Literature DB >> 23874006

Methotrexate in rheumatoid arthritis: a quarter century of development.

Michael E Weinblatt1.   

Abstract

Methotrexate (MTX) is now the most popular drug worldwide for the treatment of rheumatoid arthritis. Low-dose, weekly MTX (10 to 25 mg/wk) used as either monotherapy or in combination with other drugs has a superior efficacy profile as defined in placebo-controlled trials and comparable efficacy to other drugs including anti-TNF therapy. At 1 year, one third of patients on MTX have no radiographic progression and even greater effects are seen when combined with targeted biological therapies. MTX is well tolerated; gastrointestinal toxicity is the most common toxicity with rarely bone marrow, lung, or liver toxicity. MTX therapy has been a major advance in the treatment of rheumatoid arthritis and is now the cornerstone of therapy.

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Year:  2013        PMID: 23874006      PMCID: PMC3715949     

Source DB:  PubMed          Journal:  Trans Am Clin Climatol Assoc        ISSN: 0065-7778


  33 in total

1.  A comparison of etanercept and methotrexate in patients with early rheumatoid arthritis.

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Journal:  N Engl J Med       Date:  2000-11-30       Impact factor: 91.245

2.  Temporary remissions in acute leukemia in children produced by folic acid antagonist, 4-aminopteroyl-glutamic acid.

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3.  Weekly pulse methotrexate in rheumatoid arthritis. Clinical and immunologic effects in a randomized, double-blind study.

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Journal:  Ann Intern Med       Date:  1985-10       Impact factor: 25.391

4.  Comparison of low-dose oral pulse methotrexate and placebo in the treatment of rheumatoid arthritis. A controlled clinical trial.

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Journal:  Arthritis Rheum       Date:  1985-07

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Journal:  Arthritis Rheum       Date:  1986-07

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Authors:  R T Hoffmeister
Journal:  Am J Med       Date:  1983-12-30       Impact factor: 4.965

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Authors:  R F Willkens; M A Watson
Journal:  J Lab Clin Med       Date:  1982-09

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Authors:  R F Willkens; M A Watson; C S Paxson
Journal:  J Rheumatol       Date:  1980 Jul-Aug       Impact factor: 4.666

9.  Efficacy of low-dose methotrexate in rheumatoid arthritis.

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Journal:  N Engl J Med       Date:  1985-03-28       Impact factor: 91.245

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  58 in total

Review 1.  Adenosine and adenosine receptors in the pathogenesis and treatment of rheumatic diseases.

Authors:  Bruce N Cronstein; Michail Sitkovsky
Journal:  Nat Rev Rheumatol       Date:  2016-11-10       Impact factor: 20.543

2.  Update on the diagnosis and management of early rheumatoid arthritis.

Authors:  Peter C Taylor
Journal:  Clin Med (Lond)       Date:  2020-11       Impact factor: 2.659

Review 3.  Reflections on 'older' drugs: learning new lessons in rheumatology.

Authors:  S A Kerrigan; I B McInnes
Journal:  Nat Rev Rheumatol       Date:  2020-02-17       Impact factor: 20.543

Review 4.  In the Pursuit of Methotrexate Treatment Response Biomarker in Juvenile Idiopathic Arthritis-Are We Getting Closer to Personalised Medicine?

Authors:  Justyna Roszkiewicz; Elzbieta Smolewska
Journal:  Curr Rheumatol Rep       Date:  2017-04       Impact factor: 4.592

Review 5.  Drugs for discoid lupus erythematosus.

Authors:  Sue Jessop; David A Whitelaw; Matthew J Grainge; Prativa Jayasekera
Journal:  Cochrane Database Syst Rev       Date:  2017-05-05

Review 6.  Methotrexate and its mechanisms of action in inflammatory arthritis.

Authors:  Bruce N Cronstein; Thomas M Aune
Journal:  Nat Rev Rheumatol       Date:  2020-02-17       Impact factor: 20.543

Review 7.  Efficacy of methotrexate in reducing the risk of bone erosion in patients with rheumatoid arthritis: a systematic review of randomized controlled trials.

Authors:  D P Destiani; S Naja; S Dewi; A R Rahmadi; S A S Sulaiman; R Abdulah
Journal:  Osteoporos Int       Date:  2020-11-18       Impact factor: 4.507

8.  Renoprotective effects of montelukast, a cysteinyl leukotriene receptor antagonist, against methotrexate-induced kidney damage in rats.

Authors:  Ihab T Abdel-Raheem; Naglaa F Khedr
Journal:  Naunyn Schmiedebergs Arch Pharmacol       Date:  2013-12-22       Impact factor: 3.000

Review 9.  Intracellular apoptotic pathways: a potential target for reducing joint damage in rheumatoid arthritis.

Authors:  Bonnie Williams; Anak Dharmapatni; Tania Crotti
Journal:  Inflamm Res       Date:  2017-11-21       Impact factor: 4.575

10.  Treatment of rheumatoid arthritis (RA) in India-how and by whom: results from a speciality clinic-use of low-dose methotrexate (MTX) was inexplicably suboptimal.

Authors:  Anand N Malaviya; S B Gogia
Journal:  Clin Rheumatol       Date:  2016-04-28       Impact factor: 2.980

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