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. 2021 May 28;12:680043. doi: 10.3389/fphar.2021.680043

TABLE 1.

FDA approved drugs to treat RA.

Name Drug Type Drug Class Year Approved for RA Molecular Weight Chemical Structure References
Methotrexate Small molecule Antimetabolite 1988 454.45 g/mol graphic file with name fphar-12-680043-fx1.jpg Smolen et al. (2020); Malaviya (2016); Gubner et al. (1951); Wright et al. (1951); Rajagopalan et al. (2002); Hertz et al. (1956); Pannu (2019); Weinblatt et al. (1985); Tian and Cronstein (2007); Vega (2015); Brown et al. (2016); Wessels et al. (2008); Cronstein (2005); Yamamoto et al. (2016); Cronstein and Aune (2020); Nesher and Moore (1990); Nesher et al. (1996); Lawson et al. (2007); Chan and Cronstein (2010); Cronstein et al. (1991); Baggott et al. (1986); Cronstein et al. (1993); Morabito et al. (1998); Prabhakar et al.and (1995); Cronstein et al. (1986); Attar (2010); Hamid et al. (2018); Shiroky et al. (1993); Lindsay et al. (2009); Provenzano (2003); Albrecht and Müller-Ladner (2010); Bathon et al. (2000); Goekoop-Ruiterman et al. (2007); van Vollenhoven et al. (2009); Emery et al. (2012); Weinblatt et al. (1994); Singh et al. (2015); Breedveld et al. (2006); Heo et al. (2017); Matera et al. (2018)
Sulfasalazine Compound molecule Anti-inflammatory 1950 398.39 g/mol graphic file with name fphar-12-680043-fx2.jpg Morabito et al. (1998); Choi and Fenando (2020); O'Dell (1998); Wahl et al. (1998); Cronstein et al. (1999); Park et al. (2019); Rodenburg et al. (2000); Lee et al. (2004); Hirohata et al. (2002); Volin et al. (2002); Suarez-Almazor et al. (2000b); O'Dell et al. (2002); Moreland et al. (2012); Curtis et al. (2020); Erhardt et al. (2019)
Hydroxychloroquine Small molecule Antimalarial 1956 433.95 g/mol graphic file with name fphar-12-680043-fx3.jpg (Singh et al. (2015); O'Dell et al. (1996); Moreland et al. (2012); Administration USFD (2020); Schrezenmeier and Dorner (2020); Mok et al. (2005); Rempenault et al. (2018); Ruiz-Irastorza et al. (2009); Sharma et al. (2016); Tsakonas et al. (2000); Grigor et al. (2004); Circu et al. (2017); Mauthe et al. (2018); Wu et al. (2017); Rebecca et al. (2019); Ewald et al. (2008); Kuznik et al. (2011); Hjorton et al. (2018); Wallace et al. (1994); Wallace et al. (1993); Suarez-Almazor et al. (2000a); Koffeman et al. (2009); Ravindran and Alias (2017); Carmichael et al. (2002); Tett et al. (1989); Trnavský et al. (1993); Ma and Xu (2013)
Prednisone Small molecule Corticosteroid 2012 358.43 g/mol graphic file with name fphar-12-680043-fx4.jpg van Everdingen et al. (2002); Wassenberg et al. (2005); Jacobs et al. (2006); Malysheva et al. (2008); Hafstrom et al. (2009); Pincus et al. (2009); Bakker et al. (2012); Krasselt and Baerwald (2014)
Tofacitinib Small molecule JAK inhibitor 2012 312.37 g/mol graphic file with name fphar-12-680043-fx5.jpg Ghoreschi et al. (2011); Kwok (2014); Hodge et al. (2016); Schwartz et al. (2016); Keystone et al. (2017); Grigoropoulos et al. (2019); Itamiya et al. (2020)
Baricitinib Small molecule JAK inhibitor 2018 371.42 g/mol graphic file with name fphar-12-680043-fx6.jpg (Ghoreschi et al., 2011; Keystone et al., 2017)
Upadacitinib Small molecule JAK inhibitor 2019 398.38 g/mol graphic file with name fphar-12-680043-fx7.jpg Genovese et al. (2018); Parmentier et al. (2018); Brooks (2019)
Anakinra Biologic Interleukin antagonist 2001 17.3 kDa graphic file with name fphar-12-680043-fx8.jpg Arend et al. (1990); Bresnihan et al. (1998); Cohen et al. (2002); Buch et al. (2004); Genovese et al. (2004); Mertens and Singh (2009a); Mertens and Singh (2009b); England et al. (2018)
Etanercept Biologic TNF inhibitor 1998 150 kDa Humanized monoclonal antibody fragment fusion protein Bathon et al. (2000); Genovese et al. (2004); Hetland et al. (2010); Emery et al. (2012); Moreland et al. (2012); Machado et al. (2013)
Abatacept Biologic TNF inhibitor 2005 92 kDa Fully humanized monoclonal antibody Kremer et al. (2006); Maxwell and Singh (2009); Blair and Deeks (2017)
Infliximab Biologic TNF inhibitor 1999 149.1 kDa Chimeric (murine/human) monoclonal antibody Lisman et al. (2002); Perdriger (2009); van Vollenhoven et al. (2009); Vermeire et al. (2009); Hetland et al. (2010); Monaco et al. (2015); Braun and Kay (2017); Scherlinger et al. (2017)
Adalimumab Biologic TNF inhibitor 2002 148 kDa Fully humanized monoclonal antibody Breedveld et al. (2006); Machado et al. (2013); Burmester et al. (2017); Keystone et al. (2017)
Golimumab Biologic TNF inhibitor 2009 150 kDa Fully humanized monoclonal antibody Braun and Kay (2017)
Certolizumab Biologic TNF inhibitor 2009 91 kDa Humanized monoclonal antibody fragment conjugated to a PEG moiety Kaushik and Moots (2005); Goel and Stephens (2010); Choy et al. (2012)
Tocilizumab Biologic IL-6 receptor inhibitor 2010 148 kDa Humanized monoclonal antibody Jones et al. (2010); Fleischmann et al. (2013); Kaneko (2013); Lee et al. (2014); Gale et al. (2019)
Sarilumab Biologic IL-6 receptor inhibitor 2017 150 kDa Fully humanized monoclonal antibody Tanaka and Martin Mola (2014); Burmester et al. (2017); McCarty and Robinson (2018)
Rituximab Biologic Anti-CD20 2006 145 kDa Chimeric (murine/human) monoclonal antibody Reff et al. (1994); Anderson et al. (1997); Clynes et al. (2000); Edwards and Cambridge (2001); Shaw et al. (2003); Edwards et al. (2004); Weiner (2010); Keystone et al. (2012)