Abstract |
Objectives: This real-world study assessed the effectiveness and safety outcomes of initiating adalimumab and methotrexate (≥12 mg/week) with adjustable dosing in Japanese patients with early rheumatoid arthritis (RA). Methods: This single-arm, prospective postmarketing observational study (conducted from September 2012 to March 2017 at 119 sites) enrolled biologic-naïve patients with early RA (≤2 years duration) and a Disease Activity Score in 28 joints using C-reactive protein (DAS28-CRP) >3.2 who were treated with methotrexate for ≥3 months and had initiated treatment with adalimumab and methotrexate (≥12 mg/week). This report presents 52-week data. The primary outcome was the proportion of patients who achieved DAS28-CRP scores <2.6 at week 52. Results: Overall, 293 of 346 enrolled patients were included in the effectiveness population: women, 73%; mean (standard deviation) age, 54.3 (13.9) years; DAS28-CRP score, 4.51 (0.90); and modified total Sharp score (mTSS), 7.69 (9.98). At week 52, 77% of patients achieved clinical remission (DAS28-CRP <2.6), 92.3% achieved low disease activity (DAS28-CRP ≤3.2), and 86% of evaluable patients experienced structural remission (ΔmTSS ≤0.5). Conclusion: Adalimumab plus methotrexate (≥12 mg/week) with adjustable dosing was well tolerated, and could be a beneficial treatment option for Japanese patients with early RA.
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Authors | Yoshiya Tanaka, Tsuneyo Mimori, Hisashi Yamanaka, Ryo Nakajima, Kazuo Morita, Junko Kimura, Tsutomu Takeuchi |
Journal | Modern rheumatology
(Mod Rheumatol)
Vol. 29
Issue 4
Pg. 572-580
(Jul 2019)
ISSN: 1439-7609 [Electronic] England |
PMID | 30009649
(Publication Type: Journal Article, Multicenter Study, Observational Study)
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Chemical References |
- Antirheumatic Agents
- Adalimumab
- Methotrexate
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Topics |
- Adalimumab
(administration & dosage, adverse effects, therapeutic use)
- Adult
- Aged
- Antirheumatic Agents
(administration & dosage, adverse effects, therapeutic use)
- Arthritis, Rheumatoid
(drug therapy)
- Drug Therapy, Combination
- Female
- Humans
- Japan
- Male
- Methotrexate
(administration & dosage, adverse effects, therapeutic use)
- Middle Aged
- Product Surveillance, Postmarketing
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