Table 1.
Population | Comparators | Sequences |
---|---|---|
1a. Moderate RA, as monotherapy after two or more cDMARD failures in patients who are methotrexate ineligible | Placebo/BSC | 1 BSC |
Upon progression to severe sequence 2a: | ||
1 Adalimumab | ||
2 Abatacept SC | ||
1b. Moderate RA, as combination therapy after two or more cDMARD failures in patients who are methotrexate eligible | Placebo/BSC | 1 BSC |
Upon progression to severe sequence 2b: | ||
1 Adalimumab | ||
2 Rituximab | ||
3 Tocilizumab SC | ||
2a. Severe RA, as first-line advanced monotherapy therapy after failure of two or more cDMARDs in severe RA, for patients who are methotrexate ineligible | Adalimumab, etanercept, tocilizumab SC and baricitinib (each as monotherapy) | 1 Abatacept SC |
2 BSC | ||
2.b Severe RA, as first-line advanced therapy after failure of two or more cDMARDs | Adalimumab, etanercept, baricitinib (all + methotrexate) | 1 Rituximab + methotrexate |
2 Tocilizumab SC + methotrexate | ||
3 BSC | ||
If rituximab contraindicated (IL-6): | ||
1 Tocilizumab SC + methotrexate | ||
2 BSC | ||
If rituximab contraindicated (CD80): | ||
1 Abatacept SC + methotrexate | ||
2 BSC | ||
3a. After first-line advanced therapy failure | Abatacept SC, baricitinib and tofacitinib (each as monotherapy) | 1 BSC |
3b. After first-line advanced therapy failure in patients who are rituximab ineligible | Abatacept SC, baricitinib, sarilumab and tocilizumab SC (all + methotrexate) | 1 BSC |
4. After first-line advanced therapy failure in patients who are rituximab eligible | Rituximab + methotrexate | 1 Tocilizumab SC + methotrexate |
2 BSC | ||
5. After failure of rituximab in combination with methotrexate | Tocilizumab SC and sarilumab (all + methotrexate) | 1 BSC |
BSC best supportive care, cDMARD conventional disease-modifying antirheumatic drugs, CD80 cluster of differentiation 80, IL interleukin, RA rheumatoid arthritis, SC subcutaneously