The use of anti‐tumour necrosis factor‐α therapies for rheumatoid arthritis in Singapore
Identifieur interne : 001C44 ( Main/Exploration ); précédent : 001C43; suivant : 001C45The use of anti‐tumour necrosis factor‐α therapies for rheumatoid arthritis in Singapore
Auteurs : B. Y. H. Thong ; S. Vasoo [Singapour] ; E. T. KohSource :
- APLAR Journal of Rheumatology [ 0219-0494 ] ; 2006-08.
English descriptors
- Teeft :
- Adalimumab, Adverse effects, Aplar, Aplar journal, Arthritis, Arthritis rheum, Assay, Average dose, Azathioprine, Compassionate program, Congestive heart failure, Conventional dmards, Demyelinating disease, Disease duration, Dmard, Dmard combinations, Dmards, Etanercept, Immunosuppressive therapy, Major infection, Malignancy, Mantoux test, Median, Methotrexate, Necrosis factor, Radiographic, Remission, Rheumatic disease, Rheumatoid, Rheumatoid arthritis, Rheumatoid arthritis patients, Rheumatology, Singapore, Standard target dose, Tock seng hospital, Treatment duration.
Abstract
Anti‐tumour necrosis factor‐α (anti‐TNF‐α) agents are biologic disease‐modifying antirheumatic drugs (DMARDs) used in the treatment of moderate to severe rheumatoid arthritis (RA). We describe the demographic and therapeutic profiles of 22 patients who received anti‐TNF‐α therapy for RA in two hospitals in Singapore. The majority of patients were female, middle‐aged, full‐time working adults with limitation in their social or vocational activities. The mean RA disease duration was 101.4 ± 101.6 months (3.4–401.3). All received conventional DMARDs for a mean of almost 7 years before starting anti‐TNF‐α, with the majority having failed two or more DMARDs. The most commonly used anti‐TNF‐α therapies were infliximab (90.9%), etanercept (18.2%) and adalimumab (4.5%). Only one patient developed a major infection, while three developed minor infections requiring temporary cessation of anti‐TNF‐α therapy. There were no cases of malignancy, drug‐induced lupus, demyelinating disease or congestive heart failure during an average of 36.9 ± 21.9 months (3.9–63.0) from initiation of therapy.
Url:
DOI: 10.1111/j.1479-8077.2006.00191.x
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">Anti‐tumour necrosis factor‐α (anti‐TNF‐α) agents are biologic disease‐modifying antirheumatic drugs (DMARDs) used in the treatment of moderate to severe rheumatoid arthritis (RA). We describe the demographic and therapeutic profiles of 22 patients who received anti‐TNF‐α therapy for RA in two hospitals in Singapore. The majority of patients were female, middle‐aged, full‐time working adults with limitation in their social or vocational activities. The mean RA disease duration was 101.4 ± 101.6 months (3.4–401.3). All received conventional DMARDs for a mean of almost 7 years before starting anti‐TNF‐α, with the majority having failed two or more DMARDs. The most commonly used anti‐TNF‐α therapies were infliximab (90.9%), etanercept (18.2%) and adalimumab (4.5%). Only one patient developed a major infection, while three developed minor infections requiring temporary cessation of anti‐TNF‐α therapy. There were no cases of malignancy, drug‐induced lupus, demyelinating disease or congestive heart failure during an average of 36.9 ± 21.9 months (3.9–63.0) from initiation of therapy.</div>
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