, 7 tweets, 5 min read Read on Twitter
Selection of the main clinical studies that have impacted care of patients with RA.

Rheum core content.

#Chapter4, @eular_org online course #EULARonlinecourseOnRheumaticDiseases.

@EMEUNET initiative #EMEUNETonCourse, to promote knowledge-sharing in rheumatology.
PROMPT study.

Efficacy of methotrexate treatment in patients with probable rheumatoid arthritis: a double-blind, randomized, placebo-controlled trial.

Graphs show seropositive and seronegative patients. Something with MTX and B cells!

onlinelibrary.wiley.com/doi/epdf/10.10…
GUEPARD trial.

Evaluation of two strategies (initial methotrexate monotherapy vs its combination with adalimumab) in management of early active rheumatoid arthritis: data from the GUEPARD trial.

No long-term superiority of the MTX + ADA combination.

academic.oup.com/rheumatology/a…
BeSt trial.

Comparison of treatment strategies in early rheumatoid arthritis: a randomized trial.

Initial differences in disease activity and structural progression did not seem to persist after 10 years.

annals.org/aim/fullarticl…
RACAT trial.

Therapies for active rheumatoid arthritis after methotrexate failure.

Triple therapy added to methotrexate was noninferior to etanercept plus methotrexate in patients with MTX refractory RA.

nejm.org/doi/pdf/10.105…
ROC trial.

Non-TNF-Targeted Biologic vs a Second Anti-TNF Drug to Treat Rheumatoid Arthritis in Patients With Insufficient Response to a First Anti-TNF Drug.

Non-TNF targeted biologic showed better efficacy.

jamanetwork.com/journals/jama/…
DRESS trial.

Disease activity guided dose reduction and withdrawal of adalimumab or etanercept compared with usual care in rheumatoid arthritis.

It is indeed possible to taper TNFi therapy.

bmj.com/content/350/bm…
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