Rheumatoid arthritis

Association of the multi-biomarker disease activity score with arterial 18-fluorodeoxyglucose uptake in rheumatoid arthritis

Rheumatology (Oxford)Published Secondary analysis of the TARGET randomised trial

Authors' conclusion

Among treated RA patients, achieved MBDA predicts changes in arterial inflammation.

Study context

Population
Rheumatoid arthritis (RA) patients with active disease despite MTXinterpretable scans at baseline and week 24
Participants
112 patients
Comparison
Association of MBDA score with change in arterial inflammation (MDS-TBRmax) on FDG-PET/CT
Primary endpoint
Change in arterial inflammation (MDS-TBRmax of FDG uptake in carotid arteries or aorta) and its association with MBDA
Follow-up
24 weeks

Primary result

As reported in the abstract

Correlation of week-24 MBDA score with change in MDS-TBRmax

Spearman's rho

0.239

P = 0.011

Further findings

Adjusted reduction in arterial inflammation by low MBDA at week 24

Low MBDA: statistically significant adjusted reduction (units)
0.35
Not achieving low MBDA: no significant reduction

DAS28-CRP and CRP

Neither DAS28-CRP nor CRP predicted change in arterial inflammation

MBDA components

Strongest association with change in arterial inflammation: serum amyloid A

Original publication

Association of the multi-biomarker disease activity score with arterial 18-fluorodeoxyglucose uptake in rheumatoid arthritis. Rheumatology (Oxford). Published 23 April 2024. doi:10.1093/rheumatology/keae242

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