Rheumatoid arthritis

Comparison of the efficacy and safety of methotrexate injection and methotrexate tablets in active RA

Rheumatology (Oxford)Published Randomised controlled trial

Primary result · Change in DAS28-ESR, least squares meanResult — go to the resultIntergroup difference −0.173

Authors' conclusion

SC MTX had similar overall therapeutic effects compared with OR MTX and was generally well tolerated.

Study context

Population
Chinese patients with active RA
Comparison
SC MTX vs OR MTX
Primary endpoint
DAS28-ESR
Follow-up
12 weeks
Methodological detailsnon-inferiority
  • Non-inferiority

Primary result

Change in DAS28-ESR, least squares mean · week 12

Intergroup difference

−0.173

Change by group

SC MTX

−1.972

least squares mean · SE 0.1448

OR MTX

−1.800

least squares mean · SE 0.1438

As reported in the abstract

Secondary outcomes

ACR20/50/70, DAS28-CRP and DAS28(CRP) remission · first 8 weeks and week 12

SC MTX numerically better than OR MTX during the first 8 weeks but not all by week 12

Safety

Overall safety profile; drug-related GI TEAE

Safety profile of SC MTX similar to OR MTX in general; incidence, occurrences and preferred term types of drug-related GI TEAE lower with SC MTX

Original publication

Comparison of the efficacy and safety of methotrexate injection and methotrexate tablets in active RA. Rheumatology (Oxford). Published 7 February 2025. doi:10.1093/rheumatology/keaf054

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