Study | Arms | Adjustment if (target) | Adjustment to | Mean age (SD) at inclusion | Women (%) | Median (range)/mean±SD disease duration since diagnosis | RF+ (%) |
---|---|---|---|---|---|---|---|
FIN-RACo16 | SSZ+MTX+HCQ | Int ACR remis criteria* not met | Dose increase | 47±10 | n=56 | 7.3 (2–22) months | 70 |
SSZ | Dose increase | 48±10 | n=65 | 8.6 (2–23) months | 66 | ||
NEO-RACo21 | SSZ+MTX+HCQ+IFX | Int ACR remis criteria* not met | Dose increase | 46±10 | 67 | 4 (2–6) months (symptom duration) | 68 |
SSZ+MTX+HCQ+placebo | Dose increase | ||||||
BeSt22 | Seq mono | DAS44 >2.4 | MTX→SSZ→Lef | 54±13 | 68 | 2 (1–5) weeks | 67 |
Step up | MTX→+SSZ→+HCQ | 54±13 | 71 | 2 (1–4) | 64 | ||
MTX+SSZ+pred | →MTX+CsA | 55±14 | 65 | 2 (1–4) | 65 | ||
MTX+IFX | Dose increase | 54±14 | 66 | 3 (1–5) | 64 | ||
GUEPARD27 | MTX+ada | DAS28 ≥3.2 | Ada dose increase | 47.8±15.7 | 80 | <6 months | 74 |
MTX | Add ada | ||||||
Saunders et al28 | Step-up | DAS28 ≥3.2 | SSZ→+MTX→+HCQ | 55±11 | 79 | 13±12 months | 72 |
Triple therapy | MTX+SSZ+HCQ → dose↑ | 55±15 | 76 | 10±9 | 69 | ||
Ferraccioli et al29 | MTX | ACR50 not met | +CsA → +SSZ | 59±0, 7 | 86 | 1.2±0.8 years | 73 |
CsA | +MTX → +SSZ | 54±14 | 84 | 1.0±0.8 | 52 | ||
SSZ | Dose increase | 59±15 | 86 | 2.0±1.0 | 55 | ||
Verschueren et al30 | Step-down | Based on DAS and CRP | SSZ+MTX+ step-down pred | 45±17 | 63 | 0.7±0.6 months | 79 |
Step-up | SSZ→ +MTX→ + HCQ→ +aza→ add other | 55±15 | 65 | 0.8±0.7 | 52 |
↵* The criterion ‘no fatigue’ was omitted.
→ +, add following; →, change to following; dose ↑, dose increase.
ACR, American College of Rheumatology; Ada, Adalimumab; aza, azathioprine; CRP, C-reactive protein; CsA, ciclosporin; DAS, Disease Activity Score; FIN-RACo, Finnish Rheumatoid Arthritis Combination Therapy; GUEPARD, GUerir la PolyArthrite Rhumatoide Debutante (cure early RA); HCQ, hydrochloroquine; IFX, infl iximab; Int ACR remis, intensifi es ACR remission criteria; Lef, lefl unomide; MTX, methotrexate; pred, prednisone; seq mono, sequential monotherapy; SSZ, sulfasalazrine.