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IgG and IgM anticardiolipin antibodies following treatment with infliximab plus methotrexate in patients with early rheumatoid arthritis.

Publication ,  Journal Article
Visvanathan, S; Wagner, C; Smolen, J; St Clair, EW; Hegedus, R; Baker, D; Keenan, G
Published in: Arthritis Rheum
September 2006

OBJECTIVE: To assess the occurrence of anticardiolipin antibodies (aCL) in patients with early rheumatoid arthritis (RA) receiving treatment with infliximab plus methotrexate (MTX) versus MTX alone. METHODS: The first 299 patients enrolled in the randomized, Active-Controlled Study of Patients Receiving Infliximab for the Treatment of Rheumatoid Arthritis of Early Onset (ASPIRE) trial who had baseline (week 0) samples available for aCL testing were included in this study. Sera were collected at weeks 0, 30, and 54 from 110 patients taking infliximab 3 mg/kg plus MTX, 98 patients taking infliximab 6 mg/kg plus MTX, and 91 patients taking placebo plus MTX. IgG and IgM aCL were measured using an anticardiolipin assay. RESULTS: IgG and IgM aCL positivity at baseline was similar in all treatment groups. Most patients were negative for IgG aCL at baseline and remained so at the last followup evaluation. One percent (2 of 208) of patients who received infliximab plus MTX and were negative for IgG aCL at baseline were positive for IgG aCL at weeks 30 and 54. A slightly higher proportion of patients who received infliximab plus MTX and were negative for IgM aCL at baseline were positive for IgM aCL at weeks 30 and 54 (4.8% [10 of 208]) as compared with patients who received placebo plus MTX (1.1% [1 of 91]), but the difference was not significant. CONCLUSION: There was a low incidence of the development of aCL in patients with early RA who received infliximab in combination with MTX, and the difference was not significant compared with patients who received placebo plus MTX.

Duke Scholars

Published In

Arthritis Rheum

DOI

ISSN

0004-3591

Publication Date

September 2006

Volume

54

Issue

9

Start / End Page

2840 / 2844

Location

United States

Related Subject Headings

  • Placebos
  • Middle Aged
  • Methotrexate
  • Male
  • Infliximab
  • Infections
  • Immunoglobulin M
  • Immunoglobulin G
  • Humans
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Visvanathan, S., Wagner, C., Smolen, J., St Clair, E. W., Hegedus, R., Baker, D., & Keenan, G. (2006). IgG and IgM anticardiolipin antibodies following treatment with infliximab plus methotrexate in patients with early rheumatoid arthritis. Arthritis Rheum, 54(9), 2840–2844. https://doi.org/10.1002/art.22054
Visvanathan, Sudha, Carrie Wagner, Josef Smolen, E William St Clair, Ron Hegedus, Daniel Baker, and Gregory Keenan. “IgG and IgM anticardiolipin antibodies following treatment with infliximab plus methotrexate in patients with early rheumatoid arthritis.Arthritis Rheum 54, no. 9 (September 2006): 2840–44. https://doi.org/10.1002/art.22054.
Visvanathan S, Wagner C, Smolen J, St Clair EW, Hegedus R, Baker D, et al. IgG and IgM anticardiolipin antibodies following treatment with infliximab plus methotrexate in patients with early rheumatoid arthritis. Arthritis Rheum. 2006 Sep;54(9):2840–4.
Visvanathan, Sudha, et al. “IgG and IgM anticardiolipin antibodies following treatment with infliximab plus methotrexate in patients with early rheumatoid arthritis.Arthritis Rheum, vol. 54, no. 9, Sept. 2006, pp. 2840–44. Pubmed, doi:10.1002/art.22054.
Visvanathan S, Wagner C, Smolen J, St Clair EW, Hegedus R, Baker D, Keenan G. IgG and IgM anticardiolipin antibodies following treatment with infliximab plus methotrexate in patients with early rheumatoid arthritis. Arthritis Rheum. 2006 Sep;54(9):2840–2844.
Journal cover image

Published In

Arthritis Rheum

DOI

ISSN

0004-3591

Publication Date

September 2006

Volume

54

Issue

9

Start / End Page

2840 / 2844

Location

United States

Related Subject Headings

  • Placebos
  • Middle Aged
  • Methotrexate
  • Male
  • Infliximab
  • Infections
  • Immunoglobulin M
  • Immunoglobulin G
  • Humans
  • Female