Rheumatoid arthritis

Differences in the strength of inhibition of interleukin-6 signalling by subcutaneous sarilumab and tocilizumab in rheumatoid arthritis patients

Clin Exp RheumatolPublished Cross-sectional study

Authors' conclusion

SAR 200 mg q2w showed significantly stronger inhibition of IL-6/STAT3 signalling than TCZ sc q2w but weaker inhibition than TCZ sc qw.

Study context

Population
Patients with rheumatoid arthritis (RA) who achieved low disease activity (CDAI≤10)
Participants
8 / 8 / 7 / 8
Exposure
Tocilizumab (TCZ) 162 mg sc weekly vs TCZ 162 mg sc bi-weekly vs sarilumab (SAR) 200 mg sc bi-weekly vs MTX control
  • TCZ qwn = 8
  • TCZ q2wn = 8
  • SAR q2wn = 7
  • MTXn = 8reference
Outcome
Proportion of pSTAT3-positive CD4+ T cells after stimulation with 100 ng/ml recombinant human IL-6
Methodological detailsex vivo IL-6 stimulation of whole blood, phosflow cytometric analysis
  • Ex vivo IL-6 stimulation of whole blood
  • Phosflow cytometric analysis

Main finding

As reported in the abstract

pSTAT3-positive CD4+ T cells after 100 ng/ml IL-6 stimulation

Observational data: associations, not effects.

Original publication

Differences in the strength of inhibition of interleukin-6 signalling by subcutaneous sarilumab and tocilizumab in rheumatoid arthritis patients. Clin Exp Rheumatol. Published 28 July 2022. doi:10.55563/clinexprheumatol/k0ctlf

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