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Short-and longer-term cancer risks with biologic and targeted synthetic disease modifying antirheumatic drugs as used against rheumatoid arthritis in clinical practice

Rheumatology Aug 03, 2021

Huss V, Bower H, Wadström H, et al. - In this observational nationwide and population-based cohort study, researchers sought to estimate the occurrence and relative risks of first-ever incident non-cutaneous cancer overall and by 16 sites in patients with RA treated with biologic and targeted synthetic DMARDs (b/tsDMARDs), by time since treatment start, attained age, and time on active treatment. The sample consisted of patients with RA (n = 69,308), treated with TNF inhibitors (TNFi; adalimumab, certolizumab, etanercept, golimumab, infliximab) or other b/tsDMARDs (abatacept, rituximab, baricitinib, tofacitinib and tocilizumab) compared with RA patients not treated with b/tsDMARDs, and matched general population referents (n = 109,532), 2001–2018. Long-term use of TNFi in clinical practice against RA has not been linked to an increase in cancer risks overall. The findings for other b/tsDMARDs and site-specific risks are generally reassuring, but they contain signals that warrant further investigation.

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