Rheumatoid arthritis

Identifying Predictive Biomarkers of Response in Patients With Rheumatoid Arthritis Treated With Adalimumab Using Machine Learning Analysis of Whole‐Blood Transcriptomics Data

Arthritis RheumatolPublished Prospective cohort study

Authors' conclusion

This study advances the understanding of transcriptomic alterations in RA treatment and enhances our understanding of treatment response mechanisms.

Study context

Population
Patients with rheumatoid arthritis (RA) starting tumornecrosis factor inhibitors (TNFi) therapy (adalimumab), assessed for treatment response at 6 months97 samples passing quality control
Participants
100 patients
Outcome
Biomarkers predictive of adalimumab treatment response
Follow-up
6 months
Methodological detailswhole-blood transcriptomics (RNA sequencing), machine learning classifiers, network analysis, survival analysis
  • Whole-blood transcriptomics (RNA sequencing)
  • Machine learning classifiers
  • Network analysis
  • Survival analysis

Main finding

As reported in the abstract

Transcriptomic predictors of treatment response

Genes associated with treatment response (differential expression)

84

Random forest classifiers, AUC up to

0.86

Observational data: associations, not effects.

Original publication

Identifying Predictive Biomarkers of Response in Patients With Rheumatoid Arthritis Treated With Adalimumab Using Machine Learning Analysis of Whole‐Blood Transcriptomics Data. Arthritis Rheumatol. Published 4 August 2025. doi:10.1002/art.43255

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