Rheumatoid arthritis

Pilot study of tocilizumab monotherapy for active chronic periaortitis

RMD OpenPublished Pilot study

Authors' conclusion

Our study showed that TCZ monotherapy contributed to remarkable clinical and laboratory improvement in CP patients and could be an alternative treatment option for CP.

Study context

Population
Patients with definite or possible chronic periaortitis (CP) at acute active stage
Participants
12 patients
Outcome
Rate of partial and complete remission after 3 months TCZ monotherapy
Follow-up
3 months
Methodological detailssingle-arm, open-label
  • Single-arm
  • Open-label

Main finding

As reported in the abstract

Remission after 3 months TCZ

Partial remission

3

27.3%

Complete remission

7

63.6%

Total remission rate

90.9%

Secondary outcomes

Clinical symptoms, inflammatory markers and CT perivascular mass

Shrinkage of perivascular mass ≥50% on CT
9 (81.8%)
All patients reported improvement in clinical symptoms
ESR and CRP decreased to normal levels after TCZ

Original publication

Pilot study of tocilizumab monotherapy for active chronic periaortitis. RMD Open. Published 28 March 2023. doi:10.1136/rmdopen-2023-003007

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