Table 3.

Predictors of a good EULAR response to a first-line tumor necrosis factor inhibitor (TNFi), at 3 and 6 months. Univariable and multivariable analysis.

CharacteristicsUnivariable Analysis, 3 MonthsMultivariable Analysis, 3 MonthsUnivariable Analysis, 6 MonthsMultivariable Analysis, 6 Months
OR (95% CI)pGlobal pOR (95% CI)pOR (95% CI)pGlobal pOR (95% CI)pGlobal p
Age at first TNFi0.98 (0.96–1.00)0.094¥0.98 (0.96–1.00)0.107¥
Female0.23 (0.13–0.41)< 0.001¥0.36 (0.17–0.73)0.0050.30 (0.17–0.53)< 0.001¥
Obese vs other*0.59 (0.28–1.25)0.1660.37 (0.18–0.79)0.010¥0.25 (0.09–0.68)0.006
Axial subtype vs other&0.78 (0.28–2.13)0.6230.46 (0.17–1.25)0.129¥
Years of disease until first TNFi1.04 (0.99–1.08)0.144¥1.00 (0.97–1.03)0.831
DAS28-4vESR (baseline)0.86 (0.71–1.05)0.146¥0.82 (0.67–1.01)0.058¥
HAQ-DI (baseline)0.34 (0.19–0.60)< 0.001¥0.44 (0.24–0.80)0.0070.47 (0.28–0.79)0.004¥0.35 (0.15–0.85)0.021
Concomitant corticosteroids0.44 (0.25–0.76)0.003¥0.51 (0.26–1.01)0.0540.38 (0.22–0.65)0.001¥
Concomitant csDMARD1.56 (0.87–2.79)0.134¥0.86 (0.48–1.53)0.602
Year of starting the first TNFi1.05 (0.96–1.15)0.3231.12 (1.03–1.22)0.010¥1.27 (1.07–1.50)0.006
Biologic therapy (ref: etanercept)
  Infliximab0.73 (0.27–1.96)0.5330.8790.31 (0.11–0.86)0.024¥0.002¥0.22 (0.04–0.74)0.0410.081
  Adalimumab0.96 (0.52–1.77)0.9011.68 (0.88–3.20)0.117¥1.38 (0.46–4.09)0.567
  Golimumab1.16 (0.52–2.59)0.7112.70 (1.14–6.41)0.024¥1.50 (0.27–8.11)0.637
  • * Obese (BMI = 30), overweight (BMI 25 to 29.9), normal (BMI 18.5 to < 24.9), underweight (BMI < 18.5).

  • & Other forms (polyarticular, oligoarticular, distal interphalangeal joints and mutilans).

  • ¥ Univariable p value < 0.20.

  • Multivariable p value < 0.05. Sample sizes at 3 months: sex (n = 218); BMI (n = 139); clinical subtype (n = 192); years of disease until first TNFi (n = 203); DAS28 (n = 218); HAQ (n = 161); concomitant corticosteroids (n = 218); concomitant csDMARD (n = 218); year of TNFi (n = 218); biologic therapy (n = 218). Multivariable analysis sample size: 161. Sample sizes at 6 months: sex (n = 217); BMI (n = 136); clinical subtype (n = 196); years of disease until first TNFi (n = 204); DAS28 (n = 217); HAQ (n = 165); concomitant corticosteroids (n = 217); concomitant csDMARD (n = 217); year of TNFi (n = 217); biologic therapy (n = 217). Multivariable analysis sample size: 101. EULAR: European League Against Rheumatism; BMI: body mass index; DAS28-4vESR: 4-variable 28-joint count Disease Activity Score using erythrocyte sedimentation rate; HAQ-DI: Health Assessment Questionnaire–Disability Index; csDMARD: conventional synthetic disease-modifying antirheumatic drugs.