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Abstract
Objectives: To identify (a)whether TNFi-drug levels/anti-drug antibodies (ADAbs) are associated with treatment response and disability in psoriatic arthritis (PsA) patients (b)factors associated with TNFi-drug levels.
Methods: Patients were recruited from a national multi-centre prospective cohort with longitudinal serum samples and disease-activity scores/Health assessment Questionnaire(HAQ) measurement over 12-months.
Results: Adalimumab-drug levels were significantly associated with ΔDAS28 [β=0.055 (95%CI: 0.011, 0.099) p=0.014] and inversely with HAQ over 12-months [β=-0.022 (95%CI: -0.043, -0.00063]. Factors significantly associated with adalimumab drug levels were ADAb levels and body mass index.
Conclusions: Drug-level testing in adalimumab-initiated PsA patients may be useful in determining treatment response/disability over 12-months.
Methods: Patients were recruited from a national multi-centre prospective cohort with longitudinal serum samples and disease-activity scores/Health assessment Questionnaire(HAQ) measurement over 12-months.
Results: Adalimumab-drug levels were significantly associated with ΔDAS28 [β=0.055 (95%CI: 0.011, 0.099) p=0.014] and inversely with HAQ over 12-months [β=-0.022 (95%CI: -0.043, -0.00063]. Factors significantly associated with adalimumab drug levels were ADAb levels and body mass index.
Conclusions: Drug-level testing in adalimumab-initiated PsA patients may be useful in determining treatment response/disability over 12-months.
Original language | English |
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Journal | Journal of Rheumatology |
Early online date | 1 Aug 2019 |
DOIs | |
Publication status | Published - 2019 |
Keywords
- Immunogenicity
- drug levels
- tumour-necrosis factor-α inhibitors
- anti-drug antibodies
- treatment response
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Dive into the research topics of 'Association of pharmacological biomarkers with treatment response and long-term disability in patients with psoriatic arthritis: results from the Outcomes of Treatment in Psoriatic Arthritis Study Syndicate'. Together they form a unique fingerprint.Projects
- 1 Finished
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Arthritis Research UK Centre of Excellence in the Genetics of Rheumatic Diseases.
Worthington, J. (PI), Barton, A. (CoI), Black, G. (CoI), Crow, Y. (CoI), Eyre, S. (CoI), Raychaudhuri, S. (CoI) & Thomson, W. (CoI)
1/08/13 → 31/07/18
Project: Research