Rheumatoid arthritis

Ultrasound-based withdrawal of biologics in rheumatoid arthritis (RA-BioStop)

RMD OpenPublished Prospective trial

  • terminated early due to insufficient recruitment

Authors' conclusion

The primary endpoint was not reached.

Study context

Population
Patients with rheumatoid arthritis (RA) in persistent ACR/EULAR remission on csDMARDs plus biological disease-modifying antirheumatic drug (bDMARDs), after stopping the bDMARD110 planned
Participants
38 patients
Exposure
Power Doppler (PD) score≥1 vs PD=0 at baseline for prediction of relapse after bDMARD discontinuation
  • PD score≥1n = 30
  • PD=0n = 7reference
Outcome
PD score≥1 at baseline predicting relapse within week 16 after bDMARD cessation
Follow-up
Week 16
Methodological detailsultrasound blinded to clinical data, Terminated after 38 (34.5%) of 110 planned patients due to insufficient recruitment
  • Ultrasound blinded to clinical data
  • Terminated after 38 (34.5%) of 110 planned patients due to insufficient recruitment

Main finding

As reported in the abstract

Relapse

P = 0.160

Observational data: associations, not effects.

Further findings

OutcomeRelapseRemissionP value
Baseline PD score, relapse until week 16 vs remained in remissionTrend5.2 ± 5.82.3 ± 3.0P = 0.079

Relapse at weeks 24 and 52

Similar observations as at week 16

PD score at relapse vs preceding visits

Mean PD score difference, higher at relapse (±4.5 points; p=0.034)
3.2

Original publication

Ultrasound-based withdrawal of biologics in rheumatoid arthritis (RA-BioStop). RMD Open. Published 7 August 2026. doi:10.1136/rmdopen-2026-007003

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

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