Rheumatoid arthritis

Serum 14-3-3η as predictor of clinical remission and progression of structural damage in early rheumatoid arthritis following a treat-to-target strategy in a randomized controlled trial

Scand J RheumatolPublished Secondary analysis of the OPERA randomised trial

Authors' conclusion

Serum 14-3-3η was a borderline significant predictor of radiographic progression, particularly in ACPA-negative patients, but not of predicting achievement of clinical remission.

Study context

Population
Patients with early rheumatoid arthritis (RA) in the OPERA trial, treat-to-target strategy
Participants
180 patients
Comparison
Baseline serum 14-3-3η as predictor of Disease Activity Score-C-reactive protein (DAS28-CRP) remission and radiographic progression
Primary endpoint
Prediction of DAS28-CRP remission (<2.6) at 6 months and radiographic progression (TSS change >1.8 units) at 12 months by baseline serum 14-3-3η
Methodological detailsdouble-blinded, randomized, multivariate logistic regression
  • Double-blinded
  • Randomized
  • Multivariate logistic regression

Primary result

As reported in the abstract

Radiographic progression, baseline 14-3-3η as independent predictor · 12 months

OR per unit baseline 14-3-3η (borderline significant), 95% CI 1.00-1.03, p = 0.05

1.02

Further findings

Radiographic progression in ACPA-negative patients, by baseline 14-3-3η (subgroup) · 12 months

χ2 4.823 · P = 0.028

Original publication

Serum 14-3-3η as predictor of clinical remission and progression of structural damage in early rheumatoid arthritis following a treat-to-target strategy in a randomized controlled trial. Scand J Rheumatol. Published 14 July 2022. doi:10.1080/03009742.2022.2087900

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