Rheumatoid arthritis

Impact of IL6R genetic variants on treatment efficacy and toxicity response to sarilumab in rheumatoid arthritis

Arthritis Res TherPublished Retrospective cohort study

Authors' conclusion

These findings support the potential clinical value of SNPs, particularly rs4845625, as potentially useful biomarkers to predict response to sarilumab in patients with RA.

Study context

Population
Patients with RA treated with sarilumab
Participants
62 patients
Exposure
IL6R gene single-nucleotide polymorphisms (SNP) genotypes and response to sarilumab
Outcome
Efficacy (satisfactory EULAR response, low disease activity by DAS28 and CDAI, improvement in DAS28 and CDAI) and toxicity responses
Follow-up
Six months after treatment initiation
Methodological detailsSix IL6R SNPs (rs12083537, rs11265618, rs4329505, rs2228145, rs4537545, rs4845625) genotyped; parametric tests
  • Six IL6R SNPs (rs12083537, rs11265618, rs4329505, rs2228145, rs4537545, rs4845625) genotyped; parametric tests

Main finding

As reported in the abstract

Association of IL6R SNPs with response outcomes · six months
  • Three SNPs (rs4845625, rs4329505 and rs11265618) significantly associated with response outcomes

Observational data: associations, not effects.

Safety

All SNPs except rs12083537 had at least one significant association with dyslipidemia or hepatotoxicity

Original publication

Impact of IL6R genetic variants on treatment efficacy and toxicity response to sarilumab in rheumatoid arthritis. Arthritis Res Ther. Published 24 November 2023. doi:10.1186/s13075-023-03209-1

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