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Plasencia C, Kneepkens EL, Wolbink G, Krieckaert CLM, Turk S, Navarro-Compán V, L'Ami M, Nurmohamed MT, van der Horst-Bruinsma I, Jurado T, Diego C, Bonilla G, Villalba A, Peiteado D, Nuño L, van der Kleij D, Rispens T, Martín-Mola E, Balsa A, Pascual-Salcedo D. Comparing Tapering Strategy to Standard Dosing Regimen of Tumor Necrosis Factor Inhibitors in Patients with Spondyloarthritis in Low Disease Activity. J Rheumatol 2015; 42:1638-46. [PMID: 26178279 DOI: 10.3899/jrheum.141128] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/14/2015] [Indexed: 12/17/2022]
Abstract
OBJECTIVE To compare clinical outcomes, incidence of flares, and administered drug reduction between patients with spondyloarthritis (SpA) under TNF inhibitor (TNFi) tapering strategy with patients receiving a standard regimen. METHODS In this retrospective study, 74 patients with SpA from Spain on tapering strategy (tapering group; TG) were compared with 43 patients from the Netherlands receiving a standard regimen (control group; CG). The Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) was measured at visit 0 (prior to starting the TNFi), visit 1 (prior to starting tapering strategy in TG and at least 6 months with BASDAI < 4 after starting the TNFi in the TG and CG), visit 2 (6 mos after visit 1), visit 3 (1 year after visit 1), and visit 4 (the last visit available after visit 1). RESULTS An overall reduction of the administered drug was seen at visit 4 in the TG [dose reduction of 22% for infliximab (IFX) and an interval elongation of 28.7% for IFX, 45.2% for adalimumab, and 51.5% for etanercept] without significant differences in the BASDAI between the groups at visit 4 (2.15 ± 1.55 in TG vs 2.11 ± 1.31 in CG, p = 0.883). The number of patients with flares was similar in both groups [22/74 (30%) in the TG vs 8/43 (19%) in the CG, p = 0.184]. CONCLUSION The tapering strategy in SpA results in an important reduction of the drug administered, and the disease control remains similar to that of the patients with SpA receiving the standard regimen.
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Affiliation(s)
- Chamaida Plasencia
- From the La Paz University Hospital, and the Rheumatology Department, La Paz University Hospital-Idipaz, Madrid, Spain; Sanquin Diagnostic Services; Department of Rheumatology, VU University Medical Centre; Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; Jan van Breemen Research Institute
- Reade, Amsterdam, the Netherlands.C. Plasencia, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; E.L. Kneepkens, MD; G. Wolbink, PhD; C.L. Krieckaert, MD; S. Turk, MD, Jan van Breemen Research Institute
- Reade; V. Navarro-Compán, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; M. L'Ami, MSc, Jan van Breemen Research Institute
- Reade; M.T. Nurmohamed, PhD; I. van der Horst-Bruinsma, PhD, Jan van Breemen Research Institute
- Reade and Sanquin Diagnostic Services; T. Jurado, MSC; C. Diego, BSC, La Paz University Hospital; G. Bonilla, MD; A. Villalba, MD; D. Peiteado, MD; L. Nuño, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. van der Kleij, PhD, Sanquin Diagnostic Services; T. Rispens, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; E. Martín-Mola, PhD; A. Balsa, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. Pascual-Salcedo, PhD, La Paz University Hospital.
| | - Eva L Kneepkens
- From the La Paz University Hospital, and the Rheumatology Department, La Paz University Hospital-Idipaz, Madrid, Spain; Sanquin Diagnostic Services; Department of Rheumatology, VU University Medical Centre; Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; Jan van Breemen Research Institute
- Reade, Amsterdam, the Netherlands.C. Plasencia, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; E.L. Kneepkens, MD; G. Wolbink, PhD; C.L. Krieckaert, MD; S. Turk, MD, Jan van Breemen Research Institute
- Reade; V. Navarro-Compán, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; M. L'Ami, MSc, Jan van Breemen Research Institute
- Reade; M.T. Nurmohamed, PhD; I. van der Horst-Bruinsma, PhD, Jan van Breemen Research Institute
- Reade and Sanquin Diagnostic Services; T. Jurado, MSC; C. Diego, BSC, La Paz University Hospital; G. Bonilla, MD; A. Villalba, MD; D. Peiteado, MD; L. Nuño, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. van der Kleij, PhD, Sanquin Diagnostic Services; T. Rispens, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; E. Martín-Mola, PhD; A. Balsa, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. Pascual-Salcedo, PhD, La Paz University Hospital
| | - Gertjan Wolbink
- From the La Paz University Hospital, and the Rheumatology Department, La Paz University Hospital-Idipaz, Madrid, Spain; Sanquin Diagnostic Services; Department of Rheumatology, VU University Medical Centre; Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; Jan van Breemen Research Institute
- Reade, Amsterdam, the Netherlands.C. Plasencia, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; E.L. Kneepkens, MD; G. Wolbink, PhD; C.L. Krieckaert, MD; S. Turk, MD, Jan van Breemen Research Institute
- Reade; V. Navarro-Compán, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; M. L'Ami, MSc, Jan van Breemen Research Institute
- Reade; M.T. Nurmohamed, PhD; I. van der Horst-Bruinsma, PhD, Jan van Breemen Research Institute
- Reade and Sanquin Diagnostic Services; T. Jurado, MSC; C. Diego, BSC, La Paz University Hospital; G. Bonilla, MD; A. Villalba, MD; D. Peiteado, MD; L. Nuño, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. van der Kleij, PhD, Sanquin Diagnostic Services; T. Rispens, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; E. Martín-Mola, PhD; A. Balsa, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. Pascual-Salcedo, PhD, La Paz University Hospital
| | - Charlotte L M Krieckaert
- From the La Paz University Hospital, and the Rheumatology Department, La Paz University Hospital-Idipaz, Madrid, Spain; Sanquin Diagnostic Services; Department of Rheumatology, VU University Medical Centre; Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; Jan van Breemen Research Institute
- Reade, Amsterdam, the Netherlands.C. Plasencia, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; E.L. Kneepkens, MD; G. Wolbink, PhD; C.L. Krieckaert, MD; S. Turk, MD, Jan van Breemen Research Institute
- Reade; V. Navarro-Compán, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; M. L'Ami, MSc, Jan van Breemen Research Institute
- Reade; M.T. Nurmohamed, PhD; I. van der Horst-Bruinsma, PhD, Jan van Breemen Research Institute
- Reade and Sanquin Diagnostic Services; T. Jurado, MSC; C. Diego, BSC, La Paz University Hospital; G. Bonilla, MD; A. Villalba, MD; D. Peiteado, MD; L. Nuño, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. van der Kleij, PhD, Sanquin Diagnostic Services; T. Rispens, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; E. Martín-Mola, PhD; A. Balsa, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. Pascual-Salcedo, PhD, La Paz University Hospital
| | - Samina Turk
- From the La Paz University Hospital, and the Rheumatology Department, La Paz University Hospital-Idipaz, Madrid, Spain; Sanquin Diagnostic Services; Department of Rheumatology, VU University Medical Centre; Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; Jan van Breemen Research Institute
- Reade, Amsterdam, the Netherlands.C. Plasencia, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; E.L. Kneepkens, MD; G. Wolbink, PhD; C.L. Krieckaert, MD; S. Turk, MD, Jan van Breemen Research Institute
- Reade; V. Navarro-Compán, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; M. L'Ami, MSc, Jan van Breemen Research Institute
- Reade; M.T. Nurmohamed, PhD; I. van der Horst-Bruinsma, PhD, Jan van Breemen Research Institute
- Reade and Sanquin Diagnostic Services; T. Jurado, MSC; C. Diego, BSC, La Paz University Hospital; G. Bonilla, MD; A. Villalba, MD; D. Peiteado, MD; L. Nuño, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. van der Kleij, PhD, Sanquin Diagnostic Services; T. Rispens, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; E. Martín-Mola, PhD; A. Balsa, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. Pascual-Salcedo, PhD, La Paz University Hospital
| | - Victoria Navarro-Compán
- From the La Paz University Hospital, and the Rheumatology Department, La Paz University Hospital-Idipaz, Madrid, Spain; Sanquin Diagnostic Services; Department of Rheumatology, VU University Medical Centre; Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; Jan van Breemen Research Institute
- Reade, Amsterdam, the Netherlands.C. Plasencia, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; E.L. Kneepkens, MD; G. Wolbink, PhD; C.L. Krieckaert, MD; S. Turk, MD, Jan van Breemen Research Institute
- Reade; V. Navarro-Compán, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; M. L'Ami, MSc, Jan van Breemen Research Institute
- Reade; M.T. Nurmohamed, PhD; I. van der Horst-Bruinsma, PhD, Jan van Breemen Research Institute
- Reade and Sanquin Diagnostic Services; T. Jurado, MSC; C. Diego, BSC, La Paz University Hospital; G. Bonilla, MD; A. Villalba, MD; D. Peiteado, MD; L. Nuño, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. van der Kleij, PhD, Sanquin Diagnostic Services; T. Rispens, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; E. Martín-Mola, PhD; A. Balsa, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. Pascual-Salcedo, PhD, La Paz University Hospital
| | - Merel L'Ami
- From the La Paz University Hospital, and the Rheumatology Department, La Paz University Hospital-Idipaz, Madrid, Spain; Sanquin Diagnostic Services; Department of Rheumatology, VU University Medical Centre; Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; Jan van Breemen Research Institute
- Reade, Amsterdam, the Netherlands.C. Plasencia, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; E.L. Kneepkens, MD; G. Wolbink, PhD; C.L. Krieckaert, MD; S. Turk, MD, Jan van Breemen Research Institute
- Reade; V. Navarro-Compán, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; M. L'Ami, MSc, Jan van Breemen Research Institute
- Reade; M.T. Nurmohamed, PhD; I. van der Horst-Bruinsma, PhD, Jan van Breemen Research Institute
- Reade and Sanquin Diagnostic Services; T. Jurado, MSC; C. Diego, BSC, La Paz University Hospital; G. Bonilla, MD; A. Villalba, MD; D. Peiteado, MD; L. Nuño, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. van der Kleij, PhD, Sanquin Diagnostic Services; T. Rispens, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; E. Martín-Mola, PhD; A. Balsa, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. Pascual-Salcedo, PhD, La Paz University Hospital
| | - Mike T Nurmohamed
- From the La Paz University Hospital, and the Rheumatology Department, La Paz University Hospital-Idipaz, Madrid, Spain; Sanquin Diagnostic Services; Department of Rheumatology, VU University Medical Centre; Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; Jan van Breemen Research Institute
- Reade, Amsterdam, the Netherlands.C. Plasencia, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; E.L. Kneepkens, MD; G. Wolbink, PhD; C.L. Krieckaert, MD; S. Turk, MD, Jan van Breemen Research Institute
- Reade; V. Navarro-Compán, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; M. L'Ami, MSc, Jan van Breemen Research Institute
- Reade; M.T. Nurmohamed, PhD; I. van der Horst-Bruinsma, PhD, Jan van Breemen Research Institute
- Reade and Sanquin Diagnostic Services; T. Jurado, MSC; C. Diego, BSC, La Paz University Hospital; G. Bonilla, MD; A. Villalba, MD; D. Peiteado, MD; L. Nuño, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. van der Kleij, PhD, Sanquin Diagnostic Services; T. Rispens, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; E. Martín-Mola, PhD; A. Balsa, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. Pascual-Salcedo, PhD, La Paz University Hospital
| | - Irene van der Horst-Bruinsma
- From the La Paz University Hospital, and the Rheumatology Department, La Paz University Hospital-Idipaz, Madrid, Spain; Sanquin Diagnostic Services; Department of Rheumatology, VU University Medical Centre; Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; Jan van Breemen Research Institute
- Reade, Amsterdam, the Netherlands.C. Plasencia, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; E.L. Kneepkens, MD; G. Wolbink, PhD; C.L. Krieckaert, MD; S. Turk, MD, Jan van Breemen Research Institute
- Reade; V. Navarro-Compán, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; M. L'Ami, MSc, Jan van Breemen Research Institute
- Reade; M.T. Nurmohamed, PhD; I. van der Horst-Bruinsma, PhD, Jan van Breemen Research Institute
- Reade and Sanquin Diagnostic Services; T. Jurado, MSC; C. Diego, BSC, La Paz University Hospital; G. Bonilla, MD; A. Villalba, MD; D. Peiteado, MD; L. Nuño, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. van der Kleij, PhD, Sanquin Diagnostic Services; T. Rispens, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; E. Martín-Mola, PhD; A. Balsa, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. Pascual-Salcedo, PhD, La Paz University Hospital
| | - Teresa Jurado
- From the La Paz University Hospital, and the Rheumatology Department, La Paz University Hospital-Idipaz, Madrid, Spain; Sanquin Diagnostic Services; Department of Rheumatology, VU University Medical Centre; Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; Jan van Breemen Research Institute
- Reade, Amsterdam, the Netherlands.C. Plasencia, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; E.L. Kneepkens, MD; G. Wolbink, PhD; C.L. Krieckaert, MD; S. Turk, MD, Jan van Breemen Research Institute
- Reade; V. Navarro-Compán, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; M. L'Ami, MSc, Jan van Breemen Research Institute
- Reade; M.T. Nurmohamed, PhD; I. van der Horst-Bruinsma, PhD, Jan van Breemen Research Institute
- Reade and Sanquin Diagnostic Services; T. Jurado, MSC; C. Diego, BSC, La Paz University Hospital; G. Bonilla, MD; A. Villalba, MD; D. Peiteado, MD; L. Nuño, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. van der Kleij, PhD, Sanquin Diagnostic Services; T. Rispens, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; E. Martín-Mola, PhD; A. Balsa, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. Pascual-Salcedo, PhD, La Paz University Hospital
| | - Cristina Diego
- From the La Paz University Hospital, and the Rheumatology Department, La Paz University Hospital-Idipaz, Madrid, Spain; Sanquin Diagnostic Services; Department of Rheumatology, VU University Medical Centre; Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; Jan van Breemen Research Institute
- Reade, Amsterdam, the Netherlands.C. Plasencia, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; E.L. Kneepkens, MD; G. Wolbink, PhD; C.L. Krieckaert, MD; S. Turk, MD, Jan van Breemen Research Institute
- Reade; V. Navarro-Compán, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; M. L'Ami, MSc, Jan van Breemen Research Institute
- Reade; M.T. Nurmohamed, PhD; I. van der Horst-Bruinsma, PhD, Jan van Breemen Research Institute
- Reade and Sanquin Diagnostic Services; T. Jurado, MSC; C. Diego, BSC, La Paz University Hospital; G. Bonilla, MD; A. Villalba, MD; D. Peiteado, MD; L. Nuño, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. van der Kleij, PhD, Sanquin Diagnostic Services; T. Rispens, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; E. Martín-Mola, PhD; A. Balsa, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. Pascual-Salcedo, PhD, La Paz University Hospital
| | - Gema Bonilla
- From the La Paz University Hospital, and the Rheumatology Department, La Paz University Hospital-Idipaz, Madrid, Spain; Sanquin Diagnostic Services; Department of Rheumatology, VU University Medical Centre; Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; Jan van Breemen Research Institute
- Reade, Amsterdam, the Netherlands.C. Plasencia, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; E.L. Kneepkens, MD; G. Wolbink, PhD; C.L. Krieckaert, MD; S. Turk, MD, Jan van Breemen Research Institute
- Reade; V. Navarro-Compán, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; M. L'Ami, MSc, Jan van Breemen Research Institute
- Reade; M.T. Nurmohamed, PhD; I. van der Horst-Bruinsma, PhD, Jan van Breemen Research Institute
- Reade and Sanquin Diagnostic Services; T. Jurado, MSC; C. Diego, BSC, La Paz University Hospital; G. Bonilla, MD; A. Villalba, MD; D. Peiteado, MD; L. Nuño, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. van der Kleij, PhD, Sanquin Diagnostic Services; T. Rispens, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; E. Martín-Mola, PhD; A. Balsa, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. Pascual-Salcedo, PhD, La Paz University Hospital
| | - Alejandro Villalba
- From the La Paz University Hospital, and the Rheumatology Department, La Paz University Hospital-Idipaz, Madrid, Spain; Sanquin Diagnostic Services; Department of Rheumatology, VU University Medical Centre; Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; Jan van Breemen Research Institute
- Reade, Amsterdam, the Netherlands.C. Plasencia, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; E.L. Kneepkens, MD; G. Wolbink, PhD; C.L. Krieckaert, MD; S. Turk, MD, Jan van Breemen Research Institute
- Reade; V. Navarro-Compán, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; M. L'Ami, MSc, Jan van Breemen Research Institute
- Reade; M.T. Nurmohamed, PhD; I. van der Horst-Bruinsma, PhD, Jan van Breemen Research Institute
- Reade and Sanquin Diagnostic Services; T. Jurado, MSC; C. Diego, BSC, La Paz University Hospital; G. Bonilla, MD; A. Villalba, MD; D. Peiteado, MD; L. Nuño, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. van der Kleij, PhD, Sanquin Diagnostic Services; T. Rispens, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; E. Martín-Mola, PhD; A. Balsa, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. Pascual-Salcedo, PhD, La Paz University Hospital
| | - Diana Peiteado
- From the La Paz University Hospital, and the Rheumatology Department, La Paz University Hospital-Idipaz, Madrid, Spain; Sanquin Diagnostic Services; Department of Rheumatology, VU University Medical Centre; Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; Jan van Breemen Research Institute
- Reade, Amsterdam, the Netherlands.C. Plasencia, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; E.L. Kneepkens, MD; G. Wolbink, PhD; C.L. Krieckaert, MD; S. Turk, MD, Jan van Breemen Research Institute
- Reade; V. Navarro-Compán, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; M. L'Ami, MSc, Jan van Breemen Research Institute
- Reade; M.T. Nurmohamed, PhD; I. van der Horst-Bruinsma, PhD, Jan van Breemen Research Institute
- Reade and Sanquin Diagnostic Services; T. Jurado, MSC; C. Diego, BSC, La Paz University Hospital; G. Bonilla, MD; A. Villalba, MD; D. Peiteado, MD; L. Nuño, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. van der Kleij, PhD, Sanquin Diagnostic Services; T. Rispens, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; E. Martín-Mola, PhD; A. Balsa, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. Pascual-Salcedo, PhD, La Paz University Hospital
| | - Laura Nuño
- From the La Paz University Hospital, and the Rheumatology Department, La Paz University Hospital-Idipaz, Madrid, Spain; Sanquin Diagnostic Services; Department of Rheumatology, VU University Medical Centre; Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; Jan van Breemen Research Institute
- Reade, Amsterdam, the Netherlands.C. Plasencia, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; E.L. Kneepkens, MD; G. Wolbink, PhD; C.L. Krieckaert, MD; S. Turk, MD, Jan van Breemen Research Institute
- Reade; V. Navarro-Compán, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; M. L'Ami, MSc, Jan van Breemen Research Institute
- Reade; M.T. Nurmohamed, PhD; I. van der Horst-Bruinsma, PhD, Jan van Breemen Research Institute
- Reade and Sanquin Diagnostic Services; T. Jurado, MSC; C. Diego, BSC, La Paz University Hospital; G. Bonilla, MD; A. Villalba, MD; D. Peiteado, MD; L. Nuño, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. van der Kleij, PhD, Sanquin Diagnostic Services; T. Rispens, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; E. Martín-Mola, PhD; A. Balsa, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. Pascual-Salcedo, PhD, La Paz University Hospital
| | - Desiree van der Kleij
- From the La Paz University Hospital, and the Rheumatology Department, La Paz University Hospital-Idipaz, Madrid, Spain; Sanquin Diagnostic Services; Department of Rheumatology, VU University Medical Centre; Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; Jan van Breemen Research Institute
- Reade, Amsterdam, the Netherlands.C. Plasencia, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; E.L. Kneepkens, MD; G. Wolbink, PhD; C.L. Krieckaert, MD; S. Turk, MD, Jan van Breemen Research Institute
- Reade; V. Navarro-Compán, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; M. L'Ami, MSc, Jan van Breemen Research Institute
- Reade; M.T. Nurmohamed, PhD; I. van der Horst-Bruinsma, PhD, Jan van Breemen Research Institute
- Reade and Sanquin Diagnostic Services; T. Jurado, MSC; C. Diego, BSC, La Paz University Hospital; G. Bonilla, MD; A. Villalba, MD; D. Peiteado, MD; L. Nuño, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. van der Kleij, PhD, Sanquin Diagnostic Services; T. Rispens, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; E. Martín-Mola, PhD; A. Balsa, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. Pascual-Salcedo, PhD, La Paz University Hospital
| | - Theo Rispens
- From the La Paz University Hospital, and the Rheumatology Department, La Paz University Hospital-Idipaz, Madrid, Spain; Sanquin Diagnostic Services; Department of Rheumatology, VU University Medical Centre; Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; Jan van Breemen Research Institute
- Reade, Amsterdam, the Netherlands.C. Plasencia, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; E.L. Kneepkens, MD; G. Wolbink, PhD; C.L. Krieckaert, MD; S. Turk, MD, Jan van Breemen Research Institute
- Reade; V. Navarro-Compán, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; M. L'Ami, MSc, Jan van Breemen Research Institute
- Reade; M.T. Nurmohamed, PhD; I. van der Horst-Bruinsma, PhD, Jan van Breemen Research Institute
- Reade and Sanquin Diagnostic Services; T. Jurado, MSC; C. Diego, BSC, La Paz University Hospital; G. Bonilla, MD; A. Villalba, MD; D. Peiteado, MD; L. Nuño, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. van der Kleij, PhD, Sanquin Diagnostic Services; T. Rispens, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; E. Martín-Mola, PhD; A. Balsa, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. Pascual-Salcedo, PhD, La Paz University Hospital
| | - Emilio Martín-Mola
- From the La Paz University Hospital, and the Rheumatology Department, La Paz University Hospital-Idipaz, Madrid, Spain; Sanquin Diagnostic Services; Department of Rheumatology, VU University Medical Centre; Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; Jan van Breemen Research Institute
- Reade, Amsterdam, the Netherlands.C. Plasencia, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; E.L. Kneepkens, MD; G. Wolbink, PhD; C.L. Krieckaert, MD; S. Turk, MD, Jan van Breemen Research Institute
- Reade; V. Navarro-Compán, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; M. L'Ami, MSc, Jan van Breemen Research Institute
- Reade; M.T. Nurmohamed, PhD; I. van der Horst-Bruinsma, PhD, Jan van Breemen Research Institute
- Reade and Sanquin Diagnostic Services; T. Jurado, MSC; C. Diego, BSC, La Paz University Hospital; G. Bonilla, MD; A. Villalba, MD; D. Peiteado, MD; L. Nuño, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. van der Kleij, PhD, Sanquin Diagnostic Services; T. Rispens, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; E. Martín-Mola, PhD; A. Balsa, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. Pascual-Salcedo, PhD, La Paz University Hospital
| | - Alejandro Balsa
- From the La Paz University Hospital, and the Rheumatology Department, La Paz University Hospital-Idipaz, Madrid, Spain; Sanquin Diagnostic Services; Department of Rheumatology, VU University Medical Centre; Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; Jan van Breemen Research Institute
- Reade, Amsterdam, the Netherlands.C. Plasencia, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; E.L. Kneepkens, MD; G. Wolbink, PhD; C.L. Krieckaert, MD; S. Turk, MD, Jan van Breemen Research Institute
- Reade; V. Navarro-Compán, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; M. L'Ami, MSc, Jan van Breemen Research Institute
- Reade; M.T. Nurmohamed, PhD; I. van der Horst-Bruinsma, PhD, Jan van Breemen Research Institute
- Reade and Sanquin Diagnostic Services; T. Jurado, MSC; C. Diego, BSC, La Paz University Hospital; G. Bonilla, MD; A. Villalba, MD; D. Peiteado, MD; L. Nuño, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. van der Kleij, PhD, Sanquin Diagnostic Services; T. Rispens, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; E. Martín-Mola, PhD; A. Balsa, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. Pascual-Salcedo, PhD, La Paz University Hospital
| | - Dora Pascual-Salcedo
- From the La Paz University Hospital, and the Rheumatology Department, La Paz University Hospital-Idipaz, Madrid, Spain; Sanquin Diagnostic Services; Department of Rheumatology, VU University Medical Centre; Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; Jan van Breemen Research Institute
- Reade, Amsterdam, the Netherlands.C. Plasencia, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; E.L. Kneepkens, MD; G. Wolbink, PhD; C.L. Krieckaert, MD; S. Turk, MD, Jan van Breemen Research Institute
- Reade; V. Navarro-Compán, MD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; M. L'Ami, MSc, Jan van Breemen Research Institute
- Reade; M.T. Nurmohamed, PhD; I. van der Horst-Bruinsma, PhD, Jan van Breemen Research Institute
- Reade and Sanquin Diagnostic Services; T. Jurado, MSC; C. Diego, BSC, La Paz University Hospital; G. Bonilla, MD; A. Villalba, MD; D. Peiteado, MD; L. Nuño, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. van der Kleij, PhD, Sanquin Diagnostic Services; T. Rispens, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Academic Medical Centre, University of Amsterdam; E. Martín-Mola, PhD; A. Balsa, PhD, Department of Immunopathology, Sanquin Research and Landsteiner Laboratory Academic Medical Centre, Rheumatology Department, La Paz University Hospital-Idipaz; D. Pascual-Salcedo, PhD, La Paz University Hospital
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