Rheumatology Advance Access originally published online on July 1, 2008
Rheumatology 2008 47(10):1441-1443; doi:10.1093/rheumatology/ken242
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© The Author 2008. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
EDITORIALS |
The British Society for Rheumatology Biologics Register: 6 years on
1ARC Epidemiology Unit, University of Manchester, Manchester and 2Centre for Rheumatology Research, Division of Medicine, UCL, London, UK
Correspondence to: K.L. Hyrich, ARC Epidemiology Unit, Stopford Building, University of Manchester, Oxford Road, Manchester M13 9PT, UK. E-mail: kimme.hyrich@manchester.ac.uk
| The first 150 words of the full text of this article appear below. |
The introduction of anti-TNF and other biological therapies for the management of patients with RA has significantly improved the outcome for patients with severe disease. However, despite demonstrated safety compared with placebo in early clinical trials, there were still many uncertainties about their long-term safety, particularly with respect to serious infection and malignancy. There was also concern about rare and unexpected adverse events. In contrast, the possibility existed that by reducing levels of inflammation it might be possible to reduce the risk of atherosclerosis. Against this background, the British Society for Rheumatology (BSR) proposed to develop a large prospective epidemiological study, to monitor patients with RA receiving these drugs in the UK.
History and structure of the BSR Biologics Register
The BSR Biologics Register (BSRBR) was launched in October 2001. The primary aim of this study was to investigate the long-term outcome of patients with RA treated with biologic agents with particular reference to safety. The study was
Sample size and patient recruitment
Study design and patient follow-up
What have we learned so far?
Anti-TNF treatment effectiveness
Effectiveness of anti-TNF therapy
Anti-TNF switching
Drug safety
Serious infections
Myocardial infarction
Pregnancies
Malignancy
BSRBR—the future
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