Table 1

 Evolution of patients with DM or PM on anti-TNF treatment

Patient numberSexAge (years)DM/PMDuration of DM/PM (years)Drugs tried before anti-TNF treatmentPre-treatment CK (U/l)Anti-TNF agentConcurrent drugsPost-treatment CK (U/l)Clinical responseFollow-up
AZA, azathioprine; biw, twice weekly; CK, creatine kinase; CY, cyclophosphamide; D/C, discontinued; DM, dermatomyositis; F, female; IVIG, intravenous immunoglobulin G; IVM, intravenous methylprednisolone; LEF, leflunomide; M, male; MMF, mycophenolate mofetil; MTX, methotrexate; PDN, prednisone; PM, polymyositis; TNF, tumour necrosis factor
1F33PM10PDN, IVM, IVIG, AZA, MTX9959Etanercept 25 mg biwPDN, IVM, IVIG, AZA, MTX7905ImprovedAt 9 months still on etanercept
2F44DM3PDN, IVM, IVIG, AZA, MTX4380Etanercept 25 mg biwPDN, IVM, IVIG, MTX69ImprovedD/C etanercept after 8 months because she felt better.
3F41PM7PDN, IVM, IVIG, AZA, MTX, MMF1996Etanercept 25 mg biwPDN, IVIG, AZA1164ImprovedD/C etanercept after 2 months because of candida esophagitis.
54894584At 12 months still on etanercept; recurrent esophagitis treated with fluconazole.
4F41DM2PDN, IVM, IVIG, MTX3198Infliximab 3 mg/kgPDN, IVIG, MTX5311Partial responseWorsened after 3 infusions.
5311Etanercept 25 mg biw2214Improved after 3 months treatment. Self D/C because of sinus problems.
8772Infliximab 3 mg/kg4508Restarted on remicade and improved; D/C after 14 months→ lost efficacy.
5M73DM13PDN, IVM, IVIG, AZA, MTX, LEF132Infliximab 3 mg/kgPDN, IVM, IVIG, MTX77No benefitD/C infliximab after 4 infusions.
6M68PM11PDN, IVM, IVIG, AZA, MTX105Etanercept 25 mg biwPDN, IVM, IVIG, AZA, MTX31No benefitD/C etanercept after 5 months; complications: nasal congestion, cardiac irregularity.
7M60PM14PDN, IVM, IVIG, AZA1224Etanercept 25 mg biwPDN, IVM, IVIG700ImprovedAt 24 months still on etanercept.
8F70PM8PDN, IVM, IVIG, AZA, CY450Etanercept 25 mg biwPDN, IVM, IVIG270ImprovedD/C etanercept s/p 20 months when splenic tumour/ascites were diagnosed.