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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 PLoS+One
2015 ; 10
(4
): e0123392
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gab.com Text
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English Wikipedia
Comparative effectiveness of tocilizumab with either methotrexate or leflunomide
in the treatment of rheumatoid arthritis
#MMPMID25830224
Narváez J
; Díaz-Torné C
; Magallares B
; Hernández MV
; Reina D
; Corominas H
; Sanmartí R
; de la Serna AR
; Llobet JM
; Nolla JM
PLoS One
2015[]; 10
(4
): e0123392
PMID25830224
show ga
OBJECTIVE: In agreement with EULAR recommendations, a DMARD in combination with a
biotherapy is the reference treatment because of the superior long-term clinical
and radiographic outcomes. Methotrexate (MTX) is the cornerstone of combination
therapy but is in some cases contra-indicated or poorly tolerated. This
observational study aimed to compare the effectiveness and safety of TCZ in
combination with either MTX or leflunomide (LEF) in the treatment of patients
with active rheumatoid arthritis (RA) and an inadequate response to one or more
DMARDs and/or biological agents in a real-world setting. METHODS: We performed an
ambispective review of 91 patients with active RA who were routinely treated with
TCZ plus MTX or LEF. A comparative study between the two combinations of
treatment was performed at 6 months of follow-up considering 3 outcomes:
improvement of RA disease activity, evolution of functional disability, and
tolerability and side effect profile. RESULTS: Of the 91 patients, 62 received
TCZ with MTX and 29 received TCZ with LEF. Eighty-one patients were followed for
6 months, and the remaining 10 patients discontinued treatment due to serious
adverse events. At baseline, there were no significant differences between the
groups in terms of the main clinical and laboratory data or in the number of
previous DMARDs and biological agents used. At 6 months, there were no
significant differences between the combinations in terms of disease activity and
functional disability. Serious adverse events occurred in 11% and 10% of the
patients treated in combination with MTX and LEF, respectively. CONCLUSION: Our
preliminary data support the argument that LEF is an effective and safe
(equivalent) alternative to MTX for combination treatment with TCZ.
|Aged
[MESH]
|Antibodies, Monoclonal, Humanized/adverse effects/*therapeutic use
[MESH]
|Antirheumatic Agents/*therapeutic use
[MESH]
|Arthritis, Rheumatoid/*drug therapy
[MESH]
|Dose-Response Relationship, Drug
[MESH]
|Drug Therapy, Combination
[MESH]
|Female
[MESH]
|Humans
[MESH]
|Isoxazoles/adverse effects/*therapeutic use
[MESH]
|Leflunomide
[MESH]
|Male
[MESH]
|Methotrexate/adverse effects/*therapeutic use
[MESH]