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Date of download: 7/9/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Development of Antidrug Antibodies Against Adalimumab.

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Presentation on theme: "Date of download: 7/9/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Development of Antidrug Antibodies Against Adalimumab."— Presentation transcript:

1 Date of download: 7/9/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Development of Antidrug Antibodies Against Adalimumab and Association With Disease Activity and Treatment Failure During Long-term Follow-up JAMA. 2011;305(14):1460-1468. doi:10.1001/jama.2011.406 Number of patients with available serum samples are shown. Figure Legend:

2 Date of download: 7/9/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Development of Antidrug Antibodies Against Adalimumab and Association With Disease Activity and Treatment Failure During Long-term Follow-up JAMA. 2011;305(14):1460-1468. doi:10.1001/jama.2011.406 Median adalimumab concentrations (mg/L) per time point are shown for patients without antiadalimumab antibodies (AAA), with low AAA (13-100 AU/mL), and high antiadalimumab titers (>100 AU/mL). Patients who were AAA-negative had significantly higher adalimumab concentrations compared with patients with low AAA (P <.001) and high antibody titers (P <.001), with regression coefficients of −4.5 (95% confidence interval, −6.0 to −2.9) and −7.1 (95% confidence interval, −8.4 to −5.8), respectively (analysis by generalized estimating equation). The interquartile ranges (25th-75th percentiles) for the adalimumab concentrations ranged from 4.3-8.9 mg/L to 7.5-17.5 mg/L for the AAA-negative patients; from 3.4-7.1 mg/L to 2.2-11.7 mg/L for patients with low AAA; and from 0.0-2.7 mg/L to 0.01-11.2 mg/L for patients with high AAA titers. Figure Legend:

3 Date of download: 7/9/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Development of Antidrug Antibodies Against Adalimumab and Association With Disease Activity and Treatment Failure During Long-term Follow-up JAMA. 2011;305(14):1460-1468. doi:10.1001/jama.2011.406 There were 0 dropouts for the reason indicated as other at the 4-week time point. Figure Legend:

4 Date of download: 7/9/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Development of Antidrug Antibodies Against Adalimumab and Association With Disease Activity and Treatment Failure During Long-term Follow-up JAMA. 2011;305(14):1460-1468. doi:10.1001/jama.2011.406 A, Overall dropout for patients with and without antiadalimumab antibodies (AAA) (survival analysis, P =.002) is shown. Forty-eight of 76 AAA-positive patients (63%) and 76 of 196 AAA-negative patients (39%) discontinued treatment. B, Dropout due to treatment failure for patients with and without AAA (survival analysis, P <.001). Treatment failure was the reason for dropout in 29 of 48 AAA- positive patients and 28 of 76 AAA-negative patients. Figure Legend:

5 Date of download: 7/9/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Development of Antidrug Antibodies Against Adalimumab and Association With Disease Activity and Treatment Failure During Long-term Follow-up JAMA. 2011;305(14):1460-1468. doi:10.1001/jama.2011.406 A, Proportion of patients who reached sustained minimal disease activity score (DAS28 100 AU/mL). Both curves with AAA differ significantly from the curve without AAA (survival analysis, P 100 AU/mL). C, Indicates proportion of patients who reached sustained remission (DAS28 < 2.6) for patients with and without AAA (survival analysis, P <.001). Sixty-seven of 196 patients without AAA reached remission vs 3 of 76 patients with AAA. Figure Legend:


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