EVALUATION OF TAPERING BIOLOGICAL THERAPY IN RHEUMATOID ARTHRITIS

被引:0
作者
Teaha, Diana Ioana Manuela [1 ]
Dulau, Dorel [2 ]
Popa, Daniela Elena [3 ]
Burcea-Dragomiroiu, George Traian Alexandru [3 ]
Ciobanu, Anne-Marie [3 ]
Nemeth, Tiberiu Sebastian [4 ]
机构
[1] Clin Cty Emergency Hosp Oradea, 2 Corneliu Coposu St, Oradea, Romania
[2] Univ Oradea, Doctoral Sch Biomed Sci, Med Field, 1 Univ St, Oradea, Romania
[3] Carol Davila Univ Med & Pharm Bucharest, Fac Pharm, Dept Drug Control, 6 Traian Vuia St, Bucharest, Romania
[4] Univ Oradea, Fac Med & Pharm, 29 Nicolae Jiga St, Oradea, Romania
关键词
Keywords; RA; remission; DMARD; successful dose tapering; TNF-BLOCKER-INJECTIONS; ETANERCEPT; CYTOKINES; REMISSION; EFFICACY; SAFETY;
D O I
10.31925/farmacia.2022.4.19
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
While it has been seen as a disease with a positive prognosis in the past, currently rheumatoid arthritis (RA) is labelled as a debilitating, progressive disease that causes substantial and crippling osteoarticular damage linked to increased premature mortality. Remission is increasingly faced with queries about the effective management of therapy due to newer generations of RA drugs (biological therapies), and the idea of minimizing or even halting their administration is a present and complex concept. Throughout this study, the objective was to assess the possibility of spacing biological therapy while maintaining the disease under control to ensure that patients benefit as completely as possible from a clinical outcome with less medication. The method used was pursuing by age distribution and the variation of activity scores of the disease DAS 28, respectively SDAI throughout 12 months, with 3 assessments: initially, at 6 and 12 months. After 12 months, the outcome of the two targeted therapies on the DAS 28 and SDAI score were statistically significant in both tapered and non-tapered groups.
引用
收藏
页码:726 / 731
页数:6
相关论文
共 22 条
  • [1] A COMPREHENSIVE BEHAVIOURAL ASSESSMENT OF CURCUMIN'S EFFECT ON INFLAMMATORY AND NON-INFLAMMATORY PAIN IN MICE
    Alexa, Ioana-Dana
    Ilie, Adina Carmen
    Prada, Gabriel
    Herghelegiu, Anne Marie
    Luca, Andrei
    Rotaru, Tudor Stefan
    Dondas, Andrei
    Rusu-Zota, Gabriela
    Alexa-Stratulat, Teodora
    Bohotin, Catalina-Roxana
    [J]. FARMACIA, 2020, 68 (05) : 829 - 834
  • [2] Bârca M, 2017, FARMACIA, V65, P423
  • [3] Dragan F, 2015, REV CHIM-BUCHAREST, V66, P191
  • [4] De-intensifying treatment in established rheumatoid arthritis (RA): Why, how, when and in whom can DMARDs be tapered?
    Fautrel, Bruno
    den Broeder, Alfons A.
    [J]. BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY, 2015, 29 (4-5): : 550 - 565
  • [5] Step-down strategy of spacing TNF-blocker injections for established rheumatoid arthritis in remission: results of the multicentre non-inferiority randomised open-label controlled trial (STRASS: Spacing of TNF-blocker injections in Rheumatoid ArthritiS Study)
    Fautrel, Bruno
    Thao Pham
    Alfaiate, Toni
    Gandjbakhch, Frederique
    Foltz, Violaine
    Morel, Jacques
    Dernis, Emmanuelle
    Gaudin, Philippe
    Brocq, Olivier
    Solau-Gervais, Elisabeth
    Berthelot, Jean-Marie
    Balblanc, Jean-Charles
    Mariette, Xavier
    Tubach, Florence
    [J]. ANNALS OF THE RHEUMATIC DISEASES, 2016, 75 (01) : 59 - 67
  • [6] The endocannabinoid signaling pathway as an emerging target in pharmacotherapy, earmarking mitigation of destructive events in rheumatoid arthritis
    Kaur, Ishnoor
    Behl, Tapan
    Bungau, Simona
    Zengin, Gokhan
    Kumar, Arun
    El-Esawi, Mohamed A.
    Khullar, Gaurav
    Venkatachalam, Thangavel
    Arora, Sandeep
    [J]. LIFE SCIENCES, 2020, 257
  • [7] Klareskog L, 2001, ARTHRITIS RHEUM, V44, pS77
  • [8] Undifferentiated arthritis characteristics and outcomes when applying the 2010 and 1987 criteria for rheumatoid arthritis
    Krabben, A.
    Huizinga, T. W. J.
    van der Helm-van Mil, A. H. M.
    [J]. ANNALS OF THE RHEUMATIC DISEASES, 2012, 71 (02) : 238 - 241
  • [9] Infliximab - A review of its use in the management of rheumatoid arthritis
    Markham, A
    Lamb, HM
    [J]. DRUGS, 2000, 59 (06) : 1341 - 1359
  • [10] Understanding the role of cytokines in the pathogenesis of rheumatoid arthritis
    Mateen, Somaiya
    Zafar, Atif
    Moin, Shagufta
    Khan, Abdul Qayyum
    Zubair, Swaleha
    [J]. CLINICA CHIMICA ACTA, 2016, 455 : 161 - 171