Table 3. Rates and risk of serious or opportunistic infection in patients receiving anti-TNF combination therapy or monotherapy.
Infliximab | Adalimumab | Combined Anti-TNF | |||||
---|---|---|---|---|---|---|---|
Outcome | Rate in Combination Therapy (E/100 PY) | Rate in Mono-therapy (E/100 PY) | Adjusted HR* (95% CI) | Rate in Combination Therapy (E/100 PY) | Rate in Mono-therapy (E/100 PY) | Adjusted HR* (95% CI) | Adjusted HR* (95% CI) |
Serious infection | |||||||
Without time-varying steroid adjustment | 6.8 | 8.0 | 0.80 (0.48-1.34) | 9.0 | 7.4 | 1.22 (0.61-2.45) | 0.93 (0.88-1.34) |
With time-varying steroid adjustment | 6.8 | 8.0 | 0.80 (0.48-1.34) | 9.0 | 7.4 | 1.14 (0.57-2.30) | 0.91 (0.60-1.38) |
Opportunistic infection | |||||||
Without time-varying steroid adjustment | 2.7 | 1.6 | 2.65 (1.05-6.66) | 2.6 | 1.3 | 2.61 (0.63-10.8) | 2.64 (1.21-5.73) |
With time-varying steroid adjustment | 2.7 | 1.6 | 2.60 (1.03-6.58) | 2.6 | 1.3 | 2.19 (0.54-8.89) | 2.51 (1.15-5.46) |
Herpes zoster | 2.2 | 1.0 | 3.38 (1.15-9.94) | 1.8 | 0.7 | 2.64 (0.47-15.0) | 3.16 (1.25-7.97) |
Adjusted for prior immunomodulator use
Abbrevations: E, events; PY, person-years; HR, hazard ratio; CI, confidence interval