PMID- 28463029 OWN - NLM STAT- MEDLINE DCOM- 20180705 LR - 20181202 IS - 1439-7609 (Electronic) IS - 1439-7595 (Linking) VI - 28 IP - 1 DP - 2018 Jan TI - High rate of improvement in serum matrix metalloproteinase-3 levels at 4 weeks predicts remission at 52 weeks in RA patients treated with adalimumab. PG - 119-125 LID - 10.1080/14397595.2017.1317320 [doi] AB - OBJECTIVE: This study aimed to determine whether serum matrix metalloproteinase-3 (MMP-3) levels can predict remission in rheumatoid arthritis (RA) patients treated with adalimumab (ADA). METHODS: Subjects were 114 RA patients continuously treated with ADA for 52 weeks. Predictive factors at baseline and 4 weeks after initiation of ADA therapy for the achievement of remission (28-point count Disease Activity Score-CRP (DAS28-CRP) < 2.3) at 52 weeks were evaluated by multivariate logistic regression analysis. RESULTS: DAS28-CRP at 4 weeks (odds ratio (OR) 0.614, 95% confidence interval (CI) 0.382-0.988) and improvement in serum MMP-3 levels at 4 weeks (OR 1.057, 95% CI 1.002-1.032) were independent predictors of remission at 52 weeks. The best cut-off level of DAS28-CRP and improvement in serum MMP-3 levels at 4 weeks for predicting remission at 52 weeks was 3.73 (sensitivity: 90%, specificity: 50%, area under the receiver operating characteristic curve (AUC): 62%) and 39.93% (sensitivity: 47%, specificity: 83%, AUC: 64%), respectively. CONCLUSION: Our findings suggest that a high rate of improvement in serum MMP-3 levels at 4 weeks after initiation of ADA therapy can predict remission at 52 weeks in RA patients. FAU - Hattori, Yosuke AU - Hattori Y AD - a Department of Orthopaedic Surgery and Rheumatology , National Hospital Organization Nagoya Medical Center , Nagoya , Japan. FAU - Kojima, Toshihisa AU - Kojima T AD - b Department of Orthopaedic Surgery , Nagoya University Graduate School of Medicine , Nagoya , Japan. FAU - Kaneko, Atsushi AU - Kaneko A AD - a Department of Orthopaedic Surgery and Rheumatology , National Hospital Organization Nagoya Medical Center , Nagoya , Japan. FAU - Kida, Daihei AU - Kida D AD - a Department of Orthopaedic Surgery and Rheumatology , National Hospital Organization Nagoya Medical Center , Nagoya , Japan. FAU - Hirano, Yuji AU - Hirano Y AD - c Department of Rheumatology , Toyohashi Municipal Hospital , Toyohashi , Japan. FAU - Fujibayashi, Takayoshi AU - Fujibayashi T AD - d Department of Orthopaedic Surgery , Konan Kosei Hospital , Konan , Japan. FAU - Yabe, Yuichiro AU - Yabe Y AD - e Department of Rheumatology , Japan Community Healthcare Organization Tokyo Shinjuku Medical Center , Tokyo , Japan. FAU - Oguchi, Takeshi AU - Oguchi T AD - f Department of Orthopaedic Surgery , Anjo Kosei Hospital , Anjo , Japan. FAU - Kanayama, Yasuhide AU - Kanayama Y AD - g Department of Orthopedic Surgery and Rheumatology , Toyota Kosei Hospital , Toyota , Japan. FAU - Miyake, Hiroyuki AU - Miyake H AD - h Department of Orthopaedic Surgery , Ichinomiya Municipal Hospital , Ichinomiya , Japan. FAU - Kato, Takefumi AU - Kato T AD - i Kato Clinic , Okazaki , Japan. FAU - Takagi, Hideki AU - Takagi H AD - j Department of Orthopaedic Surgery , Nagoya Central Hospital , Nagoya , Japan. FAU - Hayashi, Masatoshi AU - Hayashi M AD - k Department of Rheumatology , Nagano Red Cross Hospital , Nagano , Japan. FAU - Ito, Takayasu AU - Ito T AD - l Ito Seikeigeka , Nagoya , Japan. FAU - Shioura, Tomone AU - Shioura T AD - m Shizuoka Kosei Hospital , Shizuoka , Japan. FAU - Takahashi, Nobunori AU - Takahashi N AD - b Department of Orthopaedic Surgery , Nagoya University Graduate School of Medicine , Nagoya , Japan. FAU - Ishikawa, Hisato AU - Ishikawa H AD - n Department of Orthopaedic Surgery , Japanese Red Cross Nagoya Daiichi Hospital , Nagoya , Japan. FAU - Funahashi, Koji AU - Funahashi K AD - o Department of Orthopaedic Surgery , Kariya Toyota General Hospital , Kariya , Japan. FAU - Ishiguro, Naoki AU - Ishiguro N AD - b Department of Orthopaedic Surgery , Nagoya University Graduate School of Medicine , Nagoya , Japan. LA - eng PT - Journal Article DEP - 20170502 PL - England TA - Mod Rheumatol JT - Modern rheumatology JID - 100959226 RN - 0 (Antirheumatic Agents) RN - 9007-41-4 (C-Reactive Protein) RN - EC 3.4.24.17 (MMP3 protein, human) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) RN - FYS6T7F842 (Adalimumab) SB - IM MH - Adalimumab/*therapeutic use MH - Adult MH - Aged MH - Antirheumatic Agents/*therapeutic use MH - Arthritis, Rheumatoid/blood/*drug therapy MH - C-Reactive Protein MH - Female MH - Humans MH - Male MH - Matrix Metalloproteinase 3/*blood MH - Middle Aged MH - Remission Induction MH - Time Factors MH - Treatment Outcome OTO - NOTNLM OT - MMP-3 OT - Rheumatoid arthritis OT - adalimumab OT - matrix metalloproteinase-3 OT - remission EDAT- 2017/05/04 06:00 MHDA- 2018/07/06 06:00 CRDT- 2017/05/03 06:00 PHST- 2017/05/04 06:00 [pubmed] PHST- 2018/07/06 06:00 [medline] PHST- 2017/05/03 06:00 [entrez] AID - 10.1080/14397595.2017.1317320 [doi] PST - ppublish SO - Mod Rheumatol. 2018 Jan;28(1):119-125. doi: 10.1080/14397595.2017.1317320. Epub 2017 May 2.