Rheumatoid arthritis

The effect of rituximab on patient reported outcomes in the preclinical phase of rheumatoid arthritis: 2 year data from the PRAIRI study

RMD OpenPublished Secondary analysis of the PRAIRI randomised trial

Authors' conclusion

One single dose of RTX plus MP administered to RA-risk individuals does not have a meaningful and measurable positive effect on PROs after 2 years of follow-up and/or perceived disease severity at the time of arthritis development.

Study context

Population
Seropositive individuals at risk of developing RA (RA-risk) in the preclinical phase
Participants
78 individuals
Comparison
Single dose of rituximab (RTX) 1000 mg vs placebo (PBO), both with methylprednisolone (MP) 100 mg and anti-histamines
Primary endpoint
Patient-reported outcomes (PROs): VAS pain, health assessment questionnaire disability index (HAQ-DI), EQ-5D, SF-36 physical and mental component scores
Follow-up
24 months
Methodological detailsdouble-blind, placebo-controlled
  • Double-blind
  • Placebo-controlled

Primary result

As reported in the abstract

PRO scores, RTX vs PBO

Mean difference

0.07

HAQ score; SEM 0.16

Mean difference

−0.02

EQ-5D; SEM 0.05

Mean difference

11.11

Visual analogue scale (VAS) pain; SEM 7.40

Further findings

Perceived arthritis severity at time of clinically manifest arthritis

No significant effect of treatment

Original publication

The effect of rituximab on patient reported outcomes in the preclinical phase of rheumatoid arthritis: 2 year data from the PRAIRI study. RMD Open. Published 18 October 2024. doi:10.1136/rmdopen-2024-004622

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