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Table 2 Unadjusted treatment patterns

From: Treatment patterns, healthcare resource utilization, and costs among patients with idiopathic pulmonary fibrosis treated with antifibrotic medications in US-based commercial and Medicare Supplemental claims databases: a retrospective cohort study

 

All Patients

Pirfenidone

Nintedanib

P Value1

N = 1455

N = 799

N = 656

Follow-Up

 Days of follow-up after index date, mean (SD)

465.0 (343.9)

480.2 (351.4)

446.6 (334.0)

0.064

Adherence

 Total days with index drug, mean (SD)2

269.0 (277.8)

282.7 (289.7)

252.4 (261.8)

0.038

 PDC during follow-up, mean (SD)

0.66 (0.35)

0.66 (0.35)

0.66 (0.35)

0.910

 PDC ≥ 0.80, n (%)

721 (49.6)

390 (48.8)

331 (50.5)

0.532

Persistence

 Duration of persistence in days, mean (SD)3

286.8 (301.4)

305.2 (314.7)

264.4 (282.9)

0.010

 Discontinuation or switching, n (%)3

610 (41.9)

326 (40.8)

284 (43.3)

0.338

  Days on index medication in patients who discontinued or switched, mean (SD)

167.4 (189.8)

171.2 (190.5)

163.1 (189.4)

0.598

 Switching, n (%)

144 (9.9)

86 (10.8)

58 (8.8)

0.222

  Days on index medication in patients who switched, mean (SD)

297.9 (210.1)

251.4 (184.7)

366.9 (227.5)

0.001

Other discontinuation-related outcomes

 Lung transplant, n (%)

82 (5.6)

53 (6.6)

29 (4.4)

0.069

  Discontinuation before lung transplant, n (%)3,4

36 (43.9)

21 (39.6)

15 (51.7)

0.291

 Re-initiation of index medication, n (%)5

101 (16.1)

61 (17.8)

40 (14.0)

0.197

  Days to re-initiation, mean (SD)6

157.3 (122.0)

150.4 (107.4)

167.9 (142.2)

0.484

  1. PDC proportion of days covered, SD standard deviation
  2. 1 Pirfenidone vs. nintedanib
  3. 2 To account for titration, an additional 7 days were added to the day supply of the first pirfenidone prescription claim, unless the supply was 207 pills for 30 days, which is correct if following the recommended titration schedule
  4. 3 Patients with a lung transplant before the end of a gap of ≥60 days were not considered to have discontinued
  5. 4 Among those with a lung transplant
  6. 5 Among those who discontinued treatment
  7. 6The minimum time to re-initiation is 61 days (as discontinued is defined as a gap if 60 days or more)