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. 2021 Aug 27;39(12):1397–1410. doi: 10.1007/s40273-021-01080-z

Table 1.

Comparators and treatment sequences per population

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