Clinical Study

The -174G/C Interleukin-6 Gene Promoter Polymorphism as a Genetic Marker of Differences in Therapeutic Response to Methotrexate and Leflunomide in Rheumatoid Arthritis

Table 1

Comparison of selected characteristics of patients receiving methotrexate (MTX) versus leflunomide (LEF).

MTX or LEF 
MTX 
LEF 

Sociodemographic characteristics
Females, n (%)93 (97)53 (96)40 (98)1.00
Age (yr), mean ± standard deviation 0.06
Disease characteristics
Disease duration (yr), mean ± SD0.05
HAQ-Di score at baseline, mean ± SD0.33
DAS-28 score at baseline, mean ± SD0.73
Rheumatoid Factor (RF) (IU/mL), mean ± SD0.70
Erythrocyte Sedimentation Rate (ESR) (mm/h), mean ± SD0.48
Interleukin-6 (IL-6) at baseline, (pg/mL) mean ± SD0.40
Glucocorticoid dose (mg), mean ± SD0.88
Patients achieving response
At 3 months, n (%)14 (6.8)7 (12.7)7 (17.1)0.38
At 6 months, n (%)12 (8.0)7 (12.7)5 (12.2)0.38
Genetic characteristics
Genotype GG, n (%)54 (56)33 (60)21 (51)0.58
Genotype GC, n (%)31 (32)17 (31)14 (34)
Genotype CC, n (%)11 (12)5 (9)6 (15)

RA: rheumatoid arthritis; IL-6: interleukin-6; MTX: methotrexate; LEF: leflunomide; HAQ-Di: Health Assessment Questionnaire-Disability index; DAS-28: modified Disease Activity Score (28 joints).
Qualitative variables were expressed in frequencies (%); quantitative variables were expressed in means ± standard deviations (SD). Comparisons between differences in proportions were performed with the chi-square test (or Fisher exact test if applicable). Comparisons between differences in means were performed with independent samples Student's t-tests. values were obtained comparing MTX versus LEF. Response was defined as the patient achieving, at 3 or at 6 months, low disease activity or remission (DAS28, <3.2).