Case Report

Effectiveness of Certolizumab Pegol in Treating Rheumatoid Arthritis Patients with Persistent Inflamed Residual Mono- or Oligosynovitis Resistant to Prior TNF-α Inhibitors

Table 1

Clinical and laboratory changes in patients with RA and mono- or oligoarthritis treated with CZP.

CaseAge/sex StageDD (year)DMARD Prior biologics (duration) NSJ/NTJ
prior→before→after
DAS28-CRP
prior→before→after
Imaged jointPD (grade)
Before After Duration

127 FI4MTXGLM (12 m)4/3→1/1→0/03.87→2.21→1.45Wrist202 m
241 FIII2BUCGLM (10 m)1/3→1/1→0/02.34→2.02→1.111st IP203 m
339 FIII13MTXIFX (15 m), ETN (30 m)2/4→2/2→0/13.82→3.46→1.76Wrist201.5 m
462 FII4MTXETN (32 m)5/6→3/1→1/04.24→3.05→1.88Elbow201 m

Mean42.324.8 m3/4→1.75/1.250.25/0.253.56→2.69→1.552  01.9 m
(SD) (14.5)(16.8 m)(0.84) (0.68) (0.34)(0.9 m)

DD: disease duration, NSJ/NTJ: the number of swollen and tender joints, m: month(s), F: female, stage: Steinbrocker classification, MTX: methotrexate, BUC: bucillamine, GLM: golimumab, IFX: infliximab, ETN: etanercept. Prior: DAS28 scores prior to treatment with the 1st TNF-inhibitor.