Answer:
No. Recent studies (NEO-RACo trial)1 and meta-analysis2 suggest that conventional combination DMARDs are not inferior to biologic combination treatment in early RA.
References
- Rantalaiho V, et al. Targeted treatment with a combination of traditional DMARDs produces excellent clinical and radiographic long-term outcomes in early rheumatoid arthritis regardless of initial infliximab. The 5-year follow-up results of a randomised clinical trial, the NEO-RACo trial. Ann Rheum Dis. 2014;73(11):1954–1961.
- Graudal N, et al. Effect of combination therapy on joint destruction in rheumatoid arthritis: A network meta-analysis of randomized controlled trials. PLoS One 2014;9(9):e106408.
|