Rheumatoid arthritis (RA) is an autoimmune disease in which T lymphocytes attack the cartilage of joints by secreting a protein, TNF α. When RA is untreated, joint damage increases considerably.
The monoclonal antibody, infliximab, is used to treat RA. Infliximab specifically binds to TNF α.
A trial was set up to compare the effectiveness of infliximab and a standard treatment for RA, the anti-inflammatory drug, MTX.
Five groups of people with RA received the following treatments for one year:
- group P - MTX only
- group Q - MTX plus low dosage of infliximab at intervals of eight weeks
- group R - MTX plus low dosage of infliximab at intervals of four weeks
- group S - MTX plus high dosage of infliximab at intervals of eight weeks
- group T - MTX plus high dosage of infliximab at intervals of four weeks.
At the end of the year's treatment, the proportion of people in each group with increased joint damage was determined.
The results are shown in Fig. 2.2.
The number of people in each group is shown in brackets.