Switching between TNFα antagonists in rheumatoid arthritis: personal experience and review of the literature

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The treatment of rheumatoid arthritis (RA) has evolved over the past decade with the introduction of anti-tumor necrosis factor (TNF) α agents, which allowed remarkable advances in controlling signs and symptoms of inflammation and in slowing joint destruction (1-3). However, some patients do not respond or show suboptimal response to the currently available anti- TNFα agents (infliximab, etanercept, and adalimumab) used either as monotherapy or in combination with methotrexate. Furthermore, patients who respond initially may lose efficacy over time (4) or develop adverse events.

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Scrivo, R., Conti, F., Spinelli, F., Truglia, S., Magrini, L., Di Franco, M., … Valesini, G. (2009). Switching between TNFα antagonists in rheumatoid arthritis: personal experience and review of the literature. Reumatismo, 61(2), 107–117. https://doi.org/10.4081/reumatismo.2009.107