Rheumatoid arthritis

Changes in type VI collagen degradation reflect clinical response to treatment in rheumatoid arthritis patients treated with tocilizumab

Arthritis Res TherPublished Biomarker study

Authors' conclusion

These findings suggest that quantifying type VI collagen turnover may aid in identifying patients less likely to respond to treatment, indicating a new path towards optimizing patient care.

Study context

Population
Rheumatoid arthritis (RA) patients treated with anti-IL-6R treatment (tocilizumab)
Comparison
Tocilizumab 4 mg and 8 mg vs placebo
Outcome
Relationship between Col VI degradation (serum C6M) and clinical response to anti-IL-6R treatment
Methodological detailsplacebo-controlled, linear mixed models, logistic regression
  • Placebo-controlled
  • Linear mixed models
  • Logistic regression

Main finding

As reported in the abstract

Serum C6M concentrations
  • Both 4 mg and 8 mg Tocilizumab (TCZ) reduced serum C6M concentrations vs placebo
  • C6M levels more reduced in responders vs early non-responders
  • Lower early reduction in C6M associated with reduced odds of ACR treatment response and lowered disease activity

Original publication

Changes in type VI collagen degradation reflect clinical response to treatment in rheumatoid arthritis patients treated with tocilizumab. Arthritis Res Ther. Published 2 January 2024. doi:10.1186/s13075-023-03242-0

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