Rheumatoid arthritis

Efficacy and safety of abatacept in preclinical rheumatoid arthritis: A systematic review and meta-analysis of randomized controlled trials

Semin Arthritis RheumPublished Systematic review and meta-analysis of randomised trials

Pooled result · Risk of developing RAResult — go to the resultRelative risk 0.67 95 % CI 0.51–0.89

Authors' conclusion

Abatacept is a promising treatment option for slowing down the development of RA in people who are at high risk. It has a positive safety profile.

Study context

Population
Persons at high risk of developing rheumatoid arthritis (RA) in the preclinical phase
Participants
367 persons3 randomized controlled trials (RCTs)
Comparison
Abatacept vs placebo
Outcome
Risk of developing RA
Methodological detailsCochrane Handbook, PRISMA
  • Cochrane Handbook
  • PRISMA

Pooled result

As reported in the abstract

Relative risk

0.67

95 % CI 0.51–0.89

P = 0.006

Abataceptvs Placebo
RR 0.67 (95 % CI 0.51–0.89); P = 0.006

Further pooled results

OutcomeSMD (95 % CI)P value
Tender joint count−0.40 (−0.63 to −0.18)P = 0.0004
Functional disability−1.51 (−1.91 to −1.11)P < 0.00001

Pain reduction

No significant difference

Original publication

Efficacy and safety of abatacept in preclinical rheumatoid arthritis: A systematic review and meta-analysis of randomized controlled trials. Semin Arthritis Rheum. Published 4 October 2024. doi:10.1016/j.semarthrit.2024.152562

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