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Supplementary Table 1 | ACR responses at 6 months in trials of biologic therapies and a Syk inhibitor in patients with RA who had inadequate responses to DMARDs | |||||||
Biologic treatment* | Dose | Trial | Number of patients | ACR20 response | ACR50 response | ACR70 response | Reference |
Abatacept | 10 mg/kg per month | NA | 339 | 60% | 36% | 16% | Kremer et al. (2003)1 |
Adalimumab | 40 mg every 2 weeks | ARMADA | 271 | 67% | 55% | 27% | Weinblatt et al. (2003)2 |
Certolizumab | 200 mg every 2 weeks | RAPID 1 | 982 | 53% | 38% | 21% | Keystone et al. (2008)3 |
Etanercept | 25 mg twice a week | NA | 234 | 59% | 40% | 14% | Moreland et al. (1999)4 |
Golimumab | 50 mg per month | GO-FORWARD | 444 | 60% | 38% | 18% | Keystone et al. (2009)5 |
Infliximab | 3 mg/kg every 8 wk | ATTRACT‡ | 428 | 50% | 27% | 8% | Maini et al. (1999)6 |
Rituximab | 2 pulses of 1000 mg | DANCER | 465 | 54% | 34% | 20% | Emery et al. (2006)7 |
Tocilizumab | 8 mg/kg every month | OPTION | 622 | 59% | 44% | 22% | Smolen et al. (2008)8 |
Oral Syk inhibitor | |||||||
Fostamatinib | 100 mg twice daily | NA | 457 | 66% | 43% | 28% | Weinblatt et al. (2010)9 |
*Biologic agents are presented in alphabetical order. ‡Clinical assessment at 30 weeks. Abbreviation: ACR20/50/70, American College of Rheumatology criteria for 20%/50%/70% improvement; NA, not applicable; Syk, spleen tyrosine kinase. |
1. Kremer, J. M. et al. Treatment of rheumatoid arthritis by selective inhibition of T‑cell activation with fusion protein CTLA4Ig. N. Engl. J. Med. 349, 1907–1
2. Weinblatt, M. E. et al. Adalimumab, a fully human anti-tumor necrosis factor alpha monoclonal antibody, for the treatment of rheumatoid arthritis in patients taking concomitant methotrexate: the ARMADA trial. Arthritis Rheum. 48, 35–45 (2003).
3. Keystone, E. et al. Certolizumab pegol plus methotrexate is significantly more effective than placebo plus methotrexate in active rheumatoid arthritis: findings of a fifty‑two‑week, phase III, multicenter, randomized, double-blind, placebo-controlled, parallel-group study. Arthritis Rheum. 58, 3319–3
4. Moreland, L. W. et al. Etanercept therapy in rheumatoid arthritis. A randomized, controlled trial. Ann. Intern. Med. 130, 478–
5. Keystone, E. C. et al. Golimumab, a human antibody to tumour necrosis factor {alpha} given by monthly subcutaneous injections, in active rheumatoid arthritis despite methotrexate therapy: the GO‑FORWARD Study. Ann. Rheum. Dis. 68, 789–
6. Maini, R. et al. Infliximab (chimeric anti-tumour necrosis factor alpha monoclonal antibody) versus placebo in rheumatoid arthritis patients receiving concomitant methotrexate: a randomised phase III trial. ATTRACT Study Group. Lancet 354, 1932–1
7. Emery, P. et al. The efficacy and safety of rituximab in patients with active rheumatoid arthritis despite methotrexate treatment: results of a phase IIB randomized, double-blind, placebo-controlled, dose-ranging trial. Arthritis Rheum. 54, 1390–1
8. Smolen, J. S. et al. Effect of interleukin‑6 receptor inhibition with tocilizumab in patients with rheumatoid arthritis (OPTION study): a double-blind, placebo-controlled, randomised trial. Lancet 371, 987–
9. Weinblatt, M. E. et al. An oral spleen tyrosine kinase (Syk) inhibitor for rheumatoid arthritis. N. Engl. J. Med. 363, 1303–1


