Impaired coagulation parameters in early RA are restored by effective antirheumatic therapy: a prospective pilot study

Impaired Coagulation in Early RA Improved by Antirheumatic Therapy

Study Overview

This study looks at how treatment affects blood clotting in patients newly diagnosed with rheumatoid arthritis (RA).

Key Findings

  • Patient Treatment: Patients started on methotrexate and were randomly assigned to receive either additional conventional treatment, certolizumab pegol, abatacept, or tocilizumab.
  • Biomarkers Analyzed: Various blood markers related to clotting were measured at the start of treatment, and again at 12 and 24 weeks.

Results Summary

At the start, patients showed high levels of several clotting markers. After 24 weeks of treatment:

  • Significant decreases were observed in F1+2, fibrinogen, D-dimer, overall haemostatic potential (OHP), and other markers.
  • Tocilizumab showed the greatest impact, reducing OHP by 73%, compared to other treatments.

Conclusion

Patients with newly diagnosed RA had active clotting issues, which improved with effective treatments, especially with tocilizumab.

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