Rheumatoid arthritis

Fibroblast-like synoviocyte targeting antibodies are associated with failure to reach early and sustained remission or low disease activity after first-line therapy in rheumatoid arthritis

RMD OpenPublished Biomarker discovery and validation study

Authors' conclusion

We identified three antibody biomarkers that are associated with failure to achieve remission/LDA after first-line RA therapy.

Study context

Population
Early rheumatoid arthritis (RA) patients from the Care in early RA (CareRA) trial, baseline sera, first-line therapy20 + 20 screening
Comparison
Anti-UH-RA.305/318/329 antibody positive vs negative
Outcome
Failure to reach remission or low disease activity (LDA) (DAS28CRP/ESR, CDAI/SDAI) after first-line therapy
Methodological detailsphage display library screening, multivariate analyses, secondary use of CareRA trial samples
  • Phage display library screening
  • Multivariate analyses
  • Secondary use of CareRA trial samples

Performance

As reported in the abstract

Anti-UH-RA.305/318/329 antibody reactivity · week 8

P = 0.0031

Further findings

OutcomeORP value
Failure to reach DAS28CRP sustained LDA, all patientsMultivariate analyses3.7P = 0.009
Failure to reach DAS28ESR sustained LDA, all patientsMultivariate analyses2.76P = 0.042

Antibody targets in RA synovial tissue and SW982 cells

Anti-UH-RA.305/329 antibodies were shown to target fibroblast-like synoviocyte (FLS) in RA synovial tissue and SW982 cells

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Fibroblast-like synoviocyte targeting antibodies are associated with failure to reach early and sustained remission or low disease activity after first-line therapy in rheumatoid arthritis. RMD Open. Published 17 November 2024. doi:10.1136/rmdopen-2024-004743

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