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. 2022 Apr 29;14(4):e24585. doi: 10.7759/cureus.24585

Table 3. Medications to treat ARD associated with poor and negative seroconversion reactions to the BNT162b2 vaccine.

Ab: Antibody; ARD: Autoimmune rheumatic disease; Cs-DMARDs: Conventional synthetic disease-modifying antirheumatic drugs; IL6-i: Interleukin 6 inhibitor; JAK-i: Janus kinase inhibitor; MTX: Methotrexate; MTXM: Methotrexate monotherapy; TNF-i: Tumor necrosis factor inhibitor; NA: Not applicable.

Medications Seropositive Ab titre ≥ 0.8  (n = 103) Negative seroconversion Ab titre < 0.8  (n = 7) P-value Seropositive Ab titre ≥ 132 (n = 89) Poor seroconversion Ab titre < 132  (n = 21) P-value
MTXM 15 (14.6) 0 (0) 0.590 14 (15.7) 1 (4.8) 0.294
MTX combination 48 (46.6) 2 (28.6) 0.452 40 (44.9) 10 (47.6) 0.825
Hydroxychloroquine 18 (17.5) 2 (28.6) 0.609 18 (20.2) 2 (9.5) 0.353
Sulfasalazine 6 (5.8) 0 (0) 1.000 6 (6.7) 0 (0) 0.593
Leflunomide 4 (3.9) 0 (0) 1.000 2 (2.2) 2 (9.5) 0.164
Cs-DMARDs only 26 (25.2) 0 (0) 0.195 25 (28.1) 1 (4.8) 0.023
Mycophenolate 1 (1) 2 (28.6) 0.010 1 (1.1) 2 (9.5) 0.093
TNF-i 46 (44.7) 0 (0) 0.040 37 (41.6) 9 (42.9) 1.000
TNF-i monotherapy 24 (23.3) 0 (0) 0.343 22 (24.7) 2 (95) 0.154
JAK-i 12 (11.7) 0 (0) 1.000 9 (10.1) 3 (14.3) 0.696
Rituximab 13 (12.6) 7 (100) 0.000 12 (13.5) 8 (38.5) 0.009
IL6-i 7 (6.8) 0 (0) 1.000 6 (6.7) 1 (4.8) 1.000
Glucocorticoid 4 (3.9) 5 (714) 0.000 2 (2.2) 7 (33.3) 0.000