IL-6 inhibitor for the treatment of rheumatoid arthritis: A comprehensive review.

Abstract:

:Tocilizumab (TCZ) is an interleukin-6 (IL-6) inhibitor used for the treatment of rheumatoid arthritis (RA). It was developed in 2008, and its effectiveness is supported by evidence from all over the world based on its first decade of use. Although the overall efficacy and safety profiles of TCZ are similar to those of tumor necrosis factor (TNF) inhibitors, TCZ displays certain differences. The most notable advantage of TCZ is its usefulness as a monotherapy. Additionally, TCZ is favorable in the improvement of systemic inflammatory symptoms such as anemia and fatigue. The low immunogenicity of TCZ contributes favorably to long-term drug retention. Due to frequent relapse after TCZ cessation, TCZ use should be tapered beyond remission. During TCZ therapy, C-reactive protein (CRP) is unable to recognize disease activity and the severity of infection. The most common adverse events (AEs) are infection and abnormalities in laboratory findings including dyslipidemia, neutropenia, thrombocytopenia, and abnormality of liver enzymes. TCZ obscures the symptoms of infection. Therefore, stealth infections without obvious CRP elevation can sometimes cause severe damage to patients. Lower intestinal perforation is an uncommon but serious AE in TCZ therapy. Further clinical investigations will continue to refine the IL-6 inhibitory strategy.

journal_name

Mod Rheumatol

journal_title

Modern rheumatology

authors

Ogata A,Kato Y,Higa S,Yoshizaki K

doi

10.1080/14397595.2018.1546357

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

258-267

issue

2

eissn

1439-7595

issn

1439-7609

journal_volume

29

pub_type

杂志文章,评审
  • The relationship between balance and vitamin 25(OH)D in fibromyalgia patients.

    abstract:INTRODUCTION:Fibromyalgia syndrome (FMS) is a chronic disease characterized by diffuse pain of unknown cause, fatigue, sleep disorders, cognitive dysfunction, and sensitivity. Fibromyalgia was shown to be associated with balance problems and increased incidence of falls. There are many theoretical mechanisms related to...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2016.1259603

    authors: Kasapoğlu Aksoy M,Altan L,Ökmen Metin B

    更新日期:2017-09-01 00:00:00

  • Study of active controlled tocilizumab monotherapy for rheumatoid arthritis patients with an inadequate response to methotrexate (SATORI): significant reduction in disease activity and serum vascular endothelial growth factor by IL-6 receptor inhibition t

    abstract::We investigated the clinical efficacy and safety of tocilizumab (a humanized anti-IL-6 receptor antibody) monotherapy in active rheumatoid arthritis (RA) patients with an inadequate response to low dose methotrexate (MTX). In a multicenter, double-blind, randomized, controlled trial, 125 patients were allocated to rec...

    journal_title:Modern rheumatology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1007/s10165-008-0125-1

    authors: Nishimoto N,Miyasaka N,Yamamoto K,Kawai S,Takeuchi T,Azuma J,Kishimoto T

    更新日期:2009-01-01 00:00:00

  • An immunoglobulin G4-related disease mimicking postoperative lung cancer recurrence.

    abstract::A postoperative lung cancer patient presented with lymphadenopathy, pleural thickening, and 18F-fluorodeoxyglucose (FDG) uptake on a positron emission tomography-computed tomography (PET-CT) scan. Lung cancer recurrence was initially suspected, but bilateral submandibular masses with 18F-FDG uptake indicated the possi...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-011-0580-y

    authors: Nakazawa S,Shimizu K,Nakano T,Kakegawa S,Atsumi J,Kamiyoshihara M,Hirato J,Takeyoshi I

    更新日期:2012-09-01 00:00:00

  • Effects of functional training on pain, leg strength, and balance in women with fibromyalgia.

    abstract:AIM:The aim of this study was to analyze the effect of 18-week functional training (FT) program consisting in two sessions a week of in-water exercise and one of on-land exercise on pain, strength, and balance in women with fibromyalgia. METHODS:A sample consisting of 36 fibromyalgia patients was included in the study...

    journal_title:Modern rheumatology

    pub_type: 杂志文章,随机对照试验

    doi:10.3109/14397595.2015.1040614

    authors: Latorre Román PÁ,Santos E Campos MA,García-Pinillos F

    更新日期:2015-01-01 00:00:00

  • Certolizumab Pegol treatment in Behcet's disease with different organ involvement: A multicenter retrospective observational study.

    abstract:OBJECTIVES:The purpose of the present study was to describe our experience with the recombinant Fab' antibody fragment against TNF-α Certolizumab Pegol (CZP) in patients with Behçet's disease (BD) refractory to standardized therapies and previous biologic agents. METHODS:Retrieved data including demographic characteri...

    journal_title:Modern rheumatology

    pub_type: 杂志文章,多中心研究

    doi:10.1080/14397595.2017.1285857

    authors: Lopalco G,Emmi G,Gentileschi S,Guerriero S,Vitale A,Silvestri E,Becatti M,Cavallo I,Fabiani C,Frediani B,Iannone F,Cantarini L

    更新日期:2017-11-01 00:00:00

  • Identification of clock as a mechanosensitive gene by large-scale DNA microarray analysis: downregulation in osteoarthritic cartilage.

    abstract::The chondrocytes of cartilage have so far been reported to include three mechanoresponsive genes: cartilage matrix protein (CMP, matrilin-1), type X collagen, and Indian hedgehog (Ihh). In fact, all of the genes identified in these chondrocytes are associated solely with mechanical stress. In this study we examined th...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-006-0469-3

    authors: Kanbe K,Inoue K,Xiang C,Chen Q

    更新日期:2006-01-01 00:00:00

  • Prevalence and clinical characteristics of overactive bladder in systemic sclerosis.

    abstract::Objectives: Overactive bladder (OAB) is a clinical diagnosis defined with the presence of urinary urgency, usually accompanied by frequency and nocturia, with or without urgency urinary incontinence. Objective was to evaluate the demographic and clinical characteristics of Japanese systemic sclerosis (SSc) patients wi...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2019.1589913

    authors: Motegi SI,Sekiguchi A,Sekine Y,Nakayama H,Suzuki K,Ishikawa O

    更新日期:2020-03-01 00:00:00

  • Effectiveness of golimumab for rheumatoid arthritis in patients with an inadequate response to tocilizumab.

    abstract:OBJECTIVES:Several biological disease-modifying antirheumatic drugs (bDMARDs) are currently available for the treatment of rheumatoid arthritis (RA). Increasing evidence indicates that second-line bDMARDs are effective for inadequate responders to first-line bDMARDs. However, all previous studies investigated the use o...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2016.1206242

    authors: Matsuno H,Katayama K

    更新日期:2017-03-01 00:00:00

  • Quality of life in Japanese female patients with systemic lupus erythematosus: Evaluation using the Short Form 36 Health Survey.

    abstract:OBJECTIVE:Aspects of health-related quality of life (HRQoL) are important for assessing perceived health status and treatment burden. We evaluated HRQoL using Short Form 36 Health Survey (SF-36) and factors associated with HRQoL. METHODS:We collected basic and lifestyle-related, clinical, and treatment characteristics...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2015.1060668

    authors: Furukawa M,Kiyohara C,Horiuchi T,Tsukamoto H,Mitoma H,Kimoto Y,Uchino A,Nakagawa M,Oryoji K,Shimoda T,Akashi K

    更新日期:2016-01-01 00:00:00

  • Effect of anti-tumor necrosis factor α treatment on radiographic progression in patient with ankylosing spondylitis: A systematic review and meta-analysis.

    abstract:BACKGROUND:Efficacy of anti-tumor necrosis factor (anti-TNF)α treatment in patient with active ankylosing spondylitis (AS) had been proved by many clinical studies. Inflammation and new bone formation in spine were two pivotal aspects in AS. TNF α inhibitor could eliminate inflammation including clinical and laboratory...

    journal_title:Modern rheumatology

    pub_type: 杂志文章,meta分析

    doi:10.1080/14397595.2018.1525017

    authors: Zong HX,Xu SQ,Tong H,Wang XR,Pan MJ,Teng YZ

    更新日期:2019-05-01 00:00:00

  • Spontaneous flexor tendon rupture in systemic lupus erythematosus: A case report.

    abstract::Spontaneous flexor tendon rupture is an unusual complication of systemic lupus erythematosus (SLE) and has not previously been reported. While tendon ruptures in association with SLE have been focused on the previous studies, upper extremity tendon ruptures are infrequently reported in the literature. Here, we present...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2014.924193

    authors: Oda R,Fujiwara H,Tokunaga D,Kishida A,Taniguchi D,Seno T,Kawahito Y,Kubo T

    更新日期:2016-09-01 00:00:00

  • Elevated muscle enzymes in a patient with severe hypocalcemia mimicking polymyositis.

    abstract::Abstract We report a case of hypocalcemic myopathy confounded by polymyositis due to an elevated level of serum creatine kinase (CK). A 30-year-old man was referred to our hospital for the treatment of provisionally diagnosed polymyositis. His presentation with tetany, hyporeflexia, and general fatigue, in addition to...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/s101650200032

    authors: Hirata D,Nagashima T,Saito S,Okazaki H,Kano S,Minota S

    更新日期:2002-06-01 00:00:00

  • Multicenter double-blind randomized controlled trial to evaluate the effectiveness and safety of bortezomib as a treatment for refractory systemic lupus erythematosus.

    abstract:OBJECTIVES:The objective of this study is to evaluate the efficacy and safety of bortezomib for treating systemic lupus erythematosus (SLE), in patients whose disease activity could not be controlled. METHODS:Fourteen SLE patients with persistent disease activity were selected, who required prednisolone doses of >10 m...

    journal_title:Modern rheumatology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1080/14397595.2018.1432331

    authors: Ishii T,Tanaka Y,Kawakami A,Saito K,Ichinose K,Fujii H,Shirota Y,Shirai T,Fujita Y,Watanabe R,Chiu SW,Yamaguchi T,Harigae H

    更新日期:2018-11-01 00:00:00

  • Cytomegalovirus-induced small intestinal bleeding complicated with cutaneous vasculitis: a case report.

    abstract::Abstract A 17-year-old woman who was being treated with prednisolone for cutaneous vasculitis developed recurrent massive melena and abdominal pain. An emergency resection was performed because of uncontrollable melena, revealing many small intestinal ulcers with cytomegalic inclusion bodies, which were found by immun...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/s101650200047

    authors: Ota Y,Ohashi H,Otani C,Dei Y,Kondo S,Baba S

    更新日期:2002-09-01 00:00:00

  • Sonographic measurements of low-echoic synovial area in the dorsal aspect of metatarsophalangeal joints in healthy subjects.

    abstract:INTRODUCTION:Assessment of synovitis in the metatarsophalangeal (MTP) joints with ultrasound has been shown to improve the accuracy of assessment of rheumatoid arthritis (RA). However, the presence of intraarticular low-echoic synovial area (LESA) in the MTP joints in healthy subjects complicates the sonographic assess...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2014.970740

    authors: Hiraga M,Ikeda K,Shigeta K,Sato A,Yoshitama T,Hara R,Tanaka Y

    更新日期:2015-05-01 00:00:00

  • Decreased percentages of regulatory T cells in peripheral blood of patients with Behcet's disease before ocular attack: a possible predictive marker of ocular attack.

    abstract::The current study investigates the role of regulatory T (Treg) cells in the pathogenesis of ocular attack in patients with Behcet's disease (BD). Nineteen BD patients with ocular complications (BDo), including 11 BD patients with ocular attack (BDa) and eight BD patients with inactive ocular complications (BDi), were ...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-008-0064-x

    authors: Nanke Y,Kotake S,Goto M,Ujihara H,Matsubara M,Kamatani N

    更新日期:2008-01-01 00:00:00

  • Recombinant adeno-associated virus preferentially transduces human, compared to mouse, synovium: implications for arthritis therapy.

    abstract::Despite a number of published reports, including from our own laboratory, suggesting that adeno-associated virus (AAV) transduces mouse synovium, a careful analysis demonstrated transduction predominantly of the subsynovial muscle tissue, while the synovial lining is poorly transduced. To investigate the potential of ...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-003-0260-7

    authors: Katakura S,Jennings K,Watanabe S,Adachi E,Thornton S,Gao GP,Wilson JM,Burstein H,Trapnell B,Hirsch R

    更新日期:2004-01-01 00:00:00

  • Comparison of the clinical utility of tocilizumab and anti-TNF therapy in AA amyloidosis complicating rheumatic diseases.

    abstract:OBJECTIVES:Anti-cytokine therapy is reportedly useful in amyloid A (AA) amyloidosis complicating rheumatic diseases. However, to date no studies have directly compared the utility of tumour necrosis factor (TNF) inhibition to that of interleukin-6. The aim of our retrospective study was to compare the clinical utility ...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2013.854048

    authors: Okuda Y,Ohnishi M,Matoba K,Jouyama K,Yamada A,Sawada N,Mokuda S,Murata Y,Takasugi K

    更新日期:2014-01-01 00:00:00

  • Renal outcomes in mixed proliferative and membranous lupus nephritis (Class III/IV + V): A long-term observational study.

    abstract:OBJECTIVES:In this study, we aimed to assess the effect of combination of proliferative and membranous lesions (Class III + V or IV + V) on renal outcomes as an independent category distinct from Class III and IV. METHODS:We retrospectively analyzed 103 Japanese patients (14 male and 89 female) with Class III/IV LN, w...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2016.1158896

    authors: Ikeuchi H,Hiromura K,Kayakabe K,Tshilela KA,Uchiyama K,Hamatani H,Sakairi T,Kaneko Y,Maeshima A,Nojima Y

    更新日期:2016-11-01 00:00:00

  • Potential therapeutics for antiphospholipid antibody associated thrombocytopenia: A systematic review and meta-analysis.

    abstract::Objectives: Thrombocytopenia is frequently observed in antiphospholipid antibody (aPL) carriers. Due to the paradoxical risks of thrombosis and hemorrhage, the management of aPL-associated thrombocytopenia (APAT) is often deductive. We aimed to investigate the efficacy and safety of therapeutic approaches for APAT thr...

    journal_title:Modern rheumatology

    pub_type: 杂志文章,meta分析

    doi:10.1080/14397595.2018.1558934

    authors: Abe N,Oku K,Amengual O,Fujieda Y,Kato M,Bohgaki T,Yasuda S,Mori R,Morishita E,Suzuki-Inoue K,Atsumi T

    更新日期:2020-01-01 00:00:00

  • Treatment of popliteal cysts via arthroscopic enlargement of unidirectional valvular slits.

    abstract:OBJECTIVE:The aim of the present study was to investigate the efficacy of arthroscopic enlargement of unidirectional valvular slits for the treatment of popliteal cysts and to evaluate potential factors affecting the outcomes of our arthroscopic procedure. METHODS:Twenty-nine patients aged 43-77 years with popliteal c...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2015.1008779

    authors: Ohishi T,Takahashi M,Suzuki D,Fujita T,Yamamoto K,Ushirozako H,Banno T,Matsuyama Y

    更新日期:2015-09-01 00:00:00

  • Clinical and radiological results of non-cement impaction bone-graft method of total hip arthroplasty for rheumatoid arthritis.

    abstract::We performed total hip arthroplasty using the non-cement impaction auto-bone-grafting method with the resected femoral head for acetabular protrusion that is not combined with the destruction of acetabular rim or dysplasia of the hip joint. Ten patients (eight women and two men) with rheumatoid arthritis who showed ac...

    journal_title:Modern rheumatology

    pub_type: 临床试验,杂志文章

    doi:10.1007/s10165-007-0571-1

    authors: Mochida Y,Saito I,Akamatsu Y,Taki N,Mitsugi N,Saito T

    更新日期:2007-01-01 00:00:00

  • Latent overproductive hyperuricemia increases in patients during the intermittent phase of gouty arthritis under long-term antihyperuricemic treatment.

    abstract::Abstract This work was undertaken to determine baseline urate metabolism in patients during the intermittent phase of gouty arthritis in order to decide on the best treatment for hyperuricemia. Parameters affecting serum urate levels, including uric acid clearance and urinary urate excretion, were re-evaluated in 30 p...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/s101650070003

    authors: Tsutani H,Kiriba C,Imamura S,Yoshio N,Nakamura T,Ueda T

    更新日期:2000-12-01 00:00:00

  • Risk for malignancy in rheumatoid arthritis patients treated with biological disease-modifying antirheumatic drugs compared to the general population: A nationwide cohort study in Japan.

    abstract:OBJECTIVES:To investigate and compare the risk for malignancy in rheumatoid arthritis (RA) patients treated with biologics in Japan to the general population. METHODS:Data for 14,440 patients from 335 institutions who were given infliximab, etanercept, adalimumab, golimumab, tocilizumab, or abatacept were retrieved fr...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2016.1141740

    authors: Harigai M,Nanki T,Koike R,Tanaka M,Watanabe-Imai K,Komano Y,Sakai R,Yamazaki H,Koike T,Miyasaka N

    更新日期:2016-09-01 00:00:00

  • Assessment of fatigue in a large series of 1492 Brazilian patients with Spondyloarthritis.

    abstract:BACKGROUND:The aim of the present study was to analyze the score of fatigue in a large cohort of Brazilian patients with SpA, comparing different disease patterns and its association with demographic and disease-specific variables. METHODS:A common protocol of investigation was prospectively applied to 1492 Brazilian ...

    journal_title:Modern rheumatology

    pub_type: 杂志文章,多中心研究

    doi:10.3109/14397595.2014.906049

    authors: Bianchi WA,Elias FR,Carneiro S,Bortoluzzo AB,Gonçalves CR,da Silva JA,Ximenes AC,Bértolo MB,Ribeiro SL,Keiserman M,Skare TL,Menin R,Azevedo VF,Vieira WP,Albuquerque EN,Bonfiglioli R,Campanholo C,Carvalho HM,Costa IP,

    更新日期:2014-11-01 00:00:00

  • IgG4-related kidney disease and retroperitoneal fibrosis: An update.

    abstract::The most representative kidney lesion of IgG4-related disease (IgG4-RD) is plasma cell-rich tubulointerstitial nephritis (TIN) with distinctive imaging findings including multiple low-density lesions on contrast-enhanced computed tomography. In addition, membranous glomerulonephritis is a representative glomerular les...

    journal_title:Modern rheumatology

    pub_type: 杂志文章,评审

    doi:10.1080/14397595.2018.1554321

    authors: Kawano M,Saeki T,Nakashima H

    更新日期:2019-03-01 00:00:00

  • Early diagnosis and treatment for remission of clinically amyopathic dermatomyositis complicated by rapid progress interstitial lung disease: a report of two cases.

    abstract::We report two cases of clinically amyopathic dermatomyositis (CADM) complicated by rapid progress interstitial lung disease (RPILD). The diagnosis of CADM was based on Gottron's papule and RPILD, and the absence of muscle weakness. The female patients were treated with early immunosuppressive therapies including stero...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-012-0637-6

    authors: Horai Y,Isomoto E,Koga T,Okada A,Kawashiri SY,Tamai M,Yamasaki S,Nakamura H,Origuchi T,Hamaguchi Y,Fujimoto M,Kuwana M,Kawakami A

    更新日期:2013-01-01 00:00:00

  • A case of cutaneous polyarteritis nodosa with elevated serum interleukin-6 levels complicated by leg arterial stenosis and destructive arthropathy of the left ankle.

    abstract::We report a case of a 60-year-old female with cutaneous polyarteritis nodosa (CPN) of the left ankle, accompanied by elevated serum interleukin (IL)-6 levels. Computed tomographic angiography revealed severe narrowing of medium-sized arteries in her left leg. Destructive arthropathy in the left ankle was identified by...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2013.852840

    authors: Horai Y,Tokuyama A,Sumiyoshi R,Nakashima Y,Suzuki T,Okada A,Kawashiri SY,Ichinose K,Izumi Y,Miyashita T,Tamai M,Yamasaki S,Nakamura H,Hayashi T,Origuchi T,Kawakami A

    更新日期:2014-01-01 00:00:00

  • A case of Wegener's granulomatosis complicated with seropneumothorax.

    abstract::Abstract We report the case of a 52-year-old man with Wegener's granulomatosis complicated with seropneumothorax. Pneumothorax or seropneumothorax has previously been reported as a rare complication of Wegener's granulomatosis. The patient was successfully treated with prednisolone and cyclophosphamide, and seropneumo...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/s10165-002-0220-7

    authors: Shimizu T,Ohara T,Ito S,Nakano M,Tsutsui N,Sato T,Suzuki E,Gejyo F

    更新日期:2003-06-01 00:00:00

  • Use of anti-tumor necrosis factor biologics in the treatment of rheumatoid arthritis does not change human T-lymphotropic virus type 1 markers: a case series.

    abstract::Anti-tumor necrosis factor (anti-TNF) biologics are effective in the treatment of rheumatoid arthritis (RA); however, it is still not clear whether this treatment promotes the development of malignancies such as lymphoma. Human T-lymphotropic virus type 1 (HTLV-1), which is a causative agent of adult T-cell lymphoma (...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2013.844389

    authors: Umekita K,Umeki K,Miyauchi S,Ueno S,Kubo K,Kusumoto N,Takajo I,Nagatomo Y,Okayama A

    更新日期:2015-09-01 00:00:00