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Effects of sarilumab on rheumatoid arthritis as reported by patients using the rheumatoid arthritis impact of disease scale

The Journal of Rheumatology Oct 06, 2019

Gossec L, Strand V, Proudfoot C, et al. - Two phase III, randomized, controlled trials of sarilumab in patients with active, longstanding RA were investigated in order to assess the impact of sarilumab on the patient-perceived influence of RA using the 7-domain RA Impact of Disease (RAID) scale. Sarilumab 150 mg and 200 mg + conventional synthetic disease-modifying antirheumatic drugs (csDMARD) were nominally better than placebo + csDMARD and 200 mg sarilumab vs adalimumab (ADA) 40 mg in least-squares mean variations for RAID total score at weeks 12 and 24 and all impacts of RA. In physical domains (eg, pain) compared with mental domains (eg, emotional well-being), impacts were greater. More individuals receiving sarilumab vs placebo or ADA listed betterments ≥ minimal clinically important difference and patient-acceptable symptom-state in total RAID scores at both evaluations. Hence, in comparison with placebo + csDMARD or ADA monotherapy, on the basis of the RAID, sarilumab + csDMARD or as monotherapy decreased the impact of RA on individuals’ lives to a greater degree.
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