Rheumatoid arthritis

Can Patients With Controlled Rheumatoid Arthritis Taper Methotrexate From Targeted Therapy and Sustain Remission? A Systematic Review and Metaanalysis

J RheumatolPublished Systematic review and meta-analysis

Pooled result · Ability to sustain remissionResult — go to the resultPooled relative risk 0.90 95% CI 0.84–0.97

Authors' conclusion

Patients with controlled RA may taper MTX from targeted therapy with a 10% reduction in the ability to sustain remission for up to 18 months.

Study context

Population
Patients with controlled rheumatoid arthritis (RA) on methotrexate (MTX) combined with targeted therapy
Participants
2,000 patients10 studies
Comparison
Tapering MTX from targeted therapy vs continuing combination treatment
Outcome
Sustained remission after tapering MTX from targeted therapy
Methodological detailsrandom-effects models, 9 randomised studies and 1 observational
  • Random-effects models
  • 9 randomised studies and 1 observational

Pooled result

Ability to sustain remission

Pooled relative risk

0.90

95% CI 0.84–0.97

MTX taperedvs MTX continued
pooled RR 0.90 (95% CI 0.84–0.97)

As reported in the abstract

Heterogeneity: I2 = 0%
P = 0.94

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Can Patients With Controlled Rheumatoid Arthritis Taper Methotrexate From Targeted Therapy and Sustain Remission? A Systematic Review and Metaanalysis. J Rheumatol. Published 15 August 2022. doi:10.3899/jrheum.220152

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