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NCT02996500

Safety and Efficacy of Pf-06650833 In Subjects With Rheumatoid Arthritis, With An Inadequate Response To Methotrexate

Completed Phase 2 Results posted Last updated 27 February 2020
What this trial tests

Phase 2 trial testing PF-06650833 in Rheumatoid Arthritis in 269 participants. Completed in 15 August 2018.

Timeline
10 November 2016
Primary endpoint
15 August 2018
15 August 2018

Quick facts

Lead sponsorPfizer
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposetreatment
Enrollment269
Start date10 November 2016
Primary completion15 August 2018
Estimated completion15 August 2018
Sites103 locations across Taiwan, Poland, South Korea, Croatia, Russia, Mexico, Bulgaria, United States

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

Adults 18 to 75, any sex, with Rheumatoid Arthritis. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change From Baseline in the Simplified Disease Activity Index (SDAI) at Week 12 Primary · Baseline and Week 12

The SDAI is a continuous composite measure derived from components of the American College of Rheumatology (ACR) Core Dataset.The SDAI was calculated using the following formula: SDAI = Tender / Painful Joint Count(TJC) (using 28 joints) + Swollen Joint Count (SJC) (using 28 joints) + Patient Global Assessment of Arthritis (PtGA) (0-10 cm scale) + Physician's Global Assessment of Arthritis (PhGA) (0-10 cm scale) + high sensitivity C-reactive protein (hsCRP) (mg/dL). SDAI total score= 0-86. SDAI \<=3.3 indicates disease remission, \>3.4 to 11 = low disease activity, \>11 to 26 = moderate diseas

GroupValue95% CI
Placebo-13.87-17.70 – -10.02
PF-06650833 20 mg-21.71-26.14 – -17.20
PF-06650833 60 mg-22.83-26.57 – -19.20
PF-06650833 200 mg-24.77-28.54 – -21.08
PF-06650833 400 mg-25.16-28.85 – -21.39
Change From Baseline in SDAI at Weeks 4 and 8 Secondary · Baseline, Weeks 4 and 8

The SDAI is a continuous composite measure derived from components of the American College of Rheumatology (ACR) Core Dataset.The SDAI was calculated using the following formula: SDAI = TJC (using 28 joints) + SJC (using 28 joints) + PtGA (0-10 cm scale) + PhGA (0-10 cm scale) + hsCRP (mg/dL). SDAI total score= 0-86. SDAI \<=3.3 indicates disease remission, \>3.4 to 11 = low disease activity, \>11 to 26 = moderate disease activity, and \>26 = high disease activity. The descriptive summary of change from baseline in SDAI was based on a mixed effect model repeat measurement MMRM model with obser

Week 4
GroupValue95% CI
Placebo-10.78-15.07 – -6.49
PF-06650833 20 mg-12.39-14.68 – -10.10
PF-06650833 60 mg-14.29-16.87 – -11.71
PF-06650833 200 mg-13.56-17.25 – -9.86
PF-06650833 400 mg-12.30-15.46 – -9.14
Week 8
GroupValue95% CI
Placebo-17.07-22.58 – -11.55
PF-06650833 20 mg-16.62-20.71 – -12.53
PF-06650833 60 mg-18.85-22.03 – -15.67
PF-06650833 200 mg-19.95-24.81 – -15.08
PF-06650833 400 mg-21.15-25.50 – -16.79
Percentage of Participants With SDAI Low Disease Activity Score (LDAS) (SDAI <=11) at 4, 8, and 12 Weeks Secondary · Weeks 4, 8 and 12

The SDAI is a continuous composite measure derived from components of the American College of Rheumatology (ACR) Core Dataset.The SDAI was calculated using the following formula: SDAI = TJC (using 28 joints) + SJC (using 28 joints) + PtGA (0-10 cm scale) + PhGA (0-10 cm scale) + hsCRP (mg/dL). The criterion of SDAI LDAS was SDAI\<=11. Tofacitinib was included in this study as an active control. The efficacy endpoint for the tofatinicib arm was an exploratory endpoint and neither primary nor secondary endpoints.

Week 4
GroupValue95% CI
Placebo8.10.0 – 16.9
PF-06650833 20 mg7.90.0 – 16.5
PF-06650833 60 mg12.23.1 – 21.4
PF-06650833 200 mg10.61.8 – 19.5
PF-06650833 400 mg8.50.5 – 16.5
Week 8
GroupValue95% CI
Placebo14.72.8 – 26.6
PF-06650833 20 mg20.06.7 – 33.3
PF-06650833 60 mg17.46.4 – 28.3
PF-06650833 200 mg29.315.3 – 43.2
PF-06650833 400 mg33.319.6 – 47.1
Week 12
GroupValue95% CI
Placebo26.511.6 – 41.3
PF-06650833 20 mg41.924.6 – 59.3
PF-06650833 60 mg28.915.6 – 42.1
PF-06650833 200 mg38.624.2 – 53.0
PF-06650833 400 mg42.227.8 – 56.7
Percentage of Participants With SDAI Remission (SDAI <=3.3) at 4, 8, and 12 Weeks Secondary · Weeks 4, 8 and 12

The SDAI is a continuous composite measure derived from components of the American College of Rheumatology (ACR) Core Dataset.The SDAI was calculated using the following formula: SDAI = TJC (using 28 joints) + SJC (using 28 joints) + PtGA (0-10 cm scale) + PhGA (0-10 cm scale) + hsCRP (mg/dL). The criterion of SDAI remission was SDAI\<=3.3. Tofacitinib was included in this study as an active control. The efficacy endpoint for the tofatinicib arm was an exploratory endpoint and neither primary nor secondary endpoints.

Week 4
GroupValue95% CI
Placebo00.0 – 0.0
PF-06650833 20 mg2.60.0 – 7.7
PF-06650833 60 mg2.00.0 – 6.0
PF-06650833 200 mg00.0 – 0.0
PF-06650833 400 mg2.10.0 – 6.3
Week 8
GroupValue95% CI
Placebo00.0 – 0.0
PF-06650833 20 mg8.60.0 – 17.8
PF-06650833 60 mg00.0 – 0.0
PF-06650833 200 mg7.30.0 – 15.3
PF-06650833 400 mg2.20.0 – 6.5
Week 12
GroupValue95% CI
Placebo2.90.0 – 8.6
PF-06650833 20 mg3.20.0 – 9.4
PF-06650833 60 mg2.20.0 – 6.5
PF-06650833 200 mg6.80.0 – 14.3
PF-06650833 400 mg8.90.6 – 17.2
Percentage of Participants With Disease Activity Score-28 (4 Components Based on Erythrocyte Sedimentation Rate) (DAS28-4 [ESR]) LDAS (DAS28 <3.2) at 4, 8, and 12 Weeks Secondary · Weeks 4, 8 and 12

The DAS assessment is a continuous composite measure derived using differential weighting given to each component. The components of the DAS28-4 (ESR) assessment included: tender joint count with 28 joints assessed, swollen joint count with 28 joints assessed, ESR and PGA. DAS28-4 (ESR) was calculated as 0.56 sqrt (DAS 28 tender joint count) + 0.28 sqrt (DAS 28 swollen joint count) + 0.70 ln(ESR \[mm/first hour\] + 0.014 (PtGA \[mm\]). Total score range: 0-9.4. Higher score indicated more disease activity. The criterion of DAS28-4 (ESR) LDAS was DAS28\<3.2. Tofacitinib was included in this stu

Week 4
GroupValue95% CI
Placebo2.90.0 – 8.4
PF-06650833 20 mg8.10.0 – 16.9
PF-06650833 60 mg6.40.0 – 13.4
PF-06650833 200 mg8.30.5 – 16.2
PF-06650833 400 mg4.30.0 – 10.0
Week 8
GroupValue95% CI
Placebo8.60.0 – 17.8
PF-06650833 20 mg17.14.7 – 29.6
PF-06650833 60 mg13.63.5 – 23.8
PF-06650833 200 mg13.33.4 – 23.3
PF-06650833 400 mg12.83.2 – 22.3
Week 12
GroupValue95% CI
Placebo17.64.8 – 30.5
PF-06650833 20 mg20.05.7 – 34.3
PF-06650833 60 mg24.411.9 – 37.0
PF-06650833 200 mg22.210.1 – 34.4
PF-06650833 400 mg17.86.6 – 28.9
Percentage of Participants With DAS28-3 (ESR) LDAS (DAS28 <3.2) at 4, 8, and 12 Weeks Secondary · Weeks 4, 8 and 12

The DAS assessment is a continuous composite measure derived using differential weighting given to each component. The components of the DAS28-3 (ESR) assessment included: tender joint count with 28 joints assessed, swollen joint count with 28 joints assessed and ESR. DAS28-3 (ESR) was calculated as 0.56 sqrt (DAS 28 tender joint count) + 0.28 sqrt (DAS 28 swollen joint count) + 0.70 ln(ESR \[mm/first hour\]\*1.08+0.16. Total score range: 0-9.4. Higher score indicated more disease activity. The criterion of DAS28-3 LDAS was DAS28\<3.2. Tofacitinib was included in this study as an active contro

Week 4
GroupValue95% CI
Placebo5.70.0 – 13.4
PF-06650833 20 mg8.10.0 – 16.9
PF-06650833 60 mg10.61.8 – 19.5
PF-06650833 200 mg8.30.5 – 16.2
PF-06650833 400 mg4.30.0 – 10.0
Week 8
GroupValue95% CI
Placebo8.60.0 – 17.8
PF-06650833 20 mg20.06.7 – 33.3
PF-06650833 60 mg15.95.1 – 26.7
PF-06650833 200 mg8.90.6 – 17.2
PF-06650833 400 mg14.94.7 – 25.1
Week 12
GroupValue95% CI
Placebo20.67.0 – 34.2
PF-06650833 20 mg20.05.7 – 34.3
PF-06650833 60 mg22.210.1 – 34.4
PF-06650833 200 mg22.210.1 – 34.4
PF-06650833 400 mg15.65.0 – 26.1
Percentage of Participants With Disease Activity Score-28 (4 Components Based on High-Sensitivity C-Reactive Protein) (DAS28-4 [CRP]) LDAS (DAS28 <3.2) at 4, 8, and 12 Weeks Secondary · Weeks 4, 8 and 12

The DAS assessment is a continuous composite measure derived using differential weighting given to each component. The components of the DAS28-4 (CRP) assessment included: tender joint count with 28 joints assessed, swollen joint count with 28 joints assessed, hs-CRP and PtGA. DAS28-4 (CRP) was calculated as 0.56 sqrt (DAS 28 tender joint count) + 0.28 sqrt (DAS 28 swollen joint count) + 0.36 ln(CRP \[mg/L\] +1) + 0.014 (PtGA \[mm\]) + 0.96. Total score range: 0-9.4. Higher score indicated more disease activity. The criterion of DAS28-4 LDAS was DAS28\<3.2. Tofacitinib was included in this stu

Week 4
GroupValue95% CI
Placebo8.10.0 – 16.9
PF-06650833 20 mg13.22.4 – 23.9
PF-06650833 60 mg16.36.0 – 26.7
PF-06650833 200 mg12.83.2 – 22.3
PF-06650833 400 mg8.50.5 – 16.5
Week 8
GroupValue95% CI
Placebo11.80.9 – 22.6
PF-06650833 20 mg20.06.7 – 33.3
PF-06650833 60 mg19.68.1 – 31.0
PF-06650833 200 mg26.813.3 – 40.4
PF-06650833 400 mg33.319.6 – 47.1
Week 12
GroupValue95% CI
Placebo20.67.0 – 34.2
PF-06650833 20 mg38.721.6 – 55.9
PF-06650833 60 mg35.621.6 – 49.5
PF-06650833 200 mg40.926.4 – 55.4
PF-06650833 400 mg42.227.8 – 56.7
Percentage of Participants With DAS28-3 (CRP) LDAS (DAS28 <3.2) at 4, 8, and 12 Weeks Secondary · Weeks 4, 8 and 12

The DAS assessment is a continuous composite measure derived using differential weighting given to each component. The components of the DAS28-3 (CRP) assessment included: tender joint count with 28 joints assessed, swollen joint count with 28 joints assessed and hs-CRP. DAS28-3 (CRP) was calculated as 0.56 sqrt (DAS 28 tender joint count) + 0.28 sqrt (DAS 28 swollen joint count) + 0.36 ln(CRP \[mg/L\] +1)\*1.10+ 1.15. Total score range: 0-9.4. Higher score indicated more disease activity. The criterion of DAS28-3 LDAS was DAS28\<3.2. Tofacitinib was included in this study as an active control

Week 4
GroupValue95% CI
Placebo8.10.0 – 16.9
PF-06650833 20 mg10.50.8 – 20.3
PF-06650833 60 mg16.36.0 – 26.7
PF-06650833 200 mg17.06.3 – 27.8
PF-06650833 400 mg10.61.8 – 19.5
Week 8
GroupValue95% CI
Placebo20.67.0 – 34.2
PF-06650833 20 mg22.98.9 – 36.8
PF-06650833 60 mg19.68.1 – 31.0
PF-06650833 200 mg34.119.6 – 48.7
PF-06650833 400 mg37.823.6 – 51.9
Week 12
GroupValue95% CI
Placebo23.59.3 – 37.8
PF-06650833 20 mg41.924.6 – 59.3
PF-06650833 60 mg40.025.7 – 54.3
PF-06650833 200 mg47.733.0 – 62.5
PF-06650833 400 mg42.227.8 – 56.7
Percentage of Participants With DAS28-4 (ESR) Remission (DAS28 <2.6) at 4, 8 and 12 Weeks Secondary · Weeks 4, 8 and 12

The DAS assessment is a continuous composite measure derived using differential weighting given to each component. The components of the DAS28-4 (ESR) assessment included: tender joint count with 28 joints assessed, swollen joint count with 28 joints assessed, ESR and PtGA. DAS28-4 (ESR) was calculated as 0.56 sqrt (DAS 28 tender joint count) + 0.28 sqrt (DAS 28 swollen joint count) + 0.70 ln(ESR \[mm/first hour\] + 0.014 (PtGA \[mm\]). Total score range: 0-9.4. Higher score indicated more disease activity. The criterion of DAS28-4 remission was DAS28\<2.6. Tofacitinib was included in this stu

Week 4
GroupValue95% CI
Placebo00.0 – 0.0
PF-06650833 20 mg5.40.0 – 12.7
PF-06650833 60 mg2.10.0 – 6.3
PF-06650833 200 mg8.30.5 – 16.2
PF-06650833 400 mg2.10.0 – 6.3
Week 8
GroupValue95% CI
Placebo5.70.0 – 13.4
PF-06650833 20 mg11.40.9 – 22.0
PF-06650833 60 mg9.10.6 – 17.6
PF-06650833 200 mg6.70.0 – 14.0
PF-06650833 400 mg10.61.8 – 19.5
Week 12
GroupValue95% CI
Placebo5.90.0 – 13.8
PF-06650833 20 mg16.73.3 – 30.0
PF-06650833 60 mg13.33.4 – 23.3
PF-06650833 200 mg8.90.6 – 17.2
PF-06650833 400 mg11.11.9 – 20.3
Percentage of Participants With DAS28-3 (ESR) Remission (DAS28 <2.6) at 4, 8 and 12 Weeks Secondary · Weeks 4, 8 and 12

The DAS assessment is a continuous composite measure derived using differential weighting given to each component. The components of the DAS28-3 (ESR) assessment included: tender joint count with 28 joints assessed, swollen joint count with 28 joints assessed and ESR. DAS28-3 (ESR) was calculated as 0.56 sqrt (DAS 28 tender joint count) + 0.28 sqrt (DAS 28 swollen joint count) + 0.70 ln(ESR \[mm/first hour\]\*1.08+0.16. Total score range: 0-9.4. Higher score indicated more disease activity. The criterion of DAS28-3 remission was DAS28\<2.6. Tofacitinib was included in this study as an active c

Week 4
GroupValue95% CI
Placebo00.0 – 0.0
PF-06650833 20 mg2.70.0 – 7.9
PF-06650833 60 mg2.10.0 – 6.3
PF-06650833 200 mg6.30.0 – 13.1
PF-06650833 400 mg2.10.0 – 6.3
Week 8
GroupValue95% CI
Placebo2.90.0 – 8.4
PF-06650833 20 mg8.60.0 – 17.8
PF-06650833 60 mg9.10.6 – 17.6
PF-06650833 200 mg6.70.0 – 14.0
PF-06650833 400 mg8.50.5 – 16.5
Week 12
GroupValue95% CI
Placebo8.80.0 – 18.4
PF-06650833 20 mg10.00.0 – 20.7
PF-06650833 60 mg13.33.4 – 23.3
PF-06650833 200 mg11.11.9 – 20.3
PF-06650833 400 mg8.90.6 – 17.2
Percentage of Participants With DAS28-4 (CRP) Remission (DAS28 <2.6) at 4, 8 and 12 Weeks Secondary · Weeks 4, 8 and 12

The DAS assessment is a continuous composite measure derived using differential weighting given to each component. The components of the DAS28-4 (CRP) assessment included: tender joint count with 28 joints assessed, swollen joint count with 28 joints assessed, hs-CRP and PtGA. DAS28-4 (CRP) was calculated as 0.56 sqrt (DAS 28 tender joint count) + 0.28 sqrt (DAS 28 swollen joint count) + 0.36 ln(CRP \[mg/L\] +1) + 0.014 (PtGA \[mm\]) + 0.96. Total score range: 0-9.4. Higher score indicated more disease activity. The criterion of DAS28-4 remission was DAS28\<2.6. Tofacitinib was included in thi

Week 4
GroupValue95% CI
Placebo2.70.0 – 7.9
PF-06650833 20 mg5.30.0 – 12.4
PF-06650833 60 mg8.20.5 – 15.8
PF-06650833 200 mg10.61.8 – 19.5
PF-06650833 400 mg6.40.0 – 13.4
Week 8
GroupValue95% CI
Placebo8.80.0 – 18.4
PF-06650833 20 mg17.14.7 – 29.6
PF-06650833 60 mg10.91.9 – 19.9
PF-06650833 200 mg22.09.3 – 34.6
PF-06650833 400 mg13.33.4 – 23.3
Week 12
GroupValue95% CI
Placebo14.72.8 – 26.6
PF-06650833 20 mg22.67.9 – 37.3
PF-06650833 60 mg17.86.6 – 28.9
PF-06650833 200 mg25.012.2 – 37.8
PF-06650833 400 mg24.411.9 – 37.0
Percentage of Participants With DAS28-3 (CRP) Remission (DAS28 <2.6) at 4, 8 and 12 Weeks Secondary · Weeks 4, 8 and 12

The DAS assessment is a continuous composite measure derived using differential weighting given to each component. The components of the DAS28-3 (CRP) assessment included: tender joint count with 28 joints assessed, swollen joint count with 28 joints assessed and hs-CRP. DAS28-3 (CRP) was calculated as 0.56 sqrt (DAS 28 tender joint count) + 0.28 sqrt (DAS 28 swollen joint count) + 0.36 ln(CRP \[mg/L\] +1)\*1.10+1.15. Total score range: 0-9.4. Higher score indicated more disease activity. The criterion of DAS28-3 remission was DAS28\<2.6. Tofacitinib was included in this study as an active con

Week 4
GroupValue95% CI
Placebo5.40.0 – 12.7
PF-06650833 20 mg5.30.0 – 12.4
PF-06650833 60 mg10.21.7 – 18.7
PF-06650833 200 mg8.50.5 – 16.5
PF-06650833 400 mg4.30.0 – 10.0
Week 8
GroupValue95% CI
Placebo8.80.0 – 18.4
PF-06650833 20 mg14.32.7 – 25.9
PF-06650833 60 mg10.91.9 – 19.9
PF-06650833 200 mg22.09.3 – 34.6
PF-06650833 400 mg13.33.4 – 23.3
Week 12
GroupValue95% CI
Placebo11.80.9 – 22.6
PF-06650833 20 mg25.810.4 – 41.2
PF-06650833 60 mg22.210.1 – 34.4
PF-06650833 200 mg22.710.3 – 35.1
PF-06650833 400 mg22.210.1 – 34.4

Adverse events — posted to ClinicalTrials.gov

Time frame: Baseline up to 28 calendar days after the last administration of the investigational product (about 21 months). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 1/39 (3%)
Deaths: 0/39
Tofa 10 mg
Serious: 1/43 (2%)
Deaths: 0/43
PF-06650833 20 mg
Serious: 1/39 (3%)
Deaths: 0/39
PF-06650833 60 mg
Serious: 1/50 (2%)
Deaths: 0/50
PF-06650833 200 mg
Serious: 1/50 (2%)
Deaths: 0/50
PF-06650833 400 mg
Serious: 3/48 (6%)
Deaths: 0/48

Serious adverse events (10 terms)

ReactionSystemPlaceboTofa 10 mgPF-06650833 20 mgPF-06650833 60 mgPF-06650833 200 mgPF-06650833 400 mg
Acute myocardial infarctionCardiac disorders
HepatotoxicityHepatobiliary disorders
Abscess limbInfections and infestations
AppendicitisInfections and infestations
EpididymitisInfections and infestations
Pneumonia bacterialInfections and infestations
Humerus fractureInjury, poisoning and procedural complications
Subdural haematomaInjury, poisoning and procedural complications
Cerebral haematomaNervous system disorders
HaemothoraxRespiratory, thoracic and mediastinal disorders
Other adverse events (8 terms — click to expand)

ReactionSystemPlaceboTofa 10 mgPF-06650833 20 mgPF-06650833 60 mgPF-06650833 200 mgPF-06650833 400 mg
Rheumatoid arthritisMusculoskeletal and connective tissue disorders
NauseaGastrointestinal disorders
NasopharyngitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
HeadacheNervous system disorders
Abdominal pain upperGastrointestinal disorders
Abdominal PainGastrointestinal disorders
Alanine aminotransferase increasedInvestigations

Most-reported serious reactions: Acute myocardial infarction, Hepatotoxicity, Abscess limb, Appendicitis, Epididymitis, Pneumonia bacterial, Humerus fracture, Subdural haematoma.

Data from ClinicalTrials.gov NCT02996500 adverse events section.

Sponsor's own description

This is a Phase 2, multicenter, randomized, double blind, double dummy, placebo and active-controlled, parallel group study to assess the efficacy and safety of PF 06650833 at Week 12 in subjects with moderate-severe, active, RA who have had an inadequate response to MTX. PF-06650833 or matching placebo tablets will be administered orally QD under fasting conditions, and tofacitinib or matching tofacitinib placebo tablets will be administered orally BID for 12 weeks in a blinded fashion.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Toll-like receptor signalling in B cells during systemic lupus erythematosus.
    Fillatreau S, Manfroi B, Dörner T. · · 2021 · cited 229× · PMID 33339987 · DOI 10.1038/s41584-020-00544-4
  2. The central role of inflammatory signaling in the pathogenesis of myelodysplastic syndromes.
    Sallman DA, List A. · · 2019 · cited 202× · PMID 30670444 · DOI 10.1182/blood-2018-10-844654
  3. Small Molecule NF-κB Pathway Inhibitors in Clinic.
    Ramadass V, Vaiyapuri T, Tergaonkar V. · · 2020 · cited 154× · PMID 32708302 · DOI 10.3390/ijms21145164
  4. Innate immune pathways and inflammation in hematopoietic aging, clonal hematopoiesis, and MDS.
    Trowbridge JJ, Starczynowski DT. · · 2021 · cited 153× · PMID 34129017 · DOI 10.1084/jem.20201544
  5. Plasmacytoid dendritic cell biology and its role in immune-mediated diseases.
    Ye Y, Gaugler B, Mohty M, Malard F. · · 2020 · cited 107× · PMID 32489664 · DOI 10.1002/cti2.1139
  6. Inhibition of interleukin-1 receptor-associated kinase 1 (IRAK1) as a therapeutic strategy.
    Singer JW, Fleischman A, Al-Fayoumi S, Mascarenhas JO, et al · · 2018 · cited 105× · PMID 30279971 · DOI 10.18632/oncotarget.26058
  7. The role of inflammation in autoimmune disease: a therapeutic target.
    Xiang Y, Zhang M, Jiang D, Su Q, et al · · 2023 · cited 104× · PMID 37859999 · DOI 10.3389/fimmu.2023.1267091
  8. Synovial fibroblasts as potential drug targets in rheumatoid arthritis, where do we stand and where shall we go?
    Németh T, Nagy G, Pap T. · · 2022 · cited 86× · PMID 35715191 · DOI 10.1136/annrheumdis-2021-222021

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