name

Ann Rheum Dis

authors

Bernatsky S,Renoux C,Suissa S

doi

10.1136/ard.2009.111500

subject

Has Abstract

pub_date

2010-09-01 00:00:00

pages

1691-3

issue

9

eissn

0003-4967

issn

1468-2060

pii

ard.2009.111500

journal_volume

69

pub_type

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