Table 7.

Standardized incidence ratios (SIR) for selected malignancies in the intravenous abatacept cumulative period compared with external rheumatoid arthritis (RA) cohorts and the US general population. Data are SIR (95% CI). SIR are calculated by comparing the number of malignancies in the intravenous abatacept cumulative period with the expected values from the external cohorts, with SIR below 0 indicating reduced incidence with abatacept versus comparator.

RA CohortsUS General Population22*
BC18NDB20GPRD21
All malignancies excluding NMSC0.42 (0.33, 0.51)1.11 (0.89, 1.36)0.99 (0.80, 1.22)
  Lung cancer0.59 (0.35, 0.94)1.26 (0.75, 1.99)1.08 (0.64, 1.71)1.59 (0.94, 2.52)
  Lymphoma0.67 (0.30, 1.27)0.95 (0.43, 1.80)1.30 (0.59, 2.46)2.49 (1.14, 4.73)
  Breast cancer0.34 (0.18, 0.56)0.42 (0.23, 0.70)0.71 (0.39, 1.20)0.62 (0.34, 1.03)
  Colorectal cancer0.19 (0.04, 0.54)0.41 (0.08, 1.19)0.52 (0.10, 1.51)0.37 (0.07, 1.07)
  • * Data for US general population taken from the Surveillance Epidemiology and End Results database22. BC: British Columbia; NDB: National Data Bank for Rheumatic Diseases; GPRD: General Practice Research Database; NMSC: nonmelanoma skin cancer.