Review Article

Anti-TNF-Alpha Therapy and Systemic Vasculitis

Table 1

Randomized controlled trials performed in GCA.

ReferencesDesign/anti-TNF-α therapyNumber of patientsMain objectivesFollow-upMain resultsSide effects

Hoffman et al. [21]Randomized controlled trial IFX versus placebo44 (28 IFX, 16 placebo)Free of relapses and adverse events at 54 weeks54 weeksStopped early at week 22 for lack of efficacy (43% for IFX versus 50% for placebo)Infection: 71% for IFX versus 56% for placebo (NS)

Martínez-Taboada et al. [22]Randomized controlled trial ETN versus placebo17 (8 ETN, 9 placebo)To withdraw the corticosteroid therapy at 12 months12 months50% for ETN versus 22% for placebo (NS)No differences between the two groups

Mariette et al. [23]Randomized controlled trial ADA versus placebo70 (34 ADA, 36 placebo)Remission and corticosteroid < 0,1 mg/kg/day at 26 weeks26 weeks55,9% for ADA 50% for placebo (NS)Severe infections: 8,8% for ADA versus 13,9% for placebo (NS)

ns: nonsignificant.