Disease-specific ADRs of TNF-α inhibitors as reported by patients with inflammatory rheumatic diseases: a registry-based prospective multicenter cohort study

Lieke H. Roest, Leanne J. Kosse, Jette A. van Lint, Helen R. Gosselt, Joep H. G. Scholl, Eugène van Puijenbroek, Harald E. Vonkeman, Sander W. Tas, Michael T. Nurmohamed, Bart J. F. van den Bemt, Naomi T. Jessurun

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background: The extent to which adverse drug reactions (ADRs) of biologics differ per immune-mediated inflammatory disease (IMID), and the relevance of tailoring ADR information per IMID is not fully investigated. We aimed to compare patient-reported ADRs attributed to adalimumab and etanercept between different inflammatory rheumatic diseases (IRDs). Research design and methods: ADR reports from IRD patients were extracted from the Dutch Biologic Monitor. ADR frequencies were compared using Fischer–Freeman–Halton exact test and the influence of covariates was assessed using binomial logistic regression. A total, of 729 participants were included, of which 354 participants reported 887 unique ADRs. ADR frequencies were not significantly different between the IRDs. Rheumatoid arthritis and ankylosing spondylitis including axial spondyloarthritis patients had an increased risk of ADRs related to ‘Respiratory, thoracic and mediastinal disorders’ and as compared to psoriatic arthritis patients. Etanercept use, combination therapy with methotrexate and/or corticosteroids, and age also influenced the risk of reporting specific ADRs. Conclusions: There were no differences in frequencies and nature of patient-reported ADRs attributed to adalimumab and etanercept between different IRDs. However, more research is needed to align patients’ and health-care professionals’ perspectives to improve knowledge on disease-specific ADRs.
Original languageEnglish
JournalExpert opinion on drug safety
Early online date2022
DOIs
Publication statusE-pub ahead of print - 2022

Keywords

  • Adverse drug reactions
  • anti-TNF therapy
  • bDMARD
  • inflammatory rheumatic diseases
  • patient perspective

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