Table 1.
Demographics and timing of laboratory abnormalities per medication.
Infliximab | Adalimumab | Etanercept | Golimumab | |
---|---|---|---|---|
Number of patients | 22 | 17 | 4 | 2 |
Age in years, median (range) | 39.5 (20–78) | 33 (19–73) | 51.5 (29–73) | 55.5 (43–68) |
Male: Female | 6: 16 | 6: 11 | 1: 3 | 1: 1 |
Diagnosis | ||||
Hidradenitis suppurativa | 11 | 12 | 0 | 0 |
Pyoderma gangrenosum | 6 | 1 | 1 | 0 |
Psoriasis/psoriatic arthritis | 5 | 4 | 3 | 2 |
Exposure to drug in months, median (range) | 6.1 (3.6–57.8)* | 19.3 (3.3–89.7) | 5.2 (4.5–83.0) | 24.1 (11.4–36.7) |
Baseline abnormality | 11 | 4 | 2 | 2 |
Resolved | 5 | 1 | 1 | 2 |
Continued, duration in months | 5 | 3 | 1 | 0 |
Duration in months, (range) | 7.5 (3–48) | 6 (6–18) | 3 | |
Discontinued drug due to abnormality | 1β | 0 | 0 | 0 |
Monitoring abnormality | 1 | 5 | 0 | 1** |
Resolved | 1 | 5 | 0 | 1** |
Continued in months, duration | 0 | 0 | 0 | 0 |
Discontinued drug due to abnormality | 0 | 0 | 0 | 0 |
Timing of abnormality | ||||
Baseline | 11/12 | 4/9 | 2/2 | 2/2 |
After baseline and < 6 months | 1/12 | 0 | 0 | 0 |
≥ 6 months and < 12 months | 0 | 0 | 0 | 0 |
≥ 12 months and < 18 months | 0 | 1/9 | 0 | 1** |
≥ 18 months | 0 | 4/9α | 0 | 1** |
Discontinued, n | 7 | 15 | 3 | 2 |
No benefit | 3 | 13 | 1 | 2 |
Allergy | 2 | 1 | 0 | 0 |
Laboratory abnormality | 1 | 0 | 0 | 0 |
Infection | 0 | 1 | 1 | 0 |
Pregnant | 1 | 0 | 0 | 0 |
Not stated | 0 | 0 | 1 | 0 |
One patient discontinued at day 1 of infusion due to drug allergy.
This patient also had baseline abnormality that resolved. Patient had transient leukocytosis at 12, 24, and 36 months that all resolved at following laboratory draws.
Transient laboratory abnormalities at 18, 27, and 51 months.
Patient had chronic anemia that did not improve despite discontinuing infliximab.
Note: BL: baseline; Resolved, abnormality was not present by subsequent laboratory draw. Resolved abnormalities were not present at the following 3-month laboratory draw.