Table 3.

Factors influencing tocilizumab effectiveness in 3 assessment methods: DAS28-ESR remission, EULAR Good Response, and Boolean remission (a full-model multivariate logistic regression analysis). Shaded factors have been shown to support the achievement of DAS28-ESR remission, EULAR Good Response, and Boolean-based remission.

DAS28-ESR RemissionEULAR Good ResponseBoolean Remission
OR (95% CI)pOR (95% CI)pOR (95% CI)p
SexFemale vs male0.74 (0.625–0.877)0.00050.856 (0.725–1.012)0.06811.047 (0.841–1.303)0.6825
AgePer 10-yr increase0.874 (0.829–0.921)< 0.00010.896 (0.851–0.944)< 0.00010.957 (0.897–1.022)0.1933
Body weight≥ 40 vs < 40 kg1.360 (1.006–1.838)0.04531.347 (1.019–1.780)0.03631.801 (1.089–2.978)0.0219
Duration of disease2–10 vs < 2 yrs0.974 (0.795–1.194)0.80080.847 (0.690–1.040)0.11360.935 (0.737–1.185)0.5785
≥ 10 vs < 2 yrs0.847 (0.673–1.066)0.15620.747 (0.594–0.940)0.01270.610 (0.458–0.814)0.0008
Steinbrocker stageIII + IV vs I + II0.722 (0.615–0.847)< 0.00010.771 (0.658–0.903)0.00130.736 (0.601–0.901)0.0030
Steinbrocker class3 + 4 vs 1 + 20.652 (0.557–0.765)< 0.00010.709 (0.611–0.823)< 0.00010.630 (0.490–0.809)0.0003
Previous use of biologics1 agent vs none0.621 (0.537–0.719)< 0.00010.669 (0.579–0.774)< 0.00010.615 (0.512–0.739)< 0.0001
2 agents vs none0.494 (0.409–0.596)< 0.00010.566 (0.472–0.679)< 0.00010.407 (0.310–0.536)< 0.0001
MTX use (concomitant druga)Present vs absent1.158 (1.013–1.323)0.03141.148 (1.008–1.308)0.03720.903 (0.759–1.075)0.2507
Corticosteroid use (concomitant druga)0–5 mg/dayb vs none0.815 (0.697–0.952)0.00990.932 (0.798–1.088)0.37020.679 (0.562–0.819)< 0.0001
> 5 mg/dayb vs none0.564 (0.470–0.678)< 0.00010.641 (0.536–0.766)< 0.00010.412 (0.320–0.530)< 0.0001
NSAID use (concomitant druga)Present vs absent0.865 (0.757–0.988)0.03250.786 (0.689–0.896)0.00030.692 (0.584–0.820)< 0.0001
DAS28-ESR (at baseline)Per 1-pt increase0.628 (0.595–0.663)< 0.00010.794 (0.755–0.835)< 0.00010.745 (0.696–0.796)< 0.0001
  • a Concomitant use at any timepoint during the observation period, including baseline.

  • b Dose is prednisolone equivalent. DAS28-ESR: Disease Activity Score based on 28-joint-erythrocyte sedimentation rate; EULAR: European League Against Rheumatism; MTX: methotrexate; NSAID: nonsteroidal antiinflammatory drug.