Study the therapeutic maintenance, efficacy and reasons for tocilizumab stop in daily practice. A monocentric, retrospective study of patients treated for rheumatoid arthritis who received at least one TCZ infusion between January2009 and December2015. Therapeutic maintenance was evaluated using the Kaplan-Meier method. The efficacy of TCZ was measured by DAS28 and the EULAR response. Reasons for stopping and new treatment lines were also collected. Of the 88patients (83% women and 17% men) who were included, the mean age was 54±12.5years. There were 75% positive rheumatoid factors and 76% positive anti-CCP. The mean duration of the follow-up was 31months. TCZ was used as monotherapy in 24patients (27%). Before the introduction of TCZ, the mean DAS28 was 5.07±1.32. The EULAR response at 1year in patients still under treatment (n=63) was obtained in 59(93.7%) patients, 46good responders and 13moderate responders. Therapeutic maintenance was 82.9%, 72.5%, 68.7% and 57.2%, respectively, at 12, 24, 36 and 54months. Twenty-eight patients (32%) followed TCZ, 10 for adverse events and 14 for ineffectiveness. Abatacept was the main new therapeutic line. The therapeutic maintenance of TCZ in common practice over a long period of follow-up is similar to pivotal studies. Efficacy data are reassuring in the long-term.
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