期刊
CURRENT OPINION IN RHEUMATOLOGY
卷 33, 期 3, 页码 292-299出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/BOR.0000000000000796
关键词
cancer recurrence; disease modifying antirheumatic drug; incident cancer; rheumatoid arthritis; tumor necrosis factor inhibitors
类别
资金
- Rheumatology Research Foundation
- American Heart Association
Most studies have not found an association between tumor necrosis factor inhibitors (TNFi) and risk of incident cancer in patients with rheumatoid arthritis (RA). Limited research suggests that non-TNFi biologic disease modifying anti-rheumatic drugs (bDMARDs) and targeted synthetic DMARDs also do not increase the risk of cancer, but further studies are needed to confirm these findings.
Purpose of review Several new therapeutic drugs are now available for the management of rheumatoid arthritis (RA). Given that RA has been associated with an increased risk of certain cancers like lymphoma and lung cancer, concern remains about the safety of (newer) immunosuppressants used in RA management as it relates to the risk of cancer. Recent findings Most meta-analyses of randomized clinical trials of tumor necrosis factor inhibitors (TNFi) have not observed an association between TNFi and risk of incident cancer. Studies of non-TNFi biologic disease modifying antirheumatic drugs (bDMARDs) and targeted synthetic DMARDs and cancer are also reassuring but limited and of short-term follow-up. Regarding the use of DMARDs in patients with RA and a prior malignancy, retrospective studies have shown that TNFi use is not associated with recurrence. There is a need for ongoing studies on the safety of non-TNFi bDMARDs and targeted synthetic disease modifying anti-rheumatic drugs and recurrent cancer. Further research is also needed to guide the patients, rheumatologists, and oncologists regarding the safest DMARDs to choose for patients with RA and a recent diagnosis of cancer.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据