Study type

Study type

Non-interventional study

Scope of the study

Assessment of risk minimisation measure implementation or effectiveness
Non-interventional study

Non-interventional study design

Cohort
Study drug and medical condition

Name of medicine

RINVOQ

Medical condition to be studied

Rheumatoid arthritis
Population studied

Age groups

Adults (18 to < 46 years)
Adults (46 to < 65 years)
Adults (65 to < 75 years)
Adults (75 to < 85 years)
Adults (85 years and over)

Estimated number of subjects

7500
Study design details

Main study objective

The main objective is to compare the incidence of malignancy (excluding non-melanoma skin cancer, NMSC), NMSC, MACE, VTE, SIE, and mortality in adults with RA who receive Rinvoq relative to those who are treated with biologic medications approved for the treatment of RA, in the course of routine clinical care.

Outcomes

To compare the incidence of malignancy (excluding non-melanoma skin cancer, NMSC), NMSC, MACE, VTE, SIE, and mortality in adults with RA who receive Rinvoq relative to those who are treated with biologic medications approved for the treatment of RA, in the course of routine clinical care. To describe the incidence rates of the following adverse events: herpes zoster (HZ), opportunistic infections (OI), active tuberculosis (TB), gastrointestinal (GI) perforations, and evidence of drug-induced liver injury (DILI) in adults with RA who receive Rinvoq relative to those who are treated with biologic medications approved for the treatment of RA, in the course of routine clinical care.

Data analysis plan

The population of patients in the study will be characterized with respect to demographic, clinical, disease and patient-reported outcomes using descriptive statistics. The main analyses will employ propensity score methods to address confounding by indication (channeling bias) followed by estimation of incident rates as well as multivariable Cox proportional hazards modeling to estimate HRs and associated 95% CIs.