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. 2019 Apr 22;22(7):1226–1232. doi: 10.1111/1756-185X.13576

Table 2.

Results of alanine aminotransferase testing in 213 patients with rheumatoid arthritis starting methotrexate therapy followed for a mean treatment period of 4.3 y

ALT > ULN, n (%) 84 (39)
ALT > 1.5× ULN, n (%) 44 (21)
ALT > 2× ULN, n (%) 32 (15)
ALT > 3× ULN, n (%) 13 (6)
MTX permanently stopped due to increased ALT, n (%) 7 (3)
Number of ALT tests 6288
MTX weekly dose at first ALT elevation, mean ± SD (min‐max), mg 14.93 ± 4.8 (7.5‐25)
Mean time from treatment start to first ALT elevation (min‐max), wk 78 (1‐379)
Number of patients with first ALT elevation
First 3 mo of MTX treatment, n (%) 25 (30)
First year of MTX treatment, n (%) 50 (59)
First 3 y of MTX treatment, n (%) 74 (88)

ALT, alanine aminotransferase; MTX, methotrexate; SD, standard deviation; ULN, upper limit normal.