Literature DB >> 19647103

Tumour necrosis factor antagonist therapy and cancer development: analysis of the LORHEN registry.

Francesca Bobbio Pallavicini1, Roberto Caporali, Piercarlo Sarzi-Puttini, Fabiola Atzeni, Chiara Bazzani, Roberto Gorla, Antonio Marchesoni, Ennio Giulio Favalli, Carlomaurizio Montecucco.   

Abstract

OBJECTIVE: The objective was to compare cancer risk in a RA cohort population treated with TNF antagonists, and identify the characteristics of the patients at higher risk.
METHODS: The study involved 1114 RA patients treated with anti-TNF agents after failing to respond to traditional DMARDs, 1064 of whom were evaluable for adverse events over an average observational period of 23.32 months. The relative cancer risks (expressed as hazard ratios) in the anti-TNF treated patients were estimated using univariate and multivariate analyses. The rate of cancer in this cohort was compared with that in the general population using data from the Varese and Milan Cancer Report.
RESULTS: There were 18 incident cases (1.7%), 4 of which involved lymphomas. Comparison with the general population showed that the overall cancer risk was similar, but the risk of lymphoma was about five times higher in the RA patients treated with a biological agent. Higher RR were found in males (HR 4.95, 95% CI 1.97-12.48; p=0.001) and patients aged >65 years (HR 2.72, 95% CI 1.08-6.84; p=0.034); combined therapy with methotrexate seemed to be protective (HR 0.31, 95% CI 0.11-0.87; p=0.026).
CONCLUSION: The overall cancer risk in RA patients treated with anti-TNF seemed to be similar to that in the general population in the same geographical area, but the risk of haematological cancer was significantly greater. The demographic and clinical factors associated with a higher risk of cancer in our cohort were male gender and an age of >65 years. Copyright 2009 Elsevier B.V. All rights reserved.

Entities:  

Mesh:

Substances:

Year:  2009        PMID: 19647103     DOI: 10.1016/j.autrev.2009.07.006

Source DB:  PubMed          Journal:  Autoimmun Rev        ISSN: 1568-9972            Impact factor:   9.754


  21 in total

Review 1.  Biologics registers in RA: methodological aspects, current role and future applications.

Authors:  Elena Nikiphorou; Maya H Buch; Kimme L Hyrich
Journal:  Nat Rev Rheumatol       Date:  2017-06-01       Impact factor: 20.543

Review 2.  Harms of TNF inhibitors in rheumatic diseases: a focused review of the literature.

Authors:  Archana Jain; Jasvinder A Singh
Journal:  Immunotherapy       Date:  2013-03       Impact factor: 4.196

3.  Progression of undiagnosed cutaneous lymphoma after anti-tumor necrosis factor-alpha therapy.

Authors:  Maria Estela Martinez-Escala; Alba L Posligua; Heather Wickless; Audrey Rutherford; Kimberly A Sable; Belen Rubio-Gonzalez; Xiaolong A Zhou; Jason B Kaplan; Barbara Pro; Jaehyuk Choi; Christiane Querfeld; Steven T Rosen; Joan Guitart
Journal:  J Am Acad Dermatol       Date:  2018-01-04       Impact factor: 11.527

4.  Risk of malignancy in patients with rheumatoid arthritis, psoriatic arthritis and ankylosing spondylitis under immunosuppressive therapy: a single-center experience.

Authors:  Marta Fantò; Mario Stefano Peragallo; Mario Pietrosanti; Roberta Di Rosa; Andrea Picchianti Diamanti; Simonetta Salemi; Raffaele D'Amelio
Journal:  Intern Emerg Med       Date:  2015-06-23       Impact factor: 3.397

Review 5.  The practical value of biologics registries in Africa and Middle East: challenges and opportunities.

Authors:  Najia Hajjaj-Hassouni; Marzooq Al-Badi; Ala' Al-Heresh; Samar Al-Emadi; Ahmed El Bawendi; Ayman El Garf; Khaled El Hadidi; Hussein Halabi; Mohammed Hammoudeh; Selma El Hassani; Mustafa Al Maaini; Ibrahim Nahar; Aïcha Ladjouze Rezig; Slaheddine Sellami; Wafaa Sweiri; Ramiz Alswailem; Beverly Traub; Imad Uthman; Elsa van Duuren; Leith Zakraoui; Bassel El Zorkany; Loreto Carmona; Maxime Dougados
Journal:  Clin Rheumatol       Date:  2012-01-07       Impact factor: 2.980

6.  Biological therapy of psoriasis.

Authors:  Raja K Sivamani; Genevieve Correa; Yoko Ono; Michael P Bowen; Siba P Raychaudhuri; Emanual Maverakis
Journal:  Indian J Dermatol       Date:  2010 Apr-Jun       Impact factor: 1.494

7.  Tumor necrosis factor-alpha inhibitors and risk of non-Hodgkin lymphoma in a cohort of adults with rheumatologic conditions.

Authors:  Gregory S Calip; Pritesh R Patel; Sruthi Adimadhyam; Shan Xing; Zhaoju Wu; Karen Sweiss; Glen T Schumock; Todd A Lee; Brian C-H Chiu
Journal:  Int J Cancer       Date:  2018-04-16       Impact factor: 7.396

Review 8.  Spinal non-Hodgkin's lymphoma mimicking a flare of disease in a patient with ankylosing spondylitis treated with anti-TNF agents: case report and review of the literature.

Authors:  Sara Monti; Nicola Boffini; Marco Lucioni; Marco Paulli; Carlomaurizio Montecucco; Roberto Caporali
Journal:  Clin Rheumatol       Date:  2014-04-05       Impact factor: 2.980

9.  Do anti-TNF-α drugs increase cancer risk in rheumatoid arthritis patients?

Authors:  David A Clark
Journal:  Inflammopharmacology       Date:  2012-11-09       Impact factor: 4.473

Review 10.  A multi-targeted approach to suppress tumor-promoting inflammation.

Authors:  Abbas K Samadi; Alan Bilsland; Alexandros G Georgakilas; Amedeo Amedei; Amr Amin; Anupam Bishayee; Asfar S Azmi; Bal L Lokeshwar; Brendan Grue; Carolina Panis; Chandra S Boosani; Deepak Poudyal; Diana M Stafforini; Dipita Bhakta; Elena Niccolai; Gunjan Guha; H P Vasantha Rupasinghe; Hiromasa Fujii; Kanya Honoki; Kapil Mehta; Katia Aquilano; Leroy Lowe; Lorne J Hofseth; Luigi Ricciardiello; Maria Rosa Ciriolo; Neetu Singh; Richard L Whelan; Rupesh Chaturvedi; S Salman Ashraf; H M C Shantha Kumara; Somaira Nowsheen; Sulma I Mohammed; W Nicol Keith; William G Helferich; Xujuan Yang
Journal:  Semin Cancer Biol       Date:  2015-05-05       Impact factor: 15.707

View more

北京卡尤迪生物科技股份有限公司 © 2022-2023.