Cochrane · systematic review · CD007649

Certolizumab pegol (CDP870) for rheumatoid arthritis in adults

Ruiz Garcia, V, Burls, A, Cabello, JB, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

Musculoskeletal3 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 3 · 42.9%High 4 · 57.1%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 3 versions

Certolizumab pegol 200 mg sc (with or without MTX) versus placebo (with or without MTX) for rheumatoid arthritis in adults

Population: patients with rheumatoid arthritis in adults
7 questions
OutcomeEffectEvidenceStatus / GRADE
ACR 50% improvement
Certolizumab pegol 200 mg sc (with or without MTX) vs placebo (with or without MTX)
RR 3.8 [2.42, 5.95]5 studies · 1445 participantsHigh
HAQ change from baseline Scale from: 0 to 3.
Certolizumab pegol 200 mg sc (with or without MTX) vs placebo (with or without MTX)
no estimate extracted4 studies · 1268 participantsModerate
Downgraded: risk of bias
Proportion of patients achieving DAS < 2.6 (remission)
Certolizumab pegol 200 mg sc (with or without MTX) vs placebo (with or without MTX)
RR 2.94 [1.64, 5.28]6 studies · 2420 participantsHigh
Radiological changes: Erosion Scores (ES) Scale from: 0 to 230
Certolizumab pegol 200 mg sc (with or without MTX) vs placebo (with or without MTX)
no estimate extracted2 studies · 714 participantsModerate
Downgraded: risk of bias
Serious adverse events
Certolizumab pegol 200 mg sc (with or without MTX) vs placebo (with or without MTX)
Peto OR 1.47 [1.13, 1.91]9 studies · 3927 participantsHigh
All Withdrawals: All doses of certolizumab pegol vs placebo
Certolizumab pegol 200 mg sc (with or without MTX) vs placebo (with or without MTX)
RR 0.47 [0.39, 0.56]13 studies · 5200 participantsModerate
Downgraded: risk of bias, inconsistency
Withdrawals due to adverse events All doses of certolizumab pegol versus placebo
Certolizumab pegol 200 mg sc (with or without MTX) vs placebo (with or without MTX)
Peto OR 1.45 [1.09, 1.94]12 studies · 5236 participantsHigh