Table 1

Glossary and definitions (after76)

TermDefinition
Poor prognostic factors
  • Persistently moderate or high disease activity (after csDMARD therapy) according to composite measures including joint counts despite csDMARD therapy

  • High acute phase reactant levels

  • High swollen joint count

  • Presence of RF and/or ACPA, especially at high levels

  • Presence of early erosions

  • Failure of 2 or more csDMARDs

Low dose glucocorticoids
  • <7.5 mg/day prednisone equivalent

Short-term
  • Up to 3 months

Tapering
  • Reduction of drug dose or increase of the interval between doses

  • May include cessation (tapering to 0), but then only after slow reduction

Discontinuation, cessation, stoppingStopping of a particular drug
Disease activity states
RemissionACR-EULAR remission definition (Boolean or index-based); sustained remission: ACR-EULAR-defined remission for ≥6 months
Low disease activityLow disease activity state according to validated composite disease activity measures that include joint counts, performed by a HCP; sustained low disease activity: low disease activity for ≥6 months
Moderate, high disease activityRespective disease activity state according to validated composite disease activity measures that include joint counts by a HCP
DMARD nomenclature
Synthetic DMARDs
  • Conventional synthetic DMARDs

For example, methotrexate, leflunomide, sulfasalazine, hydroxychloroquine
  • Targeted synthetic DMARDs

For example, baricitinib, filgotinib, tofacitinib, upadacitinib
Biological DMARDs
  • Biological originator DMARDs

TNFi: adalimumab, certolizumab, etanercept, golimumab, infliximab; IL-6Ri: sarilumab, tocilizumab;
Co-stimulation-i: abatacept; anti-B-cell (CD20): rituximab
  • Biosimilar DMARDs

Currently for adalimumab, etanercept, infliximab, rituximab
  • ACPA, anti-citrullinated protein antibody; ACR, American College of Rheumatology; csDMARDs, conventional synthetic disease-modifying antirheumatic drugs; HCP, healthcare professional; RF, rheumatoid factor.