Across rheumatic diseases

Ex vivo cell-based assay for assessment of response to TNF inhibitors in patients with rheumatic diseases

Rheumatology (Oxford)Published Diagnostic accuracy study

Authors' conclusion

This functional assay could assist in predicting the odds for response to TNFi therapy, indicating whether a given patient is likely to respond to a specific TNFi.

Study context

Population
Patients with rheumatic diseases receiving TNF inhibitors (TNFis)
Participants
82 vs 54
Comparison
Ex vivo PBMC IL-17A expression assay with four TNFis vs medium (control), correlated with clinical response
  • Retrospectiven = 82
  • Prospectiven = 54
Outcome
Accuracy of the ex vivo IL-17A assay in distinguishing responders from non-responders to TNFis
Methodological detailsex vivo cell-based assay, retrospective and prospective cohorts, ROC analysis
  • Ex vivo cell-based assay
  • Retrospective and prospective cohorts
  • ROC analysis

Performance

As reported in the abstract

Accuracy of assay for predicting therapeutic response to TNFis
Test or modelAccuracy
Retrospective89.5%
Prospective79%

Accuracy

Retrospective89.5%
Prospective79%

Original publication

Ex vivo cell-based assay for assessment of response to TNF inhibitors in patients with rheumatic diseases. Rheumatology (Oxford). Published 25 May 2024. doi:10.1093/rheumatology/keae309

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