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Research ArticleRheumatoid Arthritis
Open Access

Does Etanercept Biosimilar Prescription in a Rheumatology Center Bend the Medication Cost Curve?

Wieland D. Müskens, Sanne A.A. Rongen-van Dartel, Piet L.C.M. van Riel and Eddy M.M. Adang
The Journal of Rheumatology December 2021, 48 (12) 1803-1809; DOI: https://doi.org/10.3899/jrheum.200565
Wieland D. Müskens
1W.D. Müskens, MD, MSc, Department of IQ Healthcare, Radboudumc, Nijmegen;
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  • ORCID record for Wieland D. Müskens
  • For correspondence: wieland.muskens{at}radboudumc.nl
Sanne A.A. Rongen-van Dartel
2S.A. Rongen-van Dartel, PhD, P.L. van Riel, MD, PhD, Department of IQ Healthcare, Radboudumc, Nijmegen, and Department of Rheumatology, Bernhoven, Uden;
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Piet L.C.M. van Riel
2S.A. Rongen-van Dartel, PhD, P.L. van Riel, MD, PhD, Department of IQ Healthcare, Radboudumc, Nijmegen, and Department of Rheumatology, Bernhoven, Uden;
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Eddy M.M. Adang
3E.M. Adang, PhD, Department of Health Evidence, Radboudumc, Nijmegen, the Netherlands.
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  • bDMARD cost and usage from June 1, 2014, to June 1, 2018. (A) Total medication cost of patients being treated with bDMARDs. (B) Average cost per patient being treated with bDMARDs. bDMARD: biologic disease-modifying antirheumatic drug.
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    Figure 1.

    bDMARD cost and usage from June 1, 2014, to June 1, 2018. (A) Total medication cost of patients being treated with bDMARDs. (B) Average cost per patient being treated with bDMARDs. bDMARD: biologic disease-modifying antirheumatic drug.

  • (C) The percentage of patients who were bDMARD users. bDMARD: biologic disease-modifying antirheumatic drug.
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    Figure 1.

    (C) The percentage of patients who were bDMARD users. bDMARD: biologic disease-modifying antirheumatic drug.

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    Table 1.

    Patient characteristics of the total population and the subgroup of patients using bDMARDs on June 1, 2016.

         RA Population, n = 827     bDMARD Users, n = 141
    ValuesnValuesn
    Age, yrs, mean (SD)63 (14)82758 (14)141
    Disease duration, yrs, mean (SD)8 (8)82411 (9)141
    Female sex, %655417099
    DAS28, mean (SD)3.1 (1.2)6303.33.3 (1.5)
    RF positive, %57392/6835669/123
    Anti-CCP positive, %55378/6846378/123
    BMI, kg/m2, mean (SD)27 (10)43226 (5)58
    • Anti-CCP: anticyclic citrullinated peptide antibody; bDMARD: biologic disease-modifying antirheumatic drug; DAS28: Disease Activity Score in 28 joints; RA: rheumatoid arthritis; RF: rheumatoid factor.

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    Table 2.

    Patient characteristics and medication use of patients starting biologic treatment in the years 2015 and 2017.

    Before Introduction of Biosimilar, n = 59After Introduction of Biosimilar, n = 67
    NN
    Baseline characteristics
          Mean (SD) age at biologic initiation, yrs52 (14)5958 (14)67
          Mean (SD) disease duration at biologic initiation, yrs4 (6)594 (6)67
          Female sex, %74.64470.147
          RF positive, %42.322/5256.422/39
          Anti-CCP positive, %51.927/5255.625/45
          BMI, mean (SD)27.0 (7)4027.8 (7)35
          DAS28 at biologic initiation, mean (SD)4.7 (1.3)384.5 (1.2)42
    Medication use prior to initiation of first bDMARD
          No. csDMARDs used, mean (SD)2.1 (0.7)572.1 (0.7)60
          Patients with GC treatment in last year, %73437349
          No. prednisone prescriptions in last year, mean (SD)2.7 (2.5)592.6 (2.6)67
    Medication use during initiation of first bDMARD
    Distribution of bDMARD utilization at initiation of first bDMARD
          Abatacept––21
          Adalimumab53314228
          Etanercept36214631
          Certolizumab––32
          Golimumab3221
          Infliximab21––
          Rituximab5332
          Tocilizumab2132
    No. csDMARD at biologic initiation (co-medication)
          01482718
          144263725
          242253524
    Patients using MTX at biologic initiation, %68405436
    • Anti-CCP: anticyclic citrullinated peptide antibody; bDMARD: biologic disease-modifying antirheumatic drug; csDMARD: conventional synthetic disease-modifying antirheumatic drug; DAS28: Disease Activity Score in 28 joints; GC: glucocorticoid; MTX: methotrexate; RF: rheumatoid factor.

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The Journal of Rheumatology
Vol. 48, Issue 12
1 Dec 2021
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Does Etanercept Biosimilar Prescription in a Rheumatology Center Bend the Medication Cost Curve?
Wieland D. Müskens, Sanne A.A. Rongen-van Dartel, Piet L.C.M. van Riel, Eddy M.M. Adang
The Journal of Rheumatology Dec 2021, 48 (12) 1803-1809; DOI: 10.3899/jrheum.200565

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Does Etanercept Biosimilar Prescription in a Rheumatology Center Bend the Medication Cost Curve?
Wieland D. Müskens, Sanne A.A. Rongen-van Dartel, Piet L.C.M. van Riel, Eddy M.M. Adang
The Journal of Rheumatology Dec 2021, 48 (12) 1803-1809; DOI: 10.3899/jrheum.200565
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Keywords

BIOLOGIC THERAPY
biosimilars
cost savings
RHEUMATIC DISEASES

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