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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

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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