Table 4.

Cox regression analysis for predictors of TNFi discontinuation in patients with axial inflammatory arthritis. Values are HR (95% CI).

VariablesFinal Model, Adjusted
UnivariableBaseline Variables OnlyBaseline Variables and First-year BASDAI50 ResponseBaseline Variables and First-year ASDAS-ID Response
Sex, male vs female0.67 (0.52–0.87)b0.74 (0.56–0.98)a0.62 (0.40–0.95)a0.66 (0.43–1.02)*
Age, per 10 yrs0.92 (0.73–1.17)
Symptom duration, < vs ≥ 5 years1.40 (1.08–1.82)a
TNFi agent used, ETN vs other1.94 (1.44–2.61)c1.68 (1.24–2.28)b1.88 (1.40–2.53)a
Clinical diagnosis
  AS (ref)1.00 (ref)
  PsA1.06 (0.76–1.48)
  Other1.52 (1.09–2.14)a
Year of TNFi therapy start, per 2 yrs1.20 (1.10–1.31)c1.13 (1.03–1.24)a
Previous csDMARD, yes vs no0.84 (0.66–1.07)**0.68 (0.52–0.88)b0.64 (0.42–0.96)a0.71 (0.48–1.05)*
MTX co-therapy, yes vs no0.96 (0.73–1.25)
Peripheral disease, yes vs no1.41 (1.08–1.84)a1.47 (1.12–1.93)b
CRP, > vs ≤ 1.2 mg/dl0.72 (0.54–0.96)b
VAS global, > vs ≤ 601.15 (0.88–1.53)
PGA, > vs ≤ 20.87 (0.64–1.19)
BASDAI, > vs ≤ 51.09 (0.81–1.48)
BASFI, > vs ≤ 51.15 (0.83–1.59)
BASDAI50, yes vs no0.49 (0.34–0.72)c0.49 (0.34–0.71)c
ASDAS-ID, yes vs no0.33 (0.22–0.51)c0.33 (0.26–0.41)c
  • * p < 0.1.

  • ** p < 0.2.

  • a p < 0.05.

  • b p < 0.01.

  • c p < 0.001. TNFi: tumor necrosis factor inhibitor; BASDAI50: 50% improvement of Bath Ankylosing Spondylitis Disease Activity Index; ASDAS-ID: Ankylosing Spondylitis Disease Activity Score–Inactive Disease; ETN: etanercept; AS: ankylosing spondylitis; PsA: psoriatic arthritis; csDMARD: conventional synthetic disease-modifying antirheumatic drugs; MTX: methotrexate; CRP: C-reactive protein; VAS: visual analog scale; PGA: physician’s global assessment; BASFI: Bath Ankylosing Spondylitis Functional Index.