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Cited by 255

The DOI matches its Crossref record; 40 of the 40 references it cites were found in a registry or an index.

Impact of T-cell costimulation modulation in patients with undifferentiated inflammatory arthritis or very early rheumatoid arthritis: a clinical and imaging study of abatacept (the ADJUST trial)

Open access
Emery, P, Durez, P, Dougados, M, Legerton, C W, Becker, J-C, Vratsanos, G, Genant, H K, Peterfy, C, Mitra, P, Overfield, S, Qi, K, Westhovens, R·2010·Annals of the Rheumatic Diseases

Abstract

Background Several agents provide treatment for established rheumatoid arthritis (RA), but a crucial therapeutic goal is to delay/prevent progression of undifferentiated arthritis (UA) or very early RA. Objective To determine the impact of T-cell costimulation modulation in patients with UA or very early RA. Methods In this double-blind, phase II, placebocontrolled, 2-year study, anti-cyclic citrullinated peptide (CCP)2-positive patients with UA (not fulfilling the ACR criteria for RA) and clinical synovitis of two or more joints were randomised to abatacept (∼10 mg/kg) or placebo for 6 months; the study drug was then terminated. The primary end point was development of RA (by ACR criteria) at year 1. Patients were monitored by radiography, MRI, CCP2, rheumatoid factor and 28 joint count Disease Activity Score (DAS28) over 2 years. Results At year 1, 12/26 (46%) abatacept-treated versus 16/24 (67%) placebo-treated patients developed RA (difference (95% CI) −20.5% (−47.4% to 7.8%)). Adjusted mean changes from baseline to year 1 in Genant-modified Sharp radiographic scores for abatacepttreated versus placebo-treated patients, respectively, were 0 versus 1.1 for total score, and 0 versus 0.9 for erosion score. Mean changes from baseline to year 1 in MRI erosion, osteitis and synovitis scores were 0, 0.2 and 0.2, respectively, versus 5.0, 6.7 and 2.3 in the abatacept versus placebo groups. Safety was comparable between groups; serious adverse events occurred in one patient (3.6%) in each group. Conclusion Abatacept delayed progression of UA/very early RA in some patients. An impact on radiographic and MRI inhibition was seen, which was maintained for 6 months after treatment stopped. This suggests that it is possible to alter the progression of RA by modulating T-cell responses at a very early stage of disease. Trial registration number NCT00124449.

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Metadata

Authors
Emery, P., Durez, P., Dougados, M., Legerton, C. W., Becker, J.-C., Vratsanos, G., Genant, H. K., Peterfy, C., Mitra, P., Overfield, S., Qi, K., & Westhovens, R.
Venue
Annals of the Rheumatic Diseases
Publisher
Elsevier BV
Published
2010-03
Volume
69
Issue
3
Pages
510-516
ISSN
0003-4967 (ISSN-L)
OpenAlex
W2128713459
Cited by
255
References
40
FWCI
18.60
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Impact of T-cell costimulation modulation in patients with undifferentiated inflammatory arthritis or very early rheumatoid arthritis: a clinical and imaging study of abatacept (the ADJUST trial). https://app.cochat.ai/papers/10.1136/ard.2009.119016
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Emery, P., Durez, P., Dougados, M., Legerton, C. W., Becker, J.-C., Vratsanos, G., Genant, H. K., Peterfy, C., Mitra, P., Overfield, S., Qi, K., & Westhovens, R. (2010). Impact of T-cell costimulation modulation in patients with undifferentiated inflammatory arthritis or very early rheumatoid arthritis: a clinical and imaging study of abatacept (the ADJUST trial). Annals of the Rheumatic Diseases. https://doi.org/10.1136/ard.2009.119016

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