Rheumatoid arthritis

Interstitial lung involvement in rheumatoid arthritis patients treated with abatacept: a prospective observational study

Clin Exp RheumatolPublished Prospective cohort study

Authors' conclusion

In conclusion, the presence of ILD did not affect the retention rate of the drug, suggesting a role for abatacept in the treatment of RA-ILD.

Study context

Population
Consecutive rheumatoid arthritis (RA) patients on ongoing abatacept treatmentILD in 20.6% at enrolment
Participants
325 patients
Exposure
RA with ILD vs RA without ILD, all on abatacept
Outcome
Clinical course and incidence of ILD
Follow-up
24 months
Methodological detailsmulticentre, observational
  • Multicentre
  • Observational

Main finding

As reported in the abstract

Incidence and clinical course of ILD

Incidence rate of new-onset ILD

0.39/100 patients/year

ILD improved or remained stable

more than 85%

Worsening of radiologic picture, mainly usual interstitial pneumonia

14.9%

Observational data: associations, not effects.

Further findings

Two-year retention rate of abatacept · 24 months

No difference between patients with and without ILD

Safety

Abatacept discontinuation for worsening of lung function

No patients discontinued

Original publication

Interstitial lung involvement in rheumatoid arthritis patients treated with abatacept: a prospective observational study. Clin Exp Rheumatol. Published 20 August 2025. doi:10.55563/clinexprheumatol/yvkk4n

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