(Ivanhoe Newswire) -- There's new hope for people
suffering from rheumatoid arthritis, a debilitating chronic inflammatory
disease. Researchers published their findings early in an online edition of The
Lancet.
Researchers from the Medical University of Vienna, Austria,
studied three new drugs to test their efficacy as stand-alone treatments or as
combination therapies with existing treatments. The drugs studied include
rituximab (Rituxan), abatacept (Orencia) and tocilizumab (Actemra). Rituximab
and abatacept have already been approved to treat rheumatoid arthritis;
tocilizumab is currently in phase III trials.
Rituximab targets the CD20 antigen in cells and reduces CD20
cell count. Studies show it reduces symptoms of rheumatoid arthritis by more
than 50 percent in more than a third of patients. Abatacept, on the other hand,
interferes in the T-cell activation response. One trial shows combining
abatacept with an existing treatment reduces symptoms by 50 percent in about 40
percent of patients. The third drug -- tocilizumab -- goes after interleukin-6.
A phase II trial shows tocilizumab combined with an existing treatment reduces
symptoms by 50 percent in more than 40 percent of patients.
All three of the new drugs reduce symptoms and improve health
and physical function of patients, report researchers. The drugs also slow the
progression of joint damage.
Study authors write, "The emerging agents show that a new era
has started in the treatment of rheumatoid arthritis ... Targeting B cells,
T-cell activation, and, probably, interleukin 6 constitute new principles for
interference with the disease process. These new targets not only expand the
array of treatments for rheumatoid arthritis but also provide important insights
into pathogenesis of this disease."
SOURCE: The Lancet, published online June
13, 2007; DOI:10.1016/S0140-6736(07)60784-3