Rheumatoid arthritis

Relationship Between Adalimumab Concentrations, Antidrug Antibodies, and Disease Activity in Rheumatoid Arthritis: A Cross-Sectional Observational Study

J RheumatolPublished Cross-sectional study

Authors' conclusion

ADA concentration correlates negatively with markers of inflammatory disease activity in RA, including IL-6. ADA concentration in the range 5 to 7 mg/L over the dose interval are associated with better disease control.

Study context

Population
People with rheumatoid arthritis (RA) receiving adalimumab for at least 4 weeks69.2% female
Participants
156 people
Exposure
Adalimumab concentrations in DAS28 responders vs non-responders
Outcome
Adalimumab concentrations and their relation to patient characteristics, antidrug antibodies and disease activity
Methodological detailsobservational, multivariate general linear model
  • Observational
  • Multivariate general linear model

Main finding

As reported in the abstract

Adalimumab concentration by disease activity (DAS28)

P < 0.001

Higher CRP independently associated with lower adalimumab concentrations (multivariate)
P < 0.001
Higher weight independently associated with lower adalimumab concentrations (multivariate)
P < 0.004

Observational data: associations, not effects.

Further findings

Correlation between IL-6 and adalimumab concentrations (cytokine subgroup)

Significant negative correlation, r
−0.04
P
P < 0.01

Original publication

Relationship Between Adalimumab Concentrations, Antidrug Antibodies, and Disease Activity in Rheumatoid Arthritis: A Cross-Sectional Observational Study. J Rheumatol. Published 15 January 2024. doi:10.3899/jrheum.2023-0706

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.