rdf:type |
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lifeskim:mentions |
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pubmed:issue |
6
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pubmed:dateCreated |
2010-3-30
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pubmed:abstractText |
New biologic agents have changed the paradigm of rheumatoid arthritis treatment, leading to improvement in managing patients' refractory to classical DMARDs. Anti-TNF-alpha is used as first-line treatment in patients failing to respond to classical DMARDs. However, up to 50% of patients fail to respond to these drugs or develop adverse events leading to treatment discontinuation: in these cases the optimal treatment strategy is still a matter of debate even if trying with a second anti-TNF-alpha is considered a good option. We report data of patients switching from a first to a second anti-TNF-alpha from an Italian registry of patients with rheumatoid arthritis, showing that switching is valuable in patients stopping a first anti-TNFalpha drug. The patients with higher disease activity levels and those stopping the first anti-TNFalpha treatment because of a lack of efficacy are very likely to respond to the second treatment.
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pubmed:language |
eng
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pubmed:journal |
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pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Antibodies, Monoclonal,
http://linkedlifedata.com/resource/pubmed/chemical/Antibodies, Monoclonal, Humanized,
http://linkedlifedata.com/resource/pubmed/chemical/Immunoglobulin G,
http://linkedlifedata.com/resource/pubmed/chemical/Receptors, Tumor Necrosis Factor,
http://linkedlifedata.com/resource/pubmed/chemical/TNFR-Fc fusion protein,
http://linkedlifedata.com/resource/pubmed/chemical/Tumor Necrosis Factor-alpha,
http://linkedlifedata.com/resource/pubmed/chemical/adalimumab,
http://linkedlifedata.com/resource/pubmed/chemical/infliximab
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pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
1873-0183
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pubmed:author |
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pubmed:copyrightInfo |
Copyright 2009 Elsevier B.V. All rights reserved.
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pubmed:issnType |
Electronic
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pubmed:volume |
9
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
465-9
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pubmed:dateRevised |
2011-11-17
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pubmed:meshHeading |
pubmed-meshheading:20044040-Aged,
pubmed-meshheading:20044040-Antibodies, Monoclonal,
pubmed-meshheading:20044040-Antibodies, Monoclonal, Humanized,
pubmed-meshheading:20044040-Arthritis, Rheumatoid,
pubmed-meshheading:20044040-Disease Progression,
pubmed-meshheading:20044040-Female,
pubmed-meshheading:20044040-Follow-Up Studies,
pubmed-meshheading:20044040-Humans,
pubmed-meshheading:20044040-Immunoglobulin G,
pubmed-meshheading:20044040-Immunotherapy,
pubmed-meshheading:20044040-Italy,
pubmed-meshheading:20044040-Male,
pubmed-meshheading:20044040-Middle Aged,
pubmed-meshheading:20044040-Receptors, Tumor Necrosis Factor,
pubmed-meshheading:20044040-Registries,
pubmed-meshheading:20044040-Tumor Necrosis Factor-alpha
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pubmed:year |
2010
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pubmed:articleTitle |
Switching TNF-alpha antagonists in rheumatoid arthritis: the experience of the LORHEN registry.
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pubmed:affiliation |
Division of Rheumatology, University of Pavia, IRCCS Policlinico S. Matteo Foundation, Pavia, Italy. caporali@smatteo.pv.it
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pubmed:publicationType |
Journal Article
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