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Baseline predictors of different types of treatment success in rheumatoid arthritis

Annals of Rheumatic Diseases Oct 07, 2021

Capelusnik D, Aletaha D, et al. - In rheumatoid arthritis (RA), prediction of treatment success is limited. Lower baseline levels of disease activity can allow achieving prediction of state targets especially in early RA.

  • Data from three RA trials were analyzed for a comprehensive analysis on predictors of achieving disease activity outcomes by change, response and state measures.

  • Lower disease activity components at baseline were related to achievement of state outcomes (such as low disease activity by the Simplified Disease Activity Index, SDAI).

  • There was an association of higher baseline values with change outcomes (such as SDAI absolute change).

  • A combination of shorter disease duration, male gender and lower disease activity offered the best prediction of state outcomes.

  • Higher levels of C reactive protein at baseline were related to better responses.

  • Coordination of involved populations and choice of outcomes can help maximise efficiency from clinical trials.

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