id sid tid token lemma pos cord-016476-78r0rsio 1 1 key key JJ cord-016476-78r0rsio 1 2 : : : cord-016476-78r0rsio 1 3 cord-016476 cord-016476 NNP cord-016476-78r0rsio 1 4 - - HYPH cord-016476-78r0rsio 1 5 78r0rsio 78r0rsio CD cord-016476-78r0rsio 2 1 authors author NNS cord-016476-78r0rsio 2 2 : : : cord-016476-78r0rsio 2 3 Jani Jani NNP cord-016476-78r0rsio 2 4 , , , cord-016476-78r0rsio 2 5 Meghna Meghna NNP cord-016476-78r0rsio 2 6 ; ; : cord-016476-78r0rsio 2 7 Dixon Dixon NNP cord-016476-78r0rsio 2 8 , , , cord-016476-78r0rsio 2 9 William William NNP cord-016476-78r0rsio 2 10 G. G. NNP cord-016476-78r0rsio 2 11 ; ; : cord-016476-78r0rsio 2 12 Matteson Matteson NNP cord-016476-78r0rsio 2 13 , , , cord-016476-78r0rsio 2 14 Eric Eric NNP cord-016476-78r0rsio 2 15 L. L. NNP cord-016476-78r0rsio 2 16 title title NN cord-016476-78r0rsio 2 17 : : : cord-016476-78r0rsio 2 18 Management management NN cord-016476-78r0rsio 2 19 of of IN cord-016476-78r0rsio 2 20 the the DT cord-016476-78r0rsio 2 21 Rheumatoid Rheumatoid NNP cord-016476-78r0rsio 2 22 Arthritis arthritis NN cord-016476-78r0rsio 2 23 Patient Patient NNP cord-016476-78r0rsio 2 24 with with IN cord-016476-78r0rsio 2 25 Interstitial Interstitial NNP cord-016476-78r0rsio 2 26 Lung Lung NNP cord-016476-78r0rsio 2 27 Disease Disease NNP cord-016476-78r0rsio 2 28 date date NN cord-016476-78r0rsio 2 29 : : : cord-016476-78r0rsio 2 30 2017 2017 CD cord-016476-78r0rsio 2 31 - - HYPH cord-016476-78r0rsio 2 32 11 11 CD cord-016476-78r0rsio 2 33 - - SYM cord-016476-78r0rsio 2 34 29 29 CD cord-016476-78r0rsio 2 35 journal journal NN cord-016476-78r0rsio 2 36 : : : cord-016476-78r0rsio 2 37 Lung Lung NNP cord-016476-78r0rsio 2 38 Disease Disease NNP cord-016476-78r0rsio 2 39 in in IN cord-016476-78r0rsio 2 40 Rheumatoid Rheumatoid NNP cord-016476-78r0rsio 2 41 Arthritis arthritis NN cord-016476-78r0rsio 2 42 DOI doi NN cord-016476-78r0rsio 2 43 : : : cord-016476-78r0rsio 3 1 10.1007/978 10.1007/978 LS cord-016476-78r0rsio 3 2 - - SYM cord-016476-78r0rsio 3 3 3 3 CD cord-016476-78r0rsio 3 4 - - HYPH cord-016476-78r0rsio 3 5 319 319 CD cord-016476-78r0rsio 3 6 - - HYPH cord-016476-78r0rsio 3 7 68888 68888 CD cord-016476-78r0rsio 3 8 - - HYPH cord-016476-78r0rsio 3 9 6_9 6_9 CD cord-016476-78r0rsio 3 10 sha sha NNP cord-016476-78r0rsio 3 11 : : : cord-016476-78r0rsio 3 12 f6550d68e2993e371163dc4d6abfad0a47f16a65 f6550d68e2993e371163dc4d6abfad0a47f16a65 NNP cord-016476-78r0rsio 3 13 doc_id doc_id CD cord-016476-78r0rsio 3 14 : : : cord-016476-78r0rsio 3 15 16476 16476 CD cord-016476-78r0rsio 3 16 cord_uid cord_uid NNS cord-016476-78r0rsio 3 17 : : : cord-016476-78r0rsio 4 1 78r0rsio 78r0rsio CD cord-016476-78r0rsio 5 1 The the DT cord-016476-78r0rsio 5 2 treatment treatment NN cord-016476-78r0rsio 5 3 of of IN cord-016476-78r0rsio 5 4 rheumatoid rheumatoid NN cord-016476-78r0rsio 5 5 arthritis arthritis NN cord-016476-78r0rsio 5 6 ( ( -LRB- cord-016476-78r0rsio 5 7 RA RA NNP cord-016476-78r0rsio 5 8 ) ) -RRB- cord-016476-78r0rsio 5 9 has have VBZ cord-016476-78r0rsio 5 10 undergone undergo VBN cord-016476-78r0rsio 5 11 considerable considerable JJ cord-016476-78r0rsio 5 12 changes change NNS cord-016476-78r0rsio 5 13 over over IN cord-016476-78r0rsio 5 14 the the DT cord-016476-78r0rsio 5 15 last last JJ cord-016476-78r0rsio 5 16 15–20 15–20 JJ cord-016476-78r0rsio 5 17 years year NNS cord-016476-78r0rsio 5 18 . . . cord-016476-78r0rsio 6 1 With with IN cord-016476-78r0rsio 6 2 an an DT cord-016476-78r0rsio 6 3 expansion expansion NN cord-016476-78r0rsio 6 4 in in IN cord-016476-78r0rsio 6 5 the the DT cord-016476-78r0rsio 6 6 armamentarium armamentarium NN cord-016476-78r0rsio 6 7 of of IN cord-016476-78r0rsio 6 8 therapies therapy NNS cord-016476-78r0rsio 6 9 available available JJ cord-016476-78r0rsio 6 10 for for IN cord-016476-78r0rsio 6 11 RA RA NNP cord-016476-78r0rsio 6 12 comes come VBZ cord-016476-78r0rsio 6 13 a a DT cord-016476-78r0rsio 6 14 wider wide JJR cord-016476-78r0rsio 6 15 choice choice NN cord-016476-78r0rsio 6 16 in in IN cord-016476-78r0rsio 6 17 selecting select VBG cord-016476-78r0rsio 6 18 the the DT cord-016476-78r0rsio 6 19 best good JJS cord-016476-78r0rsio 6 20 treatment treatment NN cord-016476-78r0rsio 6 21 in in IN cord-016476-78r0rsio 6 22 terms term NNS cord-016476-78r0rsio 6 23 of of IN cord-016476-78r0rsio 6 24 comparative comparative JJ cord-016476-78r0rsio 6 25 safety safety NN cord-016476-78r0rsio 6 26 in in IN cord-016476-78r0rsio 6 27 the the DT cord-016476-78r0rsio 6 28 presence presence NN cord-016476-78r0rsio 6 29 of of IN cord-016476-78r0rsio 6 30 comorbidities comorbiditie NNS cord-016476-78r0rsio 6 31 . . . cord-016476-78r0rsio 7 1 Clinicians clinician NNS cord-016476-78r0rsio 7 2 frequently frequently RB cord-016476-78r0rsio 7 3 encounter encounter VBP cord-016476-78r0rsio 7 4 patients patient NNS cord-016476-78r0rsio 7 5 with with IN cord-016476-78r0rsio 7 6 RA RA NNP cord-016476-78r0rsio 7 7 - - HYPH cord-016476-78r0rsio 7 8 associated associate VBN cord-016476-78r0rsio 7 9 interstitial interstitial JJ cord-016476-78r0rsio 7 10 lung lung NN cord-016476-78r0rsio 7 11 disease disease NN cord-016476-78r0rsio 7 12 with with IN cord-016476-78r0rsio 7 13 uncontrolled uncontrolled JJ cord-016476-78r0rsio 7 14 joint joint JJ cord-016476-78r0rsio 7 15 disease disease NN cord-016476-78r0rsio 7 16 and and CC cord-016476-78r0rsio 7 17 have have VBP cord-016476-78r0rsio 7 18 to to TO cord-016476-78r0rsio 7 19 make make VB cord-016476-78r0rsio 7 20 decisions decision NNS cord-016476-78r0rsio 7 21 about about IN cord-016476-78r0rsio 7 22 the the DT cord-016476-78r0rsio 7 23 safest safe JJS cord-016476-78r0rsio 7 24 treatments treatment NNS cord-016476-78r0rsio 7 25 in in IN cord-016476-78r0rsio 7 26 this this DT cord-016476-78r0rsio 7 27 context context NN cord-016476-78r0rsio 7 28 with with IN cord-016476-78r0rsio 7 29 the the DT cord-016476-78r0rsio 7 30 eventual eventual JJ cord-016476-78r0rsio 7 31 goal goal NN cord-016476-78r0rsio 7 32 of of IN cord-016476-78r0rsio 7 33 joint joint JJ cord-016476-78r0rsio 7 34 remission remission NN cord-016476-78r0rsio 7 35 . . . cord-016476-78r0rsio 8 1 In in IN cord-016476-78r0rsio 8 2 this this DT cord-016476-78r0rsio 8 3 chapter chapter NN cord-016476-78r0rsio 8 4 , , , cord-016476-78r0rsio 8 5 available available JJ cord-016476-78r0rsio 8 6 evidence evidence NN cord-016476-78r0rsio 8 7 is be VBZ cord-016476-78r0rsio 8 8 reviewed review VBN cord-016476-78r0rsio 8 9 on on IN cord-016476-78r0rsio 8 10 the the DT cord-016476-78r0rsio 8 11 comparative comparative JJ cord-016476-78r0rsio 8 12 pulmonary pulmonary JJ cord-016476-78r0rsio 8 13 safety safety NN cord-016476-78r0rsio 8 14 of of IN cord-016476-78r0rsio 8 15 non non JJ cord-016476-78r0rsio 8 16 - - JJ cord-016476-78r0rsio 8 17 biologic biologic JJ cord-016476-78r0rsio 8 18 disease disease NN cord-016476-78r0rsio 8 19 - - HYPH cord-016476-78r0rsio 8 20 modifying modify VBG cord-016476-78r0rsio 8 21 antirheumatic antirheumatic JJ cord-016476-78r0rsio 8 22 drugs drug NNS cord-016476-78r0rsio 8 23 ( ( -LRB- cord-016476-78r0rsio 8 24 nbDMARDs nbDMARDs NNP cord-016476-78r0rsio 8 25 ) ) -RRB- cord-016476-78r0rsio 8 26 , , , cord-016476-78r0rsio 8 27 biologic biologic JJ cord-016476-78r0rsio 8 28 DMARDs dmard NNS cord-016476-78r0rsio 8 29 , , , cord-016476-78r0rsio 8 30 biosimilars biosimilar NNS cord-016476-78r0rsio 8 31 and and CC cord-016476-78r0rsio 8 32 targeted target VBN cord-016476-78r0rsio 8 33 synthetic synthetic JJ cord-016476-78r0rsio 8 34 DMARDs dmard NNS cord-016476-78r0rsio 8 35 in in IN cord-016476-78r0rsio 8 36 RA RA NNP cord-016476-78r0rsio 8 37 - - HYPH cord-016476-78r0rsio 8 38 ILD ILD NNP cord-016476-78r0rsio 8 39 . . . cord-016476-78r0rsio 9 1 In in IN cord-016476-78r0rsio 9 2 addition addition NN cord-016476-78r0rsio 9 3 , , , cord-016476-78r0rsio 9 4 the the DT cord-016476-78r0rsio 9 5 potential potential JJ cord-016476-78r0rsio 9 6 role role NN cord-016476-78r0rsio 9 7 for for IN cord-016476-78r0rsio 9 8 additional additional JJ cord-016476-78r0rsio 9 9 immunosuppression immunosuppression NN cord-016476-78r0rsio 9 10 in in IN cord-016476-78r0rsio 9 11 RA RA NNP cord-016476-78r0rsio 9 12 - - HYPH cord-016476-78r0rsio 9 13 ILD ILD NNP cord-016476-78r0rsio 9 14 is be VBZ cord-016476-78r0rsio 9 15 reviewed review VBN cord-016476-78r0rsio 9 16 as as RB cord-016476-78r0rsio 9 17 well well RB cord-016476-78r0rsio 9 18 as as IN cord-016476-78r0rsio 9 19 overarching overarching JJ cord-016476-78r0rsio 9 20 recommendations recommendation NNS cord-016476-78r0rsio 9 21 proposed propose VBN cord-016476-78r0rsio 9 22 for for IN cord-016476-78r0rsio 9 23 patient patient JJ cord-016476-78r0rsio 9 24 assessment assessment NN cord-016476-78r0rsio 9 25 to to TO cord-016476-78r0rsio 9 26 guide guide VB cord-016476-78r0rsio 9 27 treatment treatment NN cord-016476-78r0rsio 9 28 decisions decision NNS cord-016476-78r0rsio 9 29 and and CC cord-016476-78r0rsio 9 30 management management NN cord-016476-78r0rsio 9 31 . . . cord-016476-78r0rsio 10 1 The the DT cord-016476-78r0rsio 10 2 management management NN cord-016476-78r0rsio 10 3 of of IN cord-016476-78r0rsio 10 4 rheumatoid rheumatoid NNP cord-016476-78r0rsio 10 5 arthritis arthritis NN cord-016476-78r0rsio 10 6 ( ( -LRB- cord-016476-78r0rsio 10 7 RA RA NNP cord-016476-78r0rsio 10 8 ) ) -RRB- cord-016476-78r0rsio 10 9 has have VBZ cord-016476-78r0rsio 10 10 changed change VBN cord-016476-78r0rsio 10 11 dramatically dramatically RB cord-016476-78r0rsio 10 12 over over IN cord-016476-78r0rsio 10 13 the the DT cord-016476-78r0rsio 10 14 past past JJ cord-016476-78r0rsio 10 15 15 15 CD cord-016476-78r0rsio 10 16 - - SYM cord-016476-78r0rsio 10 17 20 20 CD cord-016476-78r0rsio 10 18 years year NNS cord-016476-78r0rsio 10 19 . . . cord-016476-78r0rsio 11 1 New new JJ cord-016476-78r0rsio 11 2 classification classification NN cord-016476-78r0rsio 11 3 criteria criterion NNS cord-016476-78r0rsio 11 4 for for IN cord-016476-78r0rsio 11 5 RA RA NNP cord-016476-78r0rsio 11 6 have have VBP cord-016476-78r0rsio 11 7 been be VBN cord-016476-78r0rsio 11 8 introduced introduce VBN cord-016476-78r0rsio 11 9 [ [ -LRB- cord-016476-78r0rsio 11 10 1 1 CD cord-016476-78r0rsio 11 11 ] ] -RRB- cord-016476-78r0rsio 11 12 that that WDT cord-016476-78r0rsio 11 13 allow allow VBP cord-016476-78r0rsio 11 14 the the DT cord-016476-78r0rsio 11 15 study study NN cord-016476-78r0rsio 11 16 of of IN cord-016476-78r0rsio 11 17 patients patient NNS cord-016476-78r0rsio 11 18 earlier early RBR cord-016476-78r0rsio 11 19 in in IN cord-016476-78r0rsio 11 20 their -PRON- PRP$ cord-016476-78r0rsio 11 21 disease disease NN cord-016476-78r0rsio 11 22 course course NN cord-016476-78r0rsio 11 23 , , , cord-016476-78r0rsio 11 24 and and CC cord-016476-78r0rsio 11 25 recommendations recommendation NNS cord-016476-78r0rsio 11 26 have have VBP cord-016476-78r0rsio 11 27 been be VBN cord-016476-78r0rsio 11 28 developed develop VBN cord-016476-78r0rsio 11 29 to to TO cord-016476-78r0rsio 11 30 treat treat VB cord-016476-78r0rsio 11 31 patients patient NNS cord-016476-78r0rsio 11 32 with with IN cord-016476-78r0rsio 11 33 RA RA NNP cord-016476-78r0rsio 11 34 using use VBG cord-016476-78r0rsio 11 35 a a DT cord-016476-78r0rsio 11 36 strategic strategic JJ cord-016476-78r0rsio 11 37 approach approach NN cord-016476-78r0rsio 11 38 by by IN cord-016476-78r0rsio 11 39 targeting target VBG cord-016476-78r0rsio 11 40 an an DT cord-016476-78r0rsio 11 41 optimal optimal JJ cord-016476-78r0rsio 11 42 outcome outcome NN cord-016476-78r0rsio 11 43 , , , cord-016476-78r0rsio 11 44 with with IN cord-016476-78r0rsio 11 45 the the DT cord-016476-78r0rsio 11 46 primary primary JJ cord-016476-78r0rsio 11 47 goal goal NN cord-016476-78r0rsio 11 48 of of IN cord-016476-78r0rsio 11 49 joint joint JJ cord-016476-78r0rsio 11 50 disease disease NN cord-016476-78r0rsio 11 51 remission remission NN cord-016476-78r0rsio 11 52 [ [ -LRB- cord-016476-78r0rsio 11 53 2 2 CD cord-016476-78r0rsio 11 54 , , , cord-016476-78r0rsio 11 55 3 3 CD cord-016476-78r0rsio 11 56 ] ] -RRB- cord-016476-78r0rsio 11 57 . . . cord-016476-78r0rsio 12 1 The the DT cord-016476-78r0rsio 12 2 armamentarium armamentarium NN cord-016476-78r0rsio 12 3 of of IN cord-016476-78r0rsio 12 4 treatments treatment NNS cord-016476-78r0rsio 12 5 available available JJ cord-016476-78r0rsio 12 6 for for IN cord-016476-78r0rsio 12 7 the the DT cord-016476-78r0rsio 12 8 treatment treatment NN cord-016476-78r0rsio 12 9 of of IN cord-016476-78r0rsio 12 10 RA RA NNP cord-016476-78r0rsio 12 11 has have VBZ cord-016476-78r0rsio 12 12 also also RB cord-016476-78r0rsio 12 13 expanded expand VBN cord-016476-78r0rsio 12 14 . . . cord-016476-78r0rsio 13 1 However however RB cord-016476-78r0rsio 13 2 , , , cord-016476-78r0rsio 13 3 with with IN cord-016476-78r0rsio 13 4 the the DT cord-016476-78r0rsio 13 5 introduction introduction NN cord-016476-78r0rsio 13 6 of of IN cord-016476-78r0rsio 13 7 novel novel JJ cord-016476-78r0rsio 13 8 therapies therapy NNS cord-016476-78r0rsio 13 9 comes come VBZ cord-016476-78r0rsio 13 10 a a DT cord-016476-78r0rsio 13 11 wider wide JJR cord-016476-78r0rsio 13 12 choice choice NN cord-016476-78r0rsio 13 13 in in IN cord-016476-78r0rsio 13 14 selecting select VBG cord-016476-78r0rsio 13 15 the the DT cord-016476-78r0rsio 13 16 best good JJS cord-016476-78r0rsio 13 17 treatment treatment NN cord-016476-78r0rsio 13 18 for for IN cord-016476-78r0rsio 13 19 the the DT cord-016476-78r0rsio 13 20 individual individual JJ cord-016476-78r0rsio 13 21 patient patient NN cord-016476-78r0rsio 13 22 not not RB cord-016476-78r0rsio 13 23 only only RB cord-016476-78r0rsio 13 24 in in IN cord-016476-78r0rsio 13 25 terms term NNS cord-016476-78r0rsio 13 26 of of IN cord-016476-78r0rsio 13 27 comparative comparative JJ cord-016476-78r0rsio 13 28 efficacy efficacy NN cord-016476-78r0rsio 13 29 but but CC cord-016476-78r0rsio 13 30 also also RB cord-016476-78r0rsio 13 31 safety safety NN cord-016476-78r0rsio 13 32 in in IN cord-016476-78r0rsio 13 33 the the DT cord-016476-78r0rsio 13 34 presence presence NN cord-016476-78r0rsio 13 35 of of IN cord-016476-78r0rsio 13 36 comorbidities comorbiditie NNS cord-016476-78r0rsio 13 37 . . . cord-016476-78r0rsio 14 1 Interstitial interstitial JJ cord-016476-78r0rsio 14 2 lung lung NN cord-016476-78r0rsio 14 3 disease disease NN cord-016476-78r0rsio 14 4 ( ( -LRB- cord-016476-78r0rsio 14 5 ILD ILD NNP cord-016476-78r0rsio 14 6 ) ) -RRB- cord-016476-78r0rsio 14 7 is be VBZ cord-016476-78r0rsio 14 8 one one CD cord-016476-78r0rsio 14 9 of of IN cord-016476-78r0rsio 14 10 the the DT cord-016476-78r0rsio 14 11 most most RBS cord-016476-78r0rsio 14 12 common common JJ cord-016476-78r0rsio 14 13 respiratory respiratory JJ cord-016476-78r0rsio 14 14 manifestations manifestation NNS cord-016476-78r0rsio 14 15 in in IN cord-016476-78r0rsio 14 16 patients patient NNS cord-016476-78r0rsio 14 17 with with IN cord-016476-78r0rsio 14 18 RA RA NNP cord-016476-78r0rsio 14 19 and and CC cord-016476-78r0rsio 14 20 is be VBZ cord-016476-78r0rsio 14 21 a a DT cord-016476-78r0rsio 14 22 major major JJ cord-016476-78r0rsio 14 23 cause cause NN cord-016476-78r0rsio 14 24 of of IN cord-016476-78r0rsio 14 25 morbidity morbidity NN cord-016476-78r0rsio 14 26 and and CC cord-016476-78r0rsio 14 27 mortality mortality NN cord-016476-78r0rsio 14 28 . . . cord-016476-78r0rsio 15 1 RA RA NNP cord-016476-78r0rsio 15 2 - - HYPH cord-016476-78r0rsio 15 3 ILD ILD NNP cord-016476-78r0rsio 15 4 encompasses encompass VBZ cord-016476-78r0rsio 15 5 several several JJ cord-016476-78r0rsio 15 6 histopathologic histopathologic JJ cord-016476-78r0rsio 15 7 patterns pattern NNS cord-016476-78r0rsio 15 8 ; ; : cord-016476-78r0rsio 15 9 the the DT cord-016476-78r0rsio 15 10 most most RBS cord-016476-78r0rsio 15 11 frequent frequent JJ cord-016476-78r0rsio 15 12 considered consider VBN cord-016476-78r0rsio 15 13 here here RB cord-016476-78r0rsio 15 14 are be VBP cord-016476-78r0rsio 15 15 usual usual JJ cord-016476-78r0rsio 15 16 interstitial interstitial JJ cord-016476-78r0rsio 15 17 pneumonia pneumonia NN cord-016476-78r0rsio 15 18 ( ( -LRB- cord-016476-78r0rsio 15 19 UIP UIP NNP cord-016476-78r0rsio 15 20 ) ) -RRB- cord-016476-78r0rsio 15 21 , , , cord-016476-78r0rsio 15 22 nonspecific nonspecific JJ cord-016476-78r0rsio 15 23 interstitial interstitial JJ cord-016476-78r0rsio 15 24 pneumonia pneumonia NN cord-016476-78r0rsio 15 25 ( ( -LRB- cord-016476-78r0rsio 15 26 NSIP NSIP NNP cord-016476-78r0rsio 15 27 ) ) -RRB- cord-016476-78r0rsio 15 28 , , , cord-016476-78r0rsio 15 29 and and CC cord-016476-78r0rsio 15 30 obstructive obstructive JJ cord-016476-78r0rsio 15 31 pneumonia pneumonia NN cord-016476-78r0rsio 15 32 ( ( -LRB- cord-016476-78r0rsio 15 33 OP OP NNP cord-016476-78r0rsio 15 34 ) ) -RRB- cord-016476-78r0rsio 15 35 . . . cord-016476-78r0rsio 16 1 The the DT cord-016476-78r0rsio 16 2 development development NN cord-016476-78r0rsio 16 3 of of IN cord-016476-78r0rsio 16 4 respiratory respiratory JJ cord-016476-78r0rsio 16 5 complications complication NNS cord-016476-78r0rsio 16 6 of of IN cord-016476-78r0rsio 16 7 treatment treatment NN cord-016476-78r0rsio 16 8 is be VBZ cord-016476-78r0rsio 16 9 thus thus RB cord-016476-78r0rsio 16 10 particularly particularly RB cord-016476-78r0rsio 16 11 problematic problematic JJ cord-016476-78r0rsio 16 12 in in IN cord-016476-78r0rsio 16 13 patients patient NNS cord-016476-78r0rsio 16 14 with with IN cord-016476-78r0rsio 16 15 such such JJ cord-016476-78r0rsio 16 16 coexistent coexistent JJ cord-016476-78r0rsio 16 17 lung lung NN cord-016476-78r0rsio 16 18 disease disease NN cord-016476-78r0rsio 16 19 , , , cord-016476-78r0rsio 16 20 and and CC cord-016476-78r0rsio 16 21 there there EX cord-016476-78r0rsio 16 22 have have VBP cord-016476-78r0rsio 16 23 been be VBN cord-016476-78r0rsio 16 24 many many JJ cord-016476-78r0rsio 16 25 reports report NNS cord-016476-78r0rsio 16 26 of of IN cord-016476-78r0rsio 16 27 respiratory respiratory JJ cord-016476-78r0rsio 16 28 complications complication NNS cord-016476-78r0rsio 16 29 of of IN cord-016476-78r0rsio 16 30 both both CC cord-016476-78r0rsio 16 31 non non JJ cord-016476-78r0rsio 16 32 - - JJ cord-016476-78r0rsio 16 33 biologic biologic JJ cord-016476-78r0rsio 16 34 disease disease NN cord-016476-78r0rsio 16 35 - - HYPH cord-016476-78r0rsio 16 36 modifying modify VBG cord-016476-78r0rsio 16 37 antirheumatic antirheumatic JJ cord-016476-78r0rsio 16 38 drugs drug NNS cord-016476-78r0rsio 16 39 ( ( -LRB- cord-016476-78r0rsio 16 40 nbDMARDs nbDMARDs NNP cord-016476-78r0rsio 16 41 ) ) -RRB- cord-016476-78r0rsio 16 42 and and CC cord-016476-78r0rsio 16 43 biologic biologic JJ cord-016476-78r0rsio 16 44 DMARD DMARD NNP cord-016476-78r0rsio 16 45 ( ( -LRB- cord-016476-78r0rsio 16 46 bDMARD bDMARD NNP cord-016476-78r0rsio 16 47 ) ) -RRB- cord-016476-78r0rsio 16 48 therapy therapy NN cord-016476-78r0rsio 16 49 . . . cord-016476-78r0rsio 17 1 Clinicians clinician NNS cord-016476-78r0rsio 17 2 are be VBP cord-016476-78r0rsio 17 3 frequently frequently RB cord-016476-78r0rsio 17 4 encountered encounter VBN cord-016476-78r0rsio 17 5 with with IN cord-016476-78r0rsio 17 6 decisions decision NNS cord-016476-78r0rsio 17 7 about about IN cord-016476-78r0rsio 17 8 balancing balance VBG cord-016476-78r0rsio 17 9 risk risk NN cord-016476-78r0rsio 17 10 and and CC cord-016476-78r0rsio 17 11 benefit benefit NN cord-016476-78r0rsio 17 12 of of IN cord-016476-78r0rsio 17 13 treatments treatment NNS cord-016476-78r0rsio 17 14 in in IN cord-016476-78r0rsio 17 15 patients patient NNS cord-016476-78r0rsio 17 16 with with IN cord-016476-78r0rsio 17 17 RA RA NNP cord-016476-78r0rsio 17 18 - - HYPH cord-016476-78r0rsio 17 19 ILD ILD NNP cord-016476-78r0rsio 17 20 who who WP cord-016476-78r0rsio 17 21 have have VBP cord-016476-78r0rsio 17 22 active active JJ cord-016476-78r0rsio 17 23 articular articular JJ cord-016476-78r0rsio 17 24 disease disease NN cord-016476-78r0rsio 17 25 . . . cord-016476-78r0rsio 18 1 Serious serious JJ cord-016476-78r0rsio 18 2 respiratory respiratory JJ cord-016476-78r0rsio 18 3 adverse adverse JJ cord-016476-78r0rsio 18 4 events event NNS cord-016476-78r0rsio 18 5 ( ( -LRB- cord-016476-78r0rsio 18 6 SRAEs srae NNS cord-016476-78r0rsio 18 7 ) ) -RRB- cord-016476-78r0rsio 18 8 in in IN cord-016476-78r0rsio 18 9 the the DT cord-016476-78r0rsio 18 10 patient patient NN cord-016476-78r0rsio 18 11 with with IN cord-016476-78r0rsio 18 12 RA RA NNP cord-016476-78r0rsio 18 13 on on IN cord-016476-78r0rsio 18 14 treatment treatment NN cord-016476-78r0rsio 18 15 for for IN cord-016476-78r0rsio 18 16 their -PRON- PRP$ cord-016476-78r0rsio 18 17 joint joint JJ cord-016476-78r0rsio 18 18 disease disease NN cord-016476-78r0rsio 18 19 may may MD cord-016476-78r0rsio 18 20 be be VB cord-016476-78r0rsio 18 21 due due JJ cord-016476-78r0rsio 18 22 to to IN cord-016476-78r0rsio 18 23 induction induction NN cord-016476-78r0rsio 18 24 of of IN cord-016476-78r0rsio 18 25 ' ' `` cord-016476-78r0rsio 18 26 pneumonitis pneumonitis NN cord-016476-78r0rsio 18 27 ' ' '' cord-016476-78r0rsio 18 28 or or CC cord-016476-78r0rsio 18 29 idiosyncratic idiosyncratic JJ cord-016476-78r0rsio 18 30 adverse adverse JJ cord-016476-78r0rsio 18 31 drug drug NN cord-016476-78r0rsio 18 32 reactions reaction NNS cord-016476-78r0rsio 18 33 ( ( -LRB- cord-016476-78r0rsio 18 34 ADRs adr NNS cord-016476-78r0rsio 18 35 ) ) -RRB- cord-016476-78r0rsio 18 36 , , , cord-016476-78r0rsio 18 37 acceleration acceleration NN cord-016476-78r0rsio 18 38 of of IN cord-016476-78r0rsio 18 39 pre pre JJ cord-016476-78r0rsio 18 40 - - JJ cord-016476-78r0rsio 18 41 existing existing JJ cord-016476-78r0rsio 18 42 ILD ILD NNP cord-016476-78r0rsio 18 43 or or CC cord-016476-78r0rsio 18 44 increased increase VBN cord-016476-78r0rsio 18 45 predisposition predisposition NN cord-016476-78r0rsio 18 46 to to IN cord-016476-78r0rsio 18 47 infection infection NN cord-016476-78r0rsio 18 48 in in IN cord-016476-78r0rsio 18 49 a a DT cord-016476-78r0rsio 18 50 susceptible susceptible JJ cord-016476-78r0rsio 18 51 host host NN cord-016476-78r0rsio 18 52 . . . cord-016476-78r0rsio 19 1 Several several JJ cord-016476-78r0rsio 19 2 nbDMARDs nbdmards NN cord-016476-78r0rsio 19 3 and and CC cord-016476-78r0rsio 19 4 bDMARDs bdmards NN cord-016476-78r0rsio 19 5 have have VBP cord-016476-78r0rsio 19 6 been be VBN cord-016476-78r0rsio 19 7 implicated implicate VBN cord-016476-78r0rsio 19 8 in in IN cord-016476-78r0rsio 19 9 the the DT cord-016476-78r0rsio 19 10 development development NN cord-016476-78r0rsio 19 11 of of IN cord-016476-78r0rsio 19 12 ILD ILD NNP cord-016476-78r0rsio 19 13 . . . cord-016476-78r0rsio 20 1 Conversely conversely RB cord-016476-78r0rsio 20 2 , , , cord-016476-78r0rsio 20 3 treatment treatment NN cord-016476-78r0rsio 20 4 of of IN cord-016476-78r0rsio 20 5 the the DT cord-016476-78r0rsio 20 6 underlying underlie VBG cord-016476-78r0rsio 20 7 disease disease NN cord-016476-78r0rsio 20 8 process process NN cord-016476-78r0rsio 20 9 may may MD cord-016476-78r0rsio 20 10 be be VB cord-016476-78r0rsio 20 11 beneficial beneficial JJ cord-016476-78r0rsio 20 12 in in IN cord-016476-78r0rsio 20 13 halting halt VBG cord-016476-78r0rsio 20 14 the the DT cord-016476-78r0rsio 20 15 progression progression NN cord-016476-78r0rsio 20 16 of of IN cord-016476-78r0rsio 20 17 the the DT cord-016476-78r0rsio 20 18 lung lung NN cord-016476-78r0rsio 20 19 disease disease NN cord-016476-78r0rsio 20 20 . . . cord-016476-78r0rsio 21 1 This this DT cord-016476-78r0rsio 21 2 chapter chapter NN cord-016476-78r0rsio 21 3 first first RB cord-016476-78r0rsio 21 4 considers consider VBZ cord-016476-78r0rsio 21 5 methods method NNS cord-016476-78r0rsio 21 6 for for IN cord-016476-78r0rsio 21 7 assessing assess VBG cord-016476-78r0rsio 21 8 drug drug NN cord-016476-78r0rsio 21 9 safety safety NN cord-016476-78r0rsio 21 10 and and CC cord-016476-78r0rsio 21 11 then then RB cord-016476-78r0rsio 21 12 reviews review VBZ cord-016476-78r0rsio 21 13 the the DT cord-016476-78r0rsio 21 14 available available JJ cord-016476-78r0rsio 21 15 evidence evidence NN cord-016476-78r0rsio 21 16 for for IN cord-016476-78r0rsio 21 17 respiratory respiratory JJ cord-016476-78r0rsio 21 18 outcomes outcome NNS cord-016476-78r0rsio 21 19 of of IN cord-016476-78r0rsio 21 20 nbDMARDs nbDMARDs NNP cord-016476-78r0rsio 21 21 and and CC cord-016476-78r0rsio 21 22 bDMARDs bdmards NN cord-016476-78r0rsio 21 23 in in IN cord-016476-78r0rsio 21 24 RA RA NNP cord-016476-78r0rsio 21 25 - - HYPH cord-016476-78r0rsio 21 26 ILD ILD NNP cord-016476-78r0rsio 21 27 and and CC cord-016476-78r0rsio 21 28 the the DT cord-016476-78r0rsio 21 29 role role NN cord-016476-78r0rsio 21 30 of of IN cord-016476-78r0rsio 21 31 additional additional JJ cord-016476-78r0rsio 21 32 immunosuppression immunosuppression NN cord-016476-78r0rsio 21 33 and and CC cord-016476-78r0rsio 21 34 overarching overarching JJ cord-016476-78r0rsio 21 35 recommendations recommendation NNS cord-016476-78r0rsio 21 36 for for IN cord-016476-78r0rsio 21 37 patient patient JJ cord-016476-78r0rsio 21 38 assessment assessment NN cord-016476-78r0rsio 21 39 and and CC cord-016476-78r0rsio 21 40 management management NN cord-016476-78r0rsio 21 41 of of IN cord-016476-78r0rsio 21 42 ILD ILD NNP cord-016476-78r0rsio 21 43 . . . cord-016476-78r0rsio 22 1 Whilst whilst IN cord-016476-78r0rsio 22 2 randomised randomised JJ cord-016476-78r0rsio 22 3 controlled control VBN cord-016476-78r0rsio 22 4 trials trial NNS cord-016476-78r0rsio 22 5 ( ( -LRB- cord-016476-78r0rsio 22 6 RCTs RCTs NNP cord-016476-78r0rsio 22 7 ) ) -RRB- cord-016476-78r0rsio 22 8 are be VBP cord-016476-78r0rsio 22 9 considered consider VBN cord-016476-78r0rsio 22 10 the the DT cord-016476-78r0rsio 22 11 gold gold NN cord-016476-78r0rsio 22 12 standard standard NN cord-016476-78r0rsio 22 13 in in IN cord-016476-78r0rsio 22 14 assessing assess VBG cord-016476-78r0rsio 22 15 efficacy efficacy NN cord-016476-78r0rsio 22 16 of of IN cord-016476-78r0rsio 22 17 treatments treatment NNS cord-016476-78r0rsio 22 18 , , , cord-016476-78r0rsio 22 19 they -PRON- PRP cord-016476-78r0rsio 22 20 have have VBP cord-016476-78r0rsio 22 21 limited limit VBN cord-016476-78r0rsio 22 22 utility utility NN cord-016476-78r0rsio 22 23 in in IN cord-016476-78r0rsio 22 24 terms term NNS cord-016476-78r0rsio 22 25 of of IN cord-016476-78r0rsio 22 26 assessing assess VBG cord-016476-78r0rsio 22 27 safety safety NN cord-016476-78r0rsio 22 28 . . . cord-016476-78r0rsio 23 1 Although although IN cord-016476-78r0rsio 23 2 safety safety NN cord-016476-78r0rsio 23 3 has have VBZ cord-016476-78r0rsio 23 4 been be VBN cord-016476-78r0rsio 23 5 evaluated evaluate VBN cord-016476-78r0rsio 23 6 as as IN cord-016476-78r0rsio 23 7 part part NN cord-016476-78r0rsio 23 8 of of IN cord-016476-78r0rsio 23 9 a a DT cord-016476-78r0rsio 23 10 number number NN cord-016476-78r0rsio 23 11 of of IN cord-016476-78r0rsio 23 12 RCTs rct NNS cord-016476-78r0rsio 23 13 , , , cord-016476-78r0rsio 23 14 uncommon uncommon JJ cord-016476-78r0rsio 23 15 events event NNS cord-016476-78r0rsio 23 16 such such JJ cord-016476-78r0rsio 23 17 as as IN cord-016476-78r0rsio 23 18 new new JJ cord-016476-78r0rsio 23 19 - - HYPH cord-016476-78r0rsio 23 20 onset onset NN cord-016476-78r0rsio 23 21 ILD ILD NNP cord-016476-78r0rsio 23 22 may may MD cord-016476-78r0rsio 23 23 not not RB cord-016476-78r0rsio 23 24 be be VB cord-016476-78r0rsio 23 25 captured capture VBN cord-016476-78r0rsio 23 26 . . . cord-016476-78r0rsio 24 1 RCTs RCTs NNP cord-016476-78r0rsio 24 2 often often RB cord-016476-78r0rsio 24 3 have have VBP cord-016476-78r0rsio 24 4 restrictive restrictive JJ cord-016476-78r0rsio 24 5 eligibility eligibility NN cord-016476-78r0rsio 24 6 criteria criterion NNS cord-016476-78r0rsio 24 7 to to TO cord-016476-78r0rsio 24 8 ensure ensure VB cord-016476-78r0rsio 24 9 a a DT cord-016476-78r0rsio 24 10 homogenous homogenous JJ cord-016476-78r0rsio 24 11 population population NN cord-016476-78r0rsio 24 12 ( ( -LRB- cord-016476-78r0rsio 24 13 leading lead VBG cord-016476-78r0rsio 24 14 to to IN cord-016476-78r0rsio 24 15 exclusion exclusion NN cord-016476-78r0rsio 24 16 of of IN cord-016476-78r0rsio 24 17 patients patient NNS cord-016476-78r0rsio 24 18 with with IN cord-016476-78r0rsio 24 19 known know VBN cord-016476-78r0rsio 24 20 RA RA NNP cord-016476-78r0rsio 24 21 - - HYPH cord-016476-78r0rsio 24 22 ILD ILD NNP cord-016476-78r0rsio 24 23 ) ) -RRB- cord-016476-78r0rsio 24 24 , , , cord-016476-78r0rsio 24 25 small small JJ cord-016476-78r0rsio 24 26 numbers number NNS cord-016476-78r0rsio 24 27 of of IN cord-016476-78r0rsio 24 28 patients patient NNS cord-016476-78r0rsio 24 29 and and CC cord-016476-78r0rsio 24 30 a a DT cord-016476-78r0rsio 24 31 short short JJ cord-016476-78r0rsio 24 32 follow follow NN cord-016476-78r0rsio 24 33 - - HYPH cord-016476-78r0rsio 24 34 up up NN cord-016476-78r0rsio 24 35 period period NN cord-016476-78r0rsio 24 36 . . . cord-016476-78r0rsio 25 1 This this DT cord-016476-78r0rsio 25 2 also also RB cord-016476-78r0rsio 25 3 limits limit VBZ cord-016476-78r0rsio 25 4 their -PRON- PRP$ cord-016476-78r0rsio 25 5 external external JJ cord-016476-78r0rsio 25 6 validity validity NN cord-016476-78r0rsio 25 7 , , , cord-016476-78r0rsio 25 8 as as IN cord-016476-78r0rsio 25 9 real real JJ cord-016476-78r0rsio 25 10 - - HYPH cord-016476-78r0rsio 25 11 life life NN cord-016476-78r0rsio 25 12 patients patient NNS cord-016476-78r0rsio 25 13 may may MD cord-016476-78r0rsio 25 14 be be VB cord-016476-78r0rsio 25 15 older old JJR cord-016476-78r0rsio 25 16 and and CC cord-016476-78r0rsio 25 17 have have VBP cord-016476-78r0rsio 25 18 multiple multiple JJ cord-016476-78r0rsio 25 19 comorbidities comorbiditie NNS cord-016476-78r0rsio 25 20 compared compare VBN cord-016476-78r0rsio 25 21 to to IN cord-016476-78r0rsio 25 22 trial trial NN cord-016476-78r0rsio 25 23 patients patient NNS cord-016476-78r0rsio 25 24 . . . cord-016476-78r0rsio 26 1 Open open JJ cord-016476-78r0rsio 26 2 - - HYPH cord-016476-78r0rsio 26 3 label label NN cord-016476-78r0rsio 26 4 extension extension NN cord-016476-78r0rsio 26 5 ( ( -LRB- cord-016476-78r0rsio 26 6 OLE OLE NNP cord-016476-78r0rsio 26 7 ) ) -RRB- cord-016476-78r0rsio 26 8 studies study NNS cord-016476-78r0rsio 26 9 are be VBP cord-016476-78r0rsio 26 10 often often RB cord-016476-78r0rsio 26 11 an an DT cord-016476-78r0rsio 26 12 adjunct adjunct NN cord-016476-78r0rsio 26 13 to to IN cord-016476-78r0rsio 26 14 double double JJ cord-016476-78r0rsio 26 15 - - HYPH cord-016476-78r0rsio 26 16 blind blind JJ cord-016476-78r0rsio 26 17 RCTs rct NNS cord-016476-78r0rsio 26 18 , , , cord-016476-78r0rsio 26 19 and and CC cord-016476-78r0rsio 26 20 although although IN cord-016476-78r0rsio 26 21 they -PRON- PRP cord-016476-78r0rsio 26 22 do do VBP cord-016476-78r0rsio 26 23 allow allow VB cord-016476-78r0rsio 26 24 surveillance surveillance NN cord-016476-78r0rsio 26 25 of of IN cord-016476-78r0rsio 26 26 participants participant NNS cord-016476-78r0rsio 26 27 for for IN cord-016476-78r0rsio 26 28 a a DT cord-016476-78r0rsio 26 29 longer long JJR cord-016476-78r0rsio 26 30 duration duration NN cord-016476-78r0rsio 26 31 , , , cord-016476-78r0rsio 26 32 patients patient NNS cord-016476-78r0rsio 26 33 who who WP cord-016476-78r0rsio 26 34 are be VBP cord-016476-78r0rsio 26 35 intolerant intolerant JJ cord-016476-78r0rsio 26 36 to to IN cord-016476-78r0rsio 26 37 the the DT cord-016476-78r0rsio 26 38 drug drug NN cord-016476-78r0rsio 26 39 during during IN cord-016476-78r0rsio 26 40 the the DT cord-016476-78r0rsio 26 41 previous previous JJ cord-016476-78r0rsio 26 42 study study NN cord-016476-78r0rsio 26 43 will will MD cord-016476-78r0rsio 26 44 not not RB cord-016476-78r0rsio 26 45 be be VB cord-016476-78r0rsio 26 46 able able JJ cord-016476-78r0rsio 26 47 to to TO cord-016476-78r0rsio 26 48 participate participate VB cord-016476-78r0rsio 26 49 in in IN cord-016476-78r0rsio 26 50 the the DT cord-016476-78r0rsio 26 51 extension extension NN cord-016476-78r0rsio 26 52 period period NN cord-016476-78r0rsio 26 53 , , , cord-016476-78r0rsio 26 54 therefore therefore RB cord-016476-78r0rsio 26 55 potentially potentially RB cord-016476-78r0rsio 26 56 leading lead VBG cord-016476-78r0rsio 26 57 to to IN cord-016476-78r0rsio 26 58 underreporting underreporting NN cord-016476-78r0rsio 26 59 of of IN cord-016476-78r0rsio 26 60 adverse adverse JJ cord-016476-78r0rsio 26 61 events event NNS cord-016476-78r0rsio 26 62 ( ( -LRB- cord-016476-78r0rsio 26 63 AEs AEs NNP cord-016476-78r0rsio 26 64 ) ) -RRB- cord-016476-78r0rsio 26 65 . . . cord-016476-78r0rsio 27 1 OLE OLE NNP cord-016476-78r0rsio 27 2 studies study NNS cord-016476-78r0rsio 27 3 also also RB cord-016476-78r0rsio 27 4 lack lack VBP cord-016476-78r0rsio 27 5 a a DT cord-016476-78r0rsio 27 6 comparator comparator NN cord-016476-78r0rsio 27 7 group group NN cord-016476-78r0rsio 27 8 and and CC cord-016476-78r0rsio 27 9 are be VBP cord-016476-78r0rsio 27 10 prone prone JJ cord-016476-78r0rsio 27 11 to to TO cord-016476-78r0rsio 27 12 loss loss NN cord-016476-78r0rsio 27 13 to to TO cord-016476-78r0rsio 27 14 follow follow VB cord-016476-78r0rsio 27 15 - - HYPH cord-016476-78r0rsio 27 16 up up NN cord-016476-78r0rsio 27 17 , , , cord-016476-78r0rsio 27 18 making make VBG cord-016476-78r0rsio 27 19 it -PRON- PRP cord-016476-78r0rsio 27 20 difficult difficult JJ cord-016476-78r0rsio 27 21 to to TO cord-016476-78r0rsio 27 22 interpret interpret VB cord-016476-78r0rsio 27 23 the the DT cord-016476-78r0rsio 27 24 rate rate NN cord-016476-78r0rsio 27 25 of of IN cord-016476-78r0rsio 27 26 AEs ae NNS cord-016476-78r0rsio 27 27 . . . cord-016476-78r0rsio 28 1 Post post JJ cord-016476-78r0rsio 28 2 - - JJ cord-016476-78r0rsio 28 3 marketing marketing JJ cord-016476-78r0rsio 28 4 spontaneous spontaneous JJ cord-016476-78r0rsio 28 5 pharmacovigilance pharmacovigilance NN cord-016476-78r0rsio 28 6 involves involve VBZ cord-016476-78r0rsio 28 7 the the DT cord-016476-78r0rsio 28 8 reporting reporting NN cord-016476-78r0rsio 28 9 of of IN cord-016476-78r0rsio 28 10 suspected suspect VBN cord-016476-78r0rsio 28 11 adverse adverse JJ cord-016476-78r0rsio 28 12 drug drug NN cord-016476-78r0rsio 28 13 reactions reaction NNS cord-016476-78r0rsio 28 14 by by IN cord-016476-78r0rsio 28 15 healthcare healthcare NN cord-016476-78r0rsio 28 16 professionals professional NNS cord-016476-78r0rsio 28 17 or or CC cord-016476-78r0rsio 28 18 patients patient NNS cord-016476-78r0rsio 28 19 . . . cord-016476-78r0rsio 29 1 This this DT cord-016476-78r0rsio 29 2 is be VBZ cord-016476-78r0rsio 29 3 done do VBN cord-016476-78r0rsio 29 4 either either CC cord-016476-78r0rsio 29 5 in in IN cord-016476-78r0rsio 29 6 the the DT cord-016476-78r0rsio 29 7 form form NN cord-016476-78r0rsio 29 8 of of IN cord-016476-78r0rsio 29 9 case case NN cord-016476-78r0rsio 30 1 reports report NNS cord-016476-78r0rsio 30 2 / / SYM cord-016476-78r0rsio 30 3 series series NN cord-016476-78r0rsio 30 4 to to IN cord-016476-78r0rsio 30 5 medical medical JJ cord-016476-78r0rsio 30 6 journals journal NNS cord-016476-78r0rsio 30 7 or or CC cord-016476-78r0rsio 30 8 to to IN cord-016476-78r0rsio 30 9 national national JJ cord-016476-78r0rsio 30 10 or or CC cord-016476-78r0rsio 30 11 international international JJ cord-016476-78r0rsio 30 12 monitoring monitoring NN cord-016476-78r0rsio 30 13 centres centre NNS cord-016476-78r0rsio 30 14 , , , cord-016476-78r0rsio 30 15 such such JJ cord-016476-78r0rsio 30 16 as as IN cord-016476-78r0rsio 30 17 the the DT cord-016476-78r0rsio 30 18 UK UK NNP cord-016476-78r0rsio 30 19 Medicines Medicines NNPS cord-016476-78r0rsio 30 20 and and CC cord-016476-78r0rsio 30 21 Healthcare Healthcare NNP cord-016476-78r0rsio 30 22 products product NNS cord-016476-78r0rsio 30 23 Regulatory Regulatory NNP cord-016476-78r0rsio 30 24 Agency Agency NNP cord-016476-78r0rsio 30 25 ( ( -LRB- cord-016476-78r0rsio 30 26 MHRA MHRA NNP cord-016476-78r0rsio 30 27 ) ) -RRB- cord-016476-78r0rsio 30 28 ' ' `` cord-016476-78r0rsio 30 29 Yellow Yellow NNP cord-016476-78r0rsio 30 30 Card Card NNP cord-016476-78r0rsio 30 31 Scheme Scheme NNP cord-016476-78r0rsio 30 32 ' ' '' cord-016476-78r0rsio 30 33 , , , cord-016476-78r0rsio 30 34 European European NNP cord-016476-78r0rsio 30 35 Medicines Medicines NNPS cord-016476-78r0rsio 30 36 Agency Agency NNP cord-016476-78r0rsio 30 37 EudraVigilance EudraVigilance NNP cord-016476-78r0rsio 30 38 database database NN cord-016476-78r0rsio 30 39 and and CC cord-016476-78r0rsio 30 40 the the DT cord-016476-78r0rsio 30 41 US US NNP cord-016476-78r0rsio 30 42 Food Food NNP cord-016476-78r0rsio 30 43 and and CC cord-016476-78r0rsio 30 44 Drug Drug NNP cord-016476-78r0rsio 30 45 Administration Administration NNP cord-016476-78r0rsio 30 46 ( ( -LRB- cord-016476-78r0rsio 30 47 FDA FDA NNP cord-016476-78r0rsio 30 48 ) ) -RRB- cord-016476-78r0rsio 30 49 MedWatch MedWatch NNP cord-016476-78r0rsio 30 50 programme programme NN cord-016476-78r0rsio 30 51 . . . cord-016476-78r0rsio 31 1 Whilst whilst IN cord-016476-78r0rsio 31 2 these these DT cord-016476-78r0rsio 31 3 are be VBP cord-016476-78r0rsio 31 4 useful useful JJ cord-016476-78r0rsio 31 5 for for IN cord-016476-78r0rsio 31 6 drug drug NN cord-016476-78r0rsio 31 7 safety safety NN cord-016476-78r0rsio 31 8 signal signal NN cord-016476-78r0rsio 31 9 detection detection NN cord-016476-78r0rsio 31 10 , , , cord-016476-78r0rsio 31 11 there there EX cord-016476-78r0rsio 31 12 is be VBZ cord-016476-78r0rsio 31 13 no no DT cord-016476-78r0rsio 31 14 available available JJ cord-016476-78r0rsio 31 15 denominator denominator NN cord-016476-78r0rsio 31 16 to to TO cord-016476-78r0rsio 31 17 calculate calculate VB cord-016476-78r0rsio 31 18 rates rate NNS cord-016476-78r0rsio 31 19 of of IN cord-016476-78r0rsio 31 20 AE AE NNP cord-016476-78r0rsio 31 21 or or CC cord-016476-78r0rsio 31 22 to to TO cord-016476-78r0rsio 31 23 determine determine VB cord-016476-78r0rsio 31 24 whether whether IN cord-016476-78r0rsio 31 25 these these DT cord-016476-78r0rsio 31 26 reported report VBN cord-016476-78r0rsio 31 27 cases case NNS cord-016476-78r0rsio 31 28 represent represent VBP cord-016476-78r0rsio 31 29 an an DT cord-016476-78r0rsio 31 30 increased increase VBN cord-016476-78r0rsio 31 31 incidence incidence NN cord-016476-78r0rsio 31 32 above above IN cord-016476-78r0rsio 31 33 the the DT cord-016476-78r0rsio 31 34 background background NN cord-016476-78r0rsio 31 35 population population NN cord-016476-78r0rsio 31 36 rate rate NN cord-016476-78r0rsio 31 37 . . . cord-016476-78r0rsio 32 1 Observational observational JJ cord-016476-78r0rsio 32 2 cohorts cohort NNS cord-016476-78r0rsio 32 3 have have VBP cord-016476-78r0rsio 32 4 the the DT cord-016476-78r0rsio 32 5 advantage advantage NN cord-016476-78r0rsio 32 6 of of IN cord-016476-78r0rsio 32 7 being be VBG cord-016476-78r0rsio 32 8 able able JJ cord-016476-78r0rsio 32 9 to to TO cord-016476-78r0rsio 32 10 examine examine VB cord-016476-78r0rsio 32 11 drug drug NN cord-016476-78r0rsio 32 12 safety safety NN cord-016476-78r0rsio 32 13 in in IN cord-016476-78r0rsio 32 14 a a DT cord-016476-78r0rsio 32 15 ' ' `` cord-016476-78r0rsio 32 16 real real JJ cord-016476-78r0rsio 32 17 - - HYPH cord-016476-78r0rsio 32 18 world world NN cord-016476-78r0rsio 32 19 ' ' '' cord-016476-78r0rsio 32 20 setting setting NN cord-016476-78r0rsio 32 21 and and CC cord-016476-78r0rsio 32 22 can can MD cord-016476-78r0rsio 32 23 follow follow VB cord-016476-78r0rsio 32 24 large large JJ cord-016476-78r0rsio 32 25 numbers number NNS cord-016476-78r0rsio 32 26 of of IN cord-016476-78r0rsio 32 27 patients patient NNS cord-016476-78r0rsio 32 28 for for IN cord-016476-78r0rsio 32 29 long long JJ cord-016476-78r0rsio 32 30 periods period NNS cord-016476-78r0rsio 32 31 of of IN cord-016476-78r0rsio 32 32 time time NN cord-016476-78r0rsio 32 33 . . . cord-016476-78r0rsio 33 1 They -PRON- PRP cord-016476-78r0rsio 33 2 can can MD cord-016476-78r0rsio 33 3 therefore therefore RB cord-016476-78r0rsio 33 4 study study VB cord-016476-78r0rsio 33 5 the the DT cord-016476-78r0rsio 33 6 medium medium NN cord-016476-78r0rsio 33 7 - - HYPH cord-016476-78r0rsio 33 8 to to IN cord-016476-78r0rsio 33 9 long long JJ cord-016476-78r0rsio 33 10 - - HYPH cord-016476-78r0rsio 33 11 term term NN cord-016476-78r0rsio 33 12 side side NN cord-016476-78r0rsio 33 13 effects effect NNS cord-016476-78r0rsio 33 14 of of IN cord-016476-78r0rsio 33 15 a a DT cord-016476-78r0rsio 33 16 drug drug NN cord-016476-78r0rsio 33 17 that that WDT cord-016476-78r0rsio 33 18 might may MD cord-016476-78r0rsio 33 19 otherwise otherwise RB cord-016476-78r0rsio 33 20 be be VB cord-016476-78r0rsio 33 21 missed miss VBN cord-016476-78r0rsio 33 22 in in IN cord-016476-78r0rsio 33 23 clinical clinical JJ cord-016476-78r0rsio 33 24 trials trial NNS cord-016476-78r0rsio 33 25 or or CC cord-016476-78r0rsio 33 26 spontaneous spontaneous JJ cord-016476-78r0rsio 33 27 pharmacovigilance pharmacovigilance NN cord-016476-78r0rsio 33 28 . . . cord-016476-78r0rsio 34 1 However however RB cord-016476-78r0rsio 34 2 these these DT cord-016476-78r0rsio 34 3 come come VBP cord-016476-78r0rsio 34 4 with with IN cord-016476-78r0rsio 34 5 the the DT cord-016476-78r0rsio 34 6 challenge challenge NN cord-016476-78r0rsio 34 7 of of IN cord-016476-78r0rsio 34 8 interpreting interpret VBG cord-016476-78r0rsio 34 9 results result NNS cord-016476-78r0rsio 34 10 in in IN cord-016476-78r0rsio 34 11 the the DT cord-016476-78r0rsio 34 12 context context NN cord-016476-78r0rsio 34 13 of of IN cord-016476-78r0rsio 34 14 clinical clinical JJ cord-016476-78r0rsio 34 15 decisions decision NNS cord-016476-78r0rsio 34 16 , , , cord-016476-78r0rsio 34 17 with with IN cord-016476-78r0rsio 34 18 their -PRON- PRP$ cord-016476-78r0rsio 34 19 consequent consequent JJ cord-016476-78r0rsio 34 20 biases bias NNS cord-016476-78r0rsio 34 21 and and CC cord-016476-78r0rsio 34 22 confounding confound VBG cord-016476-78r0rsio 34 23 . . . cord-016476-78r0rsio 35 1 Each each DT cord-016476-78r0rsio 35 2 of of IN cord-016476-78r0rsio 35 3 these these DT cord-016476-78r0rsio 35 4 methods method NNS cord-016476-78r0rsio 35 5 can can MD cord-016476-78r0rsio 35 6 employ employ VB cord-016476-78r0rsio 35 7 a a DT cord-016476-78r0rsio 35 8 wide wide JJ cord-016476-78r0rsio 35 9 array array NN cord-016476-78r0rsio 35 10 of of IN cord-016476-78r0rsio 35 11 terminology terminology NN cord-016476-78r0rsio 35 12 to to TO cord-016476-78r0rsio 35 13 describe describe VB cord-016476-78r0rsio 35 14 various various JJ cord-016476-78r0rsio 35 15 forms form NNS cord-016476-78r0rsio 35 16 of of IN cord-016476-78r0rsio 35 17 respiratory respiratory JJ cord-016476-78r0rsio 35 18 AEs ae NNS cord-016476-78r0rsio 35 19 . . . cord-016476-78r0rsio 36 1 For for IN cord-016476-78r0rsio 36 2 example example NN cord-016476-78r0rsio 36 3 , , , cord-016476-78r0rsio 36 4 parenchymal parenchymal NN cord-016476-78r0rsio 36 5 lung lung NN cord-016476-78r0rsio 36 6 disorders disorder NNS cord-016476-78r0rsio 36 7 are be VBP cord-016476-78r0rsio 36 8 called call VBN cord-016476-78r0rsio 36 9 many many JJ cord-016476-78r0rsio 36 10 things thing NNS cord-016476-78r0rsio 36 11 from from IN cord-016476-78r0rsio 36 12 ' ' `` cord-016476-78r0rsio 36 13 pulmonary pulmonary JJ cord-016476-78r0rsio 36 14 fibrosis fibrosis NN cord-016476-78r0rsio 36 15 ' ' '' cord-016476-78r0rsio 36 16 to to IN cord-016476-78r0rsio 36 17 ' ' `` cord-016476-78r0rsio 36 18 allergic allergic JJ cord-016476-78r0rsio 36 19 pneumonitis pneumonitis NN cord-016476-78r0rsio 36 20 ' ' '' cord-016476-78r0rsio 36 21 . . . cord-016476-78r0rsio 37 1 There there EX cord-016476-78r0rsio 37 2 are be VBP cord-016476-78r0rsio 37 3 also also RB cord-016476-78r0rsio 37 4 challenges challenge NNS cord-016476-78r0rsio 37 5 in in IN cord-016476-78r0rsio 37 6 differentiating differentiate VBG cord-016476-78r0rsio 37 7 between between IN cord-016476-78r0rsio 37 8 respiratory respiratory JJ cord-016476-78r0rsio 37 9 conditions condition NNS cord-016476-78r0rsio 37 10 with with IN cord-016476-78r0rsio 37 11 different different JJ cord-016476-78r0rsio 37 12 aetiologies aetiology NNS cord-016476-78r0rsio 37 13 but but CC cord-016476-78r0rsio 37 14 similar similar JJ cord-016476-78r0rsio 37 15 clinical clinical JJ cord-016476-78r0rsio 37 16 presentations presentation NNS cord-016476-78r0rsio 37 17 . . . cord-016476-78r0rsio 38 1 RCTs RCTs NNP cord-016476-78r0rsio 38 2 , , , cord-016476-78r0rsio 38 3 for for IN cord-016476-78r0rsio 38 4 example example NN cord-016476-78r0rsio 38 5 , , , cord-016476-78r0rsio 38 6 can can MD cord-016476-78r0rsio 38 7 report report VB cord-016476-78r0rsio 38 8 on on IN cord-016476-78r0rsio 38 9 culturenegative culturenegative JJ cord-016476-78r0rsio 38 10 pneumonias pneumonia NNS cord-016476-78r0rsio 38 11 or or CC cord-016476-78r0rsio 38 12 ' ' `` cord-016476-78r0rsio 38 13 community community NN cord-016476-78r0rsio 38 14 - - HYPH cord-016476-78r0rsio 38 15 acquired acquire VBN cord-016476-78r0rsio 38 16 pneumonitis pneumonitis NN cord-016476-78r0rsio 38 17 ' ' '' cord-016476-78r0rsio 38 18 , , , cord-016476-78r0rsio 38 19 which which WDT cord-016476-78r0rsio 38 20 may may MD cord-016476-78r0rsio 38 21 indeed indeed RB cord-016476-78r0rsio 38 22 be be VB cord-016476-78r0rsio 38 23 idiosyncratic idiosyncratic JJ cord-016476-78r0rsio 38 24 drug drug NN cord-016476-78r0rsio 38 25 reactions reaction NNS cord-016476-78r0rsio 38 26 or or CC cord-016476-78r0rsio 38 27 pneumonias pneumonia NNS cord-016476-78r0rsio 38 28 secondary secondary JJ cord-016476-78r0rsio 38 29 to to IN cord-016476-78r0rsio 38 30 a a DT cord-016476-78r0rsio 38 31 resistant resistant JJ cord-016476-78r0rsio 38 32 microorganism microorganism NN cord-016476-78r0rsio 38 33 : : : cord-016476-78r0rsio 38 34 often often RB cord-016476-78r0rsio 38 35 patients patient NNS cord-016476-78r0rsio 38 36 are be VBP cord-016476-78r0rsio 38 37 administered administer VBN cord-016476-78r0rsio 38 38 a a DT cord-016476-78r0rsio 38 39 combination combination NN cord-016476-78r0rsio 38 40 of of IN cord-016476-78r0rsio 38 41 glucocorticoids glucocorticoid NNS cord-016476-78r0rsio 38 42 and and CC cord-016476-78r0rsio 38 43 antibiotics antibiotic NNS cord-016476-78r0rsio 38 44 due due JJ cord-016476-78r0rsio 38 45 to to IN cord-016476-78r0rsio 38 46 initial initial JJ cord-016476-78r0rsio 38 47 uncertainty uncertainty NN cord-016476-78r0rsio 38 48 of of IN cord-016476-78r0rsio 38 49 the the DT cord-016476-78r0rsio 38 50 diagnosis diagnosis NN cord-016476-78r0rsio 38 51 . . . cord-016476-78r0rsio 39 1 The the DT cord-016476-78r0rsio 39 2 data datum NNS cord-016476-78r0rsio 39 3 available available JJ cord-016476-78r0rsio 39 4 for for IN cord-016476-78r0rsio 39 5 this this DT cord-016476-78r0rsio 39 6 chapter chapter NN cord-016476-78r0rsio 39 7 come come VB cord-016476-78r0rsio 39 8 from from IN cord-016476-78r0rsio 39 9 all all DT cord-016476-78r0rsio 39 10 of of IN cord-016476-78r0rsio 39 11 the the DT cord-016476-78r0rsio 39 12 above above JJ cord-016476-78r0rsio 39 13 study study NN cord-016476-78r0rsio 39 14 designs design NNS cord-016476-78r0rsio 39 15 . . . cord-016476-78r0rsio 40 1 Having have VBG cord-016476-78r0rsio 40 2 been be VBN cord-016476-78r0rsio 40 3 in in IN cord-016476-78r0rsio 40 4 use use NN cord-016476-78r0rsio 40 5 for for IN cord-016476-78r0rsio 40 6 RA RA NNP cord-016476-78r0rsio 40 7 for for IN cord-016476-78r0rsio 40 8 the the DT cord-016476-78r0rsio 40 9 longest long JJS cord-016476-78r0rsio 40 10 duration duration NN cord-016476-78r0rsio 40 11 , , , cord-016476-78r0rsio 40 12 nbDMARDs nbdmards NN cord-016476-78r0rsio 40 13 and and CC cord-016476-78r0rsio 40 14 tumour tumour NN cord-016476-78r0rsio 40 15 necrosis necrosis NN cord-016476-78r0rsio 40 16 factor factor NN cord-016476-78r0rsio 40 17 inhibitors inhibitor NNS cord-016476-78r0rsio 40 18 ( ( -LRB- cord-016476-78r0rsio 40 19 TNFis tnfis NN cord-016476-78r0rsio 40 20 ) ) -RRB- cord-016476-78r0rsio 40 21 have have VBP cord-016476-78r0rsio 40 22 the the DT cord-016476-78r0rsio 40 23 most most RBS cord-016476-78r0rsio 40 24 observational observational JJ cord-016476-78r0rsio 40 25 evidence evidence NN cord-016476-78r0rsio 40 26 , , , cord-016476-78r0rsio 40 27 but but CC cord-016476-78r0rsio 40 28 not not RB cord-016476-78r0rsio 40 29 in in IN cord-016476-78r0rsio 40 30 all all DT cord-016476-78r0rsio 40 31 cases case NNS cord-016476-78r0rsio 40 32 . . . cord-016476-78r0rsio 41 1 Newer new JJR cord-016476-78r0rsio 41 2 TNFis TNFis NNP cord-016476-78r0rsio 41 3 , , , cord-016476-78r0rsio 41 4 nbDMARD nbdmard JJ cord-016476-78r0rsio 41 5 and and CC cord-016476-78r0rsio 41 6 emerging emerge VBG cord-016476-78r0rsio 41 7 novel novel JJ cord-016476-78r0rsio 41 8 therapies therapy NNS cord-016476-78r0rsio 41 9 recently recently RB cord-016476-78r0rsio 41 10 licensed license VBN cord-016476-78r0rsio 41 11 for for IN cord-016476-78r0rsio 41 12 RA RA NNP cord-016476-78r0rsio 41 13 have have VBP cord-016476-78r0rsio 41 14 not not RB cord-016476-78r0rsio 41 15 had have VBN cord-016476-78r0rsio 41 16 the the DT cord-016476-78r0rsio 41 17 opportunity opportunity NN cord-016476-78r0rsio 41 18 for for IN cord-016476-78r0rsio 41 19 longer long JJR cord-016476-78r0rsio 41 20 follow follow NN cord-016476-78r0rsio 41 21 - - HYPH cord-016476-78r0rsio 41 22 up up NN cord-016476-78r0rsio 41 23 ; ; : cord-016476-78r0rsio 41 24 therefore therefore RB cord-016476-78r0rsio 41 25 , , , cord-016476-78r0rsio 41 26 experience experience VB cord-016476-78r0rsio 41 27 about about IN cord-016476-78r0rsio 41 28 pulmonary pulmonary JJ cord-016476-78r0rsio 41 29 safety safety NN cord-016476-78r0rsio 41 30 may may MD cord-016476-78r0rsio 41 31 be be VB cord-016476-78r0rsio 41 32 restricted restrict VBN cord-016476-78r0rsio 41 33 to to IN cord-016476-78r0rsio 41 34 clinical clinical JJ cord-016476-78r0rsio 41 35 trials trial NNS cord-016476-78r0rsio 41 36 and and CC cord-016476-78r0rsio 41 37 spontaneous spontaneous JJ cord-016476-78r0rsio 41 38 pharmacovigilance pharmacovigilance NN cord-016476-78r0rsio 41 39 . . . cord-016476-78r0rsio 42 1 Methotrexate Methotrexate NNP cord-016476-78r0rsio 42 2 ( ( -LRB- cord-016476-78r0rsio 42 3 MTX MTX NNP cord-016476-78r0rsio 42 4 ) ) -RRB- cord-016476-78r0rsio 42 5 has have VBZ cord-016476-78r0rsio 42 6 been be VBN cord-016476-78r0rsio 42 7 described describe VBN cord-016476-78r0rsio 42 8 as as IN cord-016476-78r0rsio 42 9 the the DT cord-016476-78r0rsio 42 10 anchor anchor JJ cord-016476-78r0rsio 42 11 drug drug NN cord-016476-78r0rsio 42 12 in in IN cord-016476-78r0rsio 42 13 RA RA NNP cord-016476-78r0rsio 42 14 treatment treatment NN cord-016476-78r0rsio 42 15 , , , cord-016476-78r0rsio 42 16 as as IN cord-016476-78r0rsio 42 17 it -PRON- PRP cord-016476-78r0rsio 42 18 is be VBZ cord-016476-78r0rsio 42 19 often often RB cord-016476-78r0rsio 42 20 used use VBN cord-016476-78r0rsio 42 21 first first JJ cord-016476-78r0rsio 42 22 line line NN cord-016476-78r0rsio 42 23 at at IN cord-016476-78r0rsio 42 24 diagnosis diagnosis NN cord-016476-78r0rsio 42 25 , , , cord-016476-78r0rsio 42 26 in in IN cord-016476-78r0rsio 42 27 combination combination NN cord-016476-78r0rsio 42 28 with with IN cord-016476-78r0rsio 42 29 other other JJ cord-016476-78r0rsio 42 30 nbDMARDs nbdmards NN cord-016476-78r0rsio 42 31 and and CC cord-016476-78r0rsio 42 32 concomitantly concomitantly RB cord-016476-78r0rsio 42 33 with with IN cord-016476-78r0rsio 42 34 biologics biologic NNS cord-016476-78r0rsio 42 35 , , , cord-016476-78r0rsio 42 36 following follow VBG cord-016476-78r0rsio 42 37 failure failure NN cord-016476-78r0rsio 42 38 of of IN cord-016476-78r0rsio 42 39 traditional traditional JJ cord-016476-78r0rsio 42 40 nbDMARDs nbdmards NN cord-016476-78r0rsio 42 41 for for IN cord-016476-78r0rsio 42 42 controlling control VBG cord-016476-78r0rsio 42 43 articular articular JJ cord-016476-78r0rsio 42 44 disease disease NN cord-016476-78r0rsio 42 45 . . . cord-016476-78r0rsio 43 1 It -PRON- PRP cord-016476-78r0rsio 43 2 inhibits inhibit VBZ cord-016476-78r0rsio 43 3 folic folic JJ cord-016476-78r0rsio 43 4 acid acid NN cord-016476-78r0rsio 43 5 and and CC cord-016476-78r0rsio 43 6 purine purine NN cord-016476-78r0rsio 43 7 metabolism metabolism NN cord-016476-78r0rsio 43 8 along along IN cord-016476-78r0rsio 43 9 with with IN cord-016476-78r0rsio 43 10 T t NN cord-016476-78r0rsio 43 11 - - HYPH cord-016476-78r0rsio 43 12 cell cell NN cord-016476-78r0rsio 43 13 activation activation NN cord-016476-78r0rsio 43 14 . . . cord-016476-78r0rsio 44 1 MTX MTX NNP cord-016476-78r0rsio 44 2 - - HYPH cord-016476-78r0rsio 44 3 induced induce VBN cord-016476-78r0rsio 44 4 pulmonary pulmonary JJ cord-016476-78r0rsio 44 5 injury injury NN cord-016476-78r0rsio 44 6 was be VBD cord-016476-78r0rsio 44 7 initially initially RB cord-016476-78r0rsio 44 8 reported report VBN cord-016476-78r0rsio 44 9 in in IN cord-016476-78r0rsio 44 10 children child NNS cord-016476-78r0rsio 44 11 with with IN cord-016476-78r0rsio 44 12 leukaemia leukaemia NN cord-016476-78r0rsio 44 13 in in IN cord-016476-78r0rsio 44 14 the the DT cord-016476-78r0rsio 44 15 1960s 1960 NNS cord-016476-78r0rsio 44 16 [ [ -LRB- cord-016476-78r0rsio 44 17 4 4 CD cord-016476-78r0rsio 44 18 ] ] -RRB- cord-016476-78r0rsio 44 19 , , , cord-016476-78r0rsio 44 20 followed follow VBN cord-016476-78r0rsio 44 21 by by IN cord-016476-78r0rsio 44 22 a a DT cord-016476-78r0rsio 44 23 case case NN cord-016476-78r0rsio 44 24 series series NN cord-016476-78r0rsio 44 25 in in IN cord-016476-78r0rsio 44 26 treated treat VBN cord-016476-78r0rsio 44 27 patients patient NNS cord-016476-78r0rsio 44 28 with with IN cord-016476-78r0rsio 44 29 RA RA NNP cord-016476-78r0rsio 44 30 in in IN cord-016476-78r0rsio 44 31 1983 1983 CD cord-016476-78r0rsio 44 32 [ [ -LRB- cord-016476-78r0rsio 44 33 5 5 CD cord-016476-78r0rsio 44 34 ] ] -RRB- cord-016476-78r0rsio 44 35 . . . cord-016476-78r0rsio 45 1 Following follow VBG cord-016476-78r0rsio 45 2 a a DT cord-016476-78r0rsio 45 3 review review NN cord-016476-78r0rsio 45 4 of of IN cord-016476-78r0rsio 45 5 123 123 CD cord-016476-78r0rsio 45 6 cases case NNS cord-016476-78r0rsio 45 7 of of IN cord-016476-78r0rsio 45 8 methotrexate methotrexate NNP cord-016476-78r0rsio 45 9 pneumonitis pneumonitis NN cord-016476-78r0rsio 45 10 in in IN cord-016476-78r0rsio 45 11 the the DT cord-016476-78r0rsio 45 12 year year NN cord-016476-78r0rsio 45 13 2000 2000 CD cord-016476-78r0rsio 45 14 , , , cord-016476-78r0rsio 45 15 63 63 CD cord-016476-78r0rsio 45 16 % % NN cord-016476-78r0rsio 45 17 of of IN cord-016476-78r0rsio 45 18 cases case NNS cord-016476-78r0rsio 45 19 arose arise VBD cord-016476-78r0rsio 45 20 in in IN cord-016476-78r0rsio 45 21 patients patient NNS cord-016476-78r0rsio 45 22 with with IN cord-016476-78r0rsio 45 23 RA RA NNP cord-016476-78r0rsio 45 24 ( ( -LRB- cord-016476-78r0rsio 45 25 dose dose JJ cord-016476-78r0rsio 45 26 range range NN cord-016476-78r0rsio 45 27 2.5 2.5 CD cord-016476-78r0rsio 45 28 - - SYM cord-016476-78r0rsio 45 29 15 15 CD cord-016476-78r0rsio 45 30 mg mg NNP cord-016476-78r0rsio 45 31 / / SYM cord-016476-78r0rsio 45 32 week week NN cord-016476-78r0rsio 45 33 ) ) -RRB- cord-016476-78r0rsio 45 34 , , , cord-016476-78r0rsio 45 35 23 23 CD cord-016476-78r0rsio 45 36 % % NN cord-016476-78r0rsio 45 37 occurred occur VBD cord-016476-78r0rsio 45 38 during during IN cord-016476-78r0rsio 45 39 intensification intensification NN cord-016476-78r0rsio 45 40 / / SYM cord-016476-78r0rsio 45 41 consolidation consolidation NN cord-016476-78r0rsio 45 42 treatment treatment NN cord-016476-78r0rsio 45 43 for for IN cord-016476-78r0rsio 45 44 leukaemia leukaemia NN cord-016476-78r0rsio 45 45 ( ( -LRB- cord-016476-78r0rsio 45 46 dose dose NN cord-016476-78r0rsio 45 47 range range NN cord-016476-78r0rsio 45 48 20 20 CD cord-016476-78r0rsio 45 49 - - SYM cord-016476-78r0rsio 45 50 80 80 CD cord-016476-78r0rsio 45 51 mg mg NNP cord-016476-78r0rsio 45 52 / / SYM cord-016476-78r0rsio 45 53 week week NN cord-016476-78r0rsio 45 54 ) ) -RRB- cord-016476-78r0rsio 45 55 , , , cord-016476-78r0rsio 45 56 and and CC cord-016476-78r0rsio 45 57 8 8 CD cord-016476-78r0rsio 45 58 % % NN cord-016476-78r0rsio 45 59 were be VBD cord-016476-78r0rsio 45 60 in in IN cord-016476-78r0rsio 45 61 patients patient NNS cord-016476-78r0rsio 45 62 treated treat VBN cord-016476-78r0rsio 45 63 for for IN cord-016476-78r0rsio 45 64 other other JJ cord-016476-78r0rsio 45 65 malignancies malignancy NNS cord-016476-78r0rsio 45 66 ( ( -LRB- cord-016476-78r0rsio 45 67 dose dose NN cord-016476-78r0rsio 45 68 range range NN cord-016476-78r0rsio 45 69 15 15 CD cord-016476-78r0rsio 45 70 - - SYM cord-016476-78r0rsio 45 71 1400 1400 CD cord-016476-78r0rsio 45 72 mg mg NNP cord-016476-78r0rsio 45 73 / / SYM cord-016476-78r0rsio 45 74 week week NN cord-016476-78r0rsio 45 75 ) ) -RRB- cord-016476-78r0rsio 45 76 [ [ -LRB- cord-016476-78r0rsio 45 77 6 6 CD cord-016476-78r0rsio 45 78 ] ] -RRB- cord-016476-78r0rsio 45 79 . . . cord-016476-78r0rsio 46 1 Whilst whilst IN cord-016476-78r0rsio 46 2 mortality mortality NN cord-016476-78r0rsio 46 3 rates rate NNS cord-016476-78r0rsio 46 4 have have VBP cord-016476-78r0rsio 46 5 been be VBN cord-016476-78r0rsio 46 6 reported report VBN cord-016476-78r0rsio 46 7 up up IN cord-016476-78r0rsio 46 8 to to TO cord-016476-78r0rsio 46 9 17 17 CD cord-016476-78r0rsio 46 10 % % NN cord-016476-78r0rsio 46 11 , , , cord-016476-78r0rsio 46 12 hypersensitivity hypersensitivity NN cord-016476-78r0rsio 46 13 pneumonitis pneumonitis NN cord-016476-78r0rsio 46 14 is be VBZ cord-016476-78r0rsio 46 15 reported report VBN cord-016476-78r0rsio 46 16 to to TO cord-016476-78r0rsio 46 17 be be VB cord-016476-78r0rsio 46 18 a a DT cord-016476-78r0rsio 46 19 rare rare JJ cord-016476-78r0rsio 46 20 AE ae NN cord-016476-78r0rsio 46 21 in in IN cord-016476-78r0rsio 46 22 RA RA NNP cord-016476-78r0rsio 46 23 patients patient NNS cord-016476-78r0rsio 46 24 . . . cord-016476-78r0rsio 47 1 In in IN cord-016476-78r0rsio 47 2 a a DT cord-016476-78r0rsio 47 3 systematic systematic JJ cord-016476-78r0rsio 47 4 literature literature NN cord-016476-78r0rsio 47 5 review review NN cord-016476-78r0rsio 47 6 of of IN cord-016476-78r0rsio 47 7 3463 3463 CD cord-016476-78r0rsio 47 8 patients patient NNS cord-016476-78r0rsio 47 9 with with IN cord-016476-78r0rsio 47 10 RA RA NNP cord-016476-78r0rsio 47 11 on on IN cord-016476-78r0rsio 47 12 MTX MTX NNP cord-016476-78r0rsio 47 13 , , , cord-016476-78r0rsio 47 14 84 84 CD cord-016476-78r0rsio 47 15 patients patient NNS cord-016476-78r0rsio 47 16 ( ( -LRB- cord-016476-78r0rsio 47 17 2 2 CD cord-016476-78r0rsio 47 18 % % NN cord-016476-78r0rsio 47 19 ) ) -RRB- cord-016476-78r0rsio 47 20 had have VBD cord-016476-78r0rsio 47 21 some some DT cord-016476-78r0rsio 47 22 type type NN cord-016476-78r0rsio 47 23 of of IN cord-016476-78r0rsio 47 24 lung lung NN cord-016476-78r0rsio 47 25 toxicity toxicity NN cord-016476-78r0rsio 47 26 , , , cord-016476-78r0rsio 47 27 but but CC cord-016476-78r0rsio 47 28 only only RB cord-016476-78r0rsio 47 29 15 15 CD cord-016476-78r0rsio 47 30 patients patient NNS cord-016476-78r0rsio 47 31 were be VBD cord-016476-78r0rsio 47 32 felt feel VBN cord-016476-78r0rsio 47 33 to to TO cord-016476-78r0rsio 47 34 be be VB cord-016476-78r0rsio 47 35 definitive definitive JJ cord-016476-78r0rsio 47 36 cases case NNS cord-016476-78r0rsio 47 37 of of IN cord-016476-78r0rsio 47 38 pneumonitis pneumonitis NN cord-016476-78r0rsio 47 39 attributable attributable JJ cord-016476-78r0rsio 47 40 to to IN cord-016476-78r0rsio 47 41 methotrexate methotrexate NNP cord-016476-78r0rsio 47 42 ( ( -LRB- cord-016476-78r0rsio 47 43 0.43 0.43 CD cord-016476-78r0rsio 47 44 % % NN cord-016476-78r0rsio 47 45 ) ) -RRB- cord-016476-78r0rsio 47 46 [ [ -LRB- cord-016476-78r0rsio 47 47 7 7 CD cord-016476-78r0rsio 47 48 ] ] -RRB- cord-016476-78r0rsio 47 49 . . . cord-016476-78r0rsio 48 1 Estimates estimate NNS cord-016476-78r0rsio 48 2 of of IN cord-016476-78r0rsio 48 3 reported report VBN cord-016476-78r0rsio 48 4 incidence incidence NN cord-016476-78r0rsio 48 5 vary vary VBP cord-016476-78r0rsio 48 6 between between IN cord-016476-78r0rsio 48 7 0.43 0.43 CD cord-016476-78r0rsio 48 8 and and CC cord-016476-78r0rsio 48 9 1 1 CD cord-016476-78r0rsio 48 10 % % NN cord-016476-78r0rsio 48 11 of of IN cord-016476-78r0rsio 48 12 treated treat VBN cord-016476-78r0rsio 48 13 patients patient NNS cord-016476-78r0rsio 48 14 ( ( -LRB- cord-016476-78r0rsio 48 15 in in IN cord-016476-78r0rsio 48 16 up up IN cord-016476-78r0rsio 48 17 to to TO cord-016476-78r0rsio 48 18 3-year 3-year JJ cord-016476-78r0rsio 48 19 follow follow NN cord-016476-78r0rsio 48 20 - - HYPH cord-016476-78r0rsio 48 21 up up NN cord-016476-78r0rsio 48 22 ) ) -RRB- cord-016476-78r0rsio 48 23 [ [ -LRB- cord-016476-78r0rsio 48 24 8 8 CD cord-016476-78r0rsio 48 25 , , , cord-016476-78r0rsio 48 26 9 9 CD cord-016476-78r0rsio 48 27 ] ] -RRB- cord-016476-78r0rsio 48 28 . . . cord-016476-78r0rsio 49 1 The the DT cord-016476-78r0rsio 49 2 clinical clinical JJ cord-016476-78r0rsio 49 3 presentation presentation NN cord-016476-78r0rsio 49 4 of of IN cord-016476-78r0rsio 49 5 acute acute JJ cord-016476-78r0rsio 49 6 MTX MTX NNP cord-016476-78r0rsio 49 7 pneumonitis pneumonitis NN cord-016476-78r0rsio 49 8 is be VBZ cord-016476-78r0rsio 49 9 generally generally RB cord-016476-78r0rsio 49 10 nonspecific nonspecific JJ cord-016476-78r0rsio 49 11 , , , cord-016476-78r0rsio 49 12 with with IN cord-016476-78r0rsio 49 13 symptoms symptom NNS cord-016476-78r0rsio 49 14 ( ( -LRB- cord-016476-78r0rsio 49 15 fever fever NN cord-016476-78r0rsio 49 16 , , , cord-016476-78r0rsio 49 17 rigors rigor NNS cord-016476-78r0rsio 49 18 , , , cord-016476-78r0rsio 49 19 malaise malaise NN cord-016476-78r0rsio 49 20 , , , cord-016476-78r0rsio 49 21 nonproductive nonproductive JJ cord-016476-78r0rsio 49 22 cough cough NN cord-016476-78r0rsio 49 23 , , , cord-016476-78r0rsio 49 24 dyspnoea dyspnoea NNS cord-016476-78r0rsio 49 25 , , , cord-016476-78r0rsio 49 26 chest chest NN cord-016476-78r0rsio 49 27 pain pain NN cord-016476-78r0rsio 49 28 ) ) -RRB- cord-016476-78r0rsio 49 29 that that WDT cord-016476-78r0rsio 49 30 can can MD cord-016476-78r0rsio 49 31 be be VB cord-016476-78r0rsio 49 32 progressive progressive JJ cord-016476-78r0rsio 49 33 over over IN cord-016476-78r0rsio 49 34 several several JJ cord-016476-78r0rsio 49 35 days day NNS cord-016476-78r0rsio 49 36 . . . cord-016476-78r0rsio 50 1 Criteria criterion NNS cord-016476-78r0rsio 50 2 proposed propose VBN cord-016476-78r0rsio 50 3 by by IN cord-016476-78r0rsio 50 4 Searles Searles NNP cord-016476-78r0rsio 50 5 and and CC cord-016476-78r0rsio 50 6 McKendry McKendry NNP cord-016476-78r0rsio 50 7 [ [ -LRB- cord-016476-78r0rsio 50 8 10 10 CD cord-016476-78r0rsio 50 9 ] ] -RRB- cord-016476-78r0rsio 50 10 and and CC cord-016476-78r0rsio 50 11 Carson Carson NNP cord-016476-78r0rsio 50 12 et et NNP cord-016476-78r0rsio 50 13 al al NNP cord-016476-78r0rsio 50 14 . . . cord-016476-78r0rsio 51 1 [ [ -LRB- cord-016476-78r0rsio 51 2 11 11 CD cord-016476-78r0rsio 51 3 ] ] -RRB- cord-016476-78r0rsio 51 4 are be VBP cord-016476-78r0rsio 51 5 generally generally RB cord-016476-78r0rsio 51 6 accepted accept VBN cord-016476-78r0rsio 51 7 for for IN cord-016476-78r0rsio 51 8 defining define VBG cord-016476-78r0rsio 51 9 MTX MTX NNP cord-016476-78r0rsio 51 10 pneumonitis pneumonitis NN cord-016476-78r0rsio 51 11 and and CC cord-016476-78r0rsio 51 12 can can MD cord-016476-78r0rsio 51 13 sometimes sometimes RB cord-016476-78r0rsio 51 14 help help VB cord-016476-78r0rsio 51 15 in in IN cord-016476-78r0rsio 51 16 differentiating differentiate VBG cord-016476-78r0rsio 51 17 the the DT cord-016476-78r0rsio 51 18 disease disease NN cord-016476-78r0rsio 51 19 from from IN cord-016476-78r0rsio 51 20 RA RA NNP cord-016476-78r0rsio 51 21 - - HYPH cord-016476-78r0rsio 51 22 ILD ILD NNP cord-016476-78r0rsio 51 23 and and CC cord-016476-78r0rsio 51 24 respiratory respiratory JJ cord-016476-78r0rsio 51 25 infections infection NNS cord-016476-78r0rsio 51 26 , , , cord-016476-78r0rsio 51 27 although although IN cord-016476-78r0rsio 51 28 it -PRON- PRP cord-016476-78r0rsio 51 29 is be VBZ cord-016476-78r0rsio 51 30 possible possible JJ cord-016476-78r0rsio 51 31 to to TO cord-016476-78r0rsio 51 32 fulfil fulfil VB cord-016476-78r0rsio 51 33 the the DT cord-016476-78r0rsio 51 34 criteria criterion NNS cord-016476-78r0rsio 51 35 with with IN cord-016476-78r0rsio 51 36 conditions condition NNS cord-016476-78r0rsio 51 37 other other JJ cord-016476-78r0rsio 51 38 than than IN cord-016476-78r0rsio 51 39 pneumonitis pneumonitis NN cord-016476-78r0rsio 51 40 , , , cord-016476-78r0rsio 51 41 for for IN cord-016476-78r0rsio 51 42 example example NN cord-016476-78r0rsio 51 43 , , , cord-016476-78r0rsio 51 44 infection infection NN cord-016476-78r0rsio 51 45 or or CC cord-016476-78r0rsio 51 46 a a DT cord-016476-78r0rsio 51 47 progression progression NN cord-016476-78r0rsio 51 48 of of IN cord-016476-78r0rsio 51 49 pre pre JJ cord-016476-78r0rsio 51 50 - - JJ cord-016476-78r0rsio 51 51 existing existing JJ cord-016476-78r0rsio 51 52 RA RA NNP cord-016476-78r0rsio 51 53 - - HYPH cord-016476-78r0rsio 51 54 ILD ILD NNP cord-016476-78r0rsio 51 55 ( ( -LRB- cord-016476-78r0rsio 51 56 Table Table NNP cord-016476-78r0rsio 51 57 9 9 CD cord-016476-78r0rsio 51 58 .1 .1 CD cord-016476-78r0rsio 51 59 ) ) -RRB- cord-016476-78r0rsio 51 60 . . . cord-016476-78r0rsio 52 1 Searles Searles NNP cord-016476-78r0rsio 52 2 and and CC cord-016476-78r0rsio 52 3 McKendry McKendry NNP cord-016476-78r0rsio 52 4 criteria criterion NNS cord-016476-78r0rsio 52 5 have have VBP cord-016476-78r0rsio 52 6 since since IN cord-016476-78r0rsio 52 7 been be VBN cord-016476-78r0rsio 52 8 adapted adapt VBN cord-016476-78r0rsio 52 9 by by IN cord-016476-78r0rsio 52 10 Kremer Kremer NNP cord-016476-78r0rsio 52 11 et et NNP cord-016476-78r0rsio 52 12 al al NNP cord-016476-78r0rsio 52 13 . . . cord-016476-78r0rsio 53 1 [ [ -LRB- cord-016476-78r0rsio 53 2 12 12 CD cord-016476-78r0rsio 53 3 ] ] -RRB- cord-016476-78r0rsio 53 4 categorising categorise VBG cord-016476-78r0rsio 53 5 them -PRON- PRP cord-016476-78r0rsio 53 6 into into IN cord-016476-78r0rsio 53 7 major major JJ cord-016476-78r0rsio 53 8 and and CC cord-016476-78r0rsio 53 9 minor minor JJ cord-016476-78r0rsio 53 10 . . . cord-016476-78r0rsio 54 1 All all DT cord-016476-78r0rsio 54 2 rely rely VBP cord-016476-78r0rsio 54 3 on on IN cord-016476-78r0rsio 54 4 a a DT cord-016476-78r0rsio 54 5 combination combination NN cord-016476-78r0rsio 54 6 of of IN cord-016476-78r0rsio 54 7 clinical clinical JJ cord-016476-78r0rsio 54 8 features feature NNS cord-016476-78r0rsio 54 9 , , , cord-016476-78r0rsio 54 10 radiological radiological JJ cord-016476-78r0rsio 54 11 , , , cord-016476-78r0rsio 54 12 histology histology NN cord-016476-78r0rsio 54 13 and and CC cord-016476-78r0rsio 54 14 exclusion exclusion NN cord-016476-78r0rsio 54 15 of of IN cord-016476-78r0rsio 54 16 infection infection NN cord-016476-78r0rsio 54 17 . . . cord-016476-78r0rsio 55 1 Studies study NNS cord-016476-78r0rsio 55 2 have have VBP cord-016476-78r0rsio 55 3 explored explore VBN cord-016476-78r0rsio 55 4 other other JJ cord-016476-78r0rsio 55 5 factors factor NNS cord-016476-78r0rsio 55 6 that that WDT cord-016476-78r0rsio 55 7 might may MD cord-016476-78r0rsio 55 8 differentiate differentiate VB cord-016476-78r0rsio 55 9 these these DT cord-016476-78r0rsio 55 10 clinically clinically RB cord-016476-78r0rsio 55 11 similar similar JJ cord-016476-78r0rsio 55 12 respiratory respiratory JJ cord-016476-78r0rsio 55 13 diseases disease NNS cord-016476-78r0rsio 55 14 . . . cord-016476-78r0rsio 56 1 Histological Histological NNP cord-016476-78r0rsio 56 2 findings finding NNS cord-016476-78r0rsio 56 3 in in IN cord-016476-78r0rsio 56 4 MTX MTX NNP cord-016476-78r0rsio 56 5 pneumonitis pneumonitis NN cord-016476-78r0rsio 56 6 such such JJ cord-016476-78r0rsio 56 7 as as IN cord-016476-78r0rsio 56 8 cellular cellular JJ cord-016476-78r0rsio 56 9 interstitial interstitial NN cord-016476-78r0rsio 56 10 infiltrates infiltrate VBZ cord-016476-78r0rsio 56 11 , , , cord-016476-78r0rsio 56 12 diffuse diffuse VB cord-016476-78r0rsio 56 13 alveolar alveolar JJ cord-016476-78r0rsio 56 14 damage damage NN cord-016476-78r0rsio 56 15 , , , cord-016476-78r0rsio 56 16 tissue tissue NN cord-016476-78r0rsio 56 17 eosinophils eosinophil NNS cord-016476-78r0rsio 56 18 and and CC cord-016476-78r0rsio 56 19 granuloma granuloma NN cord-016476-78r0rsio 56 20 formation formation NN cord-016476-78r0rsio 56 21 are be VBP cord-016476-78r0rsio 56 22 nonspecific nonspecific JJ cord-016476-78r0rsio 56 23 and and CC cord-016476-78r0rsio 56 24 have have VBP cord-016476-78r0rsio 56 25 all all DT cord-016476-78r0rsio 56 26 been be VBN cord-016476-78r0rsio 56 27 seen see VBN cord-016476-78r0rsio 56 28 in in IN cord-016476-78r0rsio 56 29 RA RA NNP cord-016476-78r0rsio 56 30 lung lung NN cord-016476-78r0rsio 56 31 disease disease NN cord-016476-78r0rsio 56 32 [ [ -LRB- cord-016476-78r0rsio 56 33 6 6 CD cord-016476-78r0rsio 56 34 ] ] -RRB- cord-016476-78r0rsio 56 35 . . . cord-016476-78r0rsio 57 1 Highresolution highresolution NN cord-016476-78r0rsio 57 2 computer computer NN cord-016476-78r0rsio 57 3 tomography tomography NN cord-016476-78r0rsio 57 4 ( ( -LRB- cord-016476-78r0rsio 57 5 HRCT HRCT NNP cord-016476-78r0rsio 57 6 ) ) -RRB- cord-016476-78r0rsio 57 7 studies study NNS cord-016476-78r0rsio 57 8 in in IN cord-016476-78r0rsio 57 9 MTX MTX NNP cord-016476-78r0rsio 57 10 pneumonitis pneumonitis NN cord-016476-78r0rsio 57 11 typically typically RB cord-016476-78r0rsio 57 12 show show VBP cord-016476-78r0rsio 57 13 ground ground NN cord-016476-78r0rsio 57 14 - - HYPH cord-016476-78r0rsio 57 15 glass glass NN cord-016476-78r0rsio 57 16 changes change NNS cord-016476-78r0rsio 57 17 , , , cord-016476-78r0rsio 57 18 centrilobular centrilobular NNP cord-016476-78r0rsio 57 19 nodules nodule NNS cord-016476-78r0rsio 57 20 + + SYM cord-016476-78r0rsio 57 21 /− /− . cord-016476-78r0rsio 57 22 diffuse diffuse JJ cord-016476-78r0rsio 57 23 parenchymal parenchymal NN cord-016476-78r0rsio 57 24 opacification opacification NN cord-016476-78r0rsio 57 25 [ [ -LRB- cord-016476-78r0rsio 57 26 13 13 CD cord-016476-78r0rsio 57 27 ] ] -RRB- cord-016476-78r0rsio 57 28 . . . cord-016476-78r0rsio 58 1 Bronchoalveolar Bronchoalveolar NNP cord-016476-78r0rsio 58 2 lavage lavage NN cord-016476-78r0rsio 58 3 ( ( -LRB- cord-016476-78r0rsio 58 4 BAL bal NN cord-016476-78r0rsio 58 5 ) ) -RRB- cord-016476-78r0rsio 58 6 cell cell NN cord-016476-78r0rsio 58 7 profiles profile NNS cord-016476-78r0rsio 58 8 in in IN cord-016476-78r0rsio 58 9 MTX MTX NNP cord-016476-78r0rsio 58 10 pneumonitis pneumonitis NNP cord-016476-78r0rsio 58 11 show show VBP cord-016476-78r0rsio 58 12 a a DT cord-016476-78r0rsio 58 13 lymphocyte lymphocyte NN cord-016476-78r0rsio 58 14 alveolitis alveolitis NN cord-016476-78r0rsio 58 15 with with IN cord-016476-78r0rsio 58 16 a a DT cord-016476-78r0rsio 58 17 preferential preferential JJ cord-016476-78r0rsio 58 18 increase increase NN cord-016476-78r0rsio 58 19 in in IN cord-016476-78r0rsio 58 20 CD4 CD4 NNP cord-016476-78r0rsio 58 21 + + CC cord-016476-78r0rsio 58 22 cells cell NNS cord-016476-78r0rsio 58 23 compared compare VBN cord-016476-78r0rsio 58 24 to to IN cord-016476-78r0rsio 58 25 normal normal JJ cord-016476-78r0rsio 58 26 RA RA NNP cord-016476-78r0rsio 58 27 controls control NNS cord-016476-78r0rsio 58 28 [ [ -LRB- cord-016476-78r0rsio 58 29 14 14 CD cord-016476-78r0rsio 58 30 , , , cord-016476-78r0rsio 58 31 15 15 CD cord-016476-78r0rsio 58 32 ] ] -RRB- cord-016476-78r0rsio 58 33 , , , cord-016476-78r0rsio 58 34 though though IN cord-016476-78r0rsio 58 35 comparisons comparison NNS cord-016476-78r0rsio 58 36 have have VBP cord-016476-78r0rsio 58 37 not not RB cord-016476-78r0rsio 58 38 been be VBN cord-016476-78r0rsio 58 39 made make VBN cord-016476-78r0rsio 58 40 between between IN cord-016476-78r0rsio 58 41 BAL BAL NNP cord-016476-78r0rsio 58 42 in in IN cord-016476-78r0rsio 58 43 MTX MTX NNP cord-016476-78r0rsio 58 44 pneumonitis pneumonitis NN cord-016476-78r0rsio 58 45 and and CC cord-016476-78r0rsio 58 46 RA RA NNP cord-016476-78r0rsio 58 47 - - HYPH cord-016476-78r0rsio 58 48 ILD ILD NNP cord-016476-78r0rsio 58 49 . . . cord-016476-78r0rsio 59 1 A a DT cord-016476-78r0rsio 59 2 challenge challenge NN cord-016476-78r0rsio 59 3 with with IN cord-016476-78r0rsio 59 4 all all PDT cord-016476-78r0rsio 59 5 these these DT cord-016476-78r0rsio 59 6 studies study NNS cord-016476-78r0rsio 59 7 is be VBZ cord-016476-78r0rsio 59 8 the the DT cord-016476-78r0rsio 59 9 problem problem NN cord-016476-78r0rsio 59 10 of of IN cord-016476-78r0rsio 59 11 measuring measure VBG cord-016476-78r0rsio 59 12 the the DT cord-016476-78r0rsio 59 13 accuracy accuracy NN cord-016476-78r0rsio 59 14 of of IN cord-016476-78r0rsio 59 15 a a DT cord-016476-78r0rsio 59 16 test test NN cord-016476-78r0rsio 59 17 against against IN cord-016476-78r0rsio 59 18 no no DT cord-016476-78r0rsio 59 19 accepted accept VBN cord-016476-78r0rsio 59 20 gold gold NN cord-016476-78r0rsio 59 21 standard standard NN cord-016476-78r0rsio 59 22 . . . cord-016476-78r0rsio 60 1 It -PRON- PRP cord-016476-78r0rsio 60 2 has have VBZ cord-016476-78r0rsio 60 3 been be VBN cord-016476-78r0rsio 60 4 argued argue VBN cord-016476-78r0rsio 60 5 on on IN cord-016476-78r0rsio 60 6 several several JJ cord-016476-78r0rsio 60 7 counts count NNS cord-016476-78r0rsio 60 8 that that IN cord-016476-78r0rsio 60 9 MTX MTX NNP cord-016476-78r0rsio 60 10 hypersensitivity hypersensitivity NN cord-016476-78r0rsio 60 11 pneumonitis pneumonitis NN cord-016476-78r0rsio 60 12 is be VBZ cord-016476-78r0rsio 60 13 a a DT cord-016476-78r0rsio 60 14 unique unique JJ cord-016476-78r0rsio 60 15 hypersensitivity hypersensitivity NN cord-016476-78r0rsio 60 16 reaction reaction NN cord-016476-78r0rsio 60 17 rather rather RB cord-016476-78r0rsio 60 18 than than IN cord-016476-78r0rsio 60 19 the the DT cord-016476-78r0rsio 60 20 development development NN cord-016476-78r0rsio 60 21 or or CC cord-016476-78r0rsio 60 22 progression progression NN cord-016476-78r0rsio 60 23 of of IN cord-016476-78r0rsio 60 24 RA RA NNP cord-016476-78r0rsio 60 25 - - HYPH cord-016476-78r0rsio 60 26 ILD ILD NNP cord-016476-78r0rsio 60 27 . . . cord-016476-78r0rsio 61 1 Firstly firstly RB cord-016476-78r0rsio 61 2 , , , cord-016476-78r0rsio 61 3 MTX MTX NNP cord-016476-78r0rsio 61 4 - - HYPH cord-016476-78r0rsio 61 5 associated associate VBN cord-016476-78r0rsio 61 6 lung lung NN cord-016476-78r0rsio 61 7 injury injury NN cord-016476-78r0rsio 61 8 tends tend VBZ cord-016476-78r0rsio 61 9 to to TO cord-016476-78r0rsio 61 10 occur occur VB cord-016476-78r0rsio 61 11 early early RB cord-016476-78r0rsio 61 12 in in IN cord-016476-78r0rsio 61 13 the the DT cord-016476-78r0rsio 61 14 [ [ -LRB- cord-016476-78r0rsio 61 15 16 16 CD cord-016476-78r0rsio 61 16 ] ] -RRB- cord-016476-78r0rsio 61 17 , , , cord-016476-78r0rsio 61 18 the the DT cord-016476-78r0rsio 61 19 close close JJ cord-016476-78r0rsio 61 20 temporal temporal JJ cord-016476-78r0rsio 61 21 relationship relationship NN cord-016476-78r0rsio 61 22 arguing argue VBG cord-016476-78r0rsio 61 23 in in IN cord-016476-78r0rsio 61 24 favour favour NN cord-016476-78r0rsio 61 25 of of IN cord-016476-78r0rsio 61 26 causality causality NN cord-016476-78r0rsio 61 27 . . . cord-016476-78r0rsio 62 1 Secondly secondly RB cord-016476-78r0rsio 62 2 , , , cord-016476-78r0rsio 62 3 acute acute JJ cord-016476-78r0rsio 62 4 lung lung NN cord-016476-78r0rsio 62 5 injury injury NN cord-016476-78r0rsio 62 6 has have VBZ cord-016476-78r0rsio 62 7 resolved resolve VBN cord-016476-78r0rsio 62 8 after after IN cord-016476-78r0rsio 62 9 discontinuation discontinuation NN cord-016476-78r0rsio 62 10 of of IN cord-016476-78r0rsio 62 11 the the DT cord-016476-78r0rsio 62 12 drug drug NN cord-016476-78r0rsio 62 13 and and CC cord-016476-78r0rsio 62 14 treatment treatment NN cord-016476-78r0rsio 62 15 with with IN cord-016476-78r0rsio 62 16 high high JJ cord-016476-78r0rsio 62 17 - - HYPH cord-016476-78r0rsio 62 18 dose dose NN cord-016476-78r0rsio 62 19 glucocorticoids glucocorticoid NNS cord-016476-78r0rsio 62 20 [ [ -LRB- cord-016476-78r0rsio 62 21 5 5 CD cord-016476-78r0rsio 62 22 ] ] -RRB- cord-016476-78r0rsio 62 23 . . . cord-016476-78r0rsio 63 1 Lastly lastly RB cord-016476-78r0rsio 63 2 , , , cord-016476-78r0rsio 63 3 case case NN cord-016476-78r0rsio 63 4 reports report NNS cord-016476-78r0rsio 63 5 of of IN cord-016476-78r0rsio 63 6 ILD ILD NNP cord-016476-78r0rsio 63 7 have have VBP cord-016476-78r0rsio 63 8 been be VBN cord-016476-78r0rsio 63 9 reported report VBN cord-016476-78r0rsio 63 10 in in IN cord-016476-78r0rsio 63 11 other other JJ cord-016476-78r0rsio 63 12 conditions condition NNS cord-016476-78r0rsio 63 13 including include VBG cord-016476-78r0rsio 63 14 psoriatic psoriatic JJ cord-016476-78r0rsio 63 15 patients patient NNS cord-016476-78r0rsio 63 16 treated treat VBN cord-016476-78r0rsio 63 17 with with IN cord-016476-78r0rsio 63 18 MTX MTX NNP cord-016476-78r0rsio 63 19 [ [ -LRB- cord-016476-78r0rsio 63 20 6 6 CD cord-016476-78r0rsio 63 21 , , , cord-016476-78r0rsio 63 22 17 17 CD cord-016476-78r0rsio 63 23 ] ] -RRB- cord-016476-78r0rsio 63 24 as as RB cord-016476-78r0rsio 63 25 well well RB cord-016476-78r0rsio 63 26 as as IN cord-016476-78r0rsio 63 27 in in IN cord-016476-78r0rsio 63 28 other other JJ cord-016476-78r0rsio 63 29 conditions condition NNS cord-016476-78r0rsio 63 30 not not RB cord-016476-78r0rsio 63 31 typically typically RB cord-016476-78r0rsio 63 32 associated associate VBN cord-016476-78r0rsio 63 33 with with IN cord-016476-78r0rsio 63 34 ILD ILD NNP cord-016476-78r0rsio 63 35 . . . cord-016476-78r0rsio 64 1 However however RB cord-016476-78r0rsio 64 2 , , , cord-016476-78r0rsio 64 3 there there EX cord-016476-78r0rsio 64 4 are be VBP cord-016476-78r0rsio 64 5 issues issue NNS cord-016476-78r0rsio 64 6 with with IN cord-016476-78r0rsio 64 7 each each DT cord-016476-78r0rsio 64 8 of of IN cord-016476-78r0rsio 64 9 these these DT cord-016476-78r0rsio 64 10 arguments argument NNS cord-016476-78r0rsio 64 11 . . . cord-016476-78r0rsio 65 1 Clinicians clinician NNS cord-016476-78r0rsio 65 2 are be VBP cord-016476-78r0rsio 65 3 more more RBR cord-016476-78r0rsio 65 4 likely likely JJ cord-016476-78r0rsio 65 5 to to TO cord-016476-78r0rsio 65 6 diagnose diagnose VB cord-016476-78r0rsio 65 7 and and CC cord-016476-78r0rsio 65 8 report report VB cord-016476-78r0rsio 65 9 MTX MTX NNP cord-016476-78r0rsio 65 10 pneumonitis pneumonitis NN cord-016476-78r0rsio 65 11 if if IN cord-016476-78r0rsio 65 12 there there EX cord-016476-78r0rsio 65 13 is be VBZ cord-016476-78r0rsio 65 14 a a DT cord-016476-78r0rsio 65 15 close close JJ cord-016476-78r0rsio 65 16 temporal temporal JJ cord-016476-78r0rsio 65 17 relationship relationship NN cord-016476-78r0rsio 65 18 . . . cord-016476-78r0rsio 66 1 If if IN cord-016476-78r0rsio 66 2 cases case NNS cord-016476-78r0rsio 66 3 in in IN cord-016476-78r0rsio 66 4 question question NN cord-016476-78r0rsio 66 5 are be VBP cord-016476-78r0rsio 66 6 identified identify VBN cord-016476-78r0rsio 66 7 by by IN cord-016476-78r0rsio 66 8 asking ask VBG cord-016476-78r0rsio 66 9 rheumatologists rheumatologist NNS cord-016476-78r0rsio 66 10 to to TO cord-016476-78r0rsio 66 11 identify identify VB cord-016476-78r0rsio 66 12 them -PRON- PRP cord-016476-78r0rsio 66 13 [ [ -LRB- cord-016476-78r0rsio 66 14 16 16 CD cord-016476-78r0rsio 66 15 ] ] -RRB- cord-016476-78r0rsio 66 16 , , , cord-016476-78r0rsio 66 17 it -PRON- PRP cord-016476-78r0rsio 66 18 is be VBZ cord-016476-78r0rsio 66 19 inevitable inevitable JJ cord-016476-78r0rsio 66 20 that that IN cord-016476-78r0rsio 66 21 a a DT cord-016476-78r0rsio 66 22 strong strong JJ cord-016476-78r0rsio 66 23 temporal temporal JJ cord-016476-78r0rsio 66 24 relationship relationship NN cord-016476-78r0rsio 66 25 will will MD cord-016476-78r0rsio 66 26 be be VB cord-016476-78r0rsio 66 27 found find VBN cord-016476-78r0rsio 66 28 . . . cord-016476-78r0rsio 67 1 The the DT cord-016476-78r0rsio 67 2 second second JJ cord-016476-78r0rsio 67 3 argument argument NN cord-016476-78r0rsio 67 4 of of IN cord-016476-78r0rsio 67 5 resolution resolution NN cord-016476-78r0rsio 67 6 on on IN cord-016476-78r0rsio 67 7 drug drug NN cord-016476-78r0rsio 67 8 withdrawal withdrawal NN cord-016476-78r0rsio 67 9 would would MD cord-016476-78r0rsio 67 10 be be VB cord-016476-78r0rsio 67 11 more more RBR cord-016476-78r0rsio 67 12 convincing convincing JJ cord-016476-78r0rsio 67 13 if if IN cord-016476-78r0rsio 67 14 there there EX cord-016476-78r0rsio 67 15 were be VBD cord-016476-78r0rsio 67 16 no no DT cord-016476-78r0rsio 67 17 concurrent concurrent JJ cord-016476-78r0rsio 67 18 glucocorticoid glucocorticoid NN cord-016476-78r0rsio 67 19 treatment treatment NN cord-016476-78r0rsio 67 20 . . . cord-016476-78r0rsio 68 1 Acute acute JJ cord-016476-78r0rsio 68 2 exacerbations exacerbation NNS cord-016476-78r0rsio 68 3 of of IN cord-016476-78r0rsio 68 4 ILD ILD NNP cord-016476-78r0rsio 68 5 , , , cord-016476-78r0rsio 68 6 which which WDT cord-016476-78r0rsio 68 7 may may MD cord-016476-78r0rsio 68 8 resemble resemble VB cord-016476-78r0rsio 68 9 drug drug NN cord-016476-78r0rsio 68 10 pneumonitis pneumonitis NN cord-016476-78r0rsio 68 11 , , , cord-016476-78r0rsio 68 12 tend tend VBP cord-016476-78r0rsio 68 13 to to TO cord-016476-78r0rsio 68 14 be be VB cord-016476-78r0rsio 68 15 responsive responsive JJ cord-016476-78r0rsio 68 16 to to IN cord-016476-78r0rsio 68 17 glucocorticoids glucocorticoid NNS cord-016476-78r0rsio 68 18 . . . cord-016476-78r0rsio 69 1 That that DT cord-016476-78r0rsio 69 2 said say VBD cord-016476-78r0rsio 69 3 , , , cord-016476-78r0rsio 69 4 there there EX cord-016476-78r0rsio 69 5 are be VBP cord-016476-78r0rsio 69 6 cases case NNS cord-016476-78r0rsio 69 7 of of IN cord-016476-78r0rsio 69 8 improvement improvement NN cord-016476-78r0rsio 69 9 on on IN cord-016476-78r0rsio 69 10 MTX MTX NNP cord-016476-78r0rsio 69 11 withdrawal withdrawal NN cord-016476-78r0rsio 69 12 with with IN cord-016476-78r0rsio 69 13 no no DT cord-016476-78r0rsio 69 14 increase increase NN cord-016476-78r0rsio 69 15 in in IN cord-016476-78r0rsio 69 16 pre pre JJ cord-016476-78r0rsio 69 17 - - JJ cord-016476-78r0rsio 69 18 existing existing JJ cord-016476-78r0rsio 69 19 glucocorticoid glucocorticoid NN cord-016476-78r0rsio 69 20 dose dose NN cord-016476-78r0rsio 69 21 [ [ -LRB- cord-016476-78r0rsio 69 22 14 14 CD cord-016476-78r0rsio 69 23 ] ] -RRB- cord-016476-78r0rsio 69 24 . . . cord-016476-78r0rsio 70 1 Third third RB cord-016476-78r0rsio 70 2 , , , cord-016476-78r0rsio 70 3 dose dose NN cord-016476-78r0rsio 70 4 and and CC cord-016476-78r0rsio 70 5 duration duration NN cord-016476-78r0rsio 70 6 of of IN cord-016476-78r0rsio 70 7 MTX MTX NNP cord-016476-78r0rsio 70 8 treatment treatment NN cord-016476-78r0rsio 70 9 does do VBZ cord-016476-78r0rsio 70 10 not not RB cord-016476-78r0rsio 70 11 appear appear VB cord-016476-78r0rsio 70 12 to to TO cord-016476-78r0rsio 70 13 be be VB cord-016476-78r0rsio 70 14 associated associate VBN cord-016476-78r0rsio 70 15 with with IN cord-016476-78r0rsio 70 16 pulmonary pulmonary JJ cord-016476-78r0rsio 70 17 toxicity toxicity NN cord-016476-78r0rsio 70 18 in in IN cord-016476-78r0rsio 70 19 the the DT cord-016476-78r0rsio 70 20 reported report VBN cord-016476-78r0rsio 70 21 literature literature NN cord-016476-78r0rsio 70 22 [ [ -LRB- cord-016476-78r0rsio 70 23 6 6 CD cord-016476-78r0rsio 70 24 ] ] -RRB- cord-016476-78r0rsio 70 25 . . . cord-016476-78r0rsio 71 1 Furthermore furthermore RB cord-016476-78r0rsio 71 2 a a DT cord-016476-78r0rsio 71 3 recent recent JJ cord-016476-78r0rsio 71 4 systematic systematic JJ cord-016476-78r0rsio 71 5 review review NN cord-016476-78r0rsio 71 6 and and CC cord-016476-78r0rsio 71 7 meta meta NNP cord-016476-78r0rsio 71 8 - - HYPH cord-016476-78r0rsio 71 9 analysis analysis NN cord-016476-78r0rsio 71 10 evaluating evaluate VBG cord-016476-78r0rsio 71 11 the the DT cord-016476-78r0rsio 71 12 risk risk NN cord-016476-78r0rsio 71 13 of of IN cord-016476-78r0rsio 71 14 pulmonary pulmonary JJ cord-016476-78r0rsio 71 15 disease disease NN cord-016476-78r0rsio 71 16 amongst amongst IN cord-016476-78r0rsio 71 17 MTX MTX NNP cord-016476-78r0rsio 71 18 - - HYPH cord-016476-78r0rsio 71 19 treated treat VBN cord-016476-78r0rsio 71 20 patients patient NNS cord-016476-78r0rsio 71 21 with with IN cord-016476-78r0rsio 71 22 psoriasis psoriasis NN cord-016476-78r0rsio 71 23 , , , cord-016476-78r0rsio 71 24 psoriatic psoriatic JJ cord-016476-78r0rsio 71 25 arthritis arthritis NN cord-016476-78r0rsio 71 26 and and CC cord-016476-78r0rsio 71 27 inflammatory inflammatory JJ cord-016476-78r0rsio 71 28 bowel bowel NN cord-016476-78r0rsio 71 29 disease disease NN cord-016476-78r0rsio 71 30 in in IN cord-016476-78r0rsio 71 31 RCTs RCTs NNP cord-016476-78r0rsio 71 32 concluded conclude VBD cord-016476-78r0rsio 71 33 no no DT cord-016476-78r0rsio 71 34 increased increase VBN cord-016476-78r0rsio 71 35 risk risk NN cord-016476-78r0rsio 71 36 [ [ -LRB- cord-016476-78r0rsio 71 37 18 18 CD cord-016476-78r0rsio 71 38 ] ] -RRB- cord-016476-78r0rsio 71 39 . . . cord-016476-78r0rsio 72 1 It -PRON- PRP cord-016476-78r0rsio 72 2 is be VBZ cord-016476-78r0rsio 72 3 not not RB cord-016476-78r0rsio 72 4 clear clear JJ cord-016476-78r0rsio 72 5 whether whether IN cord-016476-78r0rsio 72 6 pre pre JJ cord-016476-78r0rsio 72 7 - - JJ cord-016476-78r0rsio 72 8 existing existing JJ cord-016476-78r0rsio 72 9 RA RA NNP cord-016476-78r0rsio 72 10 - - HYPH cord-016476-78r0rsio 72 11 ILD ILD NNP cord-016476-78r0rsio 72 12 increases increase VBZ cord-016476-78r0rsio 72 13 the the DT cord-016476-78r0rsio 72 14 risk risk NN cord-016476-78r0rsio 72 15 of of IN cord-016476-78r0rsio 72 16 MTX MTX NNP cord-016476-78r0rsio 72 17 pneumonitis pneumonitis NN cord-016476-78r0rsio 72 18 with with IN cord-016476-78r0rsio 72 19 studies study NNS cord-016476-78r0rsio 72 20 both both DT cord-016476-78r0rsio 72 21 supporting support VBG cord-016476-78r0rsio 72 22 and and CC cord-016476-78r0rsio 72 23 opposing oppose VBG cord-016476-78r0rsio 72 24 this this DT cord-016476-78r0rsio 72 25 view view NN cord-016476-78r0rsio 72 26 . . . cord-016476-78r0rsio 73 1 The the DT cord-016476-78r0rsio 73 2 largest large JJS cord-016476-78r0rsio 73 3 study study NN cord-016476-78r0rsio 73 4 was be VBD cord-016476-78r0rsio 73 5 a a DT cord-016476-78r0rsio 73 6 multicentre multicentre NNP cord-016476-78r0rsio 73 7 case case NN cord-016476-78r0rsio 73 8 - - HYPH cord-016476-78r0rsio 73 9 control control NN cord-016476-78r0rsio 73 10 study study NN cord-016476-78r0rsio 73 11 from from IN cord-016476-78r0rsio 73 12 the the DT cord-016476-78r0rsio 73 13 USA USA NNP cord-016476-78r0rsio 73 14 [ [ -LRB- cord-016476-78r0rsio 73 15 12 12 CD cord-016476-78r0rsio 73 16 , , , cord-016476-78r0rsio 73 17 19 19 CD cord-016476-78r0rsio 73 18 ] ] -RRB- cord-016476-78r0rsio 73 19 , , , cord-016476-78r0rsio 73 20 which which WDT cord-016476-78r0rsio 73 21 identified identify VBD cord-016476-78r0rsio 73 22 29 29 CD cord-016476-78r0rsio 73 23 cases case NNS cord-016476-78r0rsio 73 24 and and CC cord-016476-78r0rsio 73 25 82 82 CD cord-016476-78r0rsio 73 26 controls control NNS cord-016476-78r0rsio 73 27 matched match VBN cord-016476-78r0rsio 73 28 for for IN cord-016476-78r0rsio 73 29 MTX MTX NNP cord-016476-78r0rsio 73 30 use use NN cord-016476-78r0rsio 73 31 . . . cord-016476-78r0rsio 74 1 The the DT cord-016476-78r0rsio 74 2 strongest strong JJS cord-016476-78r0rsio 74 3 predictors predictor NNS cord-016476-78r0rsio 74 4 of of IN cord-016476-78r0rsio 74 5 lung lung NN cord-016476-78r0rsio 74 6 injury injury NN cord-016476-78r0rsio 74 7 were be VBD cord-016476-78r0rsio 74 8 diabetes diabete NNS cord-016476-78r0rsio 74 9 , , , cord-016476-78r0rsio 74 10 hypoalbuminaemia hypoalbuminaemia NN cord-016476-78r0rsio 74 11 , , , cord-016476-78r0rsio 74 12 previous previous JJ cord-016476-78r0rsio 74 13 use use NN cord-016476-78r0rsio 74 14 of of IN cord-016476-78r0rsio 74 15 nbDMARDs nbDMARDs NNP cord-016476-78r0rsio 74 16 , , , cord-016476-78r0rsio 74 17 rheumatoid rheumatoid NN cord-016476-78r0rsio 74 18 pleuropulmonary pleuropulmonary NN cord-016476-78r0rsio 74 19 involvement involvement NN cord-016476-78r0rsio 74 20 ( ( -LRB- cord-016476-78r0rsio 74 21 OR or CC cord-016476-78r0rsio 74 22 7.1 7.1 CD cord-016476-78r0rsio 74 23 ( ( -LRB- cord-016476-78r0rsio 74 24 95 95 CD cord-016476-78r0rsio 74 25 % % NN cord-016476-78r0rsio 74 26 CI CI NNP cord-016476-78r0rsio 74 27 1.1 1.1 CD cord-016476-78r0rsio 74 28 - - HYPH cord-016476-78r0rsio 74 29 45.4 45.4 CD cord-016476-78r0rsio 74 30 ) ) -RRB- cord-016476-78r0rsio 74 31 ) ) -RRB- cord-016476-78r0rsio 74 32 and and CC cord-016476-78r0rsio 74 33 older old JJR cord-016476-78r0rsio 74 34 age age NN cord-016476-78r0rsio 74 35 ( ( -LRB- cord-016476-78r0rsio 74 36 > > NFP cord-016476-78r0rsio 74 37 60 60 CD cord-016476-78r0rsio 74 38 ) ) -RRB- cord-016476-78r0rsio 74 39 . . . cord-016476-78r0rsio 75 1 A a DT cord-016476-78r0rsio 75 2 history history NN cord-016476-78r0rsio 75 3 of of IN cord-016476-78r0rsio 75 4 COPD COPD NNP cord-016476-78r0rsio 75 5 was be VBD cord-016476-78r0rsio 75 6 modestly modestly RB cord-016476-78r0rsio 75 7 associated associate VBN cord-016476-78r0rsio 75 8 with with IN cord-016476-78r0rsio 75 9 MTX MTX NNP cord-016476-78r0rsio 75 10 - - HYPH cord-016476-78r0rsio 75 11 induced induce VBN cord-016476-78r0rsio 75 12 lung lung NN cord-016476-78r0rsio 75 13 injury injury NN cord-016476-78r0rsio 75 14 . . . cord-016476-78r0rsio 76 1 Since since IN cord-016476-78r0rsio 76 2 all all PDT cord-016476-78r0rsio 76 3 the the DT cord-016476-78r0rsio 76 4 cases case NNS cord-016476-78r0rsio 76 5 were be VBD cord-016476-78r0rsio 76 6 identified identify VBN cord-016476-78r0rsio 76 7 following follow VBG cord-016476-78r0rsio 76 8 clinical clinical JJ cord-016476-78r0rsio 76 9 presentation presentation NN cord-016476-78r0rsio 76 10 , , , cord-016476-78r0rsio 76 11 the the DT cord-016476-78r0rsio 76 12 observed observed JJ cord-016476-78r0rsio 76 13 association association NN cord-016476-78r0rsio 76 14 between between IN cord-016476-78r0rsio 76 15 pre pre JJ cord-016476-78r0rsio 76 16 - - JJ cord-016476-78r0rsio 76 17 existing existing JJ cord-016476-78r0rsio 76 18 lung lung NN cord-016476-78r0rsio 76 19 disease disease NN cord-016476-78r0rsio 76 20 and and CC cord-016476-78r0rsio 76 21 MTX MTX NNP cord-016476-78r0rsio 76 22 pneumonitis pneumonitis NN cord-016476-78r0rsio 76 23 may may MD cord-016476-78r0rsio 76 24 represent represent VB cord-016476-78r0rsio 76 25 an an DT cord-016476-78r0rsio 76 26 increased increase VBN cord-016476-78r0rsio 76 27 likelihood likelihood NN cord-016476-78r0rsio 76 28 of of IN cord-016476-78r0rsio 76 29 presentation presentation NN cord-016476-78r0rsio 76 30 ( ( -LRB- cord-016476-78r0rsio 76 31 because because IN cord-016476-78r0rsio 76 32 of of IN cord-016476-78r0rsio 76 33 a a DT cord-016476-78r0rsio 76 34 reduced reduced JJ cord-016476-78r0rsio 76 35 physiological physiological JJ cord-016476-78r0rsio 76 36 lung lung NN cord-016476-78r0rsio 76 37 reserve reserve NN cord-016476-78r0rsio 76 38 ) ) -RRB- cord-016476-78r0rsio 76 39 or or CC cord-016476-78r0rsio 76 40 a a DT cord-016476-78r0rsio 76 41 surveillance surveillance NN cord-016476-78r0rsio 76 42 bias bias NN cord-016476-78r0rsio 76 43 rather rather RB cord-016476-78r0rsio 76 44 than than IN cord-016476-78r0rsio 76 45 an an DT cord-016476-78r0rsio 76 46 increased increase VBN cord-016476-78r0rsio 76 47 predisposition predisposition NN cord-016476-78r0rsio 76 48 to to IN cord-016476-78r0rsio 76 49 pneumonitis pneumonitis NN cord-016476-78r0rsio 76 50 . . . cord-016476-78r0rsio 77 1 Meta Meta NNP cord-016476-78r0rsio 77 2 - - HYPH cord-016476-78r0rsio 77 3 analysis analysis NN cord-016476-78r0rsio 77 4 of of IN cord-016476-78r0rsio 77 5 six six CD cord-016476-78r0rsio 77 6 studies study NNS cord-016476-78r0rsio 77 7 that that WDT cord-016476-78r0rsio 77 8 suggested suggest VBD cord-016476-78r0rsio 77 9 an an DT cord-016476-78r0rsio 77 10 association association NN cord-016476-78r0rsio 77 11 between between IN cord-016476-78r0rsio 77 12 pre pre JJ cord-016476-78r0rsio 77 13 - - JJ cord-016476-78r0rsio 77 14 existing existing JJ cord-016476-78r0rsio 77 15 lung lung NN cord-016476-78r0rsio 77 16 disease disease NN cord-016476-78r0rsio 77 17 ( ( -LRB- cord-016476-78r0rsio 77 18 of of IN cord-016476-78r0rsio 77 19 varying vary VBG cord-016476-78r0rsio 77 20 definitions definition NNS cord-016476-78r0rsio 77 21 ) ) -RRB- cord-016476-78r0rsio 77 22 and and CC cord-016476-78r0rsio 77 23 an an DT cord-016476-78r0rsio 77 24 increased increase VBN cord-016476-78r0rsio 77 25 risk risk NN cord-016476-78r0rsio 77 26 of of IN cord-016476-78r0rsio 77 27 MTX MTX NNP cord-016476-78r0rsio 77 28 pneumonitis pneumonitis NN cord-016476-78r0rsio 77 29 found find VBD cord-016476-78r0rsio 77 30 a a DT cord-016476-78r0rsio 77 31 pooled pool VBN cord-016476-78r0rsio 77 32 odds odd NNS cord-016476-78r0rsio 77 33 ratio ratio NN cord-016476-78r0rsio 77 34 of of IN cord-016476-78r0rsio 77 35 7.5 7.5 CD cord-016476-78r0rsio 77 36 ( ( -LRB- cord-016476-78r0rsio 77 37 95 95 CD cord-016476-78r0rsio 77 38 % % NN cord-016476-78r0rsio 77 39 CI CI NNP cord-016476-78r0rsio 77 40 3.6 3.6 CD cord-016476-78r0rsio 77 41 , , , cord-016476-78r0rsio 77 42 15.8 15.8 CD cord-016476-78r0rsio 77 43 ) ) -RRB- cord-016476-78r0rsio 78 1 [ [ -LRB- cord-016476-78r0rsio 78 2 20 20 CD cord-016476-78r0rsio 78 3 ] ] -RRB- cord-016476-78r0rsio 78 4 . . . cord-016476-78r0rsio 79 1 However however RB cord-016476-78r0rsio 79 2 , , , cord-016476-78r0rsio 79 3 two two CD cord-016476-78r0rsio 79 4 studies study NNS cord-016476-78r0rsio 79 5 that that WDT cord-016476-78r0rsio 79 6 suggested suggest VBD cord-016476-78r0rsio 79 7 no no DT cord-016476-78r0rsio 79 8 such such JJ cord-016476-78r0rsio 79 9 association association NN cord-016476-78r0rsio 79 10 [ [ -LRB- cord-016476-78r0rsio 79 11 11 11 CD cord-016476-78r0rsio 79 12 , , , cord-016476-78r0rsio 79 13 21 21 CD cord-016476-78r0rsio 79 14 ] ] -RRB- cord-016476-78r0rsio 79 15 were be VBD cord-016476-78r0rsio 79 16 not not RB cord-016476-78r0rsio 79 17 included include VBN cord-016476-78r0rsio 79 18 in in IN cord-016476-78r0rsio 79 19 the the DT cord-016476-78r0rsio 79 20 meta meta JJ cord-016476-78r0rsio 79 21 - - HYPH cord-016476-78r0rsio 79 22 analysis analysis NN cord-016476-78r0rsio 79 23 for for IN cord-016476-78r0rsio 79 24 reasons reason NNS cord-016476-78r0rsio 79 25 that that WDT cord-016476-78r0rsio 79 26 are be VBP cord-016476-78r0rsio 79 27 not not RB cord-016476-78r0rsio 79 28 clear clear JJ cord-016476-78r0rsio 79 29 . . . cord-016476-78r0rsio 80 1 Howes Howes NNP cord-016476-78r0rsio 80 2 et et NNP cord-016476-78r0rsio 80 3 al al NNP cord-016476-78r0rsio 80 4 . . . cord-016476-78r0rsio 81 1 [ [ -LRB- cord-016476-78r0rsio 81 2 22 22 CD cord-016476-78r0rsio 81 3 ] ] -RRB- cord-016476-78r0rsio 81 4 followed follow VBD cord-016476-78r0rsio 81 5 120 120 CD cord-016476-78r0rsio 81 6 patients patient NNS cord-016476-78r0rsio 81 7 who who WP cord-016476-78r0rsio 81 8 received receive VBD cord-016476-78r0rsio 81 9 MTX MTX NNP cord-016476-78r0rsio 81 10 for for IN cord-016476-78r0rsio 81 11 RA RA NNP cord-016476-78r0rsio 81 12 for for IN cord-016476-78r0rsio 81 13 a a DT cord-016476-78r0rsio 81 14 median median JJ cord-016476-78r0rsio 81 15 treatment treatment NN cord-016476-78r0rsio 81 16 duration duration NN cord-016476-78r0rsio 81 17 of of IN cord-016476-78r0rsio 81 18 15 15 CD cord-016476-78r0rsio 81 19 months month NNS cord-016476-78r0rsio 81 20 , , , cord-016476-78r0rsio 81 21 all all DT cord-016476-78r0rsio 81 22 of of IN cord-016476-78r0rsio 81 23 whom whom WP cord-016476-78r0rsio 81 24 had have VBD cord-016476-78r0rsio 81 25 baseline baseline JJ cord-016476-78r0rsio 81 26 PFTs pft NNS cord-016476-78r0rsio 81 27 . . . cord-016476-78r0rsio 82 1 Three three CD cord-016476-78r0rsio 82 2 patients patient NNS cord-016476-78r0rsio 82 3 developed develop VBD cord-016476-78r0rsio 82 4 pulmonary pulmonary JJ cord-016476-78r0rsio 82 5 toxicity toxicity NN cord-016476-78r0rsio 82 6 according accord VBG cord-016476-78r0rsio 82 7 the the DT cord-016476-78r0rsio 82 8 established establish VBN cord-016476-78r0rsio 82 9 criteria criterion NNS cord-016476-78r0rsio 82 10 [ [ -LRB- cord-016476-78r0rsio 82 11 5 5 CD cord-016476-78r0rsio 82 12 ] ] -RRB- cord-016476-78r0rsio 82 13 , , , cord-016476-78r0rsio 82 14 all all DT cord-016476-78r0rsio 82 15 of of IN cord-016476-78r0rsio 82 16 whom whom WP cord-016476-78r0rsio 82 17 had have VBD cord-016476-78r0rsio 82 18 abnormal abnormal JJ cord-016476-78r0rsio 82 19 baseline baseline JJ cord-016476-78r0rsio 82 20 PFTs pft NNS cord-016476-78r0rsio 82 21 . . . cord-016476-78r0rsio 83 1 Of of IN cord-016476-78r0rsio 83 2 the the DT cord-016476-78r0rsio 83 3 patients patient NNS cord-016476-78r0rsio 83 4 studied study VBD cord-016476-78r0rsio 83 5 , , , cord-016476-78r0rsio 83 6 3/120 3/120 CD cord-016476-78r0rsio 83 7 patients patient NNS cord-016476-78r0rsio 83 8 had have VBD cord-016476-78r0rsio 83 9 a a DT cord-016476-78r0rsio 83 10 transfer transfer NN cord-016476-78r0rsio 83 11 factor factor NN cord-016476-78r0rsio 83 12 of of IN cord-016476-78r0rsio 83 13 < < $ cord-016476-78r0rsio 83 14 70 70 CD cord-016476-78r0rsio 83 15 % % NN cord-016476-78r0rsio 83 16 at at IN cord-016476-78r0rsio 83 17 baseline baseline NN cord-016476-78r0rsio 83 18 , , , cord-016476-78r0rsio 83 19 one one CD cord-016476-78r0rsio 83 20 of of IN cord-016476-78r0rsio 83 21 whom whom WP cord-016476-78r0rsio 83 22 developed develop VBD cord-016476-78r0rsio 83 23 pulmonary pulmonary JJ cord-016476-78r0rsio 83 24 toxicity toxicity NN cord-016476-78r0rsio 83 25 . . . cord-016476-78r0rsio 84 1 The the DT cord-016476-78r0rsio 84 2 authors author NNS cord-016476-78r0rsio 84 3 report report VBP cord-016476-78r0rsio 84 4 a a DT cord-016476-78r0rsio 84 5 relative relative JJ cord-016476-78r0rsio 84 6 risk risk NN cord-016476-78r0rsio 84 7 for for IN cord-016476-78r0rsio 84 8 pneumonitis pneumonitis NN cord-016476-78r0rsio 84 9 of of IN cord-016476-78r0rsio 84 10 10 10 CD cord-016476-78r0rsio 84 11 , , , cord-016476-78r0rsio 84 12 though though IN cord-016476-78r0rsio 84 13 this this DT cord-016476-78r0rsio 84 14 estimate estimate NN cord-016476-78r0rsio 84 15 is be VBZ cord-016476-78r0rsio 84 16 not not RB cord-016476-78r0rsio 84 17 robust robust JJ cord-016476-78r0rsio 84 18 given give VBN cord-016476-78r0rsio 84 19 the the DT cord-016476-78r0rsio 84 20 small small JJ cord-016476-78r0rsio 84 21 numbers number NNS cord-016476-78r0rsio 84 22 . . . cord-016476-78r0rsio 85 1 There there EX cord-016476-78r0rsio 85 2 is be VBZ cord-016476-78r0rsio 85 3 currently currently RB cord-016476-78r0rsio 85 4 no no DT cord-016476-78r0rsio 85 5 conclusive conclusive JJ cord-016476-78r0rsio 85 6 evidence evidence NN cord-016476-78r0rsio 85 7 that that IN cord-016476-78r0rsio 85 8 lung lung NN cord-016476-78r0rsio 85 9 function function NN cord-016476-78r0rsio 85 10 is be VBZ cord-016476-78r0rsio 85 11 likely likely JJ cord-016476-78r0rsio 85 12 to to TO cord-016476-78r0rsio 85 13 decline decline VB cord-016476-78r0rsio 85 14 faster fast RBR cord-016476-78r0rsio 85 15 in in IN cord-016476-78r0rsio 85 16 patients patient NNS cord-016476-78r0rsio 85 17 with with IN cord-016476-78r0rsio 85 18 RA RA NNP cord-016476-78r0rsio 85 19 - - HYPH cord-016476-78r0rsio 85 20 ILD ILD NNP cord-016476-78r0rsio 85 21 on on IN cord-016476-78r0rsio 85 22 MTX MTX NNP cord-016476-78r0rsio 85 23 who who WP cord-016476-78r0rsio 85 24 do do VBP cord-016476-78r0rsio 85 25 not not RB cord-016476-78r0rsio 85 26 develop develop VB cord-016476-78r0rsio 85 27 pneumonitis pneumonitis NN cord-016476-78r0rsio 85 28 . . . cord-016476-78r0rsio 86 1 In in IN cord-016476-78r0rsio 86 2 a a DT cord-016476-78r0rsio 86 3 retrospective retrospective JJ cord-016476-78r0rsio 86 4 cohort cohort NN cord-016476-78r0rsio 86 5 analysis analysis NN cord-016476-78r0rsio 86 6 , , , cord-016476-78r0rsio 86 7 following follow VBG cord-016476-78r0rsio 86 8 6 6 CD cord-016476-78r0rsio 86 9 weeks week NNS cord-016476-78r0rsio 86 10 of of IN cord-016476-78r0rsio 86 11 high high JJ cord-016476-78r0rsio 86 12 - - HYPH cord-016476-78r0rsio 86 13 dose dose NN cord-016476-78r0rsio 86 14 glucocorticoid glucocorticoid NN cord-016476-78r0rsio 86 15 treatment treatment NN cord-016476-78r0rsio 86 16 , , , cord-016476-78r0rsio 86 17 one one CD cord-016476-78r0rsio 86 18 study study NN cord-016476-78r0rsio 86 19 reported report VBD cord-016476-78r0rsio 86 20 treatment treatment NN cord-016476-78r0rsio 86 21 with with IN cord-016476-78r0rsio 86 22 MTX MTX NNP cord-016476-78r0rsio 86 23 vs. vs. IN cord-016476-78r0rsio 86 24 leflunomide leflunomide NN cord-016476-78r0rsio 86 25 or or CC cord-016476-78r0rsio 86 26 azathioprine azathioprine NN cord-016476-78r0rsio 86 27 was be VBD cord-016476-78r0rsio 86 28 associated associate VBN cord-016476-78r0rsio 86 29 with with IN cord-016476-78r0rsio 86 30 an an DT cord-016476-78r0rsio 86 31 improvement improvement NN cord-016476-78r0rsio 86 32 in in IN cord-016476-78r0rsio 86 33 FVC FVC NNP cord-016476-78r0rsio 86 34 at at IN cord-016476-78r0rsio 86 35 6 6 CD cord-016476-78r0rsio 86 36 months month NNS cord-016476-78r0rsio 86 37 in in IN cord-016476-78r0rsio 86 38 patients patient NNS cord-016476-78r0rsio 86 39 with with IN cord-016476-78r0rsio 86 40 less less JJR cord-016476-78r0rsio 86 41 fibrosis fibrosis NN cord-016476-78r0rsio 86 42 at at IN cord-016476-78r0rsio 86 43 baseline baseline NN cord-016476-78r0rsio 86 44 , , , cord-016476-78r0rsio 86 45 although although IN cord-016476-78r0rsio 86 46 there there EX cord-016476-78r0rsio 86 47 were be VBD cord-016476-78r0rsio 86 48 no no DT cord-016476-78r0rsio 86 49 another another DT cord-016476-78r0rsio 86 50 differences difference NNS cord-016476-78r0rsio 86 51 in in IN cord-016476-78r0rsio 86 52 other other JJ cord-016476-78r0rsio 86 53 major major JJ cord-016476-78r0rsio 86 54 outcomes outcome NNS cord-016476-78r0rsio 86 55 such such JJ cord-016476-78r0rsio 86 56 as as IN cord-016476-78r0rsio 86 57 mortality mortality NN cord-016476-78r0rsio 86 58 [ [ -LRB- cord-016476-78r0rsio 86 59 23 23 CD cord-016476-78r0rsio 86 60 ] ] -RRB- cord-016476-78r0rsio 86 61 . . . cord-016476-78r0rsio 87 1 Another another DT cord-016476-78r0rsio 87 2 study study NN cord-016476-78r0rsio 87 3 by by IN cord-016476-78r0rsio 87 4 Dawson Dawson NNP cord-016476-78r0rsio 87 5 et et NNP cord-016476-78r0rsio 87 6 al al NNP cord-016476-78r0rsio 87 7 . . . cord-016476-78r0rsio 88 1 [ [ -LRB- cord-016476-78r0rsio 88 2 7 7 CD cord-016476-78r0rsio 88 3 ] ] -RRB- cord-016476-78r0rsio 88 4 followed follow VBD cord-016476-78r0rsio 88 5 128 128 CD cord-016476-78r0rsio 88 6 patients patient NNS cord-016476-78r0rsio 88 7 with with IN cord-016476-78r0rsio 88 8 RA RA NNP cord-016476-78r0rsio 88 9 for for IN cord-016476-78r0rsio 88 10 2 2 CD cord-016476-78r0rsio 88 11 years year NNS cord-016476-78r0rsio 88 12 , , , cord-016476-78r0rsio 88 13 43 43 CD cord-016476-78r0rsio 88 14 % % NN cord-016476-78r0rsio 88 15 of of IN cord-016476-78r0rsio 88 16 whom whom WP cord-016476-78r0rsio 88 17 were be VBD cord-016476-78r0rsio 88 18 on on IN cord-016476-78r0rsio 88 19 low low JJ cord-016476-78r0rsio 88 20 - - HYPH cord-016476-78r0rsio 88 21 dose dose NN cord-016476-78r0rsio 88 22 MTX MTX NNP cord-016476-78r0rsio 88 23 ( ( -LRB- cord-016476-78r0rsio 88 24 mean mean VB cord-016476-78r0rsio 88 25 10.7 10.7 CD cord-016476-78r0rsio 88 26 mg mg NNP cord-016476-78r0rsio 88 27 / / SYM cord-016476-78r0rsio 88 28 week week NN cord-016476-78r0rsio 88 29 ) ) -RRB- cord-016476-78r0rsio 88 30 , , , cord-016476-78r0rsio 88 31 with with IN cord-016476-78r0rsio 88 32 HRCT HRCT NNP cord-016476-78r0rsio 88 33 in in IN cord-016476-78r0rsio 88 34 all all DT cord-016476-78r0rsio 88 35 patients patient NNS cord-016476-78r0rsio 88 36 at at IN cord-016476-78r0rsio 88 37 baseline baseline NN cord-016476-78r0rsio 88 38 and and CC cord-016476-78r0rsio 88 39 pulmonary pulmonary JJ cord-016476-78r0rsio 88 40 function function NN cord-016476-78r0rsio 88 41 tests test NNS cord-016476-78r0rsio 88 42 ( ( -LRB- cord-016476-78r0rsio 88 43 PFTs pft NNS cord-016476-78r0rsio 88 44 ) ) -RRB- cord-016476-78r0rsio 88 45 at at IN cord-016476-78r0rsio 88 46 baseline baseline NN cord-016476-78r0rsio 88 47 and and CC cord-016476-78r0rsio 88 48 at at IN cord-016476-78r0rsio 88 49 4-month 4-month JJ cord-016476-78r0rsio 88 50 follow follow NN cord-016476-78r0rsio 88 51 - - HYPH cord-016476-78r0rsio 88 52 up up RP cord-016476-78r0rsio 88 53 intervals interval NNS cord-016476-78r0rsio 88 54 . . . cord-016476-78r0rsio 89 1 There there EX cord-016476-78r0rsio 89 2 was be VBD cord-016476-78r0rsio 89 3 no no DT cord-016476-78r0rsio 89 4 significant significant JJ cord-016476-78r0rsio 89 5 difference difference NN cord-016476-78r0rsio 89 6 in in IN cord-016476-78r0rsio 89 7 the the DT cord-016476-78r0rsio 89 8 change change NN cord-016476-78r0rsio 89 9 in in IN cord-016476-78r0rsio 89 10 PFTs pft NNS cord-016476-78r0rsio 89 11 over over IN cord-016476-78r0rsio 89 12 the the DT cord-016476-78r0rsio 89 13 follow follow VB cord-016476-78r0rsio 89 14 - - HYPH cord-016476-78r0rsio 89 15 up up NN cord-016476-78r0rsio 89 16 period period NN cord-016476-78r0rsio 89 17 either either CC cord-016476-78r0rsio 89 18 between between IN cord-016476-78r0rsio 89 19 the the DT cord-016476-78r0rsio 89 20 MTX MTX NNP cord-016476-78r0rsio 89 21 and and CC cord-016476-78r0rsio 89 22 non non JJ cord-016476-78r0rsio 89 23 - - JJ cord-016476-78r0rsio 89 24 MTX mtx JJ cord-016476-78r0rsio 89 25 patients patient NNS cord-016476-78r0rsio 89 26 or or CC cord-016476-78r0rsio 89 27 between between IN cord-016476-78r0rsio 89 28 MTX MTX NNP cord-016476-78r0rsio 89 29 and and CC cord-016476-78r0rsio 89 30 non non JJ cord-016476-78r0rsio 89 31 - - JJ cord-016476-78r0rsio 89 32 MTX mtx JJ cord-016476-78r0rsio 89 33 patients patient NNS cord-016476-78r0rsio 89 34 with with IN cord-016476-78r0rsio 89 35 proven prove VBN cord-016476-78r0rsio 89 36 ILD ILD NNP cord-016476-78r0rsio 89 37 on on IN cord-016476-78r0rsio 89 38 HRCT HRCT NNP cord-016476-78r0rsio 89 39 at at IN cord-016476-78r0rsio 89 40 baseline baseline NN cord-016476-78r0rsio 89 41 . . . cord-016476-78r0rsio 90 1 The the DT cord-016476-78r0rsio 90 2 authors author NNS cord-016476-78r0rsio 90 3 concluded conclude VBD cord-016476-78r0rsio 90 4 that that IN cord-016476-78r0rsio 90 5 they -PRON- PRP cord-016476-78r0rsio 90 6 found find VBD cord-016476-78r0rsio 90 7 no no DT cord-016476-78r0rsio 90 8 association association NN cord-016476-78r0rsio 90 9 between between IN cord-016476-78r0rsio 90 10 MTX MTX NNP cord-016476-78r0rsio 90 11 therapy therapy NN cord-016476-78r0rsio 90 12 and and CC cord-016476-78r0rsio 90 13 progression progression NN cord-016476-78r0rsio 90 14 of of IN cord-016476-78r0rsio 90 15 chronic chronic JJ cord-016476-78r0rsio 90 16 pulmonary pulmonary JJ cord-016476-78r0rsio 90 17 fibrosis fibrosis NN cord-016476-78r0rsio 90 18 . . . cord-016476-78r0rsio 91 1 Current current JJ cord-016476-78r0rsio 91 2 guidelines guideline NNS cord-016476-78r0rsio 91 3 on on IN cord-016476-78r0rsio 91 4 the the DT cord-016476-78r0rsio 91 5 use use NN cord-016476-78r0rsio 91 6 of of IN cord-016476-78r0rsio 91 7 MTX MTX NNP cord-016476-78r0rsio 91 8 recommend recommend VBP cord-016476-78r0rsio 91 9 that that IN cord-016476-78r0rsio 91 10 all all DT cord-016476-78r0rsio 91 11 patients patient NNS cord-016476-78r0rsio 91 12 should should MD cord-016476-78r0rsio 91 13 have have VB cord-016476-78r0rsio 91 14 a a DT cord-016476-78r0rsio 91 15 baseline baseline JJ cord-016476-78r0rsio 91 16 chest chest NN cord-016476-78r0rsio 91 17 radiograph radiograph NN cord-016476-78r0rsio 91 18 with with IN cord-016476-78r0rsio 91 19 or or CC cord-016476-78r0rsio 91 20 without without IN cord-016476-78r0rsio 91 21 PFTs pft NNS cord-016476-78r0rsio 91 22 . . . cord-016476-78r0rsio 92 1 There there EX cord-016476-78r0rsio 92 2 appears appear VBZ cord-016476-78r0rsio 92 3 to to TO cord-016476-78r0rsio 92 4 be be VB cord-016476-78r0rsio 92 5 little little JJ cord-016476-78r0rsio 92 6 evidence evidence NN cord-016476-78r0rsio 92 7 to to TO cord-016476-78r0rsio 92 8 support support VB cord-016476-78r0rsio 92 9 this this DT cord-016476-78r0rsio 92 10 ; ; : cord-016476-78r0rsio 92 11 however however RB cord-016476-78r0rsio 92 12 , , , cord-016476-78r0rsio 92 13 PFTs pft NNS cord-016476-78r0rsio 92 14 may may MD cord-016476-78r0rsio 92 15 be be VB cord-016476-78r0rsio 92 16 useful useful JJ cord-016476-78r0rsio 92 17 in in IN cord-016476-78r0rsio 92 18 patients patient NNS cord-016476-78r0rsio 92 19 with with IN cord-016476-78r0rsio 92 20 RA RA NNP cord-016476-78r0rsio 92 21 deemed deem VBN cord-016476-78r0rsio 92 22 to to TO cord-016476-78r0rsio 92 23 be be VB cord-016476-78r0rsio 92 24 at at IN cord-016476-78r0rsio 92 25 high high JJ cord-016476-78r0rsio 92 26 risk risk NN cord-016476-78r0rsio 92 27 of of IN cord-016476-78r0rsio 92 28 ILD ILD NNP cord-016476-78r0rsio 92 29 or or CC cord-016476-78r0rsio 92 30 known know VBN cord-016476-78r0rsio 92 31 to to TO cord-016476-78r0rsio 92 32 have have VB cord-016476-78r0rsio 92 33 RA RA NNP cord-016476-78r0rsio 92 34 - - HYPH cord-016476-78r0rsio 92 35 ILD ILD NNP cord-016476-78r0rsio 92 36 to to TO cord-016476-78r0rsio 92 37 assess assess VB cord-016476-78r0rsio 92 38 for for IN cord-016476-78r0rsio 92 39 progression progression NN cord-016476-78r0rsio 92 40 ( ( -LRB- cord-016476-78r0rsio 92 41 discussed discuss VBN cord-016476-78r0rsio 92 42 further further RB cord-016476-78r0rsio 92 43 in in IN cord-016476-78r0rsio 92 44 section section NN cord-016476-78r0rsio 92 45 " " `` cord-016476-78r0rsio 92 46 Patient Patient NNP cord-016476-78r0rsio 92 47 Management Management NNP cord-016476-78r0rsio 92 48 and and CC cord-016476-78r0rsio 92 49 Treatment Treatment NNP cord-016476-78r0rsio 92 50 " " '' cord-016476-78r0rsio 92 51 ) ) -RRB- cord-016476-78r0rsio 92 52 . . . cord-016476-78r0rsio 93 1 In in IN cord-016476-78r0rsio 93 2 summary summary NN cord-016476-78r0rsio 93 3 , , , cord-016476-78r0rsio 93 4 diagnostic diagnostic JJ cord-016476-78r0rsio 93 5 uncertainty uncertainty NN cord-016476-78r0rsio 93 6 and and CC cord-016476-78r0rsio 93 7 the the DT cord-016476-78r0rsio 93 8 lack lack NN cord-016476-78r0rsio 93 9 of of IN cord-016476-78r0rsio 93 10 any any DT cord-016476-78r0rsio 93 11 gold gold JJ cord-016476-78r0rsio 93 12 standard standard JJ cord-016476-78r0rsio 93 13 test test NN cord-016476-78r0rsio 93 14 for for IN cord-016476-78r0rsio 93 15 MTX MTX NNP cord-016476-78r0rsio 93 16 pneumonitis pneumonitis NN cord-016476-78r0rsio 93 17 leaves leave VBZ cord-016476-78r0rsio 93 18 ambiguity ambiguity NN cord-016476-78r0rsio 93 19 about about IN cord-016476-78r0rsio 93 20 the the DT cord-016476-78r0rsio 93 21 true true JJ cord-016476-78r0rsio 93 22 pattern pattern NN cord-016476-78r0rsio 93 23 of of IN cord-016476-78r0rsio 93 24 disease disease NN cord-016476-78r0rsio 93 25 . . . cord-016476-78r0rsio 94 1 However however RB cord-016476-78r0rsio 94 2 MTX MTX NNP cord-016476-78r0rsio 94 3 has have VBZ cord-016476-78r0rsio 94 4 not not RB cord-016476-78r0rsio 94 5 been be VBN cord-016476-78r0rsio 94 6 shown show VBN cord-016476-78r0rsio 94 7 to to TO cord-016476-78r0rsio 94 8 consistently consistently RB cord-016476-78r0rsio 94 9 accelerate accelerate VB cord-016476-78r0rsio 94 10 the the DT cord-016476-78r0rsio 94 11 progression progression NN cord-016476-78r0rsio 94 12 of of IN cord-016476-78r0rsio 94 13 underlying underlie VBG cord-016476-78r0rsio 94 14 RA RA NNP cord-016476-78r0rsio 94 15 - - HYPH cord-016476-78r0rsio 94 16 ILD ILD NNP cord-016476-78r0rsio 94 17 . . . cord-016476-78r0rsio 95 1 Whilst whilst IN cord-016476-78r0rsio 95 2 few few JJ cord-016476-78r0rsio 95 3 studies study NNS cord-016476-78r0rsio 95 4 have have VBP cord-016476-78r0rsio 95 5 been be VBN cord-016476-78r0rsio 95 6 conducted conduct VBN cord-016476-78r0rsio 95 7 in in IN cord-016476-78r0rsio 95 8 pre pre JJ cord-016476-78r0rsio 95 9 - - JJ cord-016476-78r0rsio 95 10 existing existing JJ cord-016476-78r0rsio 95 11 RA RA NNP cord-016476-78r0rsio 95 12 - - HYPH cord-016476-78r0rsio 95 13 ILD ILD NNP cord-016476-78r0rsio 95 14 stratified stratify VBN cord-016476-78r0rsio 95 15 by by IN cord-016476-78r0rsio 95 16 severity severity NN cord-016476-78r0rsio 95 17 of of IN cord-016476-78r0rsio 95 18 lung lung NN cord-016476-78r0rsio 95 19 disease disease NN cord-016476-78r0rsio 95 20 , , , cord-016476-78r0rsio 95 21 the the DT cord-016476-78r0rsio 95 22 risk risk NN cord-016476-78r0rsio 95 23 of of IN cord-016476-78r0rsio 95 24 pneumonitis pneumonitis NN cord-016476-78r0rsio 95 25 means mean VBZ cord-016476-78r0rsio 95 26 that that IN cord-016476-78r0rsio 95 27 it -PRON- PRP cord-016476-78r0rsio 95 28 may may MD cord-016476-78r0rsio 95 29 not not RB cord-016476-78r0rsio 95 30 always always RB cord-016476-78r0rsio 95 31 be be VB cord-016476-78r0rsio 95 32 the the DT cord-016476-78r0rsio 95 33 safest safe JJS cord-016476-78r0rsio 95 34 first first JJ cord-016476-78r0rsio 95 35 - - HYPH cord-016476-78r0rsio 95 36 line line NN cord-016476-78r0rsio 95 37 nbDMARD nbdmard JJ cord-016476-78r0rsio 95 38 in in IN cord-016476-78r0rsio 95 39 patients patient NNS cord-016476-78r0rsio 95 40 with with IN cord-016476-78r0rsio 95 41 RA RA NNP cord-016476-78r0rsio 95 42 who who WP cord-016476-78r0rsio 95 43 have have VBP cord-016476-78r0rsio 95 44 severe severe JJ cord-016476-78r0rsio 95 45 pre pre JJ cord-016476-78r0rsio 95 46 - - JJ cord-016476-78r0rsio 95 47 existing existing JJ cord-016476-78r0rsio 95 48 lung lung NN cord-016476-78r0rsio 95 49 disease disease NN cord-016476-78r0rsio 95 50 . . . cord-016476-78r0rsio 96 1 Leflunomide Leflunomide NNP cord-016476-78r0rsio 96 2 is be VBZ cord-016476-78r0rsio 96 3 an an DT cord-016476-78r0rsio 96 4 isoxazole isoxazole NN cord-016476-78r0rsio 96 5 derivative derivative NN cord-016476-78r0rsio 96 6 , , , cord-016476-78r0rsio 96 7 which which WDT cord-016476-78r0rsio 96 8 inhibits inhibit VBZ cord-016476-78r0rsio 96 9 de de FW cord-016476-78r0rsio 96 10 novo novo NNP cord-016476-78r0rsio 96 11 pyrimidine pyrimidine NNP cord-016476-78r0rsio 96 12 synthesis synthesis NN cord-016476-78r0rsio 96 13 , , , cord-016476-78r0rsio 96 14 resulting result VBG cord-016476-78r0rsio 96 15 in in IN cord-016476-78r0rsio 96 16 several several JJ cord-016476-78r0rsio 96 17 downstream downstream JJ cord-016476-78r0rsio 96 18 anti anti JJ cord-016476-78r0rsio 96 19 - - JJ cord-016476-78r0rsio 96 20 inflammatory inflammatory JJ cord-016476-78r0rsio 96 21 effects effect NNS cord-016476-78r0rsio 96 22 such such JJ cord-016476-78r0rsio 96 23 as as IN cord-016476-78r0rsio 96 24 suppression suppression NN cord-016476-78r0rsio 96 25 of of IN cord-016476-78r0rsio 96 26 TNF TNF NNP cord-016476-78r0rsio 96 27 - - HYPH cord-016476-78r0rsio 96 28 induced induce VBN cord-016476-78r0rsio 96 29 cellular cellular JJ cord-016476-78r0rsio 96 30 responses response NNS cord-016476-78r0rsio 96 31 and and CC cord-016476-78r0rsio 96 32 inhibition inhibition NN cord-016476-78r0rsio 96 33 of of IN cord-016476-78r0rsio 96 34 matrix matrix NN cord-016476-78r0rsio 96 35 metalloproteinases metalloproteinase NNS cord-016476-78r0rsio 96 36 and and CC cord-016476-78r0rsio 96 37 osteoclasts osteoclast NNS cord-016476-78r0rsio 96 38 . . . cord-016476-78r0rsio 97 1 Leflunomide leflunomide NN cord-016476-78r0rsio 97 2 - - HYPH cord-016476-78r0rsio 97 3 induced induce VBN cord-016476-78r0rsio 97 4 pneumonitis pneumonitis NN cord-016476-78r0rsio 97 5 is be VBZ cord-016476-78r0rsio 97 6 rare rare JJ cord-016476-78r0rsio 97 7 but but CC cord-016476-78r0rsio 97 8 well well RB cord-016476-78r0rsio 97 9 reported report VBN cord-016476-78r0rsio 97 10 . . . cord-016476-78r0rsio 98 1 A a DT cord-016476-78r0rsio 98 2 signal signal NN cord-016476-78r0rsio 98 3 of of IN cord-016476-78r0rsio 98 4 concern concern NN cord-016476-78r0rsio 98 5 was be VBD cord-016476-78r0rsio 98 6 raised raise VBN cord-016476-78r0rsio 98 7 in in IN cord-016476-78r0rsio 98 8 2004 2004 CD cord-016476-78r0rsio 98 9 after after IN cord-016476-78r0rsio 98 10 an an DT cord-016476-78r0rsio 98 11 investigation investigation NN cord-016476-78r0rsio 98 12 by by IN cord-016476-78r0rsio 98 13 the the DT cord-016476-78r0rsio 98 14 Japanese Japanese NNP cord-016476-78r0rsio 98 15 Ministry Ministry NNP cord-016476-78r0rsio 98 16 of of IN cord-016476-78r0rsio 98 17 Health Health NNP cord-016476-78r0rsio 98 18 following follow VBG cord-016476-78r0rsio 98 19 post post JJ cord-016476-78r0rsio 98 20 - - JJ cord-016476-78r0rsio 98 21 marketing marketing JJ cord-016476-78r0rsio 98 22 surveillance surveillance NN cord-016476-78r0rsio 98 23 in in IN cord-016476-78r0rsio 98 24 16 16 CD cord-016476-78r0rsio 98 25 ( ( -LRB- cord-016476-78r0rsio 98 26 0.5 0.5 CD cord-016476-78r0rsio 98 27 % % NN cord-016476-78r0rsio 98 28 ) ) -RRB- cord-016476-78r0rsio 98 29 of of IN cord-016476-78r0rsio 98 30 the the DT cord-016476-78r0rsio 98 31 first first JJ cord-016476-78r0rsio 98 32 3000 3000 CD cord-016476-78r0rsio 98 33 Japanese japanese JJ cord-016476-78r0rsio 98 34 patients patient NNS cord-016476-78r0rsio 98 35 treated treat VBN cord-016476-78r0rsio 98 36 with with IN cord-016476-78r0rsio 98 37 leflunomide leflunomide NN cord-016476-78r0rsio 98 38 , , , cord-016476-78r0rsio 98 39 resulting result VBG cord-016476-78r0rsio 98 40 in in IN cord-016476-78r0rsio 98 41 five five CD cord-016476-78r0rsio 98 42 fatalities fatality NNS cord-016476-78r0rsio 98 43 [ [ -LRB- cord-016476-78r0rsio 98 44 24 24 CD cord-016476-78r0rsio 98 45 , , , cord-016476-78r0rsio 98 46 25 25 CD cord-016476-78r0rsio 98 47 ] ] -RRB- cord-016476-78r0rsio 98 48 and and CC cord-016476-78r0rsio 99 1 the the DT cord-016476-78r0rsio 99 2 Committee Committee NNP cord-016476-78r0rsio 99 3 on on IN cord-016476-78r0rsio 99 4 the the DT cord-016476-78r0rsio 99 5 Safety Safety NNP cord-016476-78r0rsio 99 6 of of IN cord-016476-78r0rsio 99 7 Medicines Medicines NNP cord-016476-78r0rsio 99 8 also also RB cord-016476-78r0rsio 99 9 reporting report VBG cord-016476-78r0rsio 99 10 17 17 CD cord-016476-78r0rsio 99 11 cases case NNS cord-016476-78r0rsio 99 12 in in IN cord-016476-78r0rsio 99 13 the the DT cord-016476-78r0rsio 99 14 UK UK NNP cord-016476-78r0rsio 99 15 of of IN cord-016476-78r0rsio 99 16 which which WDT cord-016476-78r0rsio 99 17 five five CD cord-016476-78r0rsio 99 18 were be VBD cord-016476-78r0rsio 99 19 fatal fatal JJ cord-016476-78r0rsio 99 20 . . . cord-016476-78r0rsio 100 1 Further further JJ cord-016476-78r0rsio 100 2 case case NN cord-016476-78r0rsio 100 3 reports report NNS cord-016476-78r0rsio 100 4 have have VBP cord-016476-78r0rsio 100 5 subsequently subsequently RB cord-016476-78r0rsio 100 6 been be VBN cord-016476-78r0rsio 100 7 reported report VBN cord-016476-78r0rsio 100 8 especially especially RB cord-016476-78r0rsio 100 9 in in IN cord-016476-78r0rsio 100 10 the the DT cord-016476-78r0rsio 100 11 Japanese japanese JJ cord-016476-78r0rsio 100 12 and and CC cord-016476-78r0rsio 100 13 Korean korean JJ cord-016476-78r0rsio 100 14 populations population NNS cord-016476-78r0rsio 100 15 [ [ -LRB- cord-016476-78r0rsio 100 16 26 26 CD cord-016476-78r0rsio 100 17 ] ] -RRB- cord-016476-78r0rsio 100 18 [ [ -LRB- cord-016476-78r0rsio 100 19 27 27 CD cord-016476-78r0rsio 100 20 ] ] -RRB- cord-016476-78r0rsio 100 21 [ [ -LRB- cord-016476-78r0rsio 100 22 28 28 CD cord-016476-78r0rsio 100 23 ] ] -RRB- cord-016476-78r0rsio 100 24 . . . cord-016476-78r0rsio 101 1 However however RB cord-016476-78r0rsio 101 2 leflunomide leflunomide NN cord-016476-78r0rsio 101 3 is be VBZ cord-016476-78r0rsio 101 4 often often RB cord-016476-78r0rsio 101 5 used use VBN cord-016476-78r0rsio 101 6 second second JJ cord-016476-78r0rsio 101 7 line line NN cord-016476-78r0rsio 101 8 after after IN cord-016476-78r0rsio 101 9 MTX MTX NNP cord-016476-78r0rsio 101 10 exposure exposure NN cord-016476-78r0rsio 101 11 or or CC cord-016476-78r0rsio 101 12 in in IN cord-016476-78r0rsio 101 13 combination combination NN cord-016476-78r0rsio 101 14 with with IN cord-016476-78r0rsio 101 15 MTX MTX NNP cord-016476-78r0rsio 101 16 in in IN cord-016476-78r0rsio 101 17 patients patient NNS cord-016476-78r0rsio 101 18 with with IN cord-016476-78r0rsio 101 19 active active JJ cord-016476-78r0rsio 101 20 articular articular JJ cord-016476-78r0rsio 101 21 disease disease NN cord-016476-78r0rsio 101 22 , , , cord-016476-78r0rsio 101 23 which which WDT cord-016476-78r0rsio 101 24 make make VBP cord-016476-78r0rsio 101 25 studies study NNS cord-016476-78r0rsio 101 26 evaluating evaluate VBG cord-016476-78r0rsio 101 27 leflunomide leflunomide NN cord-016476-78r0rsio 101 28 - - HYPH cord-016476-78r0rsio 101 29 induced induce VBN cord-016476-78r0rsio 101 30 pneumonitis pneumonitis NN cord-016476-78r0rsio 101 31 difficult difficult JJ cord-016476-78r0rsio 101 32 to to TO cord-016476-78r0rsio 101 33 interpret interpret VB cord-016476-78r0rsio 101 34 . . . cord-016476-78r0rsio 102 1 In in IN cord-016476-78r0rsio 102 2 a a DT cord-016476-78r0rsio 102 3 report report NN cord-016476-78r0rsio 102 4 of of IN cord-016476-78r0rsio 102 5 14 14 CD cord-016476-78r0rsio 102 6 such such JJ cord-016476-78r0rsio 102 7 cases case NNS cord-016476-78r0rsio 102 8 from from IN cord-016476-78r0rsio 102 9 Australia Australia NNP cord-016476-78r0rsio 102 10 and and CC cord-016476-78r0rsio 102 11 New New NNP cord-016476-78r0rsio 102 12 Zealand Zealand NNP cord-016476-78r0rsio 102 13 , , , cord-016476-78r0rsio 102 14 12 12 CD cord-016476-78r0rsio 102 15 were be VBD cord-016476-78r0rsio 102 16 co co JJ cord-016476-78r0rsio 102 17 - - JJ cord-016476-78r0rsio 102 18 prescribed prescribed JJ cord-016476-78r0rsio 102 19 MTX MTX NNP cord-016476-78r0rsio 102 20 [ [ -LRB- cord-016476-78r0rsio 102 21 29 29 CD cord-016476-78r0rsio 102 22 ] ] -RRB- cord-016476-78r0rsio 102 23 . . . cord-016476-78r0rsio 103 1 Chikura Chikura NNP cord-016476-78r0rsio 103 2 et et NNP cord-016476-78r0rsio 103 3 al al NNP cord-016476-78r0rsio 103 4 . . . cord-016476-78r0rsio 104 1 [ [ -LRB- cord-016476-78r0rsio 104 2 30 30 CD cord-016476-78r0rsio 104 3 ] ] -RRB- cord-016476-78r0rsio 104 4 reported report VBN cord-016476-78r0rsio 104 5 on on IN cord-016476-78r0rsio 104 6 32 32 CD cord-016476-78r0rsio 104 7 pneumonitis pneumonitis NN cord-016476-78r0rsio 104 8 cases case NNS cord-016476-78r0rsio 104 9 following follow VBG cord-016476-78r0rsio 104 10 leflunomide leflunomide NN cord-016476-78r0rsio 104 11 exposure exposure NN cord-016476-78r0rsio 104 12 , , , cord-016476-78r0rsio 104 13 classified classify VBN cord-016476-78r0rsio 104 14 using use VBG cord-016476-78r0rsio 104 15 Searles Searles NNP cord-016476-78r0rsio 104 16 and and CC cord-016476-78r0rsio 104 17 McKendry McKendry NNP cord-016476-78r0rsio 104 18 criteria criterion NNS cord-016476-78r0rsio 104 19 ( ( -LRB- cord-016476-78r0rsio 104 20 Table table NN cord-016476-78r0rsio 104 21 9 9 CD cord-016476-78r0rsio 104 22 .1 .1 CD cord-016476-78r0rsio 104 23 ) ) -RRB- cord-016476-78r0rsio 104 24 , , , cord-016476-78r0rsio 104 25 and and CC cord-016476-78r0rsio 104 26 found find VBD cord-016476-78r0rsio 104 27 97 97 CD cord-016476-78r0rsio 104 28 % % NN cord-016476-78r0rsio 104 29 had have VBD cord-016476-78r0rsio 104 30 a a DT cord-016476-78r0rsio 104 31 history history NN cord-016476-78r0rsio 104 32 of of IN cord-016476-78r0rsio 104 33 MTX MTX NNP cord-016476-78r0rsio 104 34 exposure exposure NN cord-016476-78r0rsio 104 35 , , , cord-016476-78r0rsio 104 36 whilst whilst IN cord-016476-78r0rsio 104 37 41 41 CD cord-016476-78r0rsio 104 38 % % NN cord-016476-78r0rsio 104 39 were be VBD cord-016476-78r0rsio 104 40 on on IN cord-016476-78r0rsio 104 41 concomitant concomitant JJ cord-016476-78r0rsio 104 42 MTX mtx NN cord-016476-78r0rsio 104 43 at at IN cord-016476-78r0rsio 104 44 the the DT cord-016476-78r0rsio 104 45 onset onset NN cord-016476-78r0rsio 104 46 of of IN cord-016476-78r0rsio 104 47 ILD ILD NNP cord-016476-78r0rsio 104 48 . . . cord-016476-78r0rsio 105 1 The the DT cord-016476-78r0rsio 105 2 majority majority NN cord-016476-78r0rsio 105 3 presented present VBD cord-016476-78r0rsio 105 4 within within IN cord-016476-78r0rsio 105 5 20 20 CD cord-016476-78r0rsio 105 6 weeks week NNS cord-016476-78r0rsio 105 7 of of IN cord-016476-78r0rsio 105 8 initiation initiation NN cord-016476-78r0rsio 105 9 . . . cord-016476-78r0rsio 106 1 Clinical clinical JJ cord-016476-78r0rsio 106 2 features feature NNS cord-016476-78r0rsio 106 3 of of IN cord-016476-78r0rsio 106 4 those those DT cord-016476-78r0rsio 106 5 who who WP cord-016476-78r0rsio 106 6 died die VBD cord-016476-78r0rsio 106 7 were be VBD cord-016476-78r0rsio 106 8 pre pre JJ cord-016476-78r0rsio 106 9 - - JJ cord-016476-78r0rsio 106 10 existing existing JJ cord-016476-78r0rsio 106 11 ILD ILD NNP cord-016476-78r0rsio 106 12 and and CC cord-016476-78r0rsio 106 13 diffuse diffuse VB cord-016476-78r0rsio 106 14 alveolar alveolar JJ cord-016476-78r0rsio 106 15 damage damage NN cord-016476-78r0rsio 106 16 on on IN cord-016476-78r0rsio 106 17 histology histology NN cord-016476-78r0rsio 106 18 ( ( -LRB- cord-016476-78r0rsio 106 19 n n NN cord-016476-78r0rsio 106 20 = = SYM cord-016476-78r0rsio 106 21 6/32 6/32 CD cord-016476-78r0rsio 106 22 ) ) -RRB- cord-016476-78r0rsio 106 23 . . . cord-016476-78r0rsio 107 1 Pre pre JJ cord-016476-78r0rsio 107 2 - - JJ cord-016476-78r0rsio 107 3 existing existing JJ cord-016476-78r0rsio 107 4 ILD ILD NNP cord-016476-78r0rsio 107 5 was be VBD cord-016476-78r0rsio 107 6 also also RB cord-016476-78r0rsio 107 7 shown show VBN cord-016476-78r0rsio 107 8 to to TO cord-016476-78r0rsio 107 9 be be VB cord-016476-78r0rsio 107 10 a a DT cord-016476-78r0rsio 107 11 risk risk NN cord-016476-78r0rsio 107 12 factor factor NN cord-016476-78r0rsio 107 13 for for IN cord-016476-78r0rsio 107 14 leflunomide leflunomide NN cord-016476-78r0rsio 107 15 - - HYPH cord-016476-78r0rsio 107 16 induced induce VBN cord-016476-78r0rsio 107 17 pneumonitis pneumonitis NN cord-016476-78r0rsio 107 18 in in IN cord-016476-78r0rsio 107 19 a a DT cord-016476-78r0rsio 107 20 large large JJ cord-016476-78r0rsio 107 21 case case NN cord-016476-78r0rsio 107 22 - - HYPH cord-016476-78r0rsio 107 23 control control NN cord-016476-78r0rsio 107 24 study study NN cord-016476-78r0rsio 107 25 using use VBG cord-016476-78r0rsio 107 26 a a DT cord-016476-78r0rsio 107 27 Canadian canadian JJ cord-016476-78r0rsio 107 28 claims claim NNS cord-016476-78r0rsio 107 29 database database NN cord-016476-78r0rsio 107 30 [ [ -LRB- cord-016476-78r0rsio 107 31 31 31 CD cord-016476-78r0rsio 107 32 ] ] -RRB- cord-016476-78r0rsio 107 33 . . . cord-016476-78r0rsio 108 1 The the DT cord-016476-78r0rsio 108 2 risk risk NN cord-016476-78r0rsio 108 3 of of IN cord-016476-78r0rsio 108 4 ILD ILD NNP cord-016476-78r0rsio 108 5 was be VBD cord-016476-78r0rsio 108 6 increased increase VBN cord-016476-78r0rsio 108 7 with with IN cord-016476-78r0rsio 108 8 the the DT cord-016476-78r0rsio 108 9 use use NN cord-016476-78r0rsio 108 10 of of IN cord-016476-78r0rsio 108 11 leflunomide leflunomide NN cord-016476-78r0rsio 108 12 ( ( -LRB- cord-016476-78r0rsio 108 13 adjusted adjust VBN cord-016476-78r0rsio 108 14 RR RR NNP cord-016476-78r0rsio 108 15 1.9 1.9 CD cord-016476-78r0rsio 108 16 [ [ -LRB- cord-016476-78r0rsio 108 17 95 95 CD cord-016476-78r0rsio 108 18 % % NN cord-016476-78r0rsio 108 19 CI CI NNP cord-016476-78r0rsio 108 20 1.1 1.1 CD cord-016476-78r0rsio 108 21 - - SYM cord-016476-78r0rsio 108 22 3.6 3.6 CD cord-016476-78r0rsio 108 23 ] ] -RRB- cord-016476-78r0rsio 108 24 ) ) -RRB- cord-016476-78r0rsio 108 25 ; ; : cord-016476-78r0rsio 108 26 however however RB cord-016476-78r0rsio 108 27 , , , cord-016476-78r0rsio 108 28 in in IN cord-016476-78r0rsio 108 29 patients patient NNS cord-016476-78r0rsio 108 30 without without IN cord-016476-78r0rsio 108 31 previous previous JJ cord-016476-78r0rsio 108 32 MTX MTX NNP cord-016476-78r0rsio 108 33 exposure exposure NN cord-016476-78r0rsio 108 34 or or CC cord-016476-78r0rsio 108 35 ILD ILD NNP cord-016476-78r0rsio 108 36 history history NN cord-016476-78r0rsio 108 37 , , , cord-016476-78r0rsio 108 38 the the DT cord-016476-78r0rsio 108 39 risk risk NN cord-016476-78r0rsio 108 40 associated associate VBN cord-016476-78r0rsio 108 41 with with IN cord-016476-78r0rsio 108 42 leflunomide leflunomide NN cord-016476-78r0rsio 108 43 treatment treatment NN cord-016476-78r0rsio 108 44 was be VBD cord-016476-78r0rsio 108 45 not not RB cord-016476-78r0rsio 108 46 elevated elevate VBN cord-016476-78r0rsio 108 47 ( ( -LRB- cord-016476-78r0rsio 108 48 RR RR NNP cord-016476-78r0rsio 108 49 1.2 1.2 CD cord-016476-78r0rsio 108 50 [ [ -LRB- cord-016476-78r0rsio 108 51 95 95 CD cord-016476-78r0rsio 108 52 % % NN cord-016476-78r0rsio 108 53 CI CI NNP cord-016476-78r0rsio 108 54 0.4 0.4 CD cord-016476-78r0rsio 108 55 - - SYM cord-016476-78r0rsio 108 56 3.1 3.1 CD cord-016476-78r0rsio 108 57 ] ] -RRB- cord-016476-78r0rsio 108 58 ) ) -RRB- cord-016476-78r0rsio 108 59 . . . cord-016476-78r0rsio 109 1 However however RB cord-016476-78r0rsio 109 2 , , , cord-016476-78r0rsio 109 3 it -PRON- PRP cord-016476-78r0rsio 109 4 was be VBD cord-016476-78r0rsio 109 5 acknowledged acknowledge VBN cord-016476-78r0rsio 109 6 given give VBN cord-016476-78r0rsio 109 7 the the DT cord-016476-78r0rsio 109 8 probable probable JJ cord-016476-78r0rsio 109 9 association association NN cord-016476-78r0rsio 109 10 between between IN cord-016476-78r0rsio 109 11 prior prior JJ cord-016476-78r0rsio 109 12 ILD ILD NNP cord-016476-78r0rsio 109 13 and and CC cord-016476-78r0rsio 109 14 MTX MTX NNP cord-016476-78r0rsio 109 15 pneumonitis pneumonitis NN cord-016476-78r0rsio 109 16 ; ; : cord-016476-78r0rsio 109 17 clinicians clinician NNS cord-016476-78r0rsio 109 18 may may MD cord-016476-78r0rsio 109 19 be be VB cord-016476-78r0rsio 109 20 more more RBR cord-016476-78r0rsio 109 21 likely likely JJ cord-016476-78r0rsio 109 22 to to TO cord-016476-78r0rsio 109 23 prescribe prescribe VB cord-016476-78r0rsio 109 24 leflunomide leflunomide NN cord-016476-78r0rsio 109 25 than than IN cord-016476-78r0rsio 109 26 MTX MTX NNP cord-016476-78r0rsio 109 27 to to IN cord-016476-78r0rsio 109 28 patients patient NNS cord-016476-78r0rsio 109 29 with with IN cord-016476-78r0rsio 109 30 prevalent prevalent JJ cord-016476-78r0rsio 109 31 ILD ILD NNP cord-016476-78r0rsio 109 32 , , , cord-016476-78r0rsio 109 33 leading lead VBG cord-016476-78r0rsio 109 34 to to IN cord-016476-78r0rsio 109 35 channelling channel VBG cord-016476-78r0rsio 109 36 bias bias NN cord-016476-78r0rsio 109 37 explaining explain VBG cord-016476-78r0rsio 109 38 the the DT cord-016476-78r0rsio 109 39 increased increase VBN cord-016476-78r0rsio 109 40 risk risk NN cord-016476-78r0rsio 109 41 observed observe VBD cord-016476-78r0rsio 109 42 . . . cord-016476-78r0rsio 110 1 Leflunomide leflunomide NN cord-016476-78r0rsio 110 2 - - HYPH cord-016476-78r0rsio 110 3 induced induce VBN cord-016476-78r0rsio 110 4 pneumonitis pneumonitis NN cord-016476-78r0rsio 110 5 appears appear VBZ cord-016476-78r0rsio 110 6 to to TO cord-016476-78r0rsio 110 7 occur occur VB cord-016476-78r0rsio 110 8 more more RBR cord-016476-78r0rsio 110 9 frequently frequently RB cord-016476-78r0rsio 110 10 in in IN cord-016476-78r0rsio 110 11 Japanese japanese JJ cord-016476-78r0rsio 110 12 and and CC cord-016476-78r0rsio 110 13 Korean korean JJ cord-016476-78r0rsio 110 14 population population NN cord-016476-78r0rsio 110 15 ( ( -LRB- cord-016476-78r0rsio 110 16 reported report VBN cord-016476-78r0rsio 110 17 rate rate NN cord-016476-78r0rsio 110 18 ~1 ~1 NNP cord-016476-78r0rsio 110 19 % % NN cord-016476-78r0rsio 110 20 ) ) -RRB- cord-016476-78r0rsio 110 21 [ [ -LRB- cord-016476-78r0rsio 110 22 26 26 CD cord-016476-78r0rsio 110 23 , , , cord-016476-78r0rsio 110 24 32 32 CD cord-016476-78r0rsio 110 25 ] ] -RRB- cord-016476-78r0rsio 110 26 , , , cord-016476-78r0rsio 110 27 whilst whilst IN cord-016476-78r0rsio 110 28 in in IN cord-016476-78r0rsio 110 29 the the DT cord-016476-78r0rsio 110 30 Western western JJ cord-016476-78r0rsio 110 31 Caucasian caucasian JJ cord-016476-78r0rsio 110 32 population population NN cord-016476-78r0rsio 110 33 , , , cord-016476-78r0rsio 111 1 a a DT cord-016476-78r0rsio 111 2 rate rate NN cord-016476-78r0rsio 111 3 of of IN cord-016476-78r0rsio 111 4 < < $ cord-016476-78r0rsio 111 5 0.1 0.1 CD cord-016476-78r0rsio 111 6 % % NN cord-016476-78r0rsio 111 7 is be VBZ cord-016476-78r0rsio 111 8 reported report VBN cord-016476-78r0rsio 111 9 [ [ -LRB- cord-016476-78r0rsio 111 10 33 33 CD cord-016476-78r0rsio 111 11 ] ] -RRB- cord-016476-78r0rsio 111 12 . . . cord-016476-78r0rsio 112 1 Genetic genetic JJ cord-016476-78r0rsio 112 2 susceptibility susceptibility NN cord-016476-78r0rsio 112 3 in in IN cord-016476-78r0rsio 112 4 Japanese japanese JJ cord-016476-78r0rsio 112 5 patients patient NNS cord-016476-78r0rsio 112 6 has have VBZ cord-016476-78r0rsio 112 7 been be VBN cord-016476-78r0rsio 112 8 described describe VBN cord-016476-78r0rsio 112 9 in in IN cord-016476-78r0rsio 112 10 a a DT cord-016476-78r0rsio 112 11 study study NN cord-016476-78r0rsio 112 12 which which WDT cord-016476-78r0rsio 112 13 investigated investigate VBD cord-016476-78r0rsio 112 14 human human JJ cord-016476-78r0rsio 112 15 leukocyte leukocyte NN cord-016476-78r0rsio 112 16 antigen antigen NN cord-016476-78r0rsio 112 17 ( ( -LRB- cord-016476-78r0rsio 112 18 HLA HLA NNP cord-016476-78r0rsio 112 19 ) ) -RRB- cord-016476-78r0rsio 112 20 class class NN cord-016476-78r0rsio 112 21 I I NNP cord-016476-78r0rsio 112 22 associations association NNS cord-016476-78r0rsio 112 23 with with IN cord-016476-78r0rsio 112 24 MTX MTX NNP cord-016476-78r0rsio 112 25 pneumonitis pneumonitis NN cord-016476-78r0rsio 112 26 in in IN cord-016476-78r0rsio 112 27 Japanese japanese JJ cord-016476-78r0rsio 112 28 patients patient NNS cord-016476-78r0rsio 112 29 with with IN cord-016476-78r0rsio 112 30 RA RA NNP cord-016476-78r0rsio 112 31 and and CC cord-016476-78r0rsio 112 32 found find VBD cord-016476-78r0rsio 112 33 HLA HLA NNP cord-016476-78r0rsio 112 34 - - HYPH cord-016476-78r0rsio 112 35 A A NNP cord-016476-78r0rsio 112 36 × × NN cord-016476-78r0rsio 112 37 31:01 31:01 CD cord-016476-78r0rsio 112 38 as as IN cord-016476-78r0rsio 112 39 a a DT cord-016476-78r0rsio 112 40 possible possible JJ cord-016476-78r0rsio 112 41 predictor predictor NN cord-016476-78r0rsio 112 42 . . . cord-016476-78r0rsio 113 1 The the DT cord-016476-78r0rsio 113 2 prevalence prevalence NN cord-016476-78r0rsio 113 3 of of IN cord-016476-78r0rsio 113 4 this this DT cord-016476-78r0rsio 113 5 allele allele NN cord-016476-78r0rsio 113 6 is be VBZ cord-016476-78r0rsio 113 7 proportionally proportionally RB cord-016476-78r0rsio 113 8 higher high JJR cord-016476-78r0rsio 113 9 in in IN cord-016476-78r0rsio 113 10 the the DT cord-016476-78r0rsio 113 11 Japanese japanese JJ cord-016476-78r0rsio 113 12 population population NN cord-016476-78r0rsio 113 13 ( ( -LRB- cord-016476-78r0rsio 113 14 8.7 8.7 CD cord-016476-78r0rsio 113 15 % % NN cord-016476-78r0rsio 113 16 ) ) -RRB- cord-016476-78r0rsio 113 17 than than IN cord-016476-78r0rsio 113 18 in in IN cord-016476-78r0rsio 113 19 the the DT cord-016476-78r0rsio 113 20 Caucasian caucasian JJ cord-016476-78r0rsio 113 21 population population NN cord-016476-78r0rsio 113 22 ( ( -LRB- cord-016476-78r0rsio 113 23 3.9 3.9 CD cord-016476-78r0rsio 113 24 % % NN cord-016476-78r0rsio 113 25 ) ) -RRB- cord-016476-78r0rsio 113 26 [ [ -LRB- cord-016476-78r0rsio 113 27 34 34 CD cord-016476-78r0rsio 113 28 ] ] -RRB- cord-016476-78r0rsio 113 29 . . . cord-016476-78r0rsio 114 1 Therefore therefore RB cord-016476-78r0rsio 114 2 such such JJ cord-016476-78r0rsio 114 3 genetic genetic JJ cord-016476-78r0rsio 114 4 differences difference NNS cord-016476-78r0rsio 114 5 and and CC cord-016476-78r0rsio 114 6 undiscovered undiscovered JJ cord-016476-78r0rsio 114 7 genetic genetic JJ cord-016476-78r0rsio 114 8 predictors predictor NNS cord-016476-78r0rsio 114 9 may may MD cord-016476-78r0rsio 114 10 explain explain VB cord-016476-78r0rsio 114 11 some some DT cord-016476-78r0rsio 114 12 of of IN cord-016476-78r0rsio 114 13 the the DT cord-016476-78r0rsio 114 14 differences difference NNS cord-016476-78r0rsio 114 15 in in IN cord-016476-78r0rsio 114 16 frequency frequency NN cord-016476-78r0rsio 114 17 observed observe VBN cord-016476-78r0rsio 114 18 in in IN cord-016476-78r0rsio 114 19 such such JJ cord-016476-78r0rsio 114 20 populations population NNS cord-016476-78r0rsio 114 21 . . . cord-016476-78r0rsio 115 1 Several several JJ cord-016476-78r0rsio 115 2 risk risk NN cord-016476-78r0rsio 115 3 factors factor NNS cord-016476-78r0rsio 115 4 of of IN cord-016476-78r0rsio 115 5 leflunomide leflunomide NN cord-016476-78r0rsio 115 6 - - HYPH cord-016476-78r0rsio 115 7 induced induce VBN cord-016476-78r0rsio 115 8 pneumonitis pneumonitis NN cord-016476-78r0rsio 115 9 have have VBP cord-016476-78r0rsio 115 10 been be VBN cord-016476-78r0rsio 115 11 reported report VBN cord-016476-78r0rsio 115 12 in in IN cord-016476-78r0rsio 115 13 small small JJ cord-016476-78r0rsio 115 14 numbers number NNS cord-016476-78r0rsio 115 15 of of IN cord-016476-78r0rsio 115 16 patients patient NNS cord-016476-78r0rsio 115 17 in in IN cord-016476-78r0rsio 115 18 case case NN cord-016476-78r0rsio 115 19 series series NN cord-016476-78r0rsio 115 20 and and CC cord-016476-78r0rsio 115 21 retrospective retrospective JJ cord-016476-78r0rsio 115 22 studies study NNS cord-016476-78r0rsio 115 23 including include VBG cord-016476-78r0rsio 115 24 preexisting preexist VBG cord-016476-78r0rsio 115 25 lung lung NN cord-016476-78r0rsio 115 26 disease disease NN cord-016476-78r0rsio 115 27 [ [ -LRB- cord-016476-78r0rsio 115 28 32 32 CD cord-016476-78r0rsio 115 29 , , , cord-016476-78r0rsio 115 30 35 35 CD cord-016476-78r0rsio 115 31 , , , cord-016476-78r0rsio 115 32 36 36 CD cord-016476-78r0rsio 115 33 ] ] -RRB- cord-016476-78r0rsio 115 34 , , , cord-016476-78r0rsio 115 35 a a DT cord-016476-78r0rsio 115 36 prescribed prescribed JJ cord-016476-78r0rsio 115 37 loading loading NN cord-016476-78r0rsio 115 38 dose dose NN cord-016476-78r0rsio 115 39 , , , cord-016476-78r0rsio 115 40 smoking smoking NN cord-016476-78r0rsio 115 41 , , , cord-016476-78r0rsio 115 42 low low JJ cord-016476-78r0rsio 115 43 body body NN cord-016476-78r0rsio 115 44 weight weight NN cord-016476-78r0rsio 115 45 [ [ -LRB- cord-016476-78r0rsio 115 46 32 32 CD cord-016476-78r0rsio 115 47 ] ] -RRB- cord-016476-78r0rsio 115 48 and and CC cord-016476-78r0rsio 115 49 increased increase VBN cord-016476-78r0rsio 115 50 C c NN cord-016476-78r0rsio 115 51 - - HYPH cord-016476-78r0rsio 115 52 reactive reactive JJ cord-016476-78r0rsio 115 53 protein protein NN cord-016476-78r0rsio 115 54 , , , cord-016476-78r0rsio 115 55 hypoalbuminaemia hypoalbuminaemia NN cord-016476-78r0rsio 115 56 , , , cord-016476-78r0rsio 115 57 hypoxia hypoxia NN cord-016476-78r0rsio 115 58 and and CC cord-016476-78r0rsio 115 59 lymphopaenia lymphopaenia NNP cord-016476-78r0rsio 115 60 [ [ -LRB- cord-016476-78r0rsio 115 61 36 36 CD cord-016476-78r0rsio 115 62 ] ] -RRB- cord-016476-78r0rsio 115 63 . . . cord-016476-78r0rsio 116 1 Treatment treatment NN cord-016476-78r0rsio 116 2 includes include VBZ cord-016476-78r0rsio 116 3 cessation cessation NN cord-016476-78r0rsio 116 4 of of IN cord-016476-78r0rsio 116 5 the the DT cord-016476-78r0rsio 116 6 drug drug NN cord-016476-78r0rsio 116 7 , , , cord-016476-78r0rsio 116 8 treatment treatment NN cord-016476-78r0rsio 116 9 with with IN cord-016476-78r0rsio 116 10 glucocorticoids glucocorticoid NNS cord-016476-78r0rsio 116 11 with with IN cord-016476-78r0rsio 116 12 some some DT cord-016476-78r0rsio 116 13 benefit benefit NN cord-016476-78r0rsio 116 14 reported report VBN cord-016476-78r0rsio 116 15 with with IN cord-016476-78r0rsio 116 16 activated activate VBN cord-016476-78r0rsio 116 17 charcoal charcoal NN cord-016476-78r0rsio 116 18 and and CC cord-016476-78r0rsio 116 19 cholestyramine cholestyramine NN cord-016476-78r0rsio 116 20 as as IN cord-016476-78r0rsio 116 21 washout washout NN cord-016476-78r0rsio 116 22 treatments treatment NNS cord-016476-78r0rsio 116 23 . . . cord-016476-78r0rsio 117 1 Whilst whilst IN cord-016476-78r0rsio 117 2 conclusions conclusion NNS cord-016476-78r0rsio 117 3 of of IN cord-016476-78r0rsio 117 4 use use NN cord-016476-78r0rsio 117 5 in in IN cord-016476-78r0rsio 117 6 RA RA NNP cord-016476-78r0rsio 117 7 - - HYPH cord-016476-78r0rsio 117 8 ILD ILD NNP cord-016476-78r0rsio 117 9 are be VBP cord-016476-78r0rsio 117 10 limited limit VBN cord-016476-78r0rsio 117 11 from from IN cord-016476-78r0rsio 117 12 studies study NNS cord-016476-78r0rsio 117 13 due due JJ cord-016476-78r0rsio 117 14 to to IN cord-016476-78r0rsio 117 15 channelling channel VBG cord-016476-78r0rsio 117 16 bias bias NN cord-016476-78r0rsio 117 17 , , , cord-016476-78r0rsio 117 18 leflunomide leflunomide NNP cord-016476-78r0rsio 117 19 should should MD cord-016476-78r0rsio 117 20 be be VB cord-016476-78r0rsio 117 21 avoided avoid VBN cord-016476-78r0rsio 117 22 in in IN cord-016476-78r0rsio 117 23 patients patient NNS cord-016476-78r0rsio 117 24 with with IN cord-016476-78r0rsio 117 25 previous previous JJ cord-016476-78r0rsio 117 26 MTX MTX NNP cord-016476-78r0rsio 117 27 pneumonitis pneumonitis NN cord-016476-78r0rsio 117 28 and and CC cord-016476-78r0rsio 117 29 should should MD cord-016476-78r0rsio 117 30 be be VB cord-016476-78r0rsio 117 31 used use VBN cord-016476-78r0rsio 117 32 with with IN cord-016476-78r0rsio 117 33 caution caution NN cord-016476-78r0rsio 117 34 in in IN cord-016476-78r0rsio 117 35 patients patient NNS cord-016476-78r0rsio 117 36 with with IN cord-016476-78r0rsio 117 37 pre pre JJ cord-016476-78r0rsio 117 38 - - JJ cord-016476-78r0rsio 117 39 existing existing JJ cord-016476-78r0rsio 117 40 ILD ILD NNP cord-016476-78r0rsio 117 41 . . . cord-016476-78r0rsio 118 1 Sulphasalazine Sulphasalazine NNP cord-016476-78r0rsio 118 2 is be VBZ cord-016476-78r0rsio 118 3 a a DT cord-016476-78r0rsio 118 4 5-aminosalicyclic 5-aminosalicyclic CD cord-016476-78r0rsio 118 5 acid acid NN cord-016476-78r0rsio 118 6 ( ( -LRB- cord-016476-78r0rsio 118 7 5-ASA 5-asa CD cord-016476-78r0rsio 118 8 ) ) -RRB- cord-016476-78r0rsio 118 9 derivative derivative NN cord-016476-78r0rsio 118 10 metabolised metabolise VBN cord-016476-78r0rsio 118 11 to to TO cord-016476-78r0rsio 118 12 sulphapyridine sulphapyridine VB cord-016476-78r0rsio 118 13 , , , cord-016476-78r0rsio 118 14 which which WDT cord-016476-78r0rsio 118 15 is be VBZ cord-016476-78r0rsio 118 16 the the DT cord-016476-78r0rsio 118 17 active active JJ cord-016476-78r0rsio 118 18 moiety moiety NN cord-016476-78r0rsio 118 19 in in IN cord-016476-78r0rsio 118 20 RA RA NNP cord-016476-78r0rsio 118 21 . . . cord-016476-78r0rsio 119 1 Pulmonary pulmonary JJ cord-016476-78r0rsio 119 2 hypersensitivity hypersensitivity NN cord-016476-78r0rsio 119 3 reactions reaction NNS cord-016476-78r0rsio 119 4 such such JJ cord-016476-78r0rsio 119 5 as as IN cord-016476-78r0rsio 119 6 eosinophilic eosinophilic JJ cord-016476-78r0rsio 119 7 pneumonias pneumonia NNS cord-016476-78r0rsio 119 8 [ [ -LRB- cord-016476-78r0rsio 119 9 37 37 CD cord-016476-78r0rsio 119 10 , , , cord-016476-78r0rsio 119 11 38 38 CD cord-016476-78r0rsio 119 12 ] ] -RRB- cord-016476-78r0rsio 119 13 , , , cord-016476-78r0rsio 119 14 fibrosing fibrose VBG cord-016476-78r0rsio 119 15 alveolitis alveolitis NNP cord-016476-78r0rsio 119 16 and and CC cord-016476-78r0rsio 119 17 bronchiolitis bronchiolitis NNP cord-016476-78r0rsio 119 18 obliterans obliteran NNS cord-016476-78r0rsio 119 19 have have VBP cord-016476-78r0rsio 119 20 been be VBN cord-016476-78r0rsio 119 21 well well RB cord-016476-78r0rsio 119 22 described describe VBN cord-016476-78r0rsio 119 23 , , , cord-016476-78r0rsio 119 24 with with IN cord-016476-78r0rsio 119 25 over over IN cord-016476-78r0rsio 119 26 50 50 CD cord-016476-78r0rsio 119 27 case case NN cord-016476-78r0rsio 119 28 reports report NNS cord-016476-78r0rsio 119 29 in in IN cord-016476-78r0rsio 119 30 the the DT cord-016476-78r0rsio 119 31 literature literature NN cord-016476-78r0rsio 119 32 [ [ -LRB- cord-016476-78r0rsio 119 33 39 39 CD cord-016476-78r0rsio 119 34 , , , cord-016476-78r0rsio 119 35 40 40 CD cord-016476-78r0rsio 119 36 ] ] -RRB- cord-016476-78r0rsio 119 37 . . . cord-016476-78r0rsio 120 1 Drug drug NN cord-016476-78r0rsio 120 2 reaction reaction NN cord-016476-78r0rsio 120 3 with with IN cord-016476-78r0rsio 120 4 eosinophilia eosinophilia JJ cord-016476-78r0rsio 120 5 and and CC cord-016476-78r0rsio 120 6 systemic systemic JJ cord-016476-78r0rsio 120 7 symptoms symptom NNS cord-016476-78r0rsio 120 8 ( ( -LRB- cord-016476-78r0rsio 120 9 DRESS dress NN cord-016476-78r0rsio 120 10 ) ) -RRB- cord-016476-78r0rsio 120 11 is be VBZ cord-016476-78r0rsio 120 12 also also RB cord-016476-78r0rsio 120 13 reported report VBN cord-016476-78r0rsio 120 14 [ [ -LRB- cord-016476-78r0rsio 120 15 41 41 CD cord-016476-78r0rsio 120 16 , , , cord-016476-78r0rsio 120 17 42 42 CD cord-016476-78r0rsio 120 18 ] ] -RRB- cord-016476-78r0rsio 120 19 . . . cord-016476-78r0rsio 121 1 Typical typical JJ cord-016476-78r0rsio 121 2 presentation presentation NN cord-016476-78r0rsio 121 3 of of IN cord-016476-78r0rsio 121 4 sulphasalazineinduced sulphasalazineinduced NNP cord-016476-78r0rsio 121 5 lung lung NNP cord-016476-78r0rsio 121 6 disease disease NNP cord-016476-78r0rsio 121 7 reported report VBD cord-016476-78r0rsio 121 8 is be VBZ cord-016476-78r0rsio 121 9 with with IN cord-016476-78r0rsio 121 10 new new JJ cord-016476-78r0rsio 121 11 - - HYPH cord-016476-78r0rsio 121 12 onset onset NN cord-016476-78r0rsio 121 13 dyspnoea dyspnoea NNS cord-016476-78r0rsio 121 14 and and CC cord-016476-78r0rsio 121 15 infiltrates infiltrate VBZ cord-016476-78r0rsio 121 16 on on IN cord-016476-78r0rsio 121 17 chest chest NN cord-016476-78r0rsio 121 18 radiograph radiograph NN cord-016476-78r0rsio 121 19 ( ( -LRB- cord-016476-78r0rsio 121 20 with with IN cord-016476-78r0rsio 121 21 or or CC cord-016476-78r0rsio 121 22 without without IN cord-016476-78r0rsio 121 23 peripheral peripheral JJ cord-016476-78r0rsio 121 24 eosinophilia eosinophilia NN cord-016476-78r0rsio 121 25 with with IN cord-016476-78r0rsio 121 26 eosinophilic eosinophilic JJ cord-016476-78r0rsio 121 27 pneumonitis pneumonitis NN cord-016476-78r0rsio 121 28 ) ) -RRB- cord-016476-78r0rsio 121 29 . . . cord-016476-78r0rsio 122 1 Cough cough NN cord-016476-78r0rsio 122 2 and and CC cord-016476-78r0rsio 122 3 fever fever NN cord-016476-78r0rsio 122 4 are be VBP cord-016476-78r0rsio 122 5 the the DT cord-016476-78r0rsio 122 6 most most RBS cord-016476-78r0rsio 122 7 common common JJ cord-016476-78r0rsio 122 8 symptoms symptom NNS cord-016476-78r0rsio 122 9 with with IN cord-016476-78r0rsio 122 10 sputum sputum NN cord-016476-78r0rsio 122 11 production production NN cord-016476-78r0rsio 122 12 , , , cord-016476-78r0rsio 122 13 whilst whilst IN cord-016476-78r0rsio 122 14 allergy allergy NN cord-016476-78r0rsio 122 15 history history NN cord-016476-78r0rsio 122 16 , , , cord-016476-78r0rsio 122 17 rash rash JJ cord-016476-78r0rsio 122 18 , , , cord-016476-78r0rsio 122 19 chest chest NN cord-016476-78r0rsio 122 20 pain pain NN cord-016476-78r0rsio 122 21 and and CC cord-016476-78r0rsio 122 22 weight weight NN cord-016476-78r0rsio 122 23 loss loss NN cord-016476-78r0rsio 122 24 were be VBD cord-016476-78r0rsio 122 25 inconsistent inconsistent JJ cord-016476-78r0rsio 122 26 findings finding NNS cord-016476-78r0rsio 122 27 [ [ -LRB- cord-016476-78r0rsio 122 28 40 40 CD cord-016476-78r0rsio 122 29 ] ] -RRB- cord-016476-78r0rsio 122 30 . . . cord-016476-78r0rsio 123 1 Histology histology NN cord-016476-78r0rsio 123 2 is be VBZ cord-016476-78r0rsio 123 3 often often RB cord-016476-78r0rsio 123 4 variable variable JJ cord-016476-78r0rsio 123 5 ; ; : cord-016476-78r0rsio 123 6 the the DT cord-016476-78r0rsio 123 7 most most RBS cord-016476-78r0rsio 123 8 frequent frequent JJ cord-016476-78r0rsio 123 9 appears appear VBZ cord-016476-78r0rsio 123 10 to to IN cord-016476-78r0rsio 123 11 eosinophilic eosinophilic JJ cord-016476-78r0rsio 123 12 pneumonia pneumonia NN cord-016476-78r0rsio 123 13 with with IN cord-016476-78r0rsio 123 14 interstitial interstitial JJ cord-016476-78r0rsio 123 15 inflammation inflammation NN cord-016476-78r0rsio 123 16 with with IN cord-016476-78r0rsio 123 17 or or CC cord-016476-78r0rsio 123 18 without without IN cord-016476-78r0rsio 123 19 fibrosis fibrosis NN cord-016476-78r0rsio 123 20 . . . cord-016476-78r0rsio 124 1 Drug drug NN cord-016476-78r0rsio 124 2 cessation cessation NN cord-016476-78r0rsio 124 3 often often RB cord-016476-78r0rsio 124 4 results result VBZ cord-016476-78r0rsio 124 5 in in IN cord-016476-78r0rsio 124 6 resolution resolution NN cord-016476-78r0rsio 124 7 of of IN cord-016476-78r0rsio 124 8 symptoms symptom NNS cord-016476-78r0rsio 124 9 in in IN cord-016476-78r0rsio 124 10 patients patient NNS cord-016476-78r0rsio 124 11 who who WP cord-016476-78r0rsio 124 12 develop develop VBP cord-016476-78r0rsio 124 13 eosinophilic eosinophilic JJ cord-016476-78r0rsio 124 14 pneumonia pneumonia NN cord-016476-78r0rsio 124 15 [ [ -LRB- cord-016476-78r0rsio 124 16 43 43 CD cord-016476-78r0rsio 124 17 ] ] -RRB- cord-016476-78r0rsio 124 18 . . . cord-016476-78r0rsio 125 1 The the DT cord-016476-78r0rsio 125 2 role role NN cord-016476-78r0rsio 125 3 of of IN cord-016476-78r0rsio 125 4 systemic systemic JJ cord-016476-78r0rsio 125 5 glucocorticoids glucocorticoid NNS cord-016476-78r0rsio 125 6 is be VBZ cord-016476-78r0rsio 125 7 not not RB cord-016476-78r0rsio 125 8 wellstudied wellstudie VBN cord-016476-78r0rsio 125 9 , , , cord-016476-78r0rsio 125 10 as as IN cord-016476-78r0rsio 125 11 most most JJS cord-016476-78r0rsio 125 12 patients patient NNS cord-016476-78r0rsio 125 13 improve improve VBP cord-016476-78r0rsio 125 14 with with IN cord-016476-78r0rsio 125 15 withdrawal withdrawal NN cord-016476-78r0rsio 125 16 of of IN cord-016476-78r0rsio 125 17 sulphasalazine sulphasalazine NN cord-016476-78r0rsio 125 18 . . . cord-016476-78r0rsio 126 1 There there EX cord-016476-78r0rsio 126 2 are be VBP cord-016476-78r0rsio 126 3 no no DT cord-016476-78r0rsio 126 4 studies study NNS cord-016476-78r0rsio 126 5 that that WDT cord-016476-78r0rsio 126 6 have have VBP cord-016476-78r0rsio 126 7 systematically systematically RB cord-016476-78r0rsio 126 8 evaluated evaluate VBN cord-016476-78r0rsio 126 9 the the DT cord-016476-78r0rsio 126 10 safety safety NN cord-016476-78r0rsio 126 11 of of IN cord-016476-78r0rsio 126 12 sulphasalazine sulphasalazine NN cord-016476-78r0rsio 126 13 in in IN cord-016476-78r0rsio 126 14 preexisting preexist VBG cord-016476-78r0rsio 126 15 RA RA NNP cord-016476-78r0rsio 126 16 - - HYPH cord-016476-78r0rsio 126 17 ILD ILD NNP cord-016476-78r0rsio 126 18 ; ; : cord-016476-78r0rsio 126 19 however however RB cord-016476-78r0rsio 126 20 , , , cord-016476-78r0rsio 126 21 it -PRON- PRP cord-016476-78r0rsio 126 22 is be VBZ cord-016476-78r0rsio 126 23 worth worth JJ cord-016476-78r0rsio 126 24 observing observe VBG cord-016476-78r0rsio 126 25 that that IN cord-016476-78r0rsio 126 26 the the DT cord-016476-78r0rsio 126 27 rates rate NNS cord-016476-78r0rsio 126 28 of of IN cord-016476-78r0rsio 126 29 SRAEs srae NNS cord-016476-78r0rsio 126 30 with with IN cord-016476-78r0rsio 126 31 sulphasalazine sulphasalazine NN cord-016476-78r0rsio 126 32 appear appear VBP cord-016476-78r0rsio 126 33 much much RB cord-016476-78r0rsio 126 34 lower low JJR cord-016476-78r0rsio 126 35 than than IN cord-016476-78r0rsio 126 36 those those DT cord-016476-78r0rsio 126 37 seen see VBN cord-016476-78r0rsio 126 38 with with IN cord-016476-78r0rsio 126 39 methotrexate methotrexate NNP cord-016476-78r0rsio 126 40 and and CC cord-016476-78r0rsio 126 41 leflunomide leflunomide VB cord-016476-78r0rsio 126 42 in in IN cord-016476-78r0rsio 126 43 the the DT cord-016476-78r0rsio 126 44 literature literature NN cord-016476-78r0rsio 126 45 . . . cord-016476-78r0rsio 127 1 Hydroxychloroquine Hydroxychloroquine NNP cord-016476-78r0rsio 127 2 is be VBZ cord-016476-78r0rsio 127 3 an an DT cord-016476-78r0rsio 127 4 antimalarial antimalarial JJ cord-016476-78r0rsio 127 5 drug drug NN cord-016476-78r0rsio 127 6 and and CC cord-016476-78r0rsio 127 7 is be VBZ cord-016476-78r0rsio 127 8 a a DT cord-016476-78r0rsio 127 9 4-aminoquinoline 4-aminoquinoline CD cord-016476-78r0rsio 127 10 derivative derivative NN cord-016476-78r0rsio 127 11 , , , cord-016476-78r0rsio 127 12 often often RB cord-016476-78r0rsio 127 13 used use VBN cord-016476-78r0rsio 127 14 in in IN cord-016476-78r0rsio 127 15 combination combination NN cord-016476-78r0rsio 127 16 with with IN cord-016476-78r0rsio 127 17 other other JJ cord-016476-78r0rsio 127 18 nbDMARDS nbDMARDS NNP cord-016476-78r0rsio 127 19 . . . cord-016476-78r0rsio 128 1 It -PRON- PRP cord-016476-78r0rsio 128 2 is be VBZ cord-016476-78r0rsio 128 3 usually usually RB cord-016476-78r0rsio 128 4 well well RB cord-016476-78r0rsio 128 5 tolerated tolerate VBN cord-016476-78r0rsio 128 6 and and CC cord-016476-78r0rsio 128 7 serious serious JJ cord-016476-78r0rsio 128 8 AEs AEs NNP cord-016476-78r0rsio 128 9 are be VBP cord-016476-78r0rsio 128 10 rare rare JJ cord-016476-78r0rsio 128 11 . . . cord-016476-78r0rsio 129 1 Few few JJ cord-016476-78r0rsio 129 2 cases case NNS cord-016476-78r0rsio 129 3 of of IN cord-016476-78r0rsio 129 4 drug drug NN cord-016476-78r0rsio 129 5 - - HYPH cord-016476-78r0rsio 129 6 induced induce VBN cord-016476-78r0rsio 129 7 pneumonitis pneumonitis NN cord-016476-78r0rsio 129 8 exist exist VBP cord-016476-78r0rsio 129 9 [ [ -LRB- cord-016476-78r0rsio 129 10 44 44 CD cord-016476-78r0rsio 129 11 ] ] -RRB- cord-016476-78r0rsio 129 12 , , , cord-016476-78r0rsio 129 13 with with IN cord-016476-78r0rsio 129 14 some some DT cord-016476-78r0rsio 129 15 reports report NNS cord-016476-78r0rsio 129 16 in in IN cord-016476-78r0rsio 129 17 association association NN cord-016476-78r0rsio 129 18 with with IN cord-016476-78r0rsio 129 19 drug drug NN cord-016476-78r0rsio 129 20 reaction reaction NN cord-016476-78r0rsio 129 21 with with IN cord-016476-78r0rsio 129 22 eosinophilia eosinophilia JJ cord-016476-78r0rsio 129 23 and and CC cord-016476-78r0rsio 129 24 systemic systemic JJ cord-016476-78r0rsio 129 25 symptoms symptom NNS cord-016476-78r0rsio 129 26 ( ( -LRB- cord-016476-78r0rsio 129 27 DRESS dress NN cord-016476-78r0rsio 129 28 ) ) -RRB- cord-016476-78r0rsio 129 29 syndrome syndrome NN cord-016476-78r0rsio 129 30 [ [ -LRB- cord-016476-78r0rsio 129 31 45 45 CD cord-016476-78r0rsio 129 32 , , , cord-016476-78r0rsio 129 33 46 46 CD cord-016476-78r0rsio 129 34 ] ] -RRB- cord-016476-78r0rsio 129 35 . . . cord-016476-78r0rsio 130 1 Hydroxychloroquine Hydroxychloroquine NNP cord-016476-78r0rsio 130 2 has have VBZ cord-016476-78r0rsio 130 3 been be VBN cord-016476-78r0rsio 130 4 tried try VBN cord-016476-78r0rsio 130 5 in in IN cord-016476-78r0rsio 130 6 childhood childhood NN cord-016476-78r0rsio 130 7 ILD ILD NNP cord-016476-78r0rsio 130 8 ( ( -LRB- cord-016476-78r0rsio 130 9 diffuse diffuse JJ cord-016476-78r0rsio 130 10 parenchymal parenchymal NN cord-016476-78r0rsio 130 11 lung lung NN cord-016476-78r0rsio 130 12 diseases disease NNS cord-016476-78r0rsio 130 13 ) ) -RRB- cord-016476-78r0rsio 130 14 in in IN cord-016476-78r0rsio 130 15 case case NN cord-016476-78r0rsio 130 16 reports report NNS cord-016476-78r0rsio 130 17 given give VBN cord-016476-78r0rsio 130 18 the the DT cord-016476-78r0rsio 130 19 lack lack NN cord-016476-78r0rsio 130 20 of of IN cord-016476-78r0rsio 130 21 therapeutic therapeutic JJ cord-016476-78r0rsio 130 22 options option NNS cord-016476-78r0rsio 130 23 . . . cord-016476-78r0rsio 131 1 In in IN cord-016476-78r0rsio 131 2 a a DT cord-016476-78r0rsio 131 3 systematic systematic JJ cord-016476-78r0rsio 131 4 review review NN cord-016476-78r0rsio 131 5 from from IN cord-016476-78r0rsio 131 6 1984 1984 CD cord-016476-78r0rsio 131 7 to to IN cord-016476-78r0rsio 131 8 2013 2013 CD cord-016476-78r0rsio 131 9 [ [ -LRB- cord-016476-78r0rsio 131 10 47 47 CD cord-016476-78r0rsio 131 11 ] ] -RRB- cord-016476-78r0rsio 131 12 , , , cord-016476-78r0rsio 131 13 85 85 CD cord-016476-78r0rsio 131 14 case case NN cord-016476-78r0rsio 131 15 reports report NNS cord-016476-78r0rsio 131 16 were be VBD cord-016476-78r0rsio 131 17 identified identify VBN cord-016476-78r0rsio 131 18 : : : cord-016476-78r0rsio 131 19 a a DT cord-016476-78r0rsio 131 20 favourable favourable JJ cord-016476-78r0rsio 131 21 response response NN cord-016476-78r0rsio 131 22 to to IN cord-016476-78r0rsio 131 23 hydroxychloroquine hydroxychloroquine NNP cord-016476-78r0rsio 131 24 was be VBD cord-016476-78r0rsio 131 25 reported report VBN cord-016476-78r0rsio 131 26 in in IN cord-016476-78r0rsio 131 27 35 35 CD cord-016476-78r0rsio 131 28 cases case NNS cord-016476-78r0rsio 131 29 ( ( -LRB- cord-016476-78r0rsio 131 30 41 41 CD cord-016476-78r0rsio 131 31 % % NN cord-016476-78r0rsio 131 32 ) ) -RRB- cord-016476-78r0rsio 131 33 , , , cord-016476-78r0rsio 131 34 with with IN cord-016476-78r0rsio 131 35 an an DT cord-016476-78r0rsio 131 36 unclear unclear JJ cord-016476-78r0rsio 131 37 effect effect NN cord-016476-78r0rsio 131 38 in in IN cord-016476-78r0rsio 131 39 the the DT cord-016476-78r0rsio 131 40 rest rest NN cord-016476-78r0rsio 131 41 . . . cord-016476-78r0rsio 132 1 Whilst whilst IN cord-016476-78r0rsio 132 2 idiosyncratic idiosyncratic JJ cord-016476-78r0rsio 132 3 reactions reaction NNS cord-016476-78r0rsio 132 4 leading lead VBG cord-016476-78r0rsio 132 5 to to IN cord-016476-78r0rsio 132 6 lung lung NN cord-016476-78r0rsio 132 7 toxicity toxicity NN cord-016476-78r0rsio 132 8 have have VBP cord-016476-78r0rsio 132 9 been be VBN cord-016476-78r0rsio 132 10 reported report VBN cord-016476-78r0rsio 132 11 , , , cord-016476-78r0rsio 132 12 no no DT cord-016476-78r0rsio 132 13 studies study NNS cord-016476-78r0rsio 132 14 have have VBP cord-016476-78r0rsio 132 15 demonstrated demonstrate VBN cord-016476-78r0rsio 132 16 a a DT cord-016476-78r0rsio 132 17 benefit benefit NN cord-016476-78r0rsio 132 18 or or CC cord-016476-78r0rsio 132 19 harm harm NN cord-016476-78r0rsio 132 20 of of IN cord-016476-78r0rsio 132 21 this this DT cord-016476-78r0rsio 132 22 drug drug NN cord-016476-78r0rsio 132 23 in in IN cord-016476-78r0rsio 132 24 RA RA NNP cord-016476-78r0rsio 132 25 - - HYPH cord-016476-78r0rsio 132 26 ILD ILD NNP cord-016476-78r0rsio 132 27 . . . cord-016476-78r0rsio 133 1 In in IN cord-016476-78r0rsio 133 2 summary summary NN cord-016476-78r0rsio 133 3 , , , cord-016476-78r0rsio 133 4 case case NN cord-016476-78r0rsio 133 5 report report VB cord-016476-78r0rsio 133 6 evidence evidence NN cord-016476-78r0rsio 133 7 for for IN cord-016476-78r0rsio 133 8 drug drug NN cord-016476-78r0rsio 133 9 - - HYPH cord-016476-78r0rsio 133 10 induced induce VBN cord-016476-78r0rsio 133 11 pneumonitis pneumonitis NN cord-016476-78r0rsio 133 12 exists exist VBZ cord-016476-78r0rsio 133 13 for for IN cord-016476-78r0rsio 133 14 all all DT cord-016476-78r0rsio 133 15 nbDMARDs nbDMARDs NNP cord-016476-78r0rsio 133 16 commonly commonly RB cord-016476-78r0rsio 133 17 used use VBN cord-016476-78r0rsio 133 18 to to TO cord-016476-78r0rsio 133 19 treat treat VB cord-016476-78r0rsio 133 20 joint joint JJ cord-016476-78r0rsio 133 21 disease disease NN cord-016476-78r0rsio 133 22 ; ; : cord-016476-78r0rsio 133 23 therefore therefore RB cord-016476-78r0rsio 133 24 , , , cord-016476-78r0rsio 133 25 incident incident NN cord-016476-78r0rsio 133 26 ILD ILD NNP cord-016476-78r0rsio 133 27 may may MD cord-016476-78r0rsio 133 28 be be VB cord-016476-78r0rsio 133 29 a a DT cord-016476-78r0rsio 133 30 theoretical theoretical JJ cord-016476-78r0rsio 133 31 risk risk NN cord-016476-78r0rsio 133 32 in in IN cord-016476-78r0rsio 133 33 most most RBS cord-016476-78r0rsio 133 34 treated treat VBN cord-016476-78r0rsio 133 35 patients patient NNS cord-016476-78r0rsio 133 36 . . . cord-016476-78r0rsio 134 1 With with IN cord-016476-78r0rsio 134 2 treat treat NN cord-016476-78r0rsio 134 3 - - HYPH cord-016476-78r0rsio 134 4 to to IN cord-016476-78r0rsio 134 5 - - HYPH cord-016476-78r0rsio 134 6 target target NN cord-016476-78r0rsio 134 7 guidelines guideline NNS cord-016476-78r0rsio 134 8 [ [ -LRB- cord-016476-78r0rsio 134 9 2 2 CD cord-016476-78r0rsio 134 10 ] ] -RRB- cord-016476-78r0rsio 134 11 and and CC cord-016476-78r0rsio 134 12 the the DT cord-016476-78r0rsio 134 13 eventual eventual JJ cord-016476-78r0rsio 134 14 aim aim NN cord-016476-78r0rsio 134 15 of of IN cord-016476-78r0rsio 134 16 abrogation abrogation NN cord-016476-78r0rsio 134 17 of of IN cord-016476-78r0rsio 134 18 joint joint JJ cord-016476-78r0rsio 134 19 inflammation inflammation NN cord-016476-78r0rsio 134 20 as as RB cord-016476-78r0rsio 134 21 soon soon RB cord-016476-78r0rsio 134 22 as as IN cord-016476-78r0rsio 134 23 possible possible JJ cord-016476-78r0rsio 134 24 , , , cord-016476-78r0rsio 134 25 most most JJS cord-016476-78r0rsio 134 26 patients patient NNS cord-016476-78r0rsio 134 27 with with IN cord-016476-78r0rsio 134 28 RA RA NNP cord-016476-78r0rsio 134 29 are be VBP cord-016476-78r0rsio 134 30 likely likely JJ cord-016476-78r0rsio 134 31 to to TO cord-016476-78r0rsio 134 32 be be VB cord-016476-78r0rsio 134 33 treated treat VBN cord-016476-78r0rsio 134 34 with with IN cord-016476-78r0rsio 134 35 a a DT cord-016476-78r0rsio 134 36 nbDMARD nbdmard RB cord-016476-78r0rsio 134 37 early early JJ cord-016476-78r0rsio 134 38 in in IN cord-016476-78r0rsio 134 39 the the DT cord-016476-78r0rsio 134 40 course course NN cord-016476-78r0rsio 134 41 of of IN cord-016476-78r0rsio 134 42 their -PRON- PRP$ cord-016476-78r0rsio 134 43 disease disease NN cord-016476-78r0rsio 134 44 . . . cord-016476-78r0rsio 135 1 Whether whether IN cord-016476-78r0rsio 135 2 the the DT cord-016476-78r0rsio 135 3 risk risk NN cord-016476-78r0rsio 135 4 of of IN cord-016476-78r0rsio 135 5 progression progression NN cord-016476-78r0rsio 135 6 of of IN cord-016476-78r0rsio 135 7 RA RA NNP cord-016476-78r0rsio 135 8 - - HYPH cord-016476-78r0rsio 135 9 ILD ILD NNP cord-016476-78r0rsio 135 10 or or CC cord-016476-78r0rsio 135 11 SRAEs srae NNS cord-016476-78r0rsio 135 12 increases increase VBZ cord-016476-78r0rsio 135 13 with with IN cord-016476-78r0rsio 135 14 nbDMARDs nbDMARDs NNP cord-016476-78r0rsio 135 15 is be VBZ cord-016476-78r0rsio 135 16 not not RB cord-016476-78r0rsio 135 17 clear clear JJ cord-016476-78r0rsio 135 18 and and CC cord-016476-78r0rsio 135 19 may may MD cord-016476-78r0rsio 135 20 vary vary VB cord-016476-78r0rsio 135 21 according accord VBG cord-016476-78r0rsio 135 22 to to IN cord-016476-78r0rsio 135 23 the the DT cord-016476-78r0rsio 135 24 individual individual JJ cord-016476-78r0rsio 135 25 patient patient NN cord-016476-78r0rsio 135 26 profile profile NN cord-016476-78r0rsio 135 27 including include VBG cord-016476-78r0rsio 135 28 their -PRON- PRP$ cord-016476-78r0rsio 135 29 comorbidities comorbiditie NNS cord-016476-78r0rsio 135 30 , , , cord-016476-78r0rsio 135 31 concomitant concomitant JJ cord-016476-78r0rsio 135 32 treatments treatment NNS cord-016476-78r0rsio 135 33 , , , cord-016476-78r0rsio 135 34 severity severity NN cord-016476-78r0rsio 135 35 of of IN cord-016476-78r0rsio 135 36 ILD ILD NNP cord-016476-78r0rsio 135 37 at at IN cord-016476-78r0rsio 135 38 the the DT cord-016476-78r0rsio 135 39 outset outset NN cord-016476-78r0rsio 135 40 of of IN cord-016476-78r0rsio 135 41 treatment treatment NN cord-016476-78r0rsio 135 42 and and CC cord-016476-78r0rsio 135 43 their -PRON- PRP$ cord-016476-78r0rsio 135 44 genotype genotype NN cord-016476-78r0rsio 135 45 . . . cord-016476-78r0rsio 136 1 Evidence evidence NN cord-016476-78r0rsio 136 2 to to IN cord-016476-78r0rsio 136 3 date date NN cord-016476-78r0rsio 136 4 suggests suggest VBZ cord-016476-78r0rsio 136 5 caution caution NN cord-016476-78r0rsio 136 6 should should MD cord-016476-78r0rsio 136 7 be be VB cord-016476-78r0rsio 136 8 exercised exercise VBN cord-016476-78r0rsio 136 9 whilst whilst IN cord-016476-78r0rsio 136 10 treating treat VBG cord-016476-78r0rsio 136 11 patients patient NNS cord-016476-78r0rsio 136 12 with with IN cord-016476-78r0rsio 136 13 pre pre JJ cord-016476-78r0rsio 136 14 - - JJ cord-016476-78r0rsio 136 15 existing existing JJ cord-016476-78r0rsio 136 16 RA RA NNP cord-016476-78r0rsio 136 17 - - HYPH cord-016476-78r0rsio 136 18 ILD ILD NNP cord-016476-78r0rsio 136 19 with with IN cord-016476-78r0rsio 136 20 all all DT cord-016476-78r0rsio 136 21 nbDMARDs nbdmards NN cord-016476-78r0rsio 136 22 , , , cord-016476-78r0rsio 136 23 particularly particularly RB cord-016476-78r0rsio 136 24 MTX MTX NNP cord-016476-78r0rsio 136 25 and and CC cord-016476-78r0rsio 136 26 leflunomide leflunomide NNP cord-016476-78r0rsio 136 27 , , , cord-016476-78r0rsio 136 28 with with IN cord-016476-78r0rsio 136 29 careful careful JJ cord-016476-78r0rsio 136 30 monitoring monitoring NN cord-016476-78r0rsio 136 31 of of IN cord-016476-78r0rsio 136 32 disease disease NN cord-016476-78r0rsio 136 33 progression progression NN cord-016476-78r0rsio 136 34 and and CC cord-016476-78r0rsio 136 35 vigilance vigilance NN cord-016476-78r0rsio 136 36 for for IN cord-016476-78r0rsio 136 37 ( ( -LRB- cord-016476-78r0rsio 136 38 sometimes sometimes RB cord-016476-78r0rsio 136 39 rare rare JJ cord-016476-78r0rsio 136 40 ) ) -RRB- cord-016476-78r0rsio 136 41 SRAEs srae NNS cord-016476-78r0rsio 136 42 associated associate VBN cord-016476-78r0rsio 136 43 with with IN cord-016476-78r0rsio 136 44 such such JJ cord-016476-78r0rsio 136 45 treatments treatment NNS cord-016476-78r0rsio 136 46 ( ( -LRB- cord-016476-78r0rsio 136 47 summarised summarise VBN cord-016476-78r0rsio 136 48 in in IN cord-016476-78r0rsio 136 49 Table Table NNP cord-016476-78r0rsio 136 50 9 9 CD cord-016476-78r0rsio 136 51 .4 .4 CD cord-016476-78r0rsio 136 52 ) ) -RRB- cord-016476-78r0rsio 136 53 . . . cord-016476-78r0rsio 137 1 Five five CD cord-016476-78r0rsio 137 2 TNFi TNFi NNS cord-016476-78r0rsio 137 3 agents agent NNS cord-016476-78r0rsio 137 4 have have VBP cord-016476-78r0rsio 137 5 been be VBN cord-016476-78r0rsio 137 6 approved approve VBN cord-016476-78r0rsio 137 7 for for IN cord-016476-78r0rsio 137 8 treating treat VBG cord-016476-78r0rsio 137 9 patients patient NNS cord-016476-78r0rsio 137 10 with with IN cord-016476-78r0rsio 137 11 RA RA NNP cord-016476-78r0rsio 137 12 : : : cord-016476-78r0rsio 137 13 three three CD cord-016476-78r0rsio 137 14 monoclonal monoclonal JJ cord-016476-78r0rsio 137 15 antibodies antibody NNS cord-016476-78r0rsio 137 16 ( ( -LRB- cord-016476-78r0rsio 137 17 infliximab infliximab VBN cord-016476-78r0rsio 137 18 , , , cord-016476-78r0rsio 137 19 adalimumab adalimumab NNS cord-016476-78r0rsio 137 20 and and CC cord-016476-78r0rsio 137 21 golimumab golimumab NNP cord-016476-78r0rsio 137 22 ) ) -RRB- cord-016476-78r0rsio 137 23 , , , cord-016476-78r0rsio 137 24 the the DT cord-016476-78r0rsio 137 25 recombinant recombinant JJ cord-016476-78r0rsio 137 26 soluble soluble JJ cord-016476-78r0rsio 137 27 TNF TNF NNP cord-016476-78r0rsio 137 28 receptor receptor NN cord-016476-78r0rsio 137 29 etanercept etanercept NNP cord-016476-78r0rsio 137 30 and and CC cord-016476-78r0rsio 137 31 pegylated pegylated JJ cord-016476-78r0rsio 137 32 certolizumab certolizumab NNP cord-016476-78r0rsio 137 33 . . . cord-016476-78r0rsio 138 1 As as IN cord-016476-78r0rsio 138 2 biologic biologic JJ cord-016476-78r0rsio 138 3 therapies therapy NNS cord-016476-78r0rsio 138 4 such such JJ cord-016476-78r0rsio 138 5 as as IN cord-016476-78r0rsio 138 6 TNFis TNFis NNP cord-016476-78r0rsio 138 7 target target NN cord-016476-78r0rsio 138 8 key key JJ cord-016476-78r0rsio 138 9 cytokines cytokine NNS cord-016476-78r0rsio 138 10 and and CC cord-016476-78r0rsio 138 11 cells cell NNS cord-016476-78r0rsio 138 12 in in IN cord-016476-78r0rsio 138 13 the the DT cord-016476-78r0rsio 138 14 inflammatory inflammatory JJ cord-016476-78r0rsio 138 15 cascade cascade NN cord-016476-78r0rsio 138 16 with with IN cord-016476-78r0rsio 138 17 pleiotropic pleiotropic JJ cord-016476-78r0rsio 138 18 effects effect NNS cord-016476-78r0rsio 138 19 on on IN cord-016476-78r0rsio 138 20 the the DT cord-016476-78r0rsio 138 21 immune immune JJ cord-016476-78r0rsio 138 22 system system NN cord-016476-78r0rsio 138 23 , , , cord-016476-78r0rsio 138 24 there there EX cord-016476-78r0rsio 138 25 have have VBP cord-016476-78r0rsio 138 26 been be VBN cord-016476-78r0rsio 138 27 particular particular JJ cord-016476-78r0rsio 138 28 concerns concern NNS cord-016476-78r0rsio 138 29 regarding regard VBG cord-016476-78r0rsio 138 30 their -PRON- PRP$ cord-016476-78r0rsio 138 31 long long JJ cord-016476-78r0rsio 138 32 - - HYPH cord-016476-78r0rsio 138 33 term term NN cord-016476-78r0rsio 138 34 safety safety NN cord-016476-78r0rsio 138 35 profile profile NN cord-016476-78r0rsio 138 36 . . . cord-016476-78r0rsio 139 1 Although although IN cord-016476-78r0rsio 139 2 these these DT cord-016476-78r0rsio 139 3 drugs drug NNS cord-016476-78r0rsio 139 4 are be VBP cord-016476-78r0rsio 139 5 highly highly RB cord-016476-78r0rsio 139 6 effective effective JJ cord-016476-78r0rsio 139 7 in in IN cord-016476-78r0rsio 139 8 controlling control VBG cord-016476-78r0rsio 139 9 joint joint JJ cord-016476-78r0rsio 139 10 disease disease NN cord-016476-78r0rsio 139 11 , , , cord-016476-78r0rsio 139 12 and and CC cord-016476-78r0rsio 139 13 often often RB cord-016476-78r0rsio 139 14 are be VBP cord-016476-78r0rsio 139 15 used use VBN cord-016476-78r0rsio 139 16 as as IN cord-016476-78r0rsio 139 17 first first JJ cord-016476-78r0rsio 139 18 - - HYPH cord-016476-78r0rsio 139 19 line line NN cord-016476-78r0rsio 139 20 biologics biologic NNS cord-016476-78r0rsio 139 21 in in IN cord-016476-78r0rsio 139 22 combination combination NN cord-016476-78r0rsio 139 23 with with IN cord-016476-78r0rsio 139 24 MTX MTX NNP cord-016476-78r0rsio 139 25 , , , cord-016476-78r0rsio 139 26 they -PRON- PRP cord-016476-78r0rsio 139 27 are be VBP cord-016476-78r0rsio 139 28 reported report VBN cord-016476-78r0rsio 139 29 to to TO cord-016476-78r0rsio 139 30 be be VB cord-016476-78r0rsio 139 31 associated associate VBN cord-016476-78r0rsio 139 32 with with IN cord-016476-78r0rsio 139 33 various various JJ cord-016476-78r0rsio 139 34 autoimmune autoimmune JJ cord-016476-78r0rsio 139 35 AEs ae NNS cord-016476-78r0rsio 139 36 [ [ -LRB- cord-016476-78r0rsio 139 37 48 48 CD cord-016476-78r0rsio 139 38 ] ] -RRB- cord-016476-78r0rsio 139 39 . . . cord-016476-78r0rsio 140 1 Whilst whilst IN cord-016476-78r0rsio 140 2 the the DT cord-016476-78r0rsio 140 3 most most RBS cord-016476-78r0rsio 140 4 common common JJ cord-016476-78r0rsio 140 5 of of IN cord-016476-78r0rsio 140 6 these these DT cord-016476-78r0rsio 140 7 appear appear VBP cord-016476-78r0rsio 140 8 to to TO cord-016476-78r0rsio 140 9 be be VB cord-016476-78r0rsio 140 10 lupus lupus NN cord-016476-78r0rsio 140 11 - - : cord-016476-78r0rsio 140 12 and and CC cord-016476-78r0rsio 140 13 vasculitis vasculitis NN cord-016476-78r0rsio 140 14 - - HYPH cord-016476-78r0rsio 140 15 like like JJ cord-016476-78r0rsio 140 16 events event NNS cord-016476-78r0rsio 140 17 , , , cord-016476-78r0rsio 140 18 TNFiassociated tnfiassociated JJ cord-016476-78r0rsio 140 19 lung lung NN cord-016476-78r0rsio 140 20 injury injury NN cord-016476-78r0rsio 140 21 has have VBZ cord-016476-78r0rsio 140 22 been be VBN cord-016476-78r0rsio 140 23 reported report VBN cord-016476-78r0rsio 140 24 [ [ -LRB- cord-016476-78r0rsio 140 25 49 49 CD cord-016476-78r0rsio 140 26 ] ] -RRB- cord-016476-78r0rsio 140 27 . . . cord-016476-78r0rsio 141 1 The the DT cord-016476-78r0rsio 141 2 safety safety NN cord-016476-78r0rsio 141 3 of of IN cord-016476-78r0rsio 141 4 these these DT cord-016476-78r0rsio 141 5 drugs drug NNS cord-016476-78r0rsio 141 6 in in IN cord-016476-78r0rsio 141 7 patients patient NNS cord-016476-78r0rsio 141 8 with with IN cord-016476-78r0rsio 141 9 established establish VBN cord-016476-78r0rsio 141 10 RA RA NNP cord-016476-78r0rsio 141 11 - - HYPH cord-016476-78r0rsio 141 12 ILD ILD NNP cord-016476-78r0rsio 141 13 continues continue VBZ cord-016476-78r0rsio 141 14 to to TO cord-016476-78r0rsio 141 15 be be VB cord-016476-78r0rsio 141 16 scrutinised scrutinise VBN cord-016476-78r0rsio 141 17 . . . cord-016476-78r0rsio 142 1 Conversely conversely RB cord-016476-78r0rsio 142 2 elevated elevated JJ cord-016476-78r0rsio 142 3 levels level NNS cord-016476-78r0rsio 142 4 of of IN cord-016476-78r0rsio 142 5 TNF TNF NNP cord-016476-78r0rsio 142 6 - - HYPH cord-016476-78r0rsio 142 7 α α NNP cord-016476-78r0rsio 142 8 have have VBP cord-016476-78r0rsio 142 9 been be VBN cord-016476-78r0rsio 142 10 detected detect VBN cord-016476-78r0rsio 142 11 in in IN cord-016476-78r0rsio 142 12 the the DT cord-016476-78r0rsio 142 13 lungs lung NNS cord-016476-78r0rsio 142 14 of of IN cord-016476-78r0rsio 142 15 both both DT cord-016476-78r0rsio 142 16 experimental experimental JJ cord-016476-78r0rsio 142 17 animal animal NN cord-016476-78r0rsio 142 18 models model NNS cord-016476-78r0rsio 142 19 [ [ -LRB- cord-016476-78r0rsio 142 20 50 50 CD cord-016476-78r0rsio 142 21 ] ] -RRB- cord-016476-78r0rsio 142 22 and and CC cord-016476-78r0rsio 142 23 patients patient NNS cord-016476-78r0rsio 142 24 with with IN cord-016476-78r0rsio 142 25 idiopathic idiopathic JJ cord-016476-78r0rsio 142 26 pulmonary pulmonary JJ cord-016476-78r0rsio 142 27 fibrosis fibrosis NN cord-016476-78r0rsio 142 28 ( ( -LRB- cord-016476-78r0rsio 142 29 IPF IPF NNP cord-016476-78r0rsio 142 30 ) ) -RRB- cord-016476-78r0rsio 142 31 [ [ -LRB- cord-016476-78r0rsio 142 32 51 51 CD cord-016476-78r0rsio 142 33 ] ] -RRB- cord-016476-78r0rsio 142 34 . . . cord-016476-78r0rsio 143 1 Interestingly interestingly RB cord-016476-78r0rsio 143 2 serum serum NN cord-016476-78r0rsio 143 3 levels level NNS cord-016476-78r0rsio 143 4 of of IN cord-016476-78r0rsio 143 5 TNF TNF NNP cord-016476-78r0rsio 143 6 - - HYPH cord-016476-78r0rsio 143 7 α α NNP cord-016476-78r0rsio 143 8 have have VBP cord-016476-78r0rsio 143 9 also also RB cord-016476-78r0rsio 143 10 been be VBN cord-016476-78r0rsio 143 11 found find VBN cord-016476-78r0rsio 143 12 to to TO cord-016476-78r0rsio 143 13 be be VB cord-016476-78r0rsio 143 14 elevated elevate VBN cord-016476-78r0rsio 143 15 in in IN cord-016476-78r0rsio 143 16 patients patient NNS cord-016476-78r0rsio 143 17 with with IN cord-016476-78r0rsio 143 18 rituximab rituximab NN cord-016476-78r0rsio 143 19 - - HYPH cord-016476-78r0rsio 143 20 induced induce VBN cord-016476-78r0rsio 143 21 ILD ILD NNP cord-016476-78r0rsio 143 22 [ [ -LRB- cord-016476-78r0rsio 143 23 52 52 CD cord-016476-78r0rsio 143 24 ] ] -RRB- cord-016476-78r0rsio 143 25 . . . cord-016476-78r0rsio 144 1 Etanercept Etanercept NNP cord-016476-78r0rsio 144 2 has have VBZ cord-016476-78r0rsio 144 3 been be VBN cord-016476-78r0rsio 144 4 used use VBN cord-016476-78r0rsio 144 5 in in IN cord-016476-78r0rsio 144 6 a a DT cord-016476-78r0rsio 144 7 randomised randomised JJ cord-016476-78r0rsio 144 8 double double JJ cord-016476-78r0rsio 144 9 - - HYPH cord-016476-78r0rsio 144 10 blind blind JJ cord-016476-78r0rsio 144 11 placebo placebo NN cord-016476-78r0rsio 144 12 - - HYPH cord-016476-78r0rsio 144 13 controlled control VBN cord-016476-78r0rsio 144 14 exploratory exploratory JJ cord-016476-78r0rsio 144 15 trial trial NN cord-016476-78r0rsio 144 16 in in IN cord-016476-78r0rsio 144 17 clinically clinically RB cord-016476-78r0rsio 144 18 progressive progressive JJ cord-016476-78r0rsio 144 19 IPF IPF NNP cord-016476-78r0rsio 144 20 subjects subject NNS cord-016476-78r0rsio 144 21 , , , cord-016476-78r0rsio 144 22 however however RB cord-016476-78r0rsio 144 23 failed fail VBD cord-016476-78r0rsio 144 24 to to TO cord-016476-78r0rsio 144 25 show show VB cord-016476-78r0rsio 144 26 a a DT cord-016476-78r0rsio 144 27 difference difference NN cord-016476-78r0rsio 144 28 in in IN cord-016476-78r0rsio 144 29 primary primary JJ cord-016476-78r0rsio 144 30 endpoint endpoint NN cord-016476-78r0rsio 144 31 of of IN cord-016476-78r0rsio 144 32 improvement improvement NN cord-016476-78r0rsio 144 33 in in IN cord-016476-78r0rsio 144 34 FVC FVC NNP cord-016476-78r0rsio 144 35 over over IN cord-016476-78r0rsio 144 36 48 48 CD cord-016476-78r0rsio 144 37 weeks week NNS cord-016476-78r0rsio 144 38 . . . cord-016476-78r0rsio 145 1 The the DT cord-016476-78r0rsio 145 2 study study NN cord-016476-78r0rsio 145 3 was be VBD cord-016476-78r0rsio 145 4 underpowered underpowere VBN cord-016476-78r0rsio 145 5 ; ; : cord-016476-78r0rsio 145 6 however however RB cord-016476-78r0rsio 145 7 , , , cord-016476-78r0rsio 145 8 a a DT cord-016476-78r0rsio 145 9 nonsignificant nonsignificant JJ cord-016476-78r0rsio 145 10 reduction reduction NN cord-016476-78r0rsio 145 11 in in IN cord-016476-78r0rsio 145 12 disease disease NN cord-016476-78r0rsio 145 13 progression progression NN cord-016476-78r0rsio 145 14 was be VBD cord-016476-78r0rsio 145 15 seen see VBN cord-016476-78r0rsio 145 16 in in IN cord-016476-78r0rsio 145 17 several several JJ cord-016476-78r0rsio 145 18 physiologic physiologic JJ cord-016476-78r0rsio 145 19 ( ( -LRB- cord-016476-78r0rsio 145 20 including include VBG cord-016476-78r0rsio 145 21 transfer transfer NN cord-016476-78r0rsio 145 22 factor factor NN cord-016476-78r0rsio 145 23 ) ) -RRB- cord-016476-78r0rsio 145 24 , , , cord-016476-78r0rsio 145 25 functional functional JJ cord-016476-78r0rsio 145 26 and and CC cord-016476-78r0rsio 145 27 quality quality NN cord-016476-78r0rsio 145 28 - - HYPH cord-016476-78r0rsio 145 29 of of IN cord-016476-78r0rsio 145 30 - - HYPH cord-016476-78r0rsio 145 31 life life NN cord-016476-78r0rsio 145 32 endpoints endpoint NNS cord-016476-78r0rsio 145 33 amongst amongst IN cord-016476-78r0rsio 145 34 participants participant NNS cord-016476-78r0rsio 145 35 receiving receive VBG cord-016476-78r0rsio 145 36 TNFi TNFi NNS cord-016476-78r0rsio 145 37 . . . cord-016476-78r0rsio 146 1 Importantly importantly RB cord-016476-78r0rsio 146 2 there there EX cord-016476-78r0rsio 146 3 was be VBD cord-016476-78r0rsio 146 4 no no DT cord-016476-78r0rsio 146 5 decline decline NN cord-016476-78r0rsio 146 6 in in IN cord-016476-78r0rsio 146 7 lung lung NN cord-016476-78r0rsio 146 8 function function NN cord-016476-78r0rsio 146 9 or or CC cord-016476-78r0rsio 146 10 higher high JJR cord-016476-78r0rsio 146 11 incidence incidence NN cord-016476-78r0rsio 146 12 of of IN cord-016476-78r0rsio 146 13 SRAEs srae NNS cord-016476-78r0rsio 146 14 in in IN cord-016476-78r0rsio 146 15 the the DT cord-016476-78r0rsio 146 16 etanercept etanercept NNP cord-016476-78r0rsio 146 17 group group NN cord-016476-78r0rsio 146 18 compared compare VBN cord-016476-78r0rsio 146 19 to to IN cord-016476-78r0rsio 146 20 placebo placebo NN cord-016476-78r0rsio 146 21 . . . cord-016476-78r0rsio 147 1 Therefore therefore RB cord-016476-78r0rsio 147 2 whilst whilst IN cord-016476-78r0rsio 147 3 legitimate legitimate JJ cord-016476-78r0rsio 147 4 concerns concern NNS cord-016476-78r0rsio 147 5 about about IN cord-016476-78r0rsio 147 6 pulmonary pulmonary JJ cord-016476-78r0rsio 147 7 toxicity toxicity NN cord-016476-78r0rsio 147 8 have have VBP cord-016476-78r0rsio 147 9 been be VBN cord-016476-78r0rsio 147 10 highlighted highlight VBN cord-016476-78r0rsio 147 11 , , , cord-016476-78r0rsio 147 12 TNFi tnfi JJ cord-016476-78r0rsio 147 13 treatments treatment NNS cord-016476-78r0rsio 147 14 may may MD cord-016476-78r0rsio 147 15 have have VB cord-016476-78r0rsio 147 16 plausible plausible JJ cord-016476-78r0rsio 147 17 bidirectional bidirectional JJ cord-016476-78r0rsio 147 18 effects effect NNS cord-016476-78r0rsio 147 19 . . . cord-016476-78r0rsio 148 1 The the DT cord-016476-78r0rsio 148 2 next next JJ cord-016476-78r0rsio 148 3 section section NN cord-016476-78r0rsio 148 4 will will MD cord-016476-78r0rsio 148 5 review review VB cord-016476-78r0rsio 148 6 the the DT cord-016476-78r0rsio 148 7 levels level NNS cord-016476-78r0rsio 148 8 of of IN cord-016476-78r0rsio 148 9 evidence evidence NN cord-016476-78r0rsio 148 10 for for IN cord-016476-78r0rsio 148 11 both both DT cord-016476-78r0rsio 148 12 incident incident NN cord-016476-78r0rsio 148 13 ILD ILD NNP cord-016476-78r0rsio 148 14 and and CC cord-016476-78r0rsio 148 15 safety safety NN cord-016476-78r0rsio 148 16 in in IN cord-016476-78r0rsio 148 17 pre pre JJ cord-016476-78r0rsio 148 18 - - JJ cord-016476-78r0rsio 148 19 existing existing JJ cord-016476-78r0rsio 148 20 RA RA NNP cord-016476-78r0rsio 148 21 - - HYPH cord-016476-78r0rsio 148 22 ILD ILD NNP cord-016476-78r0rsio 148 23 . . . cord-016476-78r0rsio 149 1 Clinical clinical JJ cord-016476-78r0rsio 149 2 trials trial NNS cord-016476-78r0rsio 149 3 of of IN cord-016476-78r0rsio 149 4 TNFi TNFi NNS cord-016476-78r0rsio 149 5 therapy therapy NN cord-016476-78r0rsio 149 6 have have VBP cord-016476-78r0rsio 149 7 been be VBN cord-016476-78r0rsio 149 8 significantly significantly RB cord-016476-78r0rsio 149 9 underpowered underpowere VBN cord-016476-78r0rsio 149 10 to to TO cord-016476-78r0rsio 149 11 detect detect VB cord-016476-78r0rsio 149 12 even even RB cord-016476-78r0rsio 149 13 a a DT cord-016476-78r0rsio 149 14 large large JJ cord-016476-78r0rsio 149 15 increase increase NN cord-016476-78r0rsio 149 16 in in IN cord-016476-78r0rsio 149 17 the the DT cord-016476-78r0rsio 149 18 incidence incidence NN cord-016476-78r0rsio 149 19 of of IN cord-016476-78r0rsio 149 20 serious serious JJ cord-016476-78r0rsio 149 21 RA RA NNP cord-016476-78r0rsio 149 22 - - HYPH cord-016476-78r0rsio 149 23 ILD ILD NNP cord-016476-78r0rsio 149 24 . . . cord-016476-78r0rsio 150 1 The the DT cord-016476-78r0rsio 150 2 original original JJ cord-016476-78r0rsio 150 3 RCTs rct NNS cord-016476-78r0rsio 150 4 leading lead VBG cord-016476-78r0rsio 150 5 to to IN cord-016476-78r0rsio 150 6 eventual eventual JJ cord-016476-78r0rsio 150 7 approval approval NN cord-016476-78r0rsio 150 8 of of IN cord-016476-78r0rsio 150 9 TNFi TNFi NNS cord-016476-78r0rsio 150 10 provided provide VBD cord-016476-78r0rsio 150 11 no no DT cord-016476-78r0rsio 150 12 RA RA NNP cord-016476-78r0rsio 150 13 - - HYPH cord-016476-78r0rsio 150 14 ILD ILD NNP cord-016476-78r0rsio 150 15 safety safety NN cord-016476-78r0rsio 150 16 signals signal NNS cord-016476-78r0rsio 150 17 . . . cord-016476-78r0rsio 151 1 In in IN cord-016476-78r0rsio 151 2 the the DT cord-016476-78r0rsio 151 3 first first JJ cord-016476-78r0rsio 151 4 reported report VBN cord-016476-78r0rsio 151 5 phase phase NN cord-016476-78r0rsio 151 6 III iii CD cord-016476-78r0rsio 151 7 trial trial NN cord-016476-78r0rsio 151 8 of of IN cord-016476-78r0rsio 151 9 infliximab infliximab NNP cord-016476-78r0rsio 151 10 and and CC cord-016476-78r0rsio 151 11 MTX MTX NNP cord-016476-78r0rsio 151 12 versus versus IN cord-016476-78r0rsio 151 13 placebo placebo NN cord-016476-78r0rsio 151 14 and and CC cord-016476-78r0rsio 151 15 MTX MTX NNP cord-016476-78r0rsio 151 16 over over IN cord-016476-78r0rsio 151 17 30 30 CD cord-016476-78r0rsio 151 18 weeks week NNS cord-016476-78r0rsio 151 19 , , , cord-016476-78r0rsio 151 20 there there EX cord-016476-78r0rsio 151 21 was be VBD cord-016476-78r0rsio 151 22 a a DT cord-016476-78r0rsio 151 23 death death NN cord-016476-78r0rsio 151 24 in in IN cord-016476-78r0rsio 151 25 both both CC cord-016476-78r0rsio 151 26 the the DT cord-016476-78r0rsio 151 27 placebo placebo NN cord-016476-78r0rsio 151 28 arm arm NN cord-016476-78r0rsio 151 29 due due JJ cord-016476-78r0rsio 151 30 to to IN cord-016476-78r0rsio 151 31 ILD ILD NNP cord-016476-78r0rsio 151 32 and and CC cord-016476-78r0rsio 151 33 the the DT cord-016476-78r0rsio 151 34 infliximab infliximab NNP cord-016476-78r0rsio 151 35 arm arm NN cord-016476-78r0rsio 151 36 due due JJ cord-016476-78r0rsio 151 37 to to IN cord-016476-78r0rsio 151 38 cardiopulmonary cardiopulmonary JJ cord-016476-78r0rsio 151 39 failure failure NN cord-016476-78r0rsio 151 40 as as IN cord-016476-78r0rsio 151 41 a a DT cord-016476-78r0rsio 151 42 result result NN cord-016476-78r0rsio 151 43 of of IN cord-016476-78r0rsio 151 44 suspected suspect VBN cord-016476-78r0rsio 151 45 pulmonary pulmonary JJ cord-016476-78r0rsio 151 46 embolism embolism NN cord-016476-78r0rsio 151 47 or or CC cord-016476-78r0rsio 151 48 ILD ILD NNP cord-016476-78r0rsio 151 49 [ [ -LRB- cord-016476-78r0rsio 151 50 53 53 CD cord-016476-78r0rsio 151 51 ] ] -RRB- cord-016476-78r0rsio 151 52 . . . cord-016476-78r0rsio 152 1 In in IN cord-016476-78r0rsio 152 2 a a DT cord-016476-78r0rsio 152 3 two two CD cord-016476-78r0rsio 152 4 - - HYPH cord-016476-78r0rsio 152 5 year year NN cord-016476-78r0rsio 152 6 extension extension NN cord-016476-78r0rsio 152 7 of of IN cord-016476-78r0rsio 152 8 this this DT cord-016476-78r0rsio 152 9 trial trial NN cord-016476-78r0rsio 152 10 , , , cord-016476-78r0rsio 152 11 there there EX cord-016476-78r0rsio 152 12 was be VBD cord-016476-78r0rsio 152 13 a a DT cord-016476-78r0rsio 152 14 single single JJ cord-016476-78r0rsio 152 15 death death NN cord-016476-78r0rsio 152 16 attributed attribute VBN cord-016476-78r0rsio 152 17 to to IN cord-016476-78r0rsio 152 18 ILD ILD NNP cord-016476-78r0rsio 152 19 in in IN cord-016476-78r0rsio 152 20 the the DT cord-016476-78r0rsio 152 21 infliximab infliximab JJ cord-016476-78r0rsio 152 22 arm arm NN cord-016476-78r0rsio 152 23 ; ; : cord-016476-78r0rsio 152 24 however however RB cord-016476-78r0rsio 152 25 , , , cord-016476-78r0rsio 152 26 it -PRON- PRP cord-016476-78r0rsio 152 27 was be VBD cord-016476-78r0rsio 152 28 not not RB cord-016476-78r0rsio 152 29 clear clear JJ cord-016476-78r0rsio 152 30 whether whether IN cord-016476-78r0rsio 152 31 this this DT cord-016476-78r0rsio 152 32 is be VBZ cord-016476-78r0rsio 152 33 the the DT cord-016476-78r0rsio 152 34 same same JJ cord-016476-78r0rsio 152 35 patient patient NN cord-016476-78r0rsio 152 36 reported report VBN cord-016476-78r0rsio 152 37 in in IN cord-016476-78r0rsio 152 38 the the DT cord-016476-78r0rsio 152 39 previous previous JJ cord-016476-78r0rsio 152 40 paper paper NN cord-016476-78r0rsio 152 41 . . . cord-016476-78r0rsio 153 1 A a DT cord-016476-78r0rsio 153 2 clinical clinical JJ cord-016476-78r0rsio 153 3 trial trial NN cord-016476-78r0rsio 153 4 of of IN cord-016476-78r0rsio 153 5 etanercept etanercept NNP cord-016476-78r0rsio 153 6 versus versus IN cord-016476-78r0rsio 153 7 MTX MTX NNP cord-016476-78r0rsio 153 8 in in IN cord-016476-78r0rsio 153 9 early early JJ cord-016476-78r0rsio 153 10 RA RA NNP cord-016476-78r0rsio 153 11 reported report VBD cord-016476-78r0rsio 153 12 three three CD cord-016476-78r0rsio 153 13 cases case NNS cord-016476-78r0rsio 153 14 of of IN cord-016476-78r0rsio 153 15 pneumonitis pneumonitis NN cord-016476-78r0rsio 153 16 in in IN cord-016476-78r0rsio 153 17 the the DT cord-016476-78r0rsio 153 18 MTX MTX NNP cord-016476-78r0rsio 153 19 group group NN cord-016476-78r0rsio 153 20 at at IN cord-016476-78r0rsio 153 21 1 1 CD cord-016476-78r0rsio 153 22 year year NN cord-016476-78r0rsio 153 23 follow follow NN cord-016476-78r0rsio 153 24 - - HYPH cord-016476-78r0rsio 153 25 up up NN cord-016476-78r0rsio 153 26 [ [ -LRB- cord-016476-78r0rsio 153 27 54 54 CD cord-016476-78r0rsio 153 28 ] ] -RRB- cord-016476-78r0rsio 153 29 and and CC cord-016476-78r0rsio 153 30 four four CD cord-016476-78r0rsio 153 31 cases case NNS cord-016476-78r0rsio 153 32 at at IN cord-016476-78r0rsio 153 33 2 2 CD cord-016476-78r0rsio 153 34 year year NN cord-016476-78r0rsio 153 35 follow follow NN cord-016476-78r0rsio 153 36 - - HYPH cord-016476-78r0rsio 153 37 up up NN cord-016476-78r0rsio 153 38 [ [ -LRB- cord-016476-78r0rsio 153 39 55 55 CD cord-016476-78r0rsio 153 40 ] ] -RRB- cord-016476-78r0rsio 153 41 with with IN cord-016476-78r0rsio 153 42 no no DT cord-016476-78r0rsio 153 43 reported report VBN cord-016476-78r0rsio 153 44 cases case NNS cord-016476-78r0rsio 153 45 in in IN cord-016476-78r0rsio 153 46 the the DT cord-016476-78r0rsio 153 47 etanercept etanercept NNP cord-016476-78r0rsio 153 48 arm arm NN cord-016476-78r0rsio 153 49 despite despite IN cord-016476-78r0rsio 153 50 a a DT cord-016476-78r0rsio 153 51 ratio ratio NN cord-016476-78r0rsio 153 52 of of IN cord-016476-78r0rsio 153 53 etanercept etanercept NNP cord-016476-78r0rsio 153 54 / / SYM cord-016476-78r0rsio 153 55 MTX MTX NNP cord-016476-78r0rsio 153 56 of of IN cord-016476-78r0rsio 153 57 2:1 2:1 CD cord-016476-78r0rsio 153 58 . . . cord-016476-78r0rsio 154 1 There there EX cord-016476-78r0rsio 154 2 was be VBD cord-016476-78r0rsio 154 3 one one CD cord-016476-78r0rsio 154 4 case case NN cord-016476-78r0rsio 154 5 of of IN cord-016476-78r0rsio 154 6 death death NN cord-016476-78r0rsio 154 7 from from IN cord-016476-78r0rsio 154 8 respiratory respiratory JJ cord-016476-78r0rsio 154 9 failure failure NN cord-016476-78r0rsio 154 10 in in IN cord-016476-78r0rsio 154 11 the the DT cord-016476-78r0rsio 154 12 5-year 5-year CD cord-016476-78r0rsio 154 13 OLE ole NN cord-016476-78r0rsio 154 14 of of IN cord-016476-78r0rsio 154 15 this this DT cord-016476-78r0rsio 154 16 study study NN cord-016476-78r0rsio 154 17 in in IN cord-016476-78r0rsio 154 18 the the DT cord-016476-78r0rsio 154 19 etanercept etanercept NNP cord-016476-78r0rsio 154 20 arm arm NN cord-016476-78r0rsio 154 21 [ [ -LRB- cord-016476-78r0rsio 154 22 56 56 CD cord-016476-78r0rsio 154 23 ] ] -RRB- cord-016476-78r0rsio 154 24 . . . cord-016476-78r0rsio 155 1 No no DT cord-016476-78r0rsio 155 2 cases case NNS cord-016476-78r0rsio 155 3 of of IN cord-016476-78r0rsio 155 4 ILD ILD NNP cord-016476-78r0rsio 155 5 were be VBD cord-016476-78r0rsio 155 6 reported report VBN cord-016476-78r0rsio 155 7 in in IN cord-016476-78r0rsio 155 8 the the DT cord-016476-78r0rsio 155 9 7-year 7-year JJ cord-016476-78r0rsio 155 10 OLE ole NN cord-016476-78r0rsio 155 11 of of IN cord-016476-78r0rsio 155 12 etanercept etanercept NN cord-016476-78r0rsio 155 13 [ [ -LRB- cord-016476-78r0rsio 155 14 57 57 CD cord-016476-78r0rsio 155 15 ] ] -RRB- cord-016476-78r0rsio 155 16 . . . cord-016476-78r0rsio 156 1 ILD ILD NNP cord-016476-78r0rsio 156 2 was be VBD cord-016476-78r0rsio 156 3 not not RB cord-016476-78r0rsio 156 4 reported report VBN cord-016476-78r0rsio 156 5 in in IN cord-016476-78r0rsio 156 6 any any DT cord-016476-78r0rsio 156 7 of of IN cord-016476-78r0rsio 156 8 the the DT cord-016476-78r0rsio 156 9 initial initial JJ cord-016476-78r0rsio 156 10 adalimumab adalimumab NNS cord-016476-78r0rsio 156 11 clinical clinical JJ cord-016476-78r0rsio 156 12 trials trial NNS cord-016476-78r0rsio 156 13 , , , cord-016476-78r0rsio 156 14 in in IN cord-016476-78r0rsio 156 15 either either CC cord-016476-78r0rsio 156 16 the the DT cord-016476-78r0rsio 156 17 adalimumab adalimumab NNS cord-016476-78r0rsio 156 18 or or CC cord-016476-78r0rsio 156 19 placebo placebo NN cord-016476-78r0rsio 156 20 arms arm NNS cord-016476-78r0rsio 156 21 [ [ -LRB- cord-016476-78r0rsio 156 22 58 58 CD cord-016476-78r0rsio 156 23 ] ] -RRB- cord-016476-78r0rsio 156 24 . . . cord-016476-78r0rsio 157 1 However however RB cord-016476-78r0rsio 157 2 , , , cord-016476-78r0rsio 157 3 within within IN cord-016476-78r0rsio 157 4 an an DT cord-016476-78r0rsio 157 5 adalimumab adalimumab NNS cord-016476-78r0rsio 157 6 OLE OLE NNP cord-016476-78r0rsio 157 7 study study NN cord-016476-78r0rsio 157 8 [ [ -LRB- cord-016476-78r0rsio 157 9 59 59 CD cord-016476-78r0rsio 157 10 ] ] -RRB- cord-016476-78r0rsio 157 11 , , , cord-016476-78r0rsio 157 12 SAEs SAEs NNP cord-016476-78r0rsio 157 13 coded code VBN cord-016476-78r0rsio 157 14 as as IN cord-016476-78r0rsio 157 15 ' ' `` cord-016476-78r0rsio 157 16 parenchymal parenchymal JJ cord-016476-78r0rsio 157 17 lung lung NN cord-016476-78r0rsio 157 18 disorders disorder NNS cord-016476-78r0rsio 157 19 ' ' POS cord-016476-78r0rsio 157 20 occurred occur VBD cord-016476-78r0rsio 157 21 at at IN cord-016476-78r0rsio 157 22 a a DT cord-016476-78r0rsio 157 23 rate rate NN cord-016476-78r0rsio 157 24 of of IN cord-016476-78r0rsio 157 25 0.2 0.2 CD cord-016476-78r0rsio 157 26 - - HYPH cord-016476-78r0rsio 157 27 0.3/100 0.3/100 NN cord-016476-78r0rsio 157 28 patient patient NN cord-016476-78r0rsio 157 29 - - HYPH cord-016476-78r0rsio 157 30 years year NNS cord-016476-78r0rsio 157 31 , , , cord-016476-78r0rsio 157 32 accounting account VBG cord-016476-78r0rsio 157 33 for for IN cord-016476-78r0rsio 157 34 20 20 CD cord-016476-78r0rsio 157 35 % % NN cord-016476-78r0rsio 157 36 of of IN cord-016476-78r0rsio 157 37 all all DT cord-016476-78r0rsio 157 38 SAE SAE NNP cord-016476-78r0rsio 157 39 's 's POS cord-016476-78r0rsio 157 40 . . . cord-016476-78r0rsio 158 1 In in IN cord-016476-78r0rsio 158 2 this this DT cord-016476-78r0rsio 158 3 trial trial NN cord-016476-78r0rsio 158 4 , , , cord-016476-78r0rsio 158 5 however however RB cord-016476-78r0rsio 158 6 , , , cord-016476-78r0rsio 158 7 there there EX cord-016476-78r0rsio 158 8 was be VBD cord-016476-78r0rsio 158 9 no no DT cord-016476-78r0rsio 158 10 placebo placebo NN cord-016476-78r0rsio 158 11 - - HYPH cord-016476-78r0rsio 158 12 controlled control VBN cord-016476-78r0rsio 158 13 or or CC cord-016476-78r0rsio 158 14 nbDMARDexposed nbdmardexposed JJ cord-016476-78r0rsio 158 15 arm arm NN cord-016476-78r0rsio 158 16 , , , cord-016476-78r0rsio 158 17 making make VBG cord-016476-78r0rsio 158 18 the the DT cord-016476-78r0rsio 158 19 interpretation interpretation NN cord-016476-78r0rsio 158 20 of of IN cord-016476-78r0rsio 158 21 these these DT cord-016476-78r0rsio 158 22 figures figure NNS cord-016476-78r0rsio 158 23 challenging challenge VBG cord-016476-78r0rsio 158 24 . . . cord-016476-78r0rsio 159 1 Similarly similarly RB cord-016476-78r0rsio 159 2 no no DT cord-016476-78r0rsio 159 3 signal signal NN cord-016476-78r0rsio 159 4 of of IN cord-016476-78r0rsio 159 5 concern concern NN cord-016476-78r0rsio 159 6 for for IN cord-016476-78r0rsio 159 7 incident incident NN cord-016476-78r0rsio 159 8 ILD ILD NNP cord-016476-78r0rsio 159 9 was be VBD cord-016476-78r0rsio 159 10 observed observe VBN cord-016476-78r0rsio 159 11 in in IN cord-016476-78r0rsio 159 12 the the DT cord-016476-78r0rsio 159 13 initial initial JJ cord-016476-78r0rsio 159 14 golimumab golimumab NNP cord-016476-78r0rsio 159 15 - - HYPH cord-016476-78r0rsio 159 16 RA RA NNP cord-016476-78r0rsio 159 17 trials trial NNS cord-016476-78r0rsio 159 18 [ [ -LRB- cord-016476-78r0rsio 159 19 60 60 CD cord-016476-78r0rsio 159 20 , , , cord-016476-78r0rsio 159 21 61 61 CD cord-016476-78r0rsio 159 22 ] ] -RRB- cord-016476-78r0rsio 159 23 in in IN cord-016476-78r0rsio 159 24 the the DT cord-016476-78r0rsio 159 25 two two CD cord-016476-78r0rsio 159 26 - - HYPH cord-016476-78r0rsio 159 27 year year NN cord-016476-78r0rsio 159 28 [ [ -LRB- cord-016476-78r0rsio 159 29 62 62 CD cord-016476-78r0rsio 159 30 ] ] -RRB- cord-016476-78r0rsio 159 31 or or CC cord-016476-78r0rsio 159 32 five five CD cord-016476-78r0rsio 159 33 - - HYPH cord-016476-78r0rsio 159 34 year year NN cord-016476-78r0rsio 159 35 [ [ -LRB- cord-016476-78r0rsio 159 36 63 63 CD cord-016476-78r0rsio 159 37 ] ] -RRB- cord-016476-78r0rsio 159 38 extension extension NN cord-016476-78r0rsio 159 39 studies study NNS cord-016476-78r0rsio 159 40 . . . cord-016476-78r0rsio 160 1 In in IN cord-016476-78r0rsio 160 2 the the DT cord-016476-78r0rsio 160 3 certolizumab certolizumab NNP cord-016476-78r0rsio 160 4 RAPID RAPID NNP cord-016476-78r0rsio 160 5 1 1 CD cord-016476-78r0rsio 160 6 and and CC cord-016476-78r0rsio 160 7 RAPID rapid JJ cord-016476-78r0rsio 160 8 2 2 CD cord-016476-78r0rsio 160 9 trials trial NNS cord-016476-78r0rsio 160 10 [ [ -LRB- cord-016476-78r0rsio 160 11 64 64 CD cord-016476-78r0rsio 160 12 , , , cord-016476-78r0rsio 160 13 65 65 CD cord-016476-78r0rsio 160 14 ] ] -RRB- cord-016476-78r0rsio 160 15 , , , cord-016476-78r0rsio 160 16 and and CC cord-016476-78r0rsio 160 17 subsequent subsequent JJ cord-016476-78r0rsio 160 18 OLEs ole NNS cord-016476-78r0rsio 160 19 [ [ -LRB- cord-016476-78r0rsio 160 20 66 66 CD cord-016476-78r0rsio 160 21 ] ] -RRB- cord-016476-78r0rsio 160 22 , , , cord-016476-78r0rsio 160 23 no no DT cord-016476-78r0rsio 160 24 cases case NNS cord-016476-78r0rsio 160 25 of of IN cord-016476-78r0rsio 160 26 druginduced druginduced JJ cord-016476-78r0rsio 160 27 pneumonitis pneumonitis NN cord-016476-78r0rsio 160 28 were be VBD cord-016476-78r0rsio 160 29 reported report VBN cord-016476-78r0rsio 160 30 in in IN cord-016476-78r0rsio 160 31 any any DT cord-016476-78r0rsio 160 32 arms arm NNS cord-016476-78r0rsio 160 33 . . . cord-016476-78r0rsio 161 1 Therefore therefore RB cord-016476-78r0rsio 161 2 original original JJ cord-016476-78r0rsio 161 3 RCTs rct NNS cord-016476-78r0rsio 161 4 of of IN cord-016476-78r0rsio 161 5 TNFi TNFi NNP cord-016476-78r0rsio 161 6 agents agent NNS cord-016476-78r0rsio 161 7 did do VBD cord-016476-78r0rsio 161 8 not not RB cord-016476-78r0rsio 161 9 raise raise VB cord-016476-78r0rsio 161 10 concern concern NN cord-016476-78r0rsio 161 11 over over IN cord-016476-78r0rsio 161 12 the the DT cord-016476-78r0rsio 161 13 potential potential JJ cord-016476-78r0rsio 161 14 development development NN cord-016476-78r0rsio 161 15 of of IN cord-016476-78r0rsio 161 16 ILD ILD NNP cord-016476-78r0rsio 161 17 . . . cord-016476-78r0rsio 162 1 These these DT cord-016476-78r0rsio 162 2 trials trial NNS cord-016476-78r0rsio 162 3 typically typically RB cord-016476-78r0rsio 162 4 had have VBD cord-016476-78r0rsio 162 5 short short JJ cord-016476-78r0rsio 162 6 duration duration NN cord-016476-78r0rsio 162 7 , , , cord-016476-78r0rsio 162 8 included include VBN cord-016476-78r0rsio 162 9 between between IN cord-016476-78r0rsio 162 10 210 210 CD cord-016476-78r0rsio 162 11 and and CC cord-016476-78r0rsio 162 12 340 340 CD cord-016476-78r0rsio 162 13 patients patient NNS cord-016476-78r0rsio 162 14 in in IN cord-016476-78r0rsio 162 15 the the DT cord-016476-78r0rsio 162 16 TNFi TNFi NNP cord-016476-78r0rsio 162 17 arm arm NN cord-016476-78r0rsio 162 18 each each DT cord-016476-78r0rsio 162 19 and and CC cord-016476-78r0rsio 162 20 excluded exclude VBD cord-016476-78r0rsio 162 21 patients patient NNS cord-016476-78r0rsio 162 22 with with IN cord-016476-78r0rsio 162 23 RA RA NNP cord-016476-78r0rsio 162 24 - - HYPH cord-016476-78r0rsio 162 25 ILD ILD NNP cord-016476-78r0rsio 162 26 at at IN cord-016476-78r0rsio 162 27 baseline baseline NN cord-016476-78r0rsio 162 28 . . . cord-016476-78r0rsio 163 1 Concerns concern NNS cord-016476-78r0rsio 163 2 regarding regard VBG cord-016476-78r0rsio 163 3 the the DT cord-016476-78r0rsio 163 4 respiratory respiratory JJ cord-016476-78r0rsio 163 5 safety safety NN cord-016476-78r0rsio 163 6 of of IN cord-016476-78r0rsio 163 7 TNFi TNFi NNP cord-016476-78r0rsio 163 8 agents agent NNS cord-016476-78r0rsio 163 9 arose arise VBD cord-016476-78r0rsio 163 10 initially initially RB cord-016476-78r0rsio 163 11 following follow VBG cord-016476-78r0rsio 163 12 three three CD cord-016476-78r0rsio 163 13 case case NN cord-016476-78r0rsio 163 14 reports report NNS cord-016476-78r0rsio 163 15 of of IN cord-016476-78r0rsio 163 16 rapid rapid JJ cord-016476-78r0rsio 163 17 fatal fatal JJ cord-016476-78r0rsio 163 18 exacerbations exacerbation NNS cord-016476-78r0rsio 163 19 of of IN cord-016476-78r0rsio 163 20 RA RA NNP cord-016476-78r0rsio 163 21 - - HYPH cord-016476-78r0rsio 163 22 associated associate VBN cord-016476-78r0rsio 163 23 fibrosing fibrose VBG cord-016476-78r0rsio 163 24 alveolitis alveolitis NN cord-016476-78r0rsio 163 25 following follow VBG cord-016476-78r0rsio 163 26 commencement commencement NN cord-016476-78r0rsio 163 27 of of IN cord-016476-78r0rsio 163 28 infliximab infliximab NNP cord-016476-78r0rsio 163 29 in in IN cord-016476-78r0rsio 163 30 2004 2004 CD cord-016476-78r0rsio 163 31 [ [ -LRB- cord-016476-78r0rsio 163 32 67 67 CD cord-016476-78r0rsio 163 33 ] ] -RRB- cord-016476-78r0rsio 163 34 , , , cord-016476-78r0rsio 163 35 which which WDT cord-016476-78r0rsio 163 36 was be VBD cord-016476-78r0rsio 163 37 extended extend VBN cord-016476-78r0rsio 163 38 in in IN cord-016476-78r0rsio 163 39 a a DT cord-016476-78r0rsio 163 40 later later JJ cord-016476-78r0rsio 163 41 publication publication NN cord-016476-78r0rsio 163 42 to to IN cord-016476-78r0rsio 163 43 five five CD cord-016476-78r0rsio 163 44 cases case NNS cord-016476-78r0rsio 163 45 [ [ -LRB- cord-016476-78r0rsio 163 46 68 68 CD cord-016476-78r0rsio 163 47 ] ] -RRB- cord-016476-78r0rsio 163 48 . . . cord-016476-78r0rsio 164 1 Of of IN cord-016476-78r0rsio 164 2 these these DT cord-016476-78r0rsio 164 3 cases case NNS cord-016476-78r0rsio 164 4 , , , cord-016476-78r0rsio 164 5 three three CD cord-016476-78r0rsio 164 6 patients patient NNS cord-016476-78r0rsio 164 7 were be VBD cord-016476-78r0rsio 164 8 taking take VBG cord-016476-78r0rsio 164 9 concomitant concomitant JJ cord-016476-78r0rsio 164 10 azathioprine azathioprine NN cord-016476-78r0rsio 164 11 , , , cord-016476-78r0rsio 164 12 and and CC cord-016476-78r0rsio 164 13 one one CD cord-016476-78r0rsio 164 14 taking take VBG cord-016476-78r0rsio 164 15 leflunomide leflunomide NN cord-016476-78r0rsio 164 16 developed develop VBD cord-016476-78r0rsio 164 17 rapid rapid JJ cord-016476-78r0rsio 164 18 progression progression NN cord-016476-78r0rsio 164 19 of of IN cord-016476-78r0rsio 164 20 RA RA NNP cord-016476-78r0rsio 164 21 - - HYPH cord-016476-78r0rsio 164 22 ILD ILD NNP cord-016476-78r0rsio 164 23 ( ( -LRB- cord-016476-78r0rsio 164 24 known know VBN cord-016476-78r0rsio 164 25 UIP UIP NNP cord-016476-78r0rsio 164 26 preceding precede VBG cord-016476-78r0rsio 164 27 treatment treatment NN cord-016476-78r0rsio 164 28 ) ) -RRB- cord-016476-78r0rsio 164 29 . . . cord-016476-78r0rsio 165 1 The the DT cord-016476-78r0rsio 165 2 fifth fifth JJ cord-016476-78r0rsio 165 3 patient patient NN cord-016476-78r0rsio 165 4 did do VBD cord-016476-78r0rsio 165 5 not not RB cord-016476-78r0rsio 165 6 have have VB cord-016476-78r0rsio 165 7 a a DT cord-016476-78r0rsio 165 8 history history NN cord-016476-78r0rsio 165 9 of of IN cord-016476-78r0rsio 165 10 lung lung NN cord-016476-78r0rsio 165 11 disease disease NN cord-016476-78r0rsio 165 12 pretreatment pretreatment NN cord-016476-78r0rsio 165 13 and and CC cord-016476-78r0rsio 165 14 , , , cord-016476-78r0rsio 165 15 following follow VBG cord-016476-78r0rsio 165 16 infliximab infliximab VBN cord-016476-78r0rsio 165 17 , , , cord-016476-78r0rsio 165 18 developed develop VBD cord-016476-78r0rsio 165 19 nonfatal nonfatal JJ cord-016476-78r0rsio 165 20 cryptogenic cryptogenic JJ cord-016476-78r0rsio 165 21 organising organise VBG cord-016476-78r0rsio 165 22 pneumonia pneumonia NN cord-016476-78r0rsio 165 23 ( ( -LRB- cord-016476-78r0rsio 165 24 COP cop NN cord-016476-78r0rsio 165 25 or or CC cord-016476-78r0rsio 165 26 bronchiolitis bronchiolitis NN cord-016476-78r0rsio 165 27 obliterans obliteran NNS cord-016476-78r0rsio 165 28 organising organise VBG cord-016476-78r0rsio 165 29 pneumonia pneumonia NN cord-016476-78r0rsio 165 30 [ [ -LRB- cord-016476-78r0rsio 165 31 BOOP BOOP NNP cord-016476-78r0rsio 165 32 ] ] -RRB- cord-016476-78r0rsio 165 33 ) ) -RRB- cord-016476-78r0rsio 166 1 [ [ -LRB- cord-016476-78r0rsio 166 2 68 68 CD cord-016476-78r0rsio 166 3 ] ] -RRB- cord-016476-78r0rsio 166 4 . . . cord-016476-78r0rsio 167 1 In in IN cord-016476-78r0rsio 167 2 a a DT cord-016476-78r0rsio 167 3 case case NN cord-016476-78r0rsio 167 4 series series NN cord-016476-78r0rsio 167 5 of of IN cord-016476-78r0rsio 167 6 autoimmune autoimmune JJ cord-016476-78r0rsio 167 7 diseases disease NNS cord-016476-78r0rsio 167 8 associated associate VBN cord-016476-78r0rsio 167 9 with with IN cord-016476-78r0rsio 167 10 TNFi TNFi NNS cord-016476-78r0rsio 167 11 , , , cord-016476-78r0rsio 167 12 24/226 24/226 CD cord-016476-78r0rsio 167 13 ( ( -LRB- cord-016476-78r0rsio 167 14 ~10 ~10 CD cord-016476-78r0rsio 167 15 % % NN cord-016476-78r0rsio 167 16 ) ) -RRB- cord-016476-78r0rsio 167 17 were be VBD cord-016476-78r0rsio 167 18 reported report VBN cord-016476-78r0rsio 167 19 to to TO cord-016476-78r0rsio 167 20 develop develop VB cord-016476-78r0rsio 167 21 ILD ILD NNP cord-016476-78r0rsio 167 22 ( ( -LRB- cord-016476-78r0rsio 167 23 interstitial interstitial JJ cord-016476-78r0rsio 167 24 pneumonitis pneumonitis NN cord-016476-78r0rsio 167 25 in in IN cord-016476-78r0rsio 167 26 18 18 CD cord-016476-78r0rsio 167 27 patients patient NNS cord-016476-78r0rsio 167 28 , , , cord-016476-78r0rsio 167 29 sarcoidosis sarcoidosis NN cord-016476-78r0rsio 167 30 in in IN cord-016476-78r0rsio 167 31 three three CD cord-016476-78r0rsio 167 32 , , , cord-016476-78r0rsio 167 33 pulmonary pulmonary JJ cord-016476-78r0rsio 167 34 haemorrhage haemorrhage NN cord-016476-78r0rsio 167 35 in in IN cord-016476-78r0rsio 167 36 two two CD cord-016476-78r0rsio 167 37 and and CC cord-016476-78r0rsio 167 38 BOOP boop NN cord-016476-78r0rsio 167 39 in in IN cord-016476-78r0rsio 167 40 one one CD cord-016476-78r0rsio 167 41 patient patient NN cord-016476-78r0rsio 167 42 ) ) -RRB- cord-016476-78r0rsio 167 43 [ [ -LRB- cord-016476-78r0rsio 167 44 49 49 CD cord-016476-78r0rsio 167 45 ] ] -RRB- cord-016476-78r0rsio 167 46 . . . cord-016476-78r0rsio 168 1 Exacerbation exacerbation NN cord-016476-78r0rsio 168 2 of of IN cord-016476-78r0rsio 168 3 previous previous JJ cord-016476-78r0rsio 168 4 ILD ILD NNP cord-016476-78r0rsio 168 5 was be VBD cord-016476-78r0rsio 168 6 reported report VBN cord-016476-78r0rsio 168 7 in in IN cord-016476-78r0rsio 168 8 four four CD cord-016476-78r0rsio 168 9 patients patient NNS cord-016476-78r0rsio 168 10 . . . cord-016476-78r0rsio 169 1 Perez Perez NNP cord-016476-78r0rsio 169 2 - - HYPH cord-016476-78r0rsio 169 3 Alvarez Alvarez NNP cord-016476-78r0rsio 169 4 et et NNP cord-016476-78r0rsio 169 5 al al NNP cord-016476-78r0rsio 169 6 . . . cord-016476-78r0rsio 170 1 described describe VBD cord-016476-78r0rsio 170 2 a a DT cord-016476-78r0rsio 170 3 further further JJ cord-016476-78r0rsio 170 4 series series NN cord-016476-78r0rsio 170 5 of of IN cord-016476-78r0rsio 170 6 122 122 CD cord-016476-78r0rsio 170 7 patient patient NN cord-016476-78r0rsio 170 8 case case NN cord-016476-78r0rsio 170 9 reports report VBZ cord-016476-78r0rsio 170 10 from from IN cord-016476-78r0rsio 170 11 the the DT cord-016476-78r0rsio 170 12 literature literature NN cord-016476-78r0rsio 170 13 ( ( -LRB- cord-016476-78r0rsio 170 14 89 89 CD cord-016476-78r0rsio 170 15 % % NN cord-016476-78r0rsio 170 16 with with IN cord-016476-78r0rsio 170 17 RA RA NNP cord-016476-78r0rsio 170 18 ) ) -RRB- cord-016476-78r0rsio 170 19 , , , cord-016476-78r0rsio 170 20 with with IN cord-016476-78r0rsio 170 21 incident incident NN cord-016476-78r0rsio 170 22 ILD ILD NNP cord-016476-78r0rsio 170 23 or or CC cord-016476-78r0rsio 170 24 exacerbation exacerbation NN cord-016476-78r0rsio 170 25 of of IN cord-016476-78r0rsio 170 26 pre pre JJ cord-016476-78r0rsio 170 27 - - JJ cord-016476-78r0rsio 170 28 existing existing JJ cord-016476-78r0rsio 170 29 ILD ILD NNP cord-016476-78r0rsio 170 30 ( ( -LRB- cord-016476-78r0rsio 170 31 20 20 CD cord-016476-78r0rsio 170 32 patients patient NNS cord-016476-78r0rsio 170 33 , , , cord-016476-78r0rsio 170 34 38 38 CD cord-016476-78r0rsio 170 35 % % NN cord-016476-78r0rsio 170 36 ) ) -RRB- cord-016476-78r0rsio 170 37 [ [ -LRB- cord-016476-78r0rsio 170 38 69 69 CD cord-016476-78r0rsio 170 39 ] ] -RRB- cord-016476-78r0rsio 170 40 . . . cord-016476-78r0rsio 171 1 The the DT cord-016476-78r0rsio 171 2 outcome outcome NN cord-016476-78r0rsio 171 3 was be VBD cord-016476-78r0rsio 171 4 available available JJ cord-016476-78r0rsio 171 5 in in IN cord-016476-78r0rsio 171 6 52 52 CD cord-016476-78r0rsio 171 7 of of IN cord-016476-78r0rsio 171 8 the the DT cord-016476-78r0rsio 171 9 described describe VBN cord-016476-78r0rsio 171 10 cases case NNS cord-016476-78r0rsio 171 11 : : : cord-016476-78r0rsio 171 12 21 21 CD cord-016476-78r0rsio 171 13 ( ( -LRB- cord-016476-78r0rsio 171 14 40 40 CD cord-016476-78r0rsio 171 15 % % NN cord-016476-78r0rsio 171 16 ) ) -RRB- cord-016476-78r0rsio 171 17 had have VBD cord-016476-78r0rsio 171 18 complete complete JJ cord-016476-78r0rsio 171 19 resolution resolution NN cord-016476-78r0rsio 171 20 , , , cord-016476-78r0rsio 171 21 improvement improvement NN cord-016476-78r0rsio 171 22 or or CC cord-016476-78r0rsio 171 23 partial partial JJ cord-016476-78r0rsio 171 24 resolution resolution NN cord-016476-78r0rsio 171 25 in in IN cord-016476-78r0rsio 171 26 13 13 CD cord-016476-78r0rsio 171 27 ( ( -LRB- cord-016476-78r0rsio 171 28 25 25 CD cord-016476-78r0rsio 171 29 % % NN cord-016476-78r0rsio 171 30 ) ) -RRB- cord-016476-78r0rsio 171 31 and and CC cord-016476-78r0rsio 171 32 no no DT cord-016476-78r0rsio 171 33 resolution resolution NN cord-016476-78r0rsio 171 34 reported report VBN cord-016476-78r0rsio 171 35 in in IN cord-016476-78r0rsio 171 36 18 18 CD cord-016476-78r0rsio 171 37 ( ( -LRB- cord-016476-78r0rsio 171 38 35 35 CD cord-016476-78r0rsio 171 39 % % NN cord-016476-78r0rsio 171 40 ) ) -RRB- cord-016476-78r0rsio 171 41 . . . cord-016476-78r0rsio 172 1 Case case NN cord-016476-78r0rsio 172 2 reports report NNS cord-016476-78r0rsio 172 3 of of IN cord-016476-78r0rsio 172 4 incident incident NN cord-016476-78r0rsio 172 5 ILD ILD NNP cord-016476-78r0rsio 172 6 have have VBP cord-016476-78r0rsio 172 7 been be VBN cord-016476-78r0rsio 172 8 reported report VBN cord-016476-78r0rsio 172 9 with with IN cord-016476-78r0rsio 172 10 newer new JJR cord-016476-78r0rsio 172 11 TNFis tnfis NN cord-016476-78r0rsio 172 12 such such JJ cord-016476-78r0rsio 172 13 as as IN cord-016476-78r0rsio 172 14 certolizumab certolizumab NNP cord-016476-78r0rsio 172 15 [ [ -LRB- cord-016476-78r0rsio 172 16 70 70 CD cord-016476-78r0rsio 172 17 ] ] -RRB- cord-016476-78r0rsio 172 18 [ [ -LRB- cord-016476-78r0rsio 172 19 71 71 CD cord-016476-78r0rsio 172 20 ] ] -RRB- cord-016476-78r0rsio 172 21 [ [ -LRB- cord-016476-78r0rsio 172 22 72 72 CD cord-016476-78r0rsio 172 23 ] ] -RRB- cord-016476-78r0rsio 172 24 [ [ -LRB- cord-016476-78r0rsio 172 25 73 73 CD cord-016476-78r0rsio 172 26 ] ] -RRB- cord-016476-78r0rsio 172 27 and and CC cord-016476-78r0rsio 172 28 golimumab golimumab NNS cord-016476-78r0rsio 172 29 [ [ -LRB- cord-016476-78r0rsio 172 30 74 74 CD cord-016476-78r0rsio 172 31 ] ] -RRB- cord-016476-78r0rsio 172 32 , , , cord-016476-78r0rsio 172 33 including include VBG cord-016476-78r0rsio 172 34 possible possible JJ cord-016476-78r0rsio 172 35 deterioration deterioration NN cord-016476-78r0rsio 172 36 of of IN cord-016476-78r0rsio 172 37 pre pre JJ cord-016476-78r0rsio 172 38 - - JJ cord-016476-78r0rsio 172 39 existing existing JJ cord-016476-78r0rsio 172 40 ILD ILD NNP cord-016476-78r0rsio 172 41 in in IN cord-016476-78r0rsio 172 42 a a DT cord-016476-78r0rsio 172 43 patient patient NN cord-016476-78r0rsio 172 44 with with IN cord-016476-78r0rsio 172 45 RA RA NNP cord-016476-78r0rsio 172 46 treated treat VBN cord-016476-78r0rsio 172 47 with with IN cord-016476-78r0rsio 172 48 certolizumab certolizumab NNP cord-016476-78r0rsio 172 49 and and CC cord-016476-78r0rsio 172 50 leflunomide leflunomide NN cord-016476-78r0rsio 172 51 after after IN cord-016476-78r0rsio 172 52 3 3 CD cord-016476-78r0rsio 172 53 months month NNS cord-016476-78r0rsio 172 54 of of IN cord-016476-78r0rsio 172 55 therapy therapy NN cord-016476-78r0rsio 172 56 [ [ -LRB- cord-016476-78r0rsio 172 57 75 75 CD cord-016476-78r0rsio 172 58 ] ] -RRB- cord-016476-78r0rsio 172 59 . . . cord-016476-78r0rsio 173 1 Whilst whilst IN cord-016476-78r0rsio 173 2 the the DT cord-016476-78r0rsio 173 3 temporal temporal NNP cord-016476-78r0rsio 173 4 association association NN cord-016476-78r0rsio 173 5 with with IN cord-016476-78r0rsio 173 6 onset onset NN cord-016476-78r0rsio 173 7 of of IN cord-016476-78r0rsio 173 8 ILD ILD NNP cord-016476-78r0rsio 173 9 and and CC cord-016476-78r0rsio 173 10 repeated repeat VBD cord-016476-78r0rsio 173 11 reporting reporting NN cord-016476-78r0rsio 173 12 of of IN cord-016476-78r0rsio 173 13 such such JJ cord-016476-78r0rsio 173 14 events event NNS cord-016476-78r0rsio 173 15 provides provide VBZ cord-016476-78r0rsio 173 16 a a DT cord-016476-78r0rsio 173 17 signal signal NN cord-016476-78r0rsio 173 18 of of IN cord-016476-78r0rsio 173 19 concern concern NN cord-016476-78r0rsio 173 20 , , , cord-016476-78r0rsio 173 21 the the DT cord-016476-78r0rsio 173 22 interpretation interpretation NN cord-016476-78r0rsio 173 23 of of IN cord-016476-78r0rsio 173 24 such such JJ cord-016476-78r0rsio 173 25 data datum NNS cord-016476-78r0rsio 173 26 for for IN cord-016476-78r0rsio 173 27 extrapolation extrapolation NN cord-016476-78r0rsio 173 28 into into IN cord-016476-78r0rsio 173 29 clinical clinical JJ cord-016476-78r0rsio 173 30 practice practice NN cord-016476-78r0rsio 173 31 is be VBZ cord-016476-78r0rsio 173 32 limited limit VBN cord-016476-78r0rsio 173 33 by by IN cord-016476-78r0rsio 173 34 a a DT cord-016476-78r0rsio 173 35 likely likely JJ cord-016476-78r0rsio 173 36 reporting reporting NN cord-016476-78r0rsio 173 37 bias bias NN cord-016476-78r0rsio 173 38 , , , cord-016476-78r0rsio 173 39 a a DT cord-016476-78r0rsio 173 40 possible possible JJ cord-016476-78r0rsio 173 41 ' ' `` cord-016476-78r0rsio 173 42 bandwagon bandwagon NN cord-016476-78r0rsio 173 43 ' ' '' cord-016476-78r0rsio 173 44 effect effect NN cord-016476-78r0rsio 173 45 ( ( -LRB- cord-016476-78r0rsio 173 46 a a DT cord-016476-78r0rsio 173 47 phenomenon phenomenon NN cord-016476-78r0rsio 173 48 where where WRB cord-016476-78r0rsio 173 49 following follow VBG cord-016476-78r0rsio 173 50 the the DT cord-016476-78r0rsio 173 51 publication publication NN cord-016476-78r0rsio 173 52 of of IN cord-016476-78r0rsio 173 53 an an DT cord-016476-78r0rsio 173 54 index index NN cord-016476-78r0rsio 173 55 case case NN cord-016476-78r0rsio 173 56 , , , cord-016476-78r0rsio 173 57 further further JJ cord-016476-78r0rsio 173 58 cases case NNS cord-016476-78r0rsio 173 59 are be VBP cord-016476-78r0rsio 173 60 consequently consequently RB cord-016476-78r0rsio 173 61 more more RBR cord-016476-78r0rsio 173 62 likely likely JJ cord-016476-78r0rsio 173 63 to to TO cord-016476-78r0rsio 173 64 be be VB cord-016476-78r0rsio 173 65 reported report VBN cord-016476-78r0rsio 173 66 ) ) -RRB- cord-016476-78r0rsio 173 67 , , , cord-016476-78r0rsio 173 68 and and CC cord-016476-78r0rsio 173 69 lack lack NN cord-016476-78r0rsio 173 70 of of IN cord-016476-78r0rsio 173 71 an an DT cord-016476-78r0rsio 173 72 adequate adequate JJ cord-016476-78r0rsio 173 73 denominator denominator NN cord-016476-78r0rsio 173 74 . . . cord-016476-78r0rsio 174 1 Furthermore furthermore RB cord-016476-78r0rsio 174 2 , , , cord-016476-78r0rsio 174 3 reports report NNS cord-016476-78r0rsio 174 4 of of IN cord-016476-78r0rsio 174 5 stabilisation stabilisation NN cord-016476-78r0rsio 174 6 of of IN cord-016476-78r0rsio 174 7 RA RA NNP cord-016476-78r0rsio 174 8 - - HYPH cord-016476-78r0rsio 174 9 ILD ILD NNP cord-016476-78r0rsio 174 10 in in IN cord-016476-78r0rsio 174 11 patients patient NNS cord-016476-78r0rsio 174 12 exposed expose VBN cord-016476-78r0rsio 174 13 to to IN cord-016476-78r0rsio 174 14 TNFi TNFi NNS cord-016476-78r0rsio 174 15 therapy therapy NN cord-016476-78r0rsio 174 16 have have VBP cord-016476-78r0rsio 174 17 also also RB cord-016476-78r0rsio 174 18 been be VBN cord-016476-78r0rsio 174 19 published publish VBN cord-016476-78r0rsio 174 20 [ [ -LRB- cord-016476-78r0rsio 174 21 76 76 CD cord-016476-78r0rsio 174 22 ] ] -RRB- cord-016476-78r0rsio 174 23 [ [ -LRB- cord-016476-78r0rsio 174 24 77 77 CD cord-016476-78r0rsio 174 25 ] ] -RRB- cord-016476-78r0rsio 174 26 [ [ -LRB- cord-016476-78r0rsio 174 27 78 78 CD cord-016476-78r0rsio 174 28 ] ] -RRB- cord-016476-78r0rsio 174 29 , , , cord-016476-78r0rsio 174 30 suggesting suggest VBG cord-016476-78r0rsio 174 31 a a DT cord-016476-78r0rsio 174 32 further further JJ cord-016476-78r0rsio 174 33 bidirectional bidirectional JJ cord-016476-78r0rsio 174 34 influence influence NN cord-016476-78r0rsio 174 35 of of IN cord-016476-78r0rsio 174 36 TNFi TNFi NNS cord-016476-78r0rsio 174 37 on on IN cord-016476-78r0rsio 174 38 ILD ILD NNP cord-016476-78r0rsio 174 39 . . . cord-016476-78r0rsio 175 1 To to TO cord-016476-78r0rsio 175 2 accurately accurately RB cord-016476-78r0rsio 175 3 evaluate evaluate VB cord-016476-78r0rsio 175 4 the the DT cord-016476-78r0rsio 175 5 risk risk NN cord-016476-78r0rsio 175 6 of of IN cord-016476-78r0rsio 175 7 incident incident NN cord-016476-78r0rsio 175 8 ILD ILD NNP cord-016476-78r0rsio 175 9 or or CC cord-016476-78r0rsio 175 10 exacerbation exacerbation NN cord-016476-78r0rsio 175 11 in in IN cord-016476-78r0rsio 175 12 patients patient NNS cord-016476-78r0rsio 175 13 with with IN cord-016476-78r0rsio 175 14 RA RA NNP cord-016476-78r0rsio 175 15 - - HYPH cord-016476-78r0rsio 175 16 ILD ILD NNP cord-016476-78r0rsio 175 17 on on IN cord-016476-78r0rsio 175 18 TNFi TNFi NNS cord-016476-78r0rsio 175 19 in in IN cord-016476-78r0rsio 175 20 patients patient NNS cord-016476-78r0rsio 175 21 who who WP cord-016476-78r0rsio 175 22 are be VBP cord-016476-78r0rsio 175 23 most most RBS cord-016476-78r0rsio 175 24 likely likely JJ cord-016476-78r0rsio 175 25 to to TO cord-016476-78r0rsio 175 26 receive receive VB cord-016476-78r0rsio 175 27 them -PRON- PRP cord-016476-78r0rsio 175 28 in in IN cord-016476-78r0rsio 175 29 the the DT cord-016476-78r0rsio 175 30 real real JJ cord-016476-78r0rsio 175 31 world world NN cord-016476-78r0rsio 175 32 , , , cord-016476-78r0rsio 175 33 observational observational JJ cord-016476-78r0rsio 175 34 studies study NNS cord-016476-78r0rsio 175 35 offer offer VBP cord-016476-78r0rsio 175 36 the the DT cord-016476-78r0rsio 175 37 best good JJS cord-016476-78r0rsio 175 38 design design NN cord-016476-78r0rsio 175 39 to to TO cord-016476-78r0rsio 175 40 examine examine VB cord-016476-78r0rsio 175 41 rare rare JJ cord-016476-78r0rsio 175 42 outcomes outcome NNS cord-016476-78r0rsio 175 43 . . . cord-016476-78r0rsio 176 1 However however RB cord-016476-78r0rsio 176 2 all all DT cord-016476-78r0rsio 176 3 studies study NNS cord-016476-78r0rsio 176 4 evaluating evaluate VBG cord-016476-78r0rsio 176 5 such such JJ cord-016476-78r0rsio 176 6 events event NNS cord-016476-78r0rsio 176 7 have have VBP cord-016476-78r0rsio 176 8 faced face VBN cord-016476-78r0rsio 176 9 methodological methodological JJ cord-016476-78r0rsio 176 10 issues issue NNS cord-016476-78r0rsio 176 11 , , , cord-016476-78r0rsio 176 12 namely namely RB cord-016476-78r0rsio 176 13 , , , cord-016476-78r0rsio 176 14 with with IN cord-016476-78r0rsio 176 15 channelling channel VBG cord-016476-78r0rsio 176 16 bias bias NN cord-016476-78r0rsio 176 17 and and CC cord-016476-78r0rsio 176 18 challenges challenge NNS cord-016476-78r0rsio 176 19 with with IN cord-016476-78r0rsio 176 20 classification classification NN cord-016476-78r0rsio 176 21 . . . cord-016476-78r0rsio 177 1 Using use VBG cord-016476-78r0rsio 177 2 the the DT cord-016476-78r0rsio 177 3 National National NNP cord-016476-78r0rsio 177 4 Databank Databank NNP cord-016476-78r0rsio 177 5 for for IN cord-016476-78r0rsio 177 6 Rheumatic rheumatic JJ cord-016476-78r0rsio 177 7 Diseases Diseases NNPS cord-016476-78r0rsio 177 8 , , , cord-016476-78r0rsio 177 9 Wolfe Wolfe NNP cord-016476-78r0rsio 177 10 et et NNP cord-016476-78r0rsio 177 11 al al NNP cord-016476-78r0rsio 177 12 . . NNP cord-016476-78r0rsio 177 13 used use VBD cord-016476-78r0rsio 177 14 a a DT cord-016476-78r0rsio 177 15 combination combination NN cord-016476-78r0rsio 177 16 of of IN cord-016476-78r0rsio 177 17 hospital hospital NN cord-016476-78r0rsio 177 18 records record NNS cord-016476-78r0rsio 177 19 , , , cord-016476-78r0rsio 177 20 patient patient JJ cord-016476-78r0rsio 177 21 descriptive descriptive JJ cord-016476-78r0rsio 177 22 reports report NNS cord-016476-78r0rsio 177 23 and and CC cord-016476-78r0rsio 177 24 physician physician NN cord-016476-78r0rsio 177 25 and and CC cord-016476-78r0rsio 177 26 mortality mortality NN cord-016476-78r0rsio 177 27 records record NNS cord-016476-78r0rsio 177 28 to to TO cord-016476-78r0rsio 177 29 classify classify VB cord-016476-78r0rsio 177 30 patients patient NNS cord-016476-78r0rsio 177 31 who who WP cord-016476-78r0rsio 177 32 had have VBD cord-016476-78r0rsio 177 33 severe severe JJ cord-016476-78r0rsio 177 34 RA RA NNP cord-016476-78r0rsio 177 35 - - HYPH cord-016476-78r0rsio 177 36 ILD ILD NNP cord-016476-78r0rsio 177 37 ( ( -LRB- cord-016476-78r0rsio 177 38 requiring require VBG cord-016476-78r0rsio 177 39 hospitalisation hospitalisation NN cord-016476-78r0rsio 177 40 or or CC cord-016476-78r0rsio 177 41 who who WP cord-016476-78r0rsio 177 42 died die VBD cord-016476-78r0rsio 177 43 ) ) -RRB- cord-016476-78r0rsio 177 44 [ [ -LRB- cord-016476-78r0rsio 177 45 79 79 CD cord-016476-78r0rsio 177 46 ] ] -RRB- cord-016476-78r0rsio 177 47 . . . cord-016476-78r0rsio 178 1 They -PRON- PRP cord-016476-78r0rsio 178 2 reported report VBD cord-016476-78r0rsio 178 3 a a DT cord-016476-78r0rsio 178 4 significant significant JJ cord-016476-78r0rsio 178 5 association association NN cord-016476-78r0rsio 178 6 with with IN cord-016476-78r0rsio 178 7 previous previous JJ cord-016476-78r0rsio 178 8 use use NN cord-016476-78r0rsio 178 9 of of IN cord-016476-78r0rsio 178 10 infliximab infliximab FW cord-016476-78r0rsio 178 11 ( ( -LRB- cord-016476-78r0rsio 178 12 HR HR NNP cord-016476-78r0rsio 178 13 2.1 2.1 CD cord-016476-78r0rsio 178 14 , , , cord-016476-78r0rsio 178 15 95 95 CD cord-016476-78r0rsio 178 16 % % NN cord-016476-78r0rsio 178 17 CI CI NNP cord-016476-78r0rsio 178 18 1.1 1.1 CD cord-016476-78r0rsio 178 19 - - HYPH cord-016476-78r0rsio 178 20 3.8 3.8 CD cord-016476-78r0rsio 178 21 ) ) -RRB- cord-016476-78r0rsio 178 22 and and CC cord-016476-78r0rsio 178 23 etanercept etanercept NNP cord-016476-78r0rsio 178 24 ( ( -LRB- cord-016476-78r0rsio 178 25 HR HR NNP cord-016476-78r0rsio 178 26 1.7 1.7 CD cord-016476-78r0rsio 178 27 , , , cord-016476-78r0rsio 178 28 95 95 CD cord-016476-78r0rsio 178 29 % % NN cord-016476-78r0rsio 178 30 CI CI NNP cord-016476-78r0rsio 178 31 1.0 1.0 CD cord-016476-78r0rsio 178 32 - - HYPH cord-016476-78r0rsio 178 33 3.0 3.0 CD cord-016476-78r0rsio 178 34 ) ) -RRB- cord-016476-78r0rsio 178 35 . . . cord-016476-78r0rsio 179 1 However however RB cord-016476-78r0rsio 179 2 the the DT cord-016476-78r0rsio 179 3 study study NN cord-016476-78r0rsio 179 4 was be VBD cord-016476-78r0rsio 179 5 confounded confound VBN cord-016476-78r0rsio 179 6 by by IN cord-016476-78r0rsio 179 7 the the DT cord-016476-78r0rsio 179 8 fact fact NN cord-016476-78r0rsio 179 9 that that IN cord-016476-78r0rsio 179 10 physicians physician NNS cord-016476-78r0rsio 179 11 were be VBD cord-016476-78r0rsio 179 12 , , , cord-016476-78r0rsio 179 13 at at IN cord-016476-78r0rsio 179 14 the the DT cord-016476-78r0rsio 179 15 time time NN cord-016476-78r0rsio 179 16 , , , cord-016476-78r0rsio 179 17 prescribing prescribe VBG cord-016476-78r0rsio 179 18 TNFis tnfis NN cord-016476-78r0rsio 179 19 for for IN cord-016476-78r0rsio 179 20 treatment treatment NN cord-016476-78r0rsio 179 21 of of IN cord-016476-78r0rsio 179 22 RA RA NNP cord-016476-78r0rsio 179 23 - - HYPH cord-016476-78r0rsio 179 24 ILD ILD NNP cord-016476-78r0rsio 179 25 , , , cord-016476-78r0rsio 179 26 possibly possibly RB cord-016476-78r0rsio 179 27 accounting account VBG cord-016476-78r0rsio 179 28 for for IN cord-016476-78r0rsio 179 29 such such PDT cord-016476-78r0rsio 179 30 an an DT cord-016476-78r0rsio 179 31 association association NN cord-016476-78r0rsio 179 32 . . . cord-016476-78r0rsio 180 1 The the DT cord-016476-78r0rsio 180 2 incidence incidence NN cord-016476-78r0rsio 180 3 of of IN cord-016476-78r0rsio 180 4 hospitalisation hospitalisation NN cord-016476-78r0rsio 180 5 for for IN cord-016476-78r0rsio 180 6 ILD ILD NNP cord-016476-78r0rsio 180 7 requiring require VBG cord-016476-78r0rsio 180 8 hospitalisation hospitalisation NN cord-016476-78r0rsio 180 9 was be VBD cord-016476-78r0rsio 180 10 reported report VBN cord-016476-78r0rsio 180 11 260 260 CD cord-016476-78r0rsio 180 12 per per IN cord-016476-78r0rsio 180 13 100,000 100,000 CD cord-016476-78r0rsio 180 14 patient patient NN cord-016476-78r0rsio 180 15 - - HYPH cord-016476-78r0rsio 180 16 years year NNS cord-016476-78r0rsio 180 17 with with IN cord-016476-78r0rsio 180 18 a a DT cord-016476-78r0rsio 180 19 27 27 CD cord-016476-78r0rsio 180 20 % % NN cord-016476-78r0rsio 180 21 mortality mortality NN cord-016476-78r0rsio 180 22 , , , cord-016476-78r0rsio 180 23 likely likely RB cord-016476-78r0rsio 180 24 reflecting reflect VBG cord-016476-78r0rsio 180 25 the the DT cord-016476-78r0rsio 180 26 types type NNS cord-016476-78r0rsio 180 27 of of IN cord-016476-78r0rsio 180 28 patients patient NNS cord-016476-78r0rsio 180 29 included include VBN cord-016476-78r0rsio 180 30 in in IN cord-016476-78r0rsio 180 31 this this DT cord-016476-78r0rsio 180 32 analysis analysis NN cord-016476-78r0rsio 180 33 . . . cord-016476-78r0rsio 181 1 Whilst whilst IN cord-016476-78r0rsio 181 2 the the DT cord-016476-78r0rsio 181 3 authors author NNS cord-016476-78r0rsio 181 4 concluded conclude VBD cord-016476-78r0rsio 181 5 that that IN cord-016476-78r0rsio 181 6 there there EX cord-016476-78r0rsio 181 7 was be VBD cord-016476-78r0rsio 181 8 no no DT cord-016476-78r0rsio 181 9 evidence evidence NN cord-016476-78r0rsio 181 10 of of IN cord-016476-78r0rsio 181 11 an an DT cord-016476-78r0rsio 181 12 association association NN cord-016476-78r0rsio 181 13 between between IN cord-016476-78r0rsio 181 14 TNFi TNFi NNP cord-016476-78r0rsio 181 15 and and CC cord-016476-78r0rsio 181 16 hospitalisation hospitalisation NN cord-016476-78r0rsio 181 17 for for IN cord-016476-78r0rsio 181 18 ILD ILD NNP cord-016476-78r0rsio 181 19 as as IN cord-016476-78r0rsio 181 20 the the DT cord-016476-78r0rsio 181 21 observed observed JJ cord-016476-78r0rsio 181 22 effect effect NN cord-016476-78r0rsio 181 23 with with IN cord-016476-78r0rsio 181 24 TNFi TNFi NNS cord-016476-78r0rsio 181 25 was be VBD cord-016476-78r0rsio 181 26 likely likely JJ cord-016476-78r0rsio 181 27 to to TO cord-016476-78r0rsio 181 28 be be VB cord-016476-78r0rsio 181 29 due due JJ cord-016476-78r0rsio 181 30 to to IN cord-016476-78r0rsio 181 31 confounding confound VBG cord-016476-78r0rsio 181 32 by by IN cord-016476-78r0rsio 181 33 indication indication NN cord-016476-78r0rsio 181 34 , , , cord-016476-78r0rsio 181 35 the the DT cord-016476-78r0rsio 181 36 specific specific JJ cord-016476-78r0rsio 181 37 effect effect NN cord-016476-78r0rsio 181 38 of of IN cord-016476-78r0rsio 181 39 TNFi TNFi NNS cord-016476-78r0rsio 181 40 on on IN cord-016476-78r0rsio 181 41 patients patient NNS cord-016476-78r0rsio 181 42 with with IN cord-016476-78r0rsio 181 43 RA RA NNP cord-016476-78r0rsio 181 44 - - HYPH cord-016476-78r0rsio 181 45 ILD ILD NNP cord-016476-78r0rsio 181 46 at at IN cord-016476-78r0rsio 181 47 baseline baseline NN cord-016476-78r0rsio 181 48 was be VBD cord-016476-78r0rsio 181 49 not not RB cord-016476-78r0rsio 181 50 assessed assess VBN cord-016476-78r0rsio 181 51 [ [ -LRB- cord-016476-78r0rsio 181 52 79 79 CD cord-016476-78r0rsio 181 53 ] ] -RRB- cord-016476-78r0rsio 181 54 . . . cord-016476-78r0rsio 182 1 Two two CD cord-016476-78r0rsio 182 2 claims claim NNS cord-016476-78r0rsio 182 3 database database NN cord-016476-78r0rsio 182 4 studies study NNS cord-016476-78r0rsio 182 5 have have VBP cord-016476-78r0rsio 182 6 evaluated evaluate VBN cord-016476-78r0rsio 182 7 ILD ILD NNP cord-016476-78r0rsio 182 8 incidence incidence NN cord-016476-78r0rsio 182 9 in in IN cord-016476-78r0rsio 182 10 patients patient NNS cord-016476-78r0rsio 182 11 treated treat VBN cord-016476-78r0rsio 182 12 with with IN cord-016476-78r0rsio 182 13 biologics biologic NNS cord-016476-78r0rsio 182 14 including include VBG cord-016476-78r0rsio 182 15 TNFis tnfis VBP cord-016476-78r0rsio 182 16 . . . cord-016476-78r0rsio 183 1 To to TO cord-016476-78r0rsio 183 2 assess assess VB cord-016476-78r0rsio 183 3 the the DT cord-016476-78r0rsio 183 4 risk risk NN cord-016476-78r0rsio 183 5 of of IN cord-016476-78r0rsio 183 6 incident incident NN cord-016476-78r0rsio 183 7 ILD ILD NNP cord-016476-78r0rsio 183 8 in in IN cord-016476-78r0rsio 183 9 8417 8417 CD cord-016476-78r0rsio 183 10 patients patient NNS cord-016476-78r0rsio 183 11 with with IN cord-016476-78r0rsio 183 12 autoimmune autoimmune JJ cord-016476-78r0rsio 183 13 diseases disease NNS cord-016476-78r0rsio 183 14 who who WP cord-016476-78r0rsio 183 15 were be VBD cord-016476-78r0rsio 183 16 members member NNS cord-016476-78r0rsio 183 17 of of IN cord-016476-78r0rsio 183 18 Kaiser Kaiser NNP cord-016476-78r0rsio 183 19 Permanente Permanente NNP cord-016476-78r0rsio 183 20 , , , cord-016476-78r0rsio 183 21 Northern Northern NNP cord-016476-78r0rsio 183 22 California California NNP cord-016476-78r0rsio 183 23 , , , cord-016476-78r0rsio 183 24 Herrington Herrington NNP cord-016476-78r0rsio 183 25 and and CC cord-016476-78r0rsio 183 26 colleagues colleague NNS cord-016476-78r0rsio 183 27 compared compare VBD cord-016476-78r0rsio 183 28 new new JJ cord-016476-78r0rsio 183 29 users user NNS cord-016476-78r0rsio 183 30 of of IN cord-016476-78r0rsio 183 31 TNFi TNFi NNS cord-016476-78r0rsio 183 32 and and CC cord-016476-78r0rsio 183 33 nbD nbd NN cord-016476-78r0rsio 183 34 - - HYPH cord-016476-78r0rsio 183 35 MARDs mard NNS cord-016476-78r0rsio 183 36 [ [ -LRB- cord-016476-78r0rsio 183 37 80 80 CD cord-016476-78r0rsio 183 38 ] ] -RRB- cord-016476-78r0rsio 183 39 . . . cord-016476-78r0rsio 184 1 ILD ILD NNP cord-016476-78r0rsio 184 2 cases case NNS cord-016476-78r0rsio 184 3 were be VBD cord-016476-78r0rsio 184 4 identified identify VBN cord-016476-78r0rsio 184 5 using use VBG cord-016476-78r0rsio 184 6 ICD ICD NNP cord-016476-78r0rsio 184 7 codes code NNS cord-016476-78r0rsio 184 8 , , , cord-016476-78r0rsio 184 9 with with IN cord-016476-78r0rsio 184 10 a a DT cord-016476-78r0rsio 184 11 pilot pilot NN cord-016476-78r0rsio 184 12 of of IN cord-016476-78r0rsio 184 13 the the DT cord-016476-78r0rsio 184 14 first first JJ cord-016476-78r0rsio 184 15 100 100 CD cord-016476-78r0rsio 184 16 cases case NNS cord-016476-78r0rsio 184 17 verified verify VBN cord-016476-78r0rsio 184 18 using use VBG cord-016476-78r0rsio 184 19 CT CT NNP cord-016476-78r0rsio 184 20 reports report NNS cord-016476-78r0rsio 184 21 . . . cord-016476-78r0rsio 185 1 The the DT cord-016476-78r0rsio 185 2 study study NN cord-016476-78r0rsio 185 3 demonstrated demonstrate VBD cord-016476-78r0rsio 185 4 no no DT cord-016476-78r0rsio 185 5 increased increase VBN cord-016476-78r0rsio 185 6 risk risk NN cord-016476-78r0rsio 185 7 in in IN cord-016476-78r0rsio 185 8 the the DT cord-016476-78r0rsio 185 9 TNFi TNFi NNS cord-016476-78r0rsio 185 10 - - HYPH cord-016476-78r0rsio 185 11 exposed expose VBN cord-016476-78r0rsio 185 12 group group NN cord-016476-78r0rsio 185 13 of of IN cord-016476-78r0rsio 185 14 new new JJ cord-016476-78r0rsio 185 15 ILD ILD NNP cord-016476-78r0rsio 185 16 ; ; : cord-016476-78r0rsio 185 17 however however RB cord-016476-78r0rsio 185 18 , , , cord-016476-78r0rsio 185 19 patients patient NNS cord-016476-78r0rsio 185 20 with with IN cord-016476-78r0rsio 185 21 known know VBN cord-016476-78r0rsio 185 22 ILD ILD NNP cord-016476-78r0rsio 185 23 at at IN cord-016476-78r0rsio 185 24 baseline baseline NN cord-016476-78r0rsio 185 25 were be VBD cord-016476-78r0rsio 185 26 systematically systematically RB cord-016476-78r0rsio 185 27 excluded exclude VBN cord-016476-78r0rsio 185 28 . . . cord-016476-78r0rsio 186 1 Using use VBG cord-016476-78r0rsio 186 2 data datum NNS cord-016476-78r0rsio 186 3 from from IN cord-016476-78r0rsio 186 4 the the DT cord-016476-78r0rsio 186 5 commercial commercial JJ cord-016476-78r0rsio 186 6 claims claim NNS cord-016476-78r0rsio 186 7 and and CC cord-016476-78r0rsio 186 8 benefit benefit NN cord-016476-78r0rsio 186 9 ( ( -LRB- cord-016476-78r0rsio 186 10 Medicare Medicare NNP cord-016476-78r0rsio 186 11 ) ) -RRB- cord-016476-78r0rsio 186 12 databases database NNS cord-016476-78r0rsio 186 13 , , , cord-016476-78r0rsio 186 14 Curtis Curtis NNP cord-016476-78r0rsio 186 15 et et NNP cord-016476-78r0rsio 186 16 al al NNP cord-016476-78r0rsio 186 17 . . NNP cord-016476-78r0rsio 186 18 assessed assess VBD cord-016476-78r0rsio 186 19 the the DT cord-016476-78r0rsio 186 20 ILD ILD NNP cord-016476-78r0rsio 186 21 incidence incidence NN cord-016476-78r0rsio 186 22 and and CC cord-016476-78r0rsio 186 23 exacerbation exacerbation NN cord-016476-78r0rsio 186 24 amongst amongst IN cord-016476-78r0rsio 186 25 users user NNS cord-016476-78r0rsio 186 26 of of IN cord-016476-78r0rsio 186 27 rituximab rituximab NN cord-016476-78r0rsio 186 28 , , , cord-016476-78r0rsio 186 29 abatacept abatacept NNP cord-016476-78r0rsio 186 30 and and CC cord-016476-78r0rsio 186 31 tocilizumab tocilizumab NNP cord-016476-78r0rsio 186 32 to to IN cord-016476-78r0rsio 186 33 TNFi tnfi JJ cord-016476-78r0rsio 186 34 agents agent NNS cord-016476-78r0rsio 186 35 [ [ -LRB- cord-016476-78r0rsio 186 36 81 81 CD cord-016476-78r0rsio 186 37 ] ] -RRB- cord-016476-78r0rsio 186 38 . . . cord-016476-78r0rsio 187 1 Two two CD cord-016476-78r0rsio 187 2 definitions definition NNS cord-016476-78r0rsio 187 3 of of IN cord-016476-78r0rsio 187 4 ILD ILD NNP cord-016476-78r0rsio 187 5 were be VBD cord-016476-78r0rsio 187 6 used use VBN cord-016476-78r0rsio 187 7 ( ( -LRB- cord-016476-78r0rsio 187 8 one one NN cord-016476-78r0rsio 187 9 more more RBR cord-016476-78r0rsio 187 10 sensitive sensitive JJ cord-016476-78r0rsio 187 11 , , , cord-016476-78r0rsio 187 12 the the DT cord-016476-78r0rsio 187 13 other other JJ cord-016476-78r0rsio 187 14 more more RBR cord-016476-78r0rsio 187 15 specific specific JJ cord-016476-78r0rsio 187 16 in in IN cord-016476-78r0rsio 187 17 the the DT cord-016476-78r0rsio 187 18 absence absence NN cord-016476-78r0rsio 187 19 of of IN cord-016476-78r0rsio 187 20 CT CT NNP cord-016476-78r0rsio 187 21 results result NNS cord-016476-78r0rsio 187 22 and and CC cord-016476-78r0rsio 187 23 lung lung NN cord-016476-78r0rsio 187 24 histology histology NN cord-016476-78r0rsio 187 25 ) ) -RRB- cord-016476-78r0rsio 187 26 . . . cord-016476-78r0rsio 188 1 There there EX cord-016476-78r0rsio 188 2 were be VBD cord-016476-78r0rsio 188 3 no no DT cord-016476-78r0rsio 188 4 significant significant JJ cord-016476-78r0rsio 188 5 differences difference NNS cord-016476-78r0rsio 188 6 in in IN cord-016476-78r0rsio 188 7 the the DT cord-016476-78r0rsio 188 8 risk risk NN cord-016476-78r0rsio 188 9 of of IN cord-016476-78r0rsio 188 10 ILD ILD NNP cord-016476-78r0rsio 188 11 and and CC cord-016476-78r0rsio 188 12 its -PRON- PRP$ cord-016476-78r0rsio 188 13 related related JJ cord-016476-78r0rsio 188 14 complications complication NNS cord-016476-78r0rsio 188 15 between between IN cord-016476-78r0rsio 188 16 patients patient NNS cord-016476-78r0rsio 188 17 with with IN cord-016476-78r0rsio 188 18 RA RA NNP cord-016476-78r0rsio 188 19 receiving receive VBG cord-016476-78r0rsio 188 20 TNFis tnfis NN cord-016476-78r0rsio 188 21 and and CC cord-016476-78r0rsio 188 22 those those DT cord-016476-78r0rsio 188 23 on on IN cord-016476-78r0rsio 188 24 non non AFX cord-016476-78r0rsio 188 25 - - JJ cord-016476-78r0rsio 188 26 TNFis tnfis JJ cord-016476-78r0rsio 188 27 . . . cord-016476-78r0rsio 189 1 Of of IN cord-016476-78r0rsio 189 2 the the DT cord-016476-78r0rsio 189 3 patients patient NNS cord-016476-78r0rsio 189 4 ' ' POS cord-016476-78r0rsio 189 5 studies study NNS cord-016476-78r0rsio 189 6 , , , cord-016476-78r0rsio 189 7 419 419 CD cord-016476-78r0rsio 189 8 patients patient NNS cord-016476-78r0rsio 189 9 had have VBD cord-016476-78r0rsio 189 10 a a DT cord-016476-78r0rsio 189 11 history history NN cord-016476-78r0rsio 189 12 of of IN cord-016476-78r0rsio 189 13 ILD ILD NNP cord-016476-78r0rsio 189 14 , , , cord-016476-78r0rsio 189 15 of of IN cord-016476-78r0rsio 189 16 which which WDT cord-016476-78r0rsio 189 17 232 232 CD cord-016476-78r0rsio 189 18 were be VBD cord-016476-78r0rsio 189 19 put put VBN cord-016476-78r0rsio 189 20 on on IN cord-016476-78r0rsio 189 21 TNFi tnfi JJ cord-016476-78r0rsio 189 22 agents agent NNS cord-016476-78r0rsio 189 23 [ [ -LRB- cord-016476-78r0rsio 189 24 81 81 CD cord-016476-78r0rsio 189 25 ] ] -RRB- cord-016476-78r0rsio 189 26 . . . cord-016476-78r0rsio 190 1 However however RB cord-016476-78r0rsio 190 2 there there EX cord-016476-78r0rsio 190 3 were be VBD cord-016476-78r0rsio 190 4 clear clear JJ cord-016476-78r0rsio 190 5 baseline baseline JJ cord-016476-78r0rsio 190 6 differences difference NNS cord-016476-78r0rsio 190 7 between between IN cord-016476-78r0rsio 190 8 the the DT cord-016476-78r0rsio 190 9 groups group NNS cord-016476-78r0rsio 190 10 receiving receive VBG cord-016476-78r0rsio 190 11 the the DT cord-016476-78r0rsio 190 12 different different JJ cord-016476-78r0rsio 190 13 drugs drug NNS cord-016476-78r0rsio 190 14 , , , cord-016476-78r0rsio 190 15 which which WDT cord-016476-78r0rsio 190 16 were be VBD cord-016476-78r0rsio 190 17 not not RB cord-016476-78r0rsio 190 18 adjusted adjust VBN cord-016476-78r0rsio 190 19 in in IN cord-016476-78r0rsio 190 20 the the DT cord-016476-78r0rsio 190 21 analysis analysis NN cord-016476-78r0rsio 190 22 . . . cord-016476-78r0rsio 191 1 Therefore therefore RB cord-016476-78r0rsio 191 2 the the DT cord-016476-78r0rsio 191 3 true true JJ cord-016476-78r0rsio 191 4 risk risk NN cord-016476-78r0rsio 191 5 in in IN cord-016476-78r0rsio 191 6 the the DT cord-016476-78r0rsio 191 7 TNFi TNFi NNP cord-016476-78r0rsio 191 8 group group NN cord-016476-78r0rsio 191 9 may may MD cord-016476-78r0rsio 191 10 be be VB cord-016476-78r0rsio 191 11 confounded confound VBN cord-016476-78r0rsio 191 12 if if IN cord-016476-78r0rsio 191 13 patients patient NNS cord-016476-78r0rsio 191 14 with with IN cord-016476-78r0rsio 191 15 higher high JJR cord-016476-78r0rsio 191 16 levels level NNS cord-016476-78r0rsio 191 17 of of IN cord-016476-78r0rsio 191 18 RA RA NNP cord-016476-78r0rsio 191 19 joint joint JJ cord-016476-78r0rsio 191 20 disease disease NN cord-016476-78r0rsio 191 21 or or CC cord-016476-78r0rsio 191 22 ILD ILD NNP cord-016476-78r0rsio 191 23 disease disease NN cord-016476-78r0rsio 191 24 severity severity NN cord-016476-78r0rsio 191 25 were be VBD cord-016476-78r0rsio 191 26 channelled channel VBN cord-016476-78r0rsio 191 27 to to IN cord-016476-78r0rsio 191 28 specific specific JJ cord-016476-78r0rsio 191 29 therapies therapy NNS cord-016476-78r0rsio 191 30 , , , cord-016476-78r0rsio 191 31 which which WDT cord-016476-78r0rsio 191 32 may may MD cord-016476-78r0rsio 191 33 have have VB cord-016476-78r0rsio 191 34 led lead VBN cord-016476-78r0rsio 191 35 to to IN cord-016476-78r0rsio 191 36 an an DT cord-016476-78r0rsio 191 37 overall overall JJ cord-016476-78r0rsio 191 38 underrepresentation underrepresentation NN cord-016476-78r0rsio 191 39 of of IN cord-016476-78r0rsio 191 40 risk risk NN cord-016476-78r0rsio 191 41 in in IN cord-016476-78r0rsio 191 42 this this DT cord-016476-78r0rsio 191 43 group group NN cord-016476-78r0rsio 191 44 . . . cord-016476-78r0rsio 192 1 In in IN cord-016476-78r0rsio 192 2 a a DT cord-016476-78r0rsio 192 3 recent recent JJ cord-016476-78r0rsio 192 4 single single JJ cord-016476-78r0rsio 192 5 - - HYPH cord-016476-78r0rsio 192 6 centre centre NN cord-016476-78r0rsio 192 7 retrospective retrospective JJ cord-016476-78r0rsio 192 8 evaluation evaluation NN cord-016476-78r0rsio 192 9 from from IN cord-016476-78r0rsio 192 10 Japan Japan NNP cord-016476-78r0rsio 192 11 , , , cord-016476-78r0rsio 192 12 Nakashita Nakashita NNP cord-016476-78r0rsio 192 13 et et NNP cord-016476-78r0rsio 192 14 al al NNP cord-016476-78r0rsio 192 15 . . . cord-016476-78r0rsio 193 1 described describe VBN cord-016476-78r0rsio 193 2 up up RP cord-016476-78r0rsio 193 3 to to IN cord-016476-78r0rsio 193 4 one one CD cord-016476-78r0rsio 193 5 - - HYPH cord-016476-78r0rsio 193 6 year year NN cord-016476-78r0rsio 193 7 outcomes outcome NNS cord-016476-78r0rsio 193 8 of of IN cord-016476-78r0rsio 193 9 163 163 CD cord-016476-78r0rsio 193 10 RA RA NNP cord-016476-78r0rsio 193 11 patients patient NNS cord-016476-78r0rsio 193 12 with with IN cord-016476-78r0rsio 193 13 ( ( -LRB- cord-016476-78r0rsio 193 14 n n NN cord-016476-78r0rsio 193 15 = = SYM cord-016476-78r0rsio 193 16 58 58 CD cord-016476-78r0rsio 193 17 ) ) -RRB- cord-016476-78r0rsio 193 18 or or CC cord-016476-78r0rsio 193 19 without without IN cord-016476-78r0rsio 193 20 ( ( -LRB- cord-016476-78r0rsio 193 21 n n NN cord-016476-78r0rsio 193 22 = = SYM cord-016476-78r0rsio 193 23 105 105 CD cord-016476-78r0rsio 193 24 ) ) -RRB- cord-016476-78r0rsio 194 1 established establish VBD cord-016476-78r0rsio 194 2 ILD ILD NNP cord-016476-78r0rsio 194 3 on on IN cord-016476-78r0rsio 194 4 a a DT cord-016476-78r0rsio 194 5 biologic biologic JJ cord-016476-78r0rsio 194 6 drug drug NN cord-016476-78r0rsio 194 7 [ [ -LRB- cord-016476-78r0rsio 194 8 82 82 CD cord-016476-78r0rsio 194 9 ] ] -RRB- cord-016476-78r0rsio 194 10 . . . cord-016476-78r0rsio 195 1 In in IN cord-016476-78r0rsio 195 2 patients patient NNS cord-016476-78r0rsio 195 3 with with IN cord-016476-78r0rsio 195 4 established establish VBN cord-016476-78r0rsio 195 5 RA RA NNP cord-016476-78r0rsio 195 6 - - HYPH cord-016476-78r0rsio 195 7 ILD ILD NNP cord-016476-78r0rsio 195 8 , , , cord-016476-78r0rsio 195 9 14 14 CD cord-016476-78r0rsio 195 10 ( ( -LRB- cord-016476-78r0rsio 195 11 24 24 CD cord-016476-78r0rsio 195 12 % % NN cord-016476-78r0rsio 195 13 ) ) -RRB- cord-016476-78r0rsio 195 14 had have VBD cord-016476-78r0rsio 195 15 an an DT cord-016476-78r0rsio 195 16 exacerbation exacerbation NN cord-016476-78r0rsio 195 17 of of IN cord-016476-78r0rsio 195 18 ILD ILD NNP cord-016476-78r0rsio 195 19 , , , cord-016476-78r0rsio 195 20 which which WDT cord-016476-78r0rsio 195 21 the the DT cord-016476-78r0rsio 195 22 authors author NNS cord-016476-78r0rsio 195 23 concluded conclude VBD cord-016476-78r0rsio 195 24 was be VBD cord-016476-78r0rsio 195 25 greater great JJR cord-016476-78r0rsio 195 26 in in IN cord-016476-78r0rsio 195 27 patients patient NNS cord-016476-78r0rsio 195 28 exposed expose VBN cord-016476-78r0rsio 195 29 to to IN cord-016476-78r0rsio 195 30 TNFi tnfi JJ cord-016476-78r0rsio 195 31 agents agent NNS cord-016476-78r0rsio 195 32 using use VBG cord-016476-78r0rsio 195 33 descriptive descriptive JJ cord-016476-78r0rsio 195 34 statistics statistic NNS cord-016476-78r0rsio 195 35 . . . cord-016476-78r0rsio 196 1 None none NN cord-016476-78r0rsio 196 2 of of IN cord-016476-78r0rsio 196 3 the the DT cord-016476-78r0rsio 196 4 patients patient NNS cord-016476-78r0rsio 196 5 on on IN cord-016476-78r0rsio 196 6 tocilizumab tocilizumab NNP cord-016476-78r0rsio 196 7 ( ( -LRB- cord-016476-78r0rsio 196 8 n n NN cord-016476-78r0rsio 196 9 = = SYM cord-016476-78r0rsio 196 10 9 9 CD cord-016476-78r0rsio 196 11 ) ) -RRB- cord-016476-78r0rsio 196 12 or or CC cord-016476-78r0rsio 196 13 abatacept abatacept NNP cord-016476-78r0rsio 196 14 ( ( -LRB- cord-016476-78r0rsio 196 15 n n NN cord-016476-78r0rsio 196 16 = = SYM cord-016476-78r0rsio 196 17 3 3 CD cord-016476-78r0rsio 196 18 ) ) -RRB- cord-016476-78r0rsio 196 19 were be VBD cord-016476-78r0rsio 196 20 reported report VBN cord-016476-78r0rsio 196 21 to to TO cord-016476-78r0rsio 196 22 have have VB cord-016476-78r0rsio 196 23 an an DT cord-016476-78r0rsio 196 24 exacerbation exacerbation NN cord-016476-78r0rsio 196 25 ; ; : cord-016476-78r0rsio 196 26 however however RB cord-016476-78r0rsio 196 27 , , , cord-016476-78r0rsio 196 28 conclusions conclusion NNS cord-016476-78r0rsio 196 29 were be VBD cord-016476-78r0rsio 196 30 limited limit VBN cord-016476-78r0rsio 196 31 due due IN cord-016476-78r0rsio 196 32 to to IN cord-016476-78r0rsio 196 33 low low JJ cord-016476-78r0rsio 196 34 numbers number NNS cord-016476-78r0rsio 196 35 . . . cord-016476-78r0rsio 197 1 Similar similar JJ cord-016476-78r0rsio 197 2 to to IN cord-016476-78r0rsio 197 3 Curtis Curtis NNP cord-016476-78r0rsio 197 4 et et NNP cord-016476-78r0rsio 197 5 al al NNP cord-016476-78r0rsio 197 6 . . NNP cord-016476-78r0rsio 197 7 's 's POS cord-016476-78r0rsio 197 8 study study NN cord-016476-78r0rsio 197 9 [ [ -LRB- cord-016476-78r0rsio 197 10 81 81 CD cord-016476-78r0rsio 197 11 ] ] -RRB- cord-016476-78r0rsio 197 12 , , . cord-016476-78r0rsio 198 1 it -PRON- PRP cord-016476-78r0rsio 198 2 did do VBD cord-016476-78r0rsio 198 3 not not RB cord-016476-78r0rsio 198 4 adjust adjust VB cord-016476-78r0rsio 198 5 for for IN cord-016476-78r0rsio 198 6 severity severity NN cord-016476-78r0rsio 198 7 of of IN cord-016476-78r0rsio 198 8 RA RA NNP cord-016476-78r0rsio 198 9 or or CC cord-016476-78r0rsio 198 10 any any DT cord-016476-78r0rsio 198 11 confounders confounder NNS cord-016476-78r0rsio 198 12 potentially potentially RB cord-016476-78r0rsio 198 13 introducing introduce VBG cord-016476-78r0rsio 198 14 channelling channel VBG cord-016476-78r0rsio 198 15 bias bias NN cord-016476-78r0rsio 198 16 . . . cord-016476-78r0rsio 199 1 In in IN cord-016476-78r0rsio 199 2 this this DT cord-016476-78r0rsio 199 3 case case NN cord-016476-78r0rsio 199 4 , , , cord-016476-78r0rsio 199 5 it -PRON- PRP cord-016476-78r0rsio 199 6 is be VBZ cord-016476-78r0rsio 199 7 likely likely JJ cord-016476-78r0rsio 199 8 that that IN cord-016476-78r0rsio 199 9 patients patient NNS cord-016476-78r0rsio 199 10 on on IN cord-016476-78r0rsio 199 11 TNFi TNFi NNS cord-016476-78r0rsio 199 12 ( ( -LRB- cord-016476-78r0rsio 199 13 approved approve VBN cord-016476-78r0rsio 199 14 earlier early RBR cord-016476-78r0rsio 199 15 than than IN cord-016476-78r0rsio 199 16 the the DT cord-016476-78r0rsio 199 17 non non JJ cord-016476-78r0rsio 199 18 - - JJ cord-016476-78r0rsio 199 19 TNFi tnfi JJ cord-016476-78r0rsio 199 20 drugs drug NNS cord-016476-78r0rsio 199 21 in in IN cord-016476-78r0rsio 199 22 this this DT cord-016476-78r0rsio 199 23 study study NN cord-016476-78r0rsio 199 24 ) ) -RRB- cord-016476-78r0rsio 199 25 had have VBD cord-016476-78r0rsio 199 26 more more RBR cord-016476-78r0rsio 199 27 severe severe JJ cord-016476-78r0rsio 199 28 disease disease NN cord-016476-78r0rsio 199 29 at at IN cord-016476-78r0rsio 199 30 the the DT cord-016476-78r0rsio 199 31 outset outset NN cord-016476-78r0rsio 199 32 , , , cord-016476-78r0rsio 199 33 in in IN cord-016476-78r0rsio 199 34 turn turn NN cord-016476-78r0rsio 199 35 is be VBZ cord-016476-78r0rsio 199 36 known know VBN cord-016476-78r0rsio 199 37 to to TO cord-016476-78r0rsio 199 38 be be VB cord-016476-78r0rsio 199 39 associated associate VBN cord-016476-78r0rsio 199 40 with with IN cord-016476-78r0rsio 199 41 the the DT cord-016476-78r0rsio 199 42 outcome outcome NN cord-016476-78r0rsio 199 43 . . . cord-016476-78r0rsio 200 1 Data datum NNS cord-016476-78r0rsio 200 2 from from IN cord-016476-78r0rsio 200 3 the the DT cord-016476-78r0rsio 200 4 British British NNP cord-016476-78r0rsio 200 5 Society Society NNP cord-016476-78r0rsio 200 6 for for IN cord-016476-78r0rsio 200 7 Rheumatology Rheumatology NNP cord-016476-78r0rsio 200 8 Biologics Biologics NNPS cord-016476-78r0rsio 200 9 Register Register NNP cord-016476-78r0rsio 200 10 for for IN cord-016476-78r0rsio 200 11 RA RA NNP cord-016476-78r0rsio 200 12 ( ( -LRB- cord-016476-78r0rsio 200 13 BSRBR BSRBR NNP cord-016476-78r0rsio 200 14 - - HYPH cord-016476-78r0rsio 200 15 RA RA NNP cord-016476-78r0rsio 200 16 ) ) -RRB- cord-016476-78r0rsio 200 17 evaluated evaluate VBD cord-016476-78r0rsio 200 18 the the DT cord-016476-78r0rsio 200 19 effect effect NN cord-016476-78r0rsio 200 20 of of IN cord-016476-78r0rsio 200 21 TNFi TNFi NNS cord-016476-78r0rsio 200 22 in in IN cord-016476-78r0rsio 200 23 patients patient NNS cord-016476-78r0rsio 200 24 with with IN cord-016476-78r0rsio 200 25 RA RA NNP cord-016476-78r0rsio 200 26 who who WP cord-016476-78r0rsio 200 27 have have VBP cord-016476-78r0rsio 200 28 established establish VBN cord-016476-78r0rsio 200 29 ILD ILD NNP cord-016476-78r0rsio 200 30 [ [ -LRB- cord-016476-78r0rsio 200 31 83 83 CD cord-016476-78r0rsio 200 32 ] ] -RRB- cord-016476-78r0rsio 200 33 and and CC cord-016476-78r0rsio 200 34 reported report VBD cord-016476-78r0rsio 200 35 no no DT cord-016476-78r0rsio 200 36 difference difference NN cord-016476-78r0rsio 200 37 in in IN cord-016476-78r0rsio 200 38 all all DT cord-016476-78r0rsio 200 39 - - HYPH cord-016476-78r0rsio 200 40 cause cause NN cord-016476-78r0rsio 200 41 mortality mortality NN cord-016476-78r0rsio 200 42 between between IN cord-016476-78r0rsio 200 43 patients patient NNS cord-016476-78r0rsio 200 44 on on IN cord-016476-78r0rsio 200 45 TNFis TNFis NNP cord-016476-78r0rsio 200 46 and and CC cord-016476-78r0rsio 200 47 nbDMARDs nbdmards NN cord-016476-78r0rsio 200 48 . . . cord-016476-78r0rsio 201 1 However however RB cord-016476-78r0rsio 201 2 RA RA NNP cord-016476-78r0rsio 201 3 - - HYPH cord-016476-78r0rsio 201 4 ILD ILD NNP cord-016476-78r0rsio 201 5 as as IN cord-016476-78r0rsio 201 6 an an DT cord-016476-78r0rsio 201 7 underlying underlying JJ cord-016476-78r0rsio 201 8 cause cause NN cord-016476-78r0rsio 201 9 of of IN cord-016476-78r0rsio 201 10 death death NN cord-016476-78r0rsio 201 11 was be VBD cord-016476-78r0rsio 201 12 reported report VBN cord-016476-78r0rsio 201 13 in in IN cord-016476-78r0rsio 201 14 a a DT cord-016476-78r0rsio 201 15 higher high JJR cord-016476-78r0rsio 201 16 proportion proportion NN cord-016476-78r0rsio 201 17 of of IN cord-016476-78r0rsio 201 18 TNFi TNFi NNS cord-016476-78r0rsio 201 19 - - HYPH cord-016476-78r0rsio 201 20 treated treat VBN cord-016476-78r0rsio 201 21 patients patient NNS cord-016476-78r0rsio 201 22 than than IN cord-016476-78r0rsio 201 23 nbDMARD nbdmard RB cord-016476-78r0rsio 201 24 - - HYPH cord-016476-78r0rsio 201 25 treated treat VBN cord-016476-78r0rsio 201 26 patients patient NNS cord-016476-78r0rsio 201 27 ( ( -LRB- cord-016476-78r0rsio 201 28 21 21 CD cord-016476-78r0rsio 201 29 vs. vs. CC cord-016476-78r0rsio 201 30 7 7 CD cord-016476-78r0rsio 201 31 % % NN cord-016476-78r0rsio 201 32 ) ) -RRB- cord-016476-78r0rsio 201 33 , , , cord-016476-78r0rsio 201 34 suggesting suggest VBG cord-016476-78r0rsio 201 35 a a DT cord-016476-78r0rsio 201 36 signal signal NN cord-016476-78r0rsio 201 37 for for IN cord-016476-78r0rsio 201 38 concern concern NN cord-016476-78r0rsio 201 39 . . . cord-016476-78r0rsio 202 1 Methodological methodological JJ cord-016476-78r0rsio 202 2 challenges challenge NNS cord-016476-78r0rsio 202 3 included include VBD cord-016476-78r0rsio 202 4 potential potential NN cord-016476-78r0rsio 202 5 for for IN cord-016476-78r0rsio 202 6 misclassification misclassification NN cord-016476-78r0rsio 202 7 , , , cord-016476-78r0rsio 202 8 as as IN cord-016476-78r0rsio 202 9 prevalent prevalent JJ cord-016476-78r0rsio 202 10 ILD ILD NNP cord-016476-78r0rsio 202 11 was be VBD cord-016476-78r0rsio 202 12 identified identify VBN cord-016476-78r0rsio 202 13 from from IN cord-016476-78r0rsio 202 14 clinician clinician NN cord-016476-78r0rsio 202 15 questionnaires questionnaire NNS cord-016476-78r0rsio 202 16 since since IN cord-016476-78r0rsio 202 17 attempts attempt NNS cord-016476-78r0rsio 202 18 to to TO cord-016476-78r0rsio 202 19 retrospectively retrospectively RB cord-016476-78r0rsio 202 20 verify verify VB cord-016476-78r0rsio 202 21 such such JJ cord-016476-78r0rsio 202 22 cases case NNS cord-016476-78r0rsio 202 23 were be VBD cord-016476-78r0rsio 202 24 unsuccessful unsuccessful JJ cord-016476-78r0rsio 202 25 . . . cord-016476-78r0rsio 203 1 Whilst whilst IN cord-016476-78r0rsio 203 2 it -PRON- PRP cord-016476-78r0rsio 203 3 could could MD cord-016476-78r0rsio 203 4 be be VB cord-016476-78r0rsio 203 5 that that IN cord-016476-78r0rsio 203 6 TNFi TNFi NNS cord-016476-78r0rsio 203 7 truly truly RB cord-016476-78r0rsio 203 8 increased increase VBD cord-016476-78r0rsio 203 9 the the DT cord-016476-78r0rsio 203 10 proportion proportion NN cord-016476-78r0rsio 203 11 of of IN cord-016476-78r0rsio 203 12 deaths death NNS cord-016476-78r0rsio 203 13 attributable attributable JJ cord-016476-78r0rsio 203 14 to to IN cord-016476-78r0rsio 203 15 RA RA NNP cord-016476-78r0rsio 203 16 - - HYPH cord-016476-78r0rsio 203 17 ILD ILD NNP cord-016476-78r0rsio 203 18 , , , cord-016476-78r0rsio 203 19 given give VBN cord-016476-78r0rsio 203 20 the the DT cord-016476-78r0rsio 203 21 well well RB cord-016476-78r0rsio 203 22 - - HYPH cord-016476-78r0rsio 203 23 publicised publicise VBN cord-016476-78r0rsio 203 24 respiratory respiratory JJ cord-016476-78r0rsio 203 25 concerns concern NNS cord-016476-78r0rsio 203 26 with with IN cord-016476-78r0rsio 203 27 TNFi TNFi NNS cord-016476-78r0rsio 203 28 , , , cord-016476-78r0rsio 203 29 it -PRON- PRP cord-016476-78r0rsio 203 30 may may MD cord-016476-78r0rsio 203 31 be be VB cord-016476-78r0rsio 203 32 that that IN cord-016476-78r0rsio 203 33 physicians physician NNS cord-016476-78r0rsio 203 34 at at IN cord-016476-78r0rsio 203 35 that that DT cord-016476-78r0rsio 203 36 time time NN cord-016476-78r0rsio 203 37 were be VBD cord-016476-78r0rsio 203 38 more more RBR cord-016476-78r0rsio 203 39 inclined inclined JJ cord-016476-78r0rsio 203 40 to to TO cord-016476-78r0rsio 203 41 report report VB cord-016476-78r0rsio 203 42 RA RA NNP cord-016476-78r0rsio 203 43 - - HYPH cord-016476-78r0rsio 203 44 ILD ILD NNP cord-016476-78r0rsio 203 45 on on IN cord-016476-78r0rsio 203 46 death death NN cord-016476-78r0rsio 203 47 certificates certificate NNS cord-016476-78r0rsio 203 48 of of IN cord-016476-78r0rsio 203 49 patients patient NNS cord-016476-78r0rsio 203 50 exposed expose VBN cord-016476-78r0rsio 203 51 to to IN cord-016476-78r0rsio 203 52 TNFis tnfis NN cord-016476-78r0rsio 203 53 leading lead VBG cord-016476-78r0rsio 203 54 to to IN cord-016476-78r0rsio 203 55 the the DT cord-016476-78r0rsio 203 56 observed observed JJ cord-016476-78r0rsio 203 57 relationship relationship NN cord-016476-78r0rsio 203 58 . . . cord-016476-78r0rsio 204 1 PFTs pft NNS cord-016476-78r0rsio 204 2 , , , cord-016476-78r0rsio 204 3 imaging imaging NN cord-016476-78r0rsio 204 4 or or CC cord-016476-78r0rsio 204 5 nonfatal nonfatal JJ cord-016476-78r0rsio 204 6 exacerbation exacerbation NN cord-016476-78r0rsio 204 7 of of IN cord-016476-78r0rsio 204 8 ILD ILD NNP cord-016476-78r0rsio 204 9 details detail NNS cord-016476-78r0rsio 204 10 were be VBD cord-016476-78r0rsio 204 11 not not RB cord-016476-78r0rsio 204 12 available available JJ cord-016476-78r0rsio 204 13 to to TO cord-016476-78r0rsio 204 14 examine examine VB cord-016476-78r0rsio 204 15 the the DT cord-016476-78r0rsio 204 16 effect effect NN cord-016476-78r0rsio 204 17 of of IN cord-016476-78r0rsio 204 18 treatment treatment NN cord-016476-78r0rsio 204 19 on on IN cord-016476-78r0rsio 204 20 such such JJ cord-016476-78r0rsio 204 21 outcomes outcome NNS cord-016476-78r0rsio 204 22 . . . cord-016476-78r0rsio 205 1 Challenges challenge NNS cord-016476-78r0rsio 205 2 in in IN cord-016476-78r0rsio 205 3 interpreting interpret VBG cord-016476-78r0rsio 205 4 the the DT cord-016476-78r0rsio 205 5 data datum NNS cord-016476-78r0rsio 205 6 common common JJ cord-016476-78r0rsio 205 7 to to IN cord-016476-78r0rsio 205 8 all all DT cord-016476-78r0rsio 205 9 studies study NNS cord-016476-78r0rsio 205 10 is be VBZ cord-016476-78r0rsio 205 11 delineating delineate VBG cord-016476-78r0rsio 205 12 the the DT cord-016476-78r0rsio 205 13 effect effect NN cord-016476-78r0rsio 205 14 of of IN cord-016476-78r0rsio 205 15 TNFi TNFi NNS cord-016476-78r0rsio 205 16 on on IN cord-016476-78r0rsio 205 17 RA RA NNP cord-016476-78r0rsio 205 18 - - HYPH cord-016476-78r0rsio 205 19 ILD ILD NNP cord-016476-78r0rsio 205 20 in in IN cord-016476-78r0rsio 205 21 the the DT cord-016476-78r0rsio 205 22 presence presence NN cord-016476-78r0rsio 205 23 of of IN cord-016476-78r0rsio 205 24 nbDMARDs nbDMARDs NNP cord-016476-78r0rsio 205 25 , , , cord-016476-78r0rsio 205 26 the the DT cord-016476-78r0rsio 205 27 majority majority NN cord-016476-78r0rsio 205 28 of of IN cord-016476-78r0rsio 205 29 which which WDT cord-016476-78r0rsio 205 30 are be VBP cord-016476-78r0rsio 205 31 linked link VBN cord-016476-78r0rsio 205 32 to to IN cord-016476-78r0rsio 205 33 reports report NNS cord-016476-78r0rsio 205 34 of of IN cord-016476-78r0rsio 205 35 pneumonitis pneumonitis NN cord-016476-78r0rsio 205 36 or or CC cord-016476-78r0rsio 205 37 exacerbation exacerbation NN cord-016476-78r0rsio 205 38 of of IN cord-016476-78r0rsio 205 39 RA RA NNP cord-016476-78r0rsio 205 40 - - HYPH cord-016476-78r0rsio 205 41 ILD ILD NNP cord-016476-78r0rsio 205 42 . . . cord-016476-78r0rsio 206 1 Furthermore furthermore RB cord-016476-78r0rsio 206 2 , , , cord-016476-78r0rsio 206 3 it -PRON- PRP cord-016476-78r0rsio 206 4 can can MD cord-016476-78r0rsio 206 5 be be VB cord-016476-78r0rsio 206 6 difficult difficult JJ cord-016476-78r0rsio 206 7 to to TO cord-016476-78r0rsio 206 8 ascertain ascertain VB cord-016476-78r0rsio 206 9 if if IN cord-016476-78r0rsio 206 10 severity severity NN cord-016476-78r0rsio 206 11 of of IN cord-016476-78r0rsio 206 12 RA RA NNP cord-016476-78r0rsio 206 13 associated associate VBN cord-016476-78r0rsio 206 14 with with IN cord-016476-78r0rsio 206 15 both both DT cord-016476-78r0rsio 206 16 development development NN cord-016476-78r0rsio 206 17 of of IN cord-016476-78r0rsio 206 18 ILD ILD NNP cord-016476-78r0rsio 206 19 and and CC cord-016476-78r0rsio 206 20 also also RB cord-016476-78r0rsio 206 21 being be VBG cord-016476-78r0rsio 206 22 the the DT cord-016476-78r0rsio 206 23 indication indication NN cord-016476-78r0rsio 206 24 for for IN cord-016476-78r0rsio 206 25 TNFi TNFi NNS cord-016476-78r0rsio 206 26 could could MD cord-016476-78r0rsio 206 27 explain explain VB cord-016476-78r0rsio 206 28 the the DT cord-016476-78r0rsio 206 29 association association NN cord-016476-78r0rsio 206 30 between between IN cord-016476-78r0rsio 206 31 TNFi TNFi NNP cord-016476-78r0rsio 206 32 and and CC cord-016476-78r0rsio 206 33 RA RA NNP cord-016476-78r0rsio 206 34 - - HYPH cord-016476-78r0rsio 206 35 ILD ILD NNP cord-016476-78r0rsio 206 36 exacerbation exacerbation NN cord-016476-78r0rsio 206 37 . . . cord-016476-78r0rsio 207 1 However however RB cord-016476-78r0rsio 207 2 , , , cord-016476-78r0rsio 207 3 no no DT cord-016476-78r0rsio 207 4 studies study NNS cord-016476-78r0rsio 207 5 have have VBP cord-016476-78r0rsio 207 6 completely completely RB cord-016476-78r0rsio 207 7 excluded exclude VBN cord-016476-78r0rsio 207 8 a a DT cord-016476-78r0rsio 207 9 clinically clinically RB cord-016476-78r0rsio 207 10 meaningful meaningful JJ cord-016476-78r0rsio 207 11 risk risk NN cord-016476-78r0rsio 207 12 , , , cord-016476-78r0rsio 207 13 and and CC cord-016476-78r0rsio 207 14 the the DT cord-016476-78r0rsio 207 15 multiple multiple JJ cord-016476-78r0rsio 207 16 case case NN cord-016476-78r0rsio 207 17 reports report NNS cord-016476-78r0rsio 207 18 , , , cord-016476-78r0rsio 207 19 observational observational JJ cord-016476-78r0rsio 207 20 evidence evidence NN cord-016476-78r0rsio 207 21 and and CC cord-016476-78r0rsio 207 22 possible possible JJ cord-016476-78r0rsio 207 23 increase increase NN cord-016476-78r0rsio 207 24 in in IN cord-016476-78r0rsio 207 25 ILD ILD NNP cord-016476-78r0rsio 207 26 - - HYPH cord-016476-78r0rsio 207 27 specific specific JJ cord-016476-78r0rsio 207 28 mortality mortality NN cord-016476-78r0rsio 207 29 in in IN cord-016476-78r0rsio 207 30 patients patient NNS cord-016476-78r0rsio 207 31 with with IN cord-016476-78r0rsio 207 32 known know VBN cord-016476-78r0rsio 207 33 RA RA NNP cord-016476-78r0rsio 207 34 - - HYPH cord-016476-78r0rsio 207 35 ILD ILD NNP cord-016476-78r0rsio 207 36 indicate indicate VBP cord-016476-78r0rsio 207 37 that that IN cord-016476-78r0rsio 207 38 careful careful JJ cord-016476-78r0rsio 207 39 monitoring monitoring NN cord-016476-78r0rsio 207 40 and and CC cord-016476-78r0rsio 207 41 caution caution NN cord-016476-78r0rsio 207 42 is be VBZ cord-016476-78r0rsio 207 43 required require VBN cord-016476-78r0rsio 207 44 when when WRB cord-016476-78r0rsio 207 45 considering consider VBG cord-016476-78r0rsio 207 46 use use NN cord-016476-78r0rsio 207 47 in in IN cord-016476-78r0rsio 207 48 this this DT cord-016476-78r0rsio 207 49 setting setting NN cord-016476-78r0rsio 207 50 . . . cord-016476-78r0rsio 208 1 With with IN cord-016476-78r0rsio 208 2 several several JJ cord-016476-78r0rsio 208 3 biologics biologic NNS cord-016476-78r0rsio 208 4 approaching approach VBG cord-016476-78r0rsio 208 5 patent patent NN cord-016476-78r0rsio 208 6 expiration expiration NN cord-016476-78r0rsio 208 7 , , , cord-016476-78r0rsio 208 8 substantial substantial JJ cord-016476-78r0rsio 208 9 interest interest NN cord-016476-78r0rsio 208 10 has have VBZ cord-016476-78r0rsio 208 11 been be VBN cord-016476-78r0rsio 208 12 in in IN cord-016476-78r0rsio 208 13 the the DT cord-016476-78r0rsio 208 14 development development NN cord-016476-78r0rsio 208 15 of of IN cord-016476-78r0rsio 208 16 biosimilar biosimilar NNP cord-016476-78r0rsio 208 17 products product NNS cord-016476-78r0rsio 208 18 that that WDT cord-016476-78r0rsio 208 19 are be VBP cord-016476-78r0rsio 208 20 not not RB cord-016476-78r0rsio 208 21 bioidentical bioidentical JJ cord-016476-78r0rsio 208 22 but but CC cord-016476-78r0rsio 208 23 highly highly RB cord-016476-78r0rsio 208 24 similar similar JJ cord-016476-78r0rsio 208 25 to to IN cord-016476-78r0rsio 208 26 already already RB cord-016476-78r0rsio 208 27 approved approve VBN cord-016476-78r0rsio 208 28 reference reference NN cord-016476-78r0rsio 208 29 products product NNS cord-016476-78r0rsio 208 30 listed list VBN cord-016476-78r0rsio 208 31 above above IN cord-016476-78r0rsio 208 32 [ [ -LRB- cord-016476-78r0rsio 208 33 84 84 CD cord-016476-78r0rsio 208 34 ] ] -RRB- cord-016476-78r0rsio 208 35 . . . cord-016476-78r0rsio 209 1 To to IN cord-016476-78r0rsio 209 2 date date NN cord-016476-78r0rsio 209 3 , , , cord-016476-78r0rsio 209 4 biosimilar biosimilar NNP cord-016476-78r0rsio 209 5 infliximab infliximab VBD cord-016476-78r0rsio 209 6 CT CT NNP cord-016476-78r0rsio 209 7 - - HYPH cord-016476-78r0rsio 209 8 P13 P13 NNP cord-016476-78r0rsio 209 9 ( ( -LRB- cord-016476-78r0rsio 209 10 marketed market VBN cord-016476-78r0rsio 209 11 as as IN cord-016476-78r0rsio 209 12 Remsima Remsima NNP cord-016476-78r0rsio 209 13 and and CC cord-016476-78r0rsio 209 14 Inflectra Inflectra NNP cord-016476-78r0rsio 209 15 ) ) -RRB- cord-016476-78r0rsio 209 16 and and CC cord-016476-78r0rsio 210 1 biosimilar biosimilar NNP cord-016476-78r0rsio 210 2 etanercept etanercept NNP cord-016476-78r0rsio 210 3 SB4 SB4 NNP cord-016476-78r0rsio 210 4 ( ( -LRB- cord-016476-78r0rsio 210 5 marketed market VBN cord-016476-78r0rsio 210 6 as as IN cord-016476-78r0rsio 210 7 Benepali Benepali NNP cord-016476-78r0rsio 210 8 ) ) -RRB- cord-016476-78r0rsio 210 9 have have VBP cord-016476-78r0rsio 210 10 been be VBN cord-016476-78r0rsio 210 11 approved approve VBN cord-016476-78r0rsio 210 12 for for IN cord-016476-78r0rsio 210 13 use use NN cord-016476-78r0rsio 210 14 by by IN cord-016476-78r0rsio 210 15 the the DT cord-016476-78r0rsio 210 16 FDA FDA NNP cord-016476-78r0rsio 210 17 and and CC cord-016476-78r0rsio 210 18 EMA EMA NNP cord-016476-78r0rsio 210 19 . . . cord-016476-78r0rsio 211 1 There there EX cord-016476-78r0rsio 211 2 were be VBD cord-016476-78r0rsio 211 3 no no DT cord-016476-78r0rsio 211 4 cases case NNS cord-016476-78r0rsio 211 5 of of IN cord-016476-78r0rsio 211 6 pneumonitis pneumonitis NN cord-016476-78r0rsio 211 7 or or CC cord-016476-78r0rsio 211 8 ILD ILD NNP cord-016476-78r0rsio 211 9 in in IN cord-016476-78r0rsio 211 10 the the DT cord-016476-78r0rsio 211 11 biosimilar biosimilar NNP cord-016476-78r0rsio 211 12 infliximab infliximab VBD cord-016476-78r0rsio 211 13 CT CT NNP cord-016476-78r0rsio 211 14 - - HYPH cord-016476-78r0rsio 211 15 P13 P13 NNP cord-016476-78r0rsio 211 16 trials trial NNS cord-016476-78r0rsio 211 17 in in IN cord-016476-78r0rsio 211 18 RA RA NNP cord-016476-78r0rsio 211 19 [ [ -LRB- cord-016476-78r0rsio 211 20 85 85 CD cord-016476-78r0rsio 211 21 , , , cord-016476-78r0rsio 211 22 86 86 CD cord-016476-78r0rsio 211 23 ] ] -RRB- cord-016476-78r0rsio 211 24 or or CC cord-016476-78r0rsio 211 25 ankylosing ankylose VBG cord-016476-78r0rsio 211 26 spondylitis spondylitis NN cord-016476-78r0rsio 211 27 [ [ -LRB- cord-016476-78r0rsio 211 28 87 87 CD cord-016476-78r0rsio 211 29 ] ] -RRB- cord-016476-78r0rsio 211 30 , , , cord-016476-78r0rsio 211 31 although although IN cord-016476-78r0rsio 211 32 there there EX cord-016476-78r0rsio 211 33 was be VBD cord-016476-78r0rsio 211 34 a a DT cord-016476-78r0rsio 211 35 case case NN cord-016476-78r0rsio 211 36 of of IN cord-016476-78r0rsio 211 37 noninfective noninfective NNP cord-016476-78r0rsio 211 38 dyspnoea dyspnoea NNS cord-016476-78r0rsio 211 39 reported report VBD cord-016476-78r0rsio 211 40 within within IN cord-016476-78r0rsio 211 41 the the DT cord-016476-78r0rsio 211 42 CT CT NNP cord-016476-78r0rsio 211 43 - - HYPH cord-016476-78r0rsio 211 44 P13 P13 NNP cord-016476-78r0rsio 211 45 arm arm NN cord-016476-78r0rsio 211 46 of of IN cord-016476-78r0rsio 211 47 the the DT cord-016476-78r0rsio 211 48 latter latter JJ cord-016476-78r0rsio 211 49 trial trial NN cord-016476-78r0rsio 211 50 felt feel VBD cord-016476-78r0rsio 211 51 to to TO cord-016476-78r0rsio 211 52 be be VB cord-016476-78r0rsio 211 53 related relate VBN cord-016476-78r0rsio 211 54 to to IN cord-016476-78r0rsio 211 55 the the DT cord-016476-78r0rsio 211 56 drug drug NN cord-016476-78r0rsio 211 57 by by IN cord-016476-78r0rsio 211 58 the the DT cord-016476-78r0rsio 211 59 investigators investigator NNS cord-016476-78r0rsio 211 60 . . . cord-016476-78r0rsio 212 1 Open open JJ cord-016476-78r0rsio 212 2 - - HYPH cord-016476-78r0rsio 212 3 label label NN cord-016476-78r0rsio 212 4 extensions extension NNS cord-016476-78r0rsio 212 5 of of IN cord-016476-78r0rsio 212 6 these these DT cord-016476-78r0rsio 212 7 trials trial NNS cord-016476-78r0rsio 212 8 have have VBP cord-016476-78r0rsio 212 9 not not RB cord-016476-78r0rsio 212 10 suggested suggest VBN cord-016476-78r0rsio 212 11 a a DT cord-016476-78r0rsio 212 12 signal signal NN cord-016476-78r0rsio 212 13 for for IN cord-016476-78r0rsio 212 14 concern concern NN cord-016476-78r0rsio 212 15 [ [ -LRB- cord-016476-78r0rsio 212 16 88 88 CD cord-016476-78r0rsio 212 17 , , , cord-016476-78r0rsio 212 18 89 89 CD cord-016476-78r0rsio 212 19 ] ] -RRB- cord-016476-78r0rsio 212 20 . . . cord-016476-78r0rsio 213 1 Similarly similarly RB cord-016476-78r0rsio 213 2 no no DT cord-016476-78r0rsio 213 3 cases case NNS cord-016476-78r0rsio 213 4 of of IN cord-016476-78r0rsio 213 5 new new JJ cord-016476-78r0rsio 213 6 ILD ILD NNP cord-016476-78r0rsio 213 7 were be VBD cord-016476-78r0rsio 213 8 reported report VBN cord-016476-78r0rsio 213 9 with with IN cord-016476-78r0rsio 213 10 biosimilar biosimilar NNP cord-016476-78r0rsio 213 11 etanercept etanercept NNP cord-016476-78r0rsio 213 12 SB4 SB4 NNP cord-016476-78r0rsio 213 13 , , , cord-016476-78r0rsio 213 14 albeit albeit IN cord-016476-78r0rsio 213 15 treatment treatment NN cord-016476-78r0rsio 213 16 - - HYPH cord-016476-78r0rsio 213 17 emergent emergent JJ cord-016476-78r0rsio 213 18 AEs ae NNS cord-016476-78r0rsio 213 19 in in IN cord-016476-78r0rsio 213 20 ≥2 ≥2 NNP cord-016476-78r0rsio 213 21 % % NN cord-016476-78r0rsio 213 22 of of IN cord-016476-78r0rsio 213 23 patients patient NNS cord-016476-78r0rsio 213 24 were be VBD cord-016476-78r0rsio 213 25 reported report VBN cord-016476-78r0rsio 213 26 only only RB cord-016476-78r0rsio 213 27 [ [ -LRB- cord-016476-78r0rsio 213 28 90 90 CD cord-016476-78r0rsio 213 29 ] ] -RRB- cord-016476-78r0rsio 213 30 . . . cord-016476-78r0rsio 214 1 One one CD cord-016476-78r0rsio 214 2 patient patient NN cord-016476-78r0rsio 214 3 in in IN cord-016476-78r0rsio 214 4 the the DT cord-016476-78r0rsio 214 5 SB4 SB4 NNP cord-016476-78r0rsio 214 6 arm arm NN cord-016476-78r0rsio 214 7 died die VBD cord-016476-78r0rsio 214 8 due due JJ cord-016476-78r0rsio 214 9 to to IN cord-016476-78r0rsio 214 10 cardiorespiratory cardiorespiratory JJ cord-016476-78r0rsio 214 11 failure failure NN cord-016476-78r0rsio 214 12 ( ( -LRB- cord-016476-78r0rsio 214 13 felt feel VBN cord-016476-78r0rsio 214 14 to to TO cord-016476-78r0rsio 214 15 be be VB cord-016476-78r0rsio 214 16 unrelated unrelated JJ cord-016476-78r0rsio 214 17 to to IN cord-016476-78r0rsio 214 18 the the DT cord-016476-78r0rsio 214 19 drug drug NN cord-016476-78r0rsio 214 20 by by IN cord-016476-78r0rsio 214 21 the the DT cord-016476-78r0rsio 214 22 investigators investigator NNS cord-016476-78r0rsio 214 23 ) ) -RRB- cord-016476-78r0rsio 214 24 , , , cord-016476-78r0rsio 214 25 and and CC cord-016476-78r0rsio 214 26 further further JJ cord-016476-78r0rsio 214 27 details detail NNS cord-016476-78r0rsio 214 28 of of IN cord-016476-78r0rsio 214 29 the the DT cord-016476-78r0rsio 214 30 event event NN cord-016476-78r0rsio 214 31 were be VBD cord-016476-78r0rsio 214 32 not not RB cord-016476-78r0rsio 214 33 provided provide VBN cord-016476-78r0rsio 214 34 [ [ -LRB- cord-016476-78r0rsio 214 35 90 90 CD cord-016476-78r0rsio 214 36 ] ] -RRB- cord-016476-78r0rsio 214 37 . . . cord-016476-78r0rsio 215 1 Whilst whilst IN cord-016476-78r0rsio 215 2 this this DT cord-016476-78r0rsio 215 3 provides provide VBZ cord-016476-78r0rsio 215 4 some some DT cord-016476-78r0rsio 215 5 initial initial JJ cord-016476-78r0rsio 215 6 reassurance reassurance NN cord-016476-78r0rsio 215 7 , , , cord-016476-78r0rsio 215 8 biosimilars biosimilar NNS cord-016476-78r0rsio 215 9 should should MD cord-016476-78r0rsio 215 10 be be VB cord-016476-78r0rsio 215 11 considered consider VBN cord-016476-78r0rsio 215 12 as as IN cord-016476-78r0rsio 215 13 having have VBG cord-016476-78r0rsio 215 14 similar similar JJ cord-016476-78r0rsio 215 15 risks risk NNS cord-016476-78r0rsio 215 16 to to IN cord-016476-78r0rsio 215 17 the the DT cord-016476-78r0rsio 215 18 originator originator NN cord-016476-78r0rsio 215 19 reference reference NN cord-016476-78r0rsio 215 20 products product NNS cord-016476-78r0rsio 215 21 and and CC cord-016476-78r0rsio 215 22 therefore therefore RB cord-016476-78r0rsio 215 23 be be VB cord-016476-78r0rsio 215 24 used use VBN cord-016476-78r0rsio 215 25 with with IN cord-016476-78r0rsio 215 26 vigilance vigilance NN cord-016476-78r0rsio 215 27 in in IN cord-016476-78r0rsio 215 28 the the DT cord-016476-78r0rsio 215 29 context context NN cord-016476-78r0rsio 215 30 of of IN cord-016476-78r0rsio 215 31 established establish VBN cord-016476-78r0rsio 215 32 RA RA NNP cord-016476-78r0rsio 215 33 - - HYPH cord-016476-78r0rsio 215 34 ILD ILD NNP cord-016476-78r0rsio 215 35 . . . cord-016476-78r0rsio 216 1 Rituximab Rituximab NNP cord-016476-78r0rsio 216 2 is be VBZ cord-016476-78r0rsio 216 3 a a DT cord-016476-78r0rsio 216 4 monoclonal monoclonal JJ cord-016476-78r0rsio 216 5 chimeric chimeric JJ cord-016476-78r0rsio 216 6 anti anti JJ cord-016476-78r0rsio 216 7 - - JJ cord-016476-78r0rsio 216 8 CD20 cd20 JJ cord-016476-78r0rsio 216 9 antibody antibody NN cord-016476-78r0rsio 216 10 licensed license VBN cord-016476-78r0rsio 216 11 for for IN cord-016476-78r0rsio 216 12 the the DT cord-016476-78r0rsio 216 13 treatment treatment NN cord-016476-78r0rsio 216 14 of of IN cord-016476-78r0rsio 216 15 non non JJ cord-016476-78r0rsio 216 16 - - JJ cord-016476-78r0rsio 216 17 Hodgkin Hodgkin NNP cord-016476-78r0rsio 216 18 lymphoma lymphoma NN cord-016476-78r0rsio 216 19 and and CC cord-016476-78r0rsio 216 20 RA RA NNP cord-016476-78r0rsio 216 21 in in IN cord-016476-78r0rsio 216 22 TNFi TNFi NNP cord-016476-78r0rsio 216 23 nonresponders nonresponder NNS cord-016476-78r0rsio 216 24 . . . cord-016476-78r0rsio 217 1 Rituximab Rituximab NNP cord-016476-78r0rsio 217 2 - - HYPH cord-016476-78r0rsio 217 3 induced induce VBN cord-016476-78r0rsio 217 4 ILD ILD NNP cord-016476-78r0rsio 217 5 has have VBZ cord-016476-78r0rsio 217 6 been be VBN cord-016476-78r0rsio 217 7 a a DT cord-016476-78r0rsio 217 8 well well RB cord-016476-78r0rsio 217 9 - - HYPH cord-016476-78r0rsio 217 10 described describe VBN cord-016476-78r0rsio 217 11 AE AE NNP cord-016476-78r0rsio 217 12 in in IN cord-016476-78r0rsio 217 13 haematology haematology NN cord-016476-78r0rsio 217 14 patients patient NNS cord-016476-78r0rsio 217 15 often often RB cord-016476-78r0rsio 217 16 presenting present VBG cord-016476-78r0rsio 217 17 as as IN cord-016476-78r0rsio 217 18 acute acute JJ cord-016476-78r0rsio 217 19 / / SYM cord-016476-78r0rsio 217 20 subacute subacute JJ cord-016476-78r0rsio 217 21 hypoxaemic hypoxaemic JJ cord-016476-78r0rsio 217 22 organising organise VBG cord-016476-78r0rsio 217 23 pneumonia pneumonia NN cord-016476-78r0rsio 217 24 , , , cord-016476-78r0rsio 217 25 NSIP NSIP NNP cord-016476-78r0rsio 217 26 or or CC cord-016476-78r0rsio 217 27 hypersensitivity hypersensitivity NN cord-016476-78r0rsio 217 28 pneumonitis pneumonitis NN cord-016476-78r0rsio 217 29 [ [ -LRB- cord-016476-78r0rsio 217 30 91 91 CD cord-016476-78r0rsio 217 31 ] ] -RRB- cord-016476-78r0rsio 217 32 [ [ -LRB- cord-016476-78r0rsio 217 33 92 92 CD cord-016476-78r0rsio 217 34 ] ] -RRB- cord-016476-78r0rsio 217 35 [ [ -LRB- cord-016476-78r0rsio 217 36 93 93 CD cord-016476-78r0rsio 217 37 ] ] -RRB- cord-016476-78r0rsio 217 38 . . . cord-016476-78r0rsio 218 1 Whilst whilst IN cord-016476-78r0rsio 218 2 its -PRON- PRP$ cord-016476-78r0rsio 218 3 pathogenesis pathogenesis NN cord-016476-78r0rsio 218 4 is be VBZ cord-016476-78r0rsio 218 5 unknown unknown JJ cord-016476-78r0rsio 218 6 , , , cord-016476-78r0rsio 218 7 it -PRON- PRP cord-016476-78r0rsio 218 8 may may MD cord-016476-78r0rsio 218 9 involve involve VB cord-016476-78r0rsio 218 10 induction induction NN cord-016476-78r0rsio 218 11 and and CC cord-016476-78r0rsio 218 12 release release NN cord-016476-78r0rsio 218 13 of of IN cord-016476-78r0rsio 218 14 cytokines cytokine NNS cord-016476-78r0rsio 218 15 , , , cord-016476-78r0rsio 218 16 and and CC cord-016476-78r0rsio 218 17 it -PRON- PRP cord-016476-78r0rsio 218 18 has have VBZ cord-016476-78r0rsio 218 19 been be VBN cord-016476-78r0rsio 218 20 reported report VBN cord-016476-78r0rsio 218 21 to to TO cord-016476-78r0rsio 218 22 occur occur VB cord-016476-78r0rsio 218 23 in in IN cord-016476-78r0rsio 218 24 patients patient NNS cord-016476-78r0rsio 218 25 receiving receive VBG cord-016476-78r0rsio 218 26 rituximab rituximab NN cord-016476-78r0rsio 218 27 for for IN cord-016476-78r0rsio 218 28 several several JJ cord-016476-78r0rsio 218 29 months month NNS cord-016476-78r0rsio 218 30 [ [ -LRB- cord-016476-78r0rsio 218 31 94 94 CD cord-016476-78r0rsio 218 32 ] ] -RRB- cord-016476-78r0rsio 218 33 . . . cord-016476-78r0rsio 219 1 In in IN cord-016476-78r0rsio 219 2 RA RA NNP cord-016476-78r0rsio 219 3 , , , cord-016476-78r0rsio 219 4 a a DT cord-016476-78r0rsio 219 5 number number NN cord-016476-78r0rsio 219 6 of of IN cord-016476-78r0rsio 219 7 rituximab rituximab NN cord-016476-78r0rsio 219 8 trials trial NNS cord-016476-78r0rsio 219 9 have have VBP cord-016476-78r0rsio 219 10 reported report VBN cord-016476-78r0rsio 219 11 incident incident NN cord-016476-78r0rsio 219 12 ILD ILD NNP cord-016476-78r0rsio 219 13 [ [ -LRB- cord-016476-78r0rsio 219 14 95 95 CD cord-016476-78r0rsio 219 15 ] ] -RRB- cord-016476-78r0rsio 219 16 [ [ -LRB- cord-016476-78r0rsio 219 17 96 96 CD cord-016476-78r0rsio 219 18 ] ] -RRB- cord-016476-78r0rsio 219 19 [ [ -LRB- cord-016476-78r0rsio 219 20 97 97 CD cord-016476-78r0rsio 219 21 ] ] -RRB- cord-016476-78r0rsio 219 22 , , , cord-016476-78r0rsio 219 23 including include VBG cord-016476-78r0rsio 219 24 subsequent subsequent JJ cord-016476-78r0rsio 219 25 deaths death NNS cord-016476-78r0rsio 219 26 from from IN cord-016476-78r0rsio 219 27 acute acute JJ cord-016476-78r0rsio 219 28 respiratory respiratory JJ cord-016476-78r0rsio 219 29 distress distress NN cord-016476-78r0rsio 219 30 syndrome syndrome NN cord-016476-78r0rsio 219 31 ( ( -LRB- cord-016476-78r0rsio 219 32 ARDS ARDS NNP cord-016476-78r0rsio 219 33 ) ) -RRB- cord-016476-78r0rsio 220 1 [ [ -LRB- cord-016476-78r0rsio 220 2 98 98 CD cord-016476-78r0rsio 220 3 ] ] -RRB- cord-016476-78r0rsio 220 4 and and CC cord-016476-78r0rsio 220 5 culture culture NN cord-016476-78r0rsio 220 6 - - HYPH cord-016476-78r0rsio 220 7 negative negative JJ cord-016476-78r0rsio 220 8 ( ( -LRB- cord-016476-78r0rsio 220 9 non non JJ cord-016476-78r0rsio 220 10 - - JJ cord-016476-78r0rsio 220 11 infective infective JJ cord-016476-78r0rsio 220 12 ) ) -RRB- cord-016476-78r0rsio 220 13 bronchopneumonia bronchopneumonia NN cord-016476-78r0rsio 220 14 [ [ -LRB- cord-016476-78r0rsio 220 15 99 99 CD cord-016476-78r0rsio 220 16 ] ] -RRB- cord-016476-78r0rsio 220 17 . . . cord-016476-78r0rsio 221 1 Hadjinicolaou Hadjinicolaou NNP cord-016476-78r0rsio 221 2 et et NNP cord-016476-78r0rsio 221 3 al al NNP cord-016476-78r0rsio 221 4 . . . cord-016476-78r0rsio 222 1 identified identify VBN cord-016476-78r0rsio 222 2 > > XX cord-016476-78r0rsio 222 3 120 120 CD cord-016476-78r0rsio 222 4 cases case NNS cord-016476-78r0rsio 222 5 of of IN cord-016476-78r0rsio 222 6 rituximab rituximab NN cord-016476-78r0rsio 222 7 - - HYPH cord-016476-78r0rsio 222 8 associated associate VBN cord-016476-78r0rsio 222 9 ILD ILD NNP cord-016476-78r0rsio 222 10 up up RP cord-016476-78r0rsio 222 11 to to IN cord-016476-78r0rsio 222 12 June June NNP cord-016476-78r0rsio 222 13 2010 2010 CD cord-016476-78r0rsio 222 14 in in IN cord-016476-78r0rsio 222 15 a a DT cord-016476-78r0rsio 222 16 systematic systematic JJ cord-016476-78r0rsio 222 17 review review NN cord-016476-78r0rsio 222 18 of of IN cord-016476-78r0rsio 222 19 published publish VBN cord-016476-78r0rsio 222 20 studies study NNS cord-016476-78r0rsio 222 21 and and CC cord-016476-78r0rsio 222 22 reports report VBZ cord-016476-78r0rsio 222 23 to to IN cord-016476-78r0rsio 222 24 the the DT cord-016476-78r0rsio 222 25 FDA FDA NNP cord-016476-78r0rsio 222 26 and and CC cord-016476-78r0rsio 222 27 EMA EMA NNP cord-016476-78r0rsio 222 28 [ [ -LRB- cord-016476-78r0rsio 222 29 100 100 CD cord-016476-78r0rsio 222 30 ] ] -RRB- cord-016476-78r0rsio 222 31 . . . cord-016476-78r0rsio 223 1 In in IN cord-016476-78r0rsio 223 2 addition addition NN cord-016476-78r0rsio 223 3 , , , cord-016476-78r0rsio 223 4 UK UK NNP cord-016476-78r0rsio 223 5 spontaneous spontaneous JJ cord-016476-78r0rsio 223 6 pharmacovigilance pharmacovigilance NN cord-016476-78r0rsio 223 7 reporting reporting NN cord-016476-78r0rsio 223 8 systems system NNS cord-016476-78r0rsio 223 9 ( ( -LRB- cord-016476-78r0rsio 223 10 via via IN cord-016476-78r0rsio 223 11 its -PRON- PRP$ cord-016476-78r0rsio 223 12 Yellow Yellow NNP cord-016476-78r0rsio 223 13 Card Card NNP cord-016476-78r0rsio 223 14 system system NN cord-016476-78r0rsio 223 15 ) ) -RRB- cord-016476-78r0rsio 223 16 have have VBP cord-016476-78r0rsio 223 17 recorded record VBN cord-016476-78r0rsio 223 18 hundreds hundred NNS cord-016476-78r0rsio 223 19 of of IN cord-016476-78r0rsio 223 20 rituximab rituximab NN cord-016476-78r0rsio 223 21 - - HYPH cord-016476-78r0rsio 223 22 associated associate VBN cord-016476-78r0rsio 223 23 cases case NNS cord-016476-78r0rsio 223 24 of of IN cord-016476-78r0rsio 223 25 non non JJ cord-016476-78r0rsio 223 26 - - JJ cord-016476-78r0rsio 223 27 infectious infectious JJ cord-016476-78r0rsio 223 28 respiratory respiratory JJ cord-016476-78r0rsio 223 29 disorders disorder NNS cord-016476-78r0rsio 223 30 till till IN cord-016476-78r0rsio 223 31 March March NNP cord-016476-78r0rsio 223 32 2016 2016 CD cord-016476-78r0rsio 223 33 ( ( -LRB- cord-016476-78r0rsio 223 34 Table table NN cord-016476-78r0rsio 223 35 9 9 CD cord-016476-78r0rsio 223 36 .2 .2 CD cord-016476-78r0rsio 223 37 ) ) -RRB- cord-016476-78r0rsio 223 38 . . . cord-016476-78r0rsio 224 1 Of of IN cord-016476-78r0rsio 224 2 the the DT cord-016476-78r0rsio 224 3 patients patient NNS cord-016476-78r0rsio 224 4 with with IN cord-016476-78r0rsio 224 5 possible possible JJ cord-016476-78r0rsio 224 6 rituximab rituximab NN cord-016476-78r0rsio 224 7 - - HYPH cord-016476-78r0rsio 224 8 associated associate VBN cord-016476-78r0rsio 224 9 ILD ILD NNP cord-016476-78r0rsio 224 10 / / SYM cord-016476-78r0rsio 224 11 pneumonitis pneumonitis NN cord-016476-78r0rsio 224 12 , , , cord-016476-78r0rsio 224 13 15 15 CD cord-016476-78r0rsio 224 14 deaths death NNS cord-016476-78r0rsio 224 15 have have VBP cord-016476-78r0rsio 224 16 been be VBN cord-016476-78r0rsio 224 17 reported report VBN cord-016476-78r0rsio 224 18 ( ( -LRB- cord-016476-78r0rsio 224 19 Table table NN cord-016476-78r0rsio 224 20 9 9 CD cord-016476-78r0rsio 224 21 .2 .2 CD cord-016476-78r0rsio 224 22 ) ) -RRB- cord-016476-78r0rsio 224 23 . . . cord-016476-78r0rsio 225 1 Further further JJ cord-016476-78r0rsio 225 2 observational observational JJ cord-016476-78r0rsio 225 3 evidence evidence NN cord-016476-78r0rsio 225 4 has have VBZ cord-016476-78r0rsio 225 5 been be VBN cord-016476-78r0rsio 225 6 discussed discuss VBN cord-016476-78r0rsio 225 7 in in IN cord-016476-78r0rsio 225 8 section section NN cord-016476-78r0rsio 225 9 " " `` cord-016476-78r0rsio 225 10 Other other JJ cord-016476-78r0rsio 225 11 Agents Agents NNPS cord-016476-78r0rsio 225 12 with with IN cord-016476-78r0rsio 225 13 Limited Limited NNP cord-016476-78r0rsio 225 14 Agents Agents NNPS cord-016476-78r0rsio 225 15 in in IN cord-016476-78r0rsio 225 16 RA RA NNP cord-016476-78r0rsio 225 17 - - HYPH cord-016476-78r0rsio 225 18 ILD ILD NNP cord-016476-78r0rsio 225 19 " " '' cord-016476-78r0rsio 225 20 ) ) -RRB- cord-016476-78r0rsio 225 21 . . . cord-016476-78r0rsio 226 1 Abatacept Abatacept NNP cord-016476-78r0rsio 226 2 is be VBZ cord-016476-78r0rsio 226 3 a a DT cord-016476-78r0rsio 226 4 selective selective JJ cord-016476-78r0rsio 226 5 T t NN cord-016476-78r0rsio 226 6 - - HYPH cord-016476-78r0rsio 226 7 cell cell NN cord-016476-78r0rsio 226 8 costimulation costimulation NN cord-016476-78r0rsio 226 9 modulator modulator NN cord-016476-78r0rsio 226 10 . . . cord-016476-78r0rsio 227 1 It -PRON- PRP cord-016476-78r0rsio 227 2 is be VBZ cord-016476-78r0rsio 227 3 a a DT cord-016476-78r0rsio 227 4 fully fully RB cord-016476-78r0rsio 227 5 human human JJ cord-016476-78r0rsio 227 6 recombinant recombinant JJ cord-016476-78r0rsio 227 7 protein protein NN cord-016476-78r0rsio 227 8 that that WDT cord-016476-78r0rsio 227 9 comprises comprise VBZ cord-016476-78r0rsio 227 10 of of IN cord-016476-78r0rsio 227 11 the the DT cord-016476-78r0rsio 227 12 extracellular extracellular JJ cord-016476-78r0rsio 227 13 domain domain NN cord-016476-78r0rsio 227 14 of of IN cord-016476-78r0rsio 227 15 CTLA4 CTLA4 NNS cord-016476-78r0rsio 227 16 and and CC cord-016476-78r0rsio 227 17 the the DT cord-016476-78r0rsio 227 18 Fc Fc NNP cord-016476-78r0rsio 227 19 portion portion NN cord-016476-78r0rsio 227 20 of of IN cord-016476-78r0rsio 227 21 an an DT cord-016476-78r0rsio 227 22 IgG1 igg1 NN cord-016476-78r0rsio 227 23 molecule molecule NN cord-016476-78r0rsio 227 24 that that WDT cord-016476-78r0rsio 227 25 has have VBZ cord-016476-78r0rsio 227 26 been be VBN cord-016476-78r0rsio 227 27 modified modify VBN cord-016476-78r0rsio 227 28 to to TO cord-016476-78r0rsio 227 29 prevent prevent VB cord-016476-78r0rsio 227 30 complement complement NN cord-016476-78r0rsio 227 31 activation activation NN cord-016476-78r0rsio 227 32 . . . cord-016476-78r0rsio 228 1 Pooled pool VBN cord-016476-78r0rsio 228 2 safety safety NN cord-016476-78r0rsio 228 3 data datum NNS cord-016476-78r0rsio 228 4 from from IN cord-016476-78r0rsio 228 5 eight eight CD cord-016476-78r0rsio 228 6 trials trial NNS cord-016476-78r0rsio 228 7 of of IN cord-016476-78r0rsio 228 8 abatacept abatacept NNP cord-016476-78r0rsio 228 9 involving involve VBG cord-016476-78r0rsio 228 10 3173 3173 CD cord-016476-78r0rsio 228 11 patients patient NNS cord-016476-78r0rsio 228 12 with with IN cord-016476-78r0rsio 228 13 RA RA NNP cord-016476-78r0rsio 228 14 reported report VBD cord-016476-78r0rsio 228 15 incident incident NN cord-016476-78r0rsio 228 16 ILD ILD NNP cord-016476-78r0rsio 228 17 in in IN cord-016476-78r0rsio 228 18 11 11 CD cord-016476-78r0rsio 228 19 patients patient NNS cord-016476-78r0rsio 228 20 ( ( -LRB- cord-016476-78r0rsio 228 21 0.11 0.11 CD cord-016476-78r0rsio 228 22 cases case NNS cord-016476-78r0rsio 228 23 per per IN cord-016476-78r0rsio 228 24 100 100 CD cord-016476-78r0rsio 228 25 person person NN cord-016476-78r0rsio 228 26 - - HYPH cord-016476-78r0rsio 228 27 years year NNS cord-016476-78r0rsio 228 28 ) ) -RRB- cord-016476-78r0rsio 228 29 , , , cord-016476-78r0rsio 228 30 with with IN cord-016476-78r0rsio 228 31 no no DT cord-016476-78r0rsio 228 32 events event NNS cord-016476-78r0rsio 228 33 reported report VBN cord-016476-78r0rsio 228 34 in in IN cord-016476-78r0rsio 228 35 the the DT cord-016476-78r0rsio 228 36 placebo placebo NN cord-016476-78r0rsio 228 37 control control NN cord-016476-78r0rsio 228 38 groups group NNS cord-016476-78r0rsio 228 39 [ [ -LRB- cord-016476-78r0rsio 228 40 101 101 CD cord-016476-78r0rsio 228 41 ] ] -RRB- cord-016476-78r0rsio 228 42 . . . cord-016476-78r0rsio 229 1 Patients patient NNS cord-016476-78r0rsio 229 2 with with IN cord-016476-78r0rsio 229 3 pre pre JJ cord-016476-78r0rsio 229 4 - - JJ cord-016476-78r0rsio 229 5 existing existing JJ cord-016476-78r0rsio 229 6 RA RA NNP cord-016476-78r0rsio 229 7 - - HYPH cord-016476-78r0rsio 229 8 ILD ILD NNP cord-016476-78r0rsio 229 9 were be VBD cord-016476-78r0rsio 229 10 excluded exclude VBN cord-016476-78r0rsio 229 11 from from IN cord-016476-78r0rsio 229 12 all all DT cord-016476-78r0rsio 229 13 of of IN cord-016476-78r0rsio 229 14 the the DT cord-016476-78r0rsio 229 15 initial initial JJ cord-016476-78r0rsio 229 16 abatacept abatacept NNP cord-016476-78r0rsio 229 17 trials trial NNS cord-016476-78r0rsio 229 18 [ [ -LRB- cord-016476-78r0rsio 229 19 101 101 CD cord-016476-78r0rsio 229 20 ] ] -RRB- cord-016476-78r0rsio 229 21 . . . cord-016476-78r0rsio 230 1 Therefore therefore RB cord-016476-78r0rsio 230 2 limited limited JJ cord-016476-78r0rsio 230 3 conclusions conclusion NNS cord-016476-78r0rsio 230 4 can can MD cord-016476-78r0rsio 230 5 be be VB cord-016476-78r0rsio 230 6 drawn draw VBN cord-016476-78r0rsio 230 7 from from IN cord-016476-78r0rsio 230 8 existing exist VBG cord-016476-78r0rsio 230 9 trial trial NN cord-016476-78r0rsio 230 10 data datum NNS cord-016476-78r0rsio 230 11 , , , cord-016476-78r0rsio 230 12 which which WDT cord-016476-78r0rsio 230 13 may may MD cord-016476-78r0rsio 230 14 suggest suggest VB cord-016476-78r0rsio 230 15 a a DT cord-016476-78r0rsio 230 16 small small JJ cord-016476-78r0rsio 230 17 increase increase NN cord-016476-78r0rsio 230 18 in in IN cord-016476-78r0rsio 230 19 incident incident NN cord-016476-78r0rsio 230 20 ILD ILD NNP cord-016476-78r0rsio 230 21 in in IN cord-016476-78r0rsio 230 22 patients patient NNS cord-016476-78r0rsio 230 23 with with IN cord-016476-78r0rsio 230 24 RA RA NNP cord-016476-78r0rsio 230 25 . . . cord-016476-78r0rsio 231 1 Despite despite IN cord-016476-78r0rsio 231 2 its -PRON- PRP$ cord-016476-78r0rsio 231 3 FDA FDA NNP cord-016476-78r0rsio 231 4 licence licence NN cord-016476-78r0rsio 231 5 back back RB cord-016476-78r0rsio 231 6 in in IN cord-016476-78r0rsio 231 7 2005 2005 CD cord-016476-78r0rsio 231 8 , , , cord-016476-78r0rsio 231 9 few few JJ cord-016476-78r0rsio 231 10 case case NN cord-016476-78r0rsio 231 11 reports report NNS cord-016476-78r0rsio 231 12 exist exist VBP cord-016476-78r0rsio 231 13 describing describe VBG cord-016476-78r0rsio 231 14 abataceptinduced abataceptinduce VBN cord-016476-78r0rsio 231 15 lung lung NN cord-016476-78r0rsio 231 16 injury injury NN cord-016476-78r0rsio 231 17 . . . cord-016476-78r0rsio 232 1 One one CD cord-016476-78r0rsio 232 2 case case NN cord-016476-78r0rsio 232 3 reported report VBD cord-016476-78r0rsio 232 4 drug drug NN cord-016476-78r0rsio 232 5 - - HYPH cord-016476-78r0rsio 232 6 induced induce VBN cord-016476-78r0rsio 232 7 respiratory respiratory JJ cord-016476-78r0rsio 232 8 failure failure NN cord-016476-78r0rsio 232 9 , , , cord-016476-78r0rsio 232 10 2 2 CD cord-016476-78r0rsio 232 11 weeks week NNS cord-016476-78r0rsio 232 12 after after IN cord-016476-78r0rsio 232 13 the the DT cord-016476-78r0rsio 232 14 second second JJ cord-016476-78r0rsio 232 15 abatacept abatacept NN cord-016476-78r0rsio 232 16 dose dose NN cord-016476-78r0rsio 232 17 [ [ -LRB- cord-016476-78r0rsio 232 18 102 102 CD cord-016476-78r0rsio 232 19 ] ] -RRB- cord-016476-78r0rsio 232 20 , , , cord-016476-78r0rsio 232 21 however however RB cord-016476-78r0rsio 232 22 was be VBD cord-016476-78r0rsio 232 23 unable unable JJ cord-016476-78r0rsio 232 24 to to TO cord-016476-78r0rsio 232 25 distinguish distinguish VB cord-016476-78r0rsio 232 26 if if IN cord-016476-78r0rsio 232 27 infection infection NN cord-016476-78r0rsio 232 28 was be VBD cord-016476-78r0rsio 232 29 the the DT cord-016476-78r0rsio 232 30 reason reason NN cord-016476-78r0rsio 232 31 for for IN cord-016476-78r0rsio 232 32 deterioration deterioration NN cord-016476-78r0rsio 232 33 by by IN cord-016476-78r0rsio 232 34 the the DT cord-016476-78r0rsio 232 35 time time NN cord-016476-78r0rsio 232 36 of of IN cord-016476-78r0rsio 232 37 death death NN cord-016476-78r0rsio 232 38 . . . cord-016476-78r0rsio 233 1 Relatively relatively RB cord-016476-78r0rsio 233 2 few few JJ cord-016476-78r0rsio 233 3 respiratory respiratory JJ cord-016476-78r0rsio 233 4 ADRs adr NNS cord-016476-78r0rsio 233 5 have have VBP cord-016476-78r0rsio 233 6 been be VBN cord-016476-78r0rsio 233 7 reported report VBN cord-016476-78r0rsio 233 8 to to IN cord-016476-78r0rsio 233 9 the the DT cord-016476-78r0rsio 233 10 regulatory regulatory JJ cord-016476-78r0rsio 233 11 agencies agency NNS cord-016476-78r0rsio 233 12 after after IN cord-016476-78r0rsio 233 13 treatment treatment NN cord-016476-78r0rsio 233 14 with with IN cord-016476-78r0rsio 233 15 abatacept abatacept NN cord-016476-78r0rsio 233 16 compared compare VBN cord-016476-78r0rsio 233 17 with with IN cord-016476-78r0rsio 233 18 other other JJ cord-016476-78r0rsio 233 19 biologic biologic JJ cord-016476-78r0rsio 233 20 agents agent NNS cord-016476-78r0rsio 233 21 ( ( -LRB- cord-016476-78r0rsio 233 22 Table table NN cord-016476-78r0rsio 233 23 9 9 CD cord-016476-78r0rsio 233 24 . . CD cord-016476-78r0rsio 233 25 2 2 CD cord-016476-78r0rsio 233 26 ) ) -RRB- cord-016476-78r0rsio 233 27 . . . cord-016476-78r0rsio 234 1 Indeed indeed RB cord-016476-78r0rsio 234 2 , , , cord-016476-78r0rsio 234 3 only only RB cord-016476-78r0rsio 234 4 one one CD cord-016476-78r0rsio 234 5 case case NN cord-016476-78r0rsio 234 6 of of IN cord-016476-78r0rsio 234 7 pneumonitis pneumonitis NN cord-016476-78r0rsio 234 8 and and CC cord-016476-78r0rsio 234 9 23 23 CD cord-016476-78r0rsio 234 10 cases case NNS cord-016476-78r0rsio 234 11 of of IN cord-016476-78r0rsio 234 12 non non JJ cord-016476-78r0rsio 234 13 - - JJ cord-016476-78r0rsio 234 14 infectious infectious JJ cord-016476-78r0rsio 234 15 respiratory respiratory JJ cord-016476-78r0rsio 234 16 events event NNS cord-016476-78r0rsio 234 17 had have VBD cord-016476-78r0rsio 234 18 been be VBN cord-016476-78r0rsio 234 19 reported report VBN cord-016476-78r0rsio 234 20 through through IN cord-016476-78r0rsio 234 21 the the DT cord-016476-78r0rsio 234 22 UK UK NNP cord-016476-78r0rsio 234 23 Medicines Medicines NNPS cord-016476-78r0rsio 234 24 and and CC cord-016476-78r0rsio 234 25 Healthcare Healthcare NNP cord-016476-78r0rsio 234 26 Products Products NNPS cord-016476-78r0rsio 234 27 Regulatory Regulatory NNP cord-016476-78r0rsio 234 28 Agency Agency NNP cord-016476-78r0rsio 234 29 ( ( -LRB- cord-016476-78r0rsio 234 30 MHRA MHRA NNP cord-016476-78r0rsio 234 31 ) ) -RRB- cord-016476-78r0rsio 234 32 ' ' `` cord-016476-78r0rsio 234 33 Yellow Yellow NNP cord-016476-78r0rsio 234 34 Card Card NNP cord-016476-78r0rsio 234 35 ' ' '' cord-016476-78r0rsio 234 36 system system NN cord-016476-78r0rsio 234 37 by by IN cord-016476-78r0rsio 234 38 March March NNP cord-016476-78r0rsio 234 39 2016 2016 CD cord-016476-78r0rsio 234 40 . . . cord-016476-78r0rsio 235 1 However however RB cord-016476-78r0rsio 235 2 it -PRON- PRP cord-016476-78r0rsio 235 3 is be VBZ cord-016476-78r0rsio 235 4 worth worth JJ cord-016476-78r0rsio 235 5 noting note VBG cord-016476-78r0rsio 235 6 at at IN cord-016476-78r0rsio 235 7 exposure exposure NN cord-016476-78r0rsio 235 8 to to IN cord-016476-78r0rsio 235 9 abatacept abatacept NNP cord-016476-78r0rsio 235 10 may may MD cord-016476-78r0rsio 235 11 be be VB cord-016476-78r0rsio 235 12 limited limit VBN cord-016476-78r0rsio 235 13 in in IN cord-016476-78r0rsio 235 14 the the DT cord-016476-78r0rsio 235 15 UK UK NNP cord-016476-78r0rsio 235 16 due due IN cord-016476-78r0rsio 235 17 to to IN cord-016476-78r0rsio 235 18 lack lack NN cord-016476-78r0rsio 235 19 of of IN cord-016476-78r0rsio 235 20 its -PRON- PRP$ cord-016476-78r0rsio 235 21 initial initial JJ cord-016476-78r0rsio 235 22 approval approval NN cord-016476-78r0rsio 235 23 by by IN cord-016476-78r0rsio 235 24 the the DT cord-016476-78r0rsio 235 25 National National NNP cord-016476-78r0rsio 235 26 Institute Institute NNP cord-016476-78r0rsio 235 27 of of IN cord-016476-78r0rsio 235 28 Health Health NNP cord-016476-78r0rsio 235 29 and and CC cord-016476-78r0rsio 235 30 Care Care NNP cord-016476-78r0rsio 235 31 Excellence Excellence NNP cord-016476-78r0rsio 235 32 ( ( -LRB- cord-016476-78r0rsio 235 33 NICE NICE NNP cord-016476-78r0rsio 235 34 ) ) -RRB- cord-016476-78r0rsio 235 35 until until IN cord-016476-78r0rsio 235 36 2010 2010 CD cord-016476-78r0rsio 235 37 as as IN cord-016476-78r0rsio 235 38 a a DT cord-016476-78r0rsio 235 39 second second JJ cord-016476-78r0rsio 235 40 - - HYPH cord-016476-78r0rsio 235 41 line line NN cord-016476-78r0rsio 235 42 biologic biologic JJ cord-016476-78r0rsio 235 43 ( ( -LRB- cord-016476-78r0rsio 235 44 following follow VBG cord-016476-78r0rsio 235 45 TNFi TNFi NNS cord-016476-78r0rsio 235 46 failure failure NN cord-016476-78r0rsio 235 47 and and CC cord-016476-78r0rsio 235 48 if if IN cord-016476-78r0rsio 235 49 rituximab rituximab NN cord-016476-78r0rsio 235 50 was be VBD cord-016476-78r0rsio 235 51 contraindicated contraindicate VBN cord-016476-78r0rsio 235 52 ) ) -RRB- cord-016476-78r0rsio 235 53 and and CC cord-016476-78r0rsio 235 54 first first JJ cord-016476-78r0rsio 235 55 - - HYPH cord-016476-78r0rsio 235 56 line line NN cord-016476-78r0rsio 235 57 biologic biologic NN cord-016476-78r0rsio 235 58 approved approve VBN cord-016476-78r0rsio 235 59 in in IN cord-016476-78r0rsio 235 60 2013 2013 CD cord-016476-78r0rsio 235 61 . . . cord-016476-78r0rsio 236 1 Whilst whilst IN cord-016476-78r0rsio 236 2 experience experience NN cord-016476-78r0rsio 236 3 of of IN cord-016476-78r0rsio 236 4 using use VBG cord-016476-78r0rsio 236 5 abatacept abatacept NN cord-016476-78r0rsio 236 6 in in IN cord-016476-78r0rsio 236 7 the the DT cord-016476-78r0rsio 236 8 context context NN cord-016476-78r0rsio 236 9 of of IN cord-016476-78r0rsio 236 10 pre pre JJ cord-016476-78r0rsio 236 11 - - JJ cord-016476-78r0rsio 236 12 existing existing JJ cord-016476-78r0rsio 236 13 ILD ILD NNP cord-016476-78r0rsio 236 14 is be VBZ cord-016476-78r0rsio 236 15 limited limit VBN cord-016476-78r0rsio 236 16 , , , cord-016476-78r0rsio 236 17 a a DT cord-016476-78r0rsio 236 18 case case NN cord-016476-78r0rsio 236 19 report report NN cord-016476-78r0rsio 236 20 of of IN cord-016476-78r0rsio 236 21 rapid rapid JJ cord-016476-78r0rsio 236 22 - - HYPH cord-016476-78r0rsio 236 23 onset onset NN cord-016476-78r0rsio 236 24 interstitial interstitial JJ cord-016476-78r0rsio 236 25 pneumonia pneumonia NN cord-016476-78r0rsio 236 26 2 2 CD cord-016476-78r0rsio 236 27 days day NNS cord-016476-78r0rsio 236 28 post post NN cord-016476-78r0rsio 236 29 initiation initiation NN cord-016476-78r0rsio 236 30 of of IN cord-016476-78r0rsio 236 31 Administration Administration NNP cord-016476-78r0rsio 236 32 , , , cord-016476-78r0rsio 237 1 MHRA MHRA NNP cord-016476-78r0rsio 237 2 medicines medicine NNS cord-016476-78r0rsio 237 3 and and CC cord-016476-78r0rsio 237 4 healthcare healthcare NN cord-016476-78r0rsio 237 5 products product NNS cord-016476-78r0rsio 237 6 regulatory regulatory JJ cord-016476-78r0rsio 237 7 agency agency NN cord-016476-78r0rsio 237 8 , , , cord-016476-78r0rsio 237 9 NA NA NNP cord-016476-78r0rsio 237 10 data datum NNS cord-016476-78r0rsio 237 11 not not RB cord-016476-78r0rsio 237 12 available available JJ cord-016476-78r0rsio 237 13 , , , cord-016476-78r0rsio 237 14 RA RA NNP cord-016476-78r0rsio 237 15 rheumatoid rheumatoid NN cord-016476-78r0rsio 237 16 arthritis arthritis NN cord-016476-78r0rsio 237 17 a a NNP cord-016476-78r0rsio 237 18 Includes include VBZ cord-016476-78r0rsio 237 19 cases case NNS cord-016476-78r0rsio 237 20 reported report VBN cord-016476-78r0rsio 237 21 as as IN cord-016476-78r0rsio 237 22 idiopathic idiopathic JJ cord-016476-78r0rsio 237 23 pulmonary pulmonary JJ cord-016476-78r0rsio 237 24 fibrosis fibrosis NN cord-016476-78r0rsio 237 25 , , , cord-016476-78r0rsio 237 26 pulmonary pulmonary JJ cord-016476-78r0rsio 237 27 fibrosis fibrosis NN cord-016476-78r0rsio 237 28 and and CC cord-016476-78r0rsio 237 29 pulmonary pulmonary JJ cord-016476-78r0rsio 237 30 toxicity toxicity NN cord-016476-78r0rsio 237 31 treatment treatment NN cord-016476-78r0rsio 237 32 has have VBZ cord-016476-78r0rsio 237 33 been be VBN cord-016476-78r0rsio 237 34 described describe VBN cord-016476-78r0rsio 237 35 in in IN cord-016476-78r0rsio 237 36 a a DT cord-016476-78r0rsio 237 37 Japanese japanese JJ cord-016476-78r0rsio 237 38 patient patient NN cord-016476-78r0rsio 237 39 [ [ -LRB- cord-016476-78r0rsio 237 40 103 103 CD cord-016476-78r0rsio 237 41 ] ] -RRB- cord-016476-78r0rsio 237 42 . . . cord-016476-78r0rsio 238 1 Conversely conversely RB cord-016476-78r0rsio 238 2 , , , cord-016476-78r0rsio 238 3 there there EX cord-016476-78r0rsio 238 4 are be VBP cord-016476-78r0rsio 238 5 reports report NNS cord-016476-78r0rsio 238 6 of of IN cord-016476-78r0rsio 238 7 stabilisation stabilisation NN cord-016476-78r0rsio 238 8 of of IN cord-016476-78r0rsio 238 9 RA RA NNP cord-016476-78r0rsio 238 10 - - HYPH cord-016476-78r0rsio 238 11 ILD ILD NNP cord-016476-78r0rsio 238 12 on on IN cord-016476-78r0rsio 238 13 abatacept abatacept NNP cord-016476-78r0rsio 238 14 [ [ -LRB- cord-016476-78r0rsio 238 15 104 104 CD cord-016476-78r0rsio 238 16 ] ] -RRB- cord-016476-78r0rsio 238 17 and and CC cord-016476-78r0rsio 238 18 improvement improvement NN cord-016476-78r0rsio 238 19 in in IN cord-016476-78r0rsio 238 20 some some DT cord-016476-78r0rsio 238 21 patients patient NNS cord-016476-78r0rsio 238 22 [ [ -LRB- cord-016476-78r0rsio 238 23 105 105 CD cord-016476-78r0rsio 238 24 ] ] -RRB- cord-016476-78r0rsio 238 25 . . . cord-016476-78r0rsio 239 1 In in IN cord-016476-78r0rsio 239 2 a a DT cord-016476-78r0rsio 239 3 case case NN cord-016476-78r0rsio 239 4 series series NN cord-016476-78r0rsio 239 5 of of IN cord-016476-78r0rsio 239 6 16 16 CD cord-016476-78r0rsio 239 7 patients patient NNS cord-016476-78r0rsio 239 8 with with IN cord-016476-78r0rsio 239 9 RA RA NNP cord-016476-78r0rsio 239 10 - - HYPH cord-016476-78r0rsio 239 11 ILD ILD NNP cord-016476-78r0rsio 239 12 ( ( -LRB- cord-016476-78r0rsio 239 13 with with IN cord-016476-78r0rsio 239 14 varying vary VBG cord-016476-78r0rsio 239 15 grades grade NNS cord-016476-78r0rsio 239 16 of of IN cord-016476-78r0rsio 239 17 severity severity NN cord-016476-78r0rsio 239 18 at at IN cord-016476-78r0rsio 239 19 baseline baseline NN cord-016476-78r0rsio 239 20 ) ) -RRB- cord-016476-78r0rsio 239 21 , , , cord-016476-78r0rsio 239 22 all all DT cord-016476-78r0rsio 239 23 patients patient NNS cord-016476-78r0rsio 239 24 completed complete VBD cord-016476-78r0rsio 239 25 52 52 CD cord-016476-78r0rsio 239 26 weeks week NNS cord-016476-78r0rsio 239 27 of of IN cord-016476-78r0rsio 239 28 abatacept abatacept NNP cord-016476-78r0rsio 239 29 treatment treatment NN cord-016476-78r0rsio 239 30 , , , cord-016476-78r0rsio 239 31 and and CC cord-016476-78r0rsio 239 32 no no DT cord-016476-78r0rsio 239 33 one one NN cord-016476-78r0rsio 239 34 was be VBD cord-016476-78r0rsio 239 35 reported report VBN cord-016476-78r0rsio 239 36 to to TO cord-016476-78r0rsio 239 37 have have VB cord-016476-78r0rsio 239 38 an an DT cord-016476-78r0rsio 239 39 exacerbation exacerbation NN cord-016476-78r0rsio 239 40 of of IN cord-016476-78r0rsio 239 41 their -PRON- PRP$ cord-016476-78r0rsio 239 42 pulmonary pulmonary JJ cord-016476-78r0rsio 239 43 disease disease NN cord-016476-78r0rsio 239 44 [ [ -LRB- cord-016476-78r0rsio 239 45 105 105 CD cord-016476-78r0rsio 239 46 ] ] -RRB- cord-016476-78r0rsio 239 47 . . . cord-016476-78r0rsio 240 1 In in IN cord-016476-78r0rsio 240 2 the the DT cord-016476-78r0rsio 240 3 three three CD cord-016476-78r0rsio 240 4 patients patient NNS cord-016476-78r0rsio 240 5 with with IN cord-016476-78r0rsio 240 6 RA RA NNP cord-016476-78r0rsio 240 7 - - HYPH cord-016476-78r0rsio 240 8 ILD ILD NNP cord-016476-78r0rsio 240 9 on on IN cord-016476-78r0rsio 240 10 abatacept abatacept NNP cord-016476-78r0rsio 240 11 , , , cord-016476-78r0rsio 240 12 as as IN cord-016476-78r0rsio 240 13 part part NN cord-016476-78r0rsio 240 14 of of IN cord-016476-78r0rsio 240 15 Nakashita Nakashita NNP cord-016476-78r0rsio 240 16 and and CC cord-016476-78r0rsio 240 17 colleagues colleague NNS cord-016476-78r0rsio 240 18 ' ' POS cord-016476-78r0rsio 240 19 retrospective retrospective JJ cord-016476-78r0rsio 240 20 study study NN cord-016476-78r0rsio 240 21 [ [ -LRB- cord-016476-78r0rsio 240 22 82 82 CD cord-016476-78r0rsio 240 23 ] ] -RRB- cord-016476-78r0rsio 240 24 , , , cord-016476-78r0rsio 240 25 none none NN cord-016476-78r0rsio 240 26 had have VBD cord-016476-78r0rsio 240 27 ILD ILD NNP cord-016476-78r0rsio 240 28 - - HYPH cord-016476-78r0rsio 240 29 related relate VBN cord-016476-78r0rsio 240 30 complications complication NNS cord-016476-78r0rsio 240 31 reported report VBN cord-016476-78r0rsio 240 32 by by IN cord-016476-78r0rsio 240 33 one one CD cord-016476-78r0rsio 240 34 - - HYPH cord-016476-78r0rsio 240 35 year year NN cord-016476-78r0rsio 240 36 follow follow NN cord-016476-78r0rsio 240 37 - - HYPH cord-016476-78r0rsio 240 38 up up NN cord-016476-78r0rsio 240 39 . . . cord-016476-78r0rsio 241 1 However however RB cord-016476-78r0rsio 241 2 using use VBG cord-016476-78r0rsio 241 3 claims claim NNS cord-016476-78r0rsio 241 4 data datum NNS cord-016476-78r0rsio 241 5 , , , cord-016476-78r0rsio 241 6 in in IN cord-016476-78r0rsio 241 7 the the DT cord-016476-78r0rsio 241 8 Curtis Curtis NNP cord-016476-78r0rsio 241 9 et et NNP cord-016476-78r0rsio 241 10 al al NNP cord-016476-78r0rsio 241 11 . . . cord-016476-78r0rsio 242 1 study study VB cord-016476-78r0rsio 242 2 [ [ -LRB- cord-016476-78r0rsio 242 3 81 81 CD cord-016476-78r0rsio 242 4 ] ] -RRB- cord-016476-78r0rsio 242 5 , , , cord-016476-78r0rsio 242 6 of of IN cord-016476-78r0rsio 242 7 the the DT cord-016476-78r0rsio 242 8 102 102 CD cord-016476-78r0rsio 242 9 patients patient NNS cord-016476-78r0rsio 242 10 with with IN cord-016476-78r0rsio 242 11 RA RA NNP cord-016476-78r0rsio 242 12 - - HYPH cord-016476-78r0rsio 242 13 ILD ILD NNP cord-016476-78r0rsio 242 14 on on IN cord-016476-78r0rsio 242 15 abatacept abatacept NNP cord-016476-78r0rsio 242 16 , , , cord-016476-78r0rsio 243 1 there there EX cord-016476-78r0rsio 243 2 was be VBD cord-016476-78r0rsio 243 3 no no DT cord-016476-78r0rsio 243 4 significant significant JJ cord-016476-78r0rsio 243 5 decreased decrease VBN cord-016476-78r0rsio 243 6 risk risk NN cord-016476-78r0rsio 243 7 of of IN cord-016476-78r0rsio 243 8 ILD ILD NNP cord-016476-78r0rsio 243 9 events event NNS cord-016476-78r0rsio 243 10 compared compare VBN cord-016476-78r0rsio 243 11 to to IN cord-016476-78r0rsio 243 12 TNFis tnfis NN cord-016476-78r0rsio 243 13 . . . cord-016476-78r0rsio 244 1 In in IN cord-016476-78r0rsio 244 2 comparison comparison NN cord-016476-78r0rsio 244 3 with with IN cord-016476-78r0rsio 244 4 other other JJ cord-016476-78r0rsio 244 5 biologic biologic JJ cord-016476-78r0rsio 244 6 agents agent NNS cord-016476-78r0rsio 244 7 introduced introduce VBN cord-016476-78r0rsio 244 8 to to IN cord-016476-78r0rsio 244 9 the the DT cord-016476-78r0rsio 244 10 market market NN cord-016476-78r0rsio 244 11 at at IN cord-016476-78r0rsio 244 12 around around IN cord-016476-78r0rsio 244 13 the the DT cord-016476-78r0rsio 244 14 same same JJ cord-016476-78r0rsio 244 15 time time NN cord-016476-78r0rsio 244 16 , , , cord-016476-78r0rsio 244 17 the the DT cord-016476-78r0rsio 244 18 spontaneous spontaneous JJ cord-016476-78r0rsio 244 19 pharmacovigilance pharmacovigilance NN cord-016476-78r0rsio 244 20 and and CC cord-016476-78r0rsio 244 21 case case NN cord-016476-78r0rsio 244 22 report report NN cord-016476-78r0rsio 244 23 figures figure NNS cord-016476-78r0rsio 244 24 are be VBP cord-016476-78r0rsio 244 25 cautiously cautiously RB cord-016476-78r0rsio 244 26 encouraging encouraging JJ cord-016476-78r0rsio 244 27 . . . cord-016476-78r0rsio 245 1 The the DT cord-016476-78r0rsio 245 2 lack lack NN cord-016476-78r0rsio 245 3 of of IN cord-016476-78r0rsio 245 4 a a DT cord-016476-78r0rsio 245 5 clear clear JJ cord-016476-78r0rsio 245 6 denominator denominator NN cord-016476-78r0rsio 245 7 or or CC cord-016476-78r0rsio 245 8 the the DT cord-016476-78r0rsio 245 9 number number NN cord-016476-78r0rsio 245 10 of of IN cord-016476-78r0rsio 245 11 patients patient NNS cord-016476-78r0rsio 245 12 treated treat VBN cord-016476-78r0rsio 245 13 with with IN cord-016476-78r0rsio 245 14 each each DT cord-016476-78r0rsio 245 15 drug drug NN cord-016476-78r0rsio 245 16 in in IN cord-016476-78r0rsio 245 17 these these DT cord-016476-78r0rsio 245 18 settings setting NNS cord-016476-78r0rsio 245 19 makes make VBZ cord-016476-78r0rsio 245 20 accurate accurate JJ cord-016476-78r0rsio 245 21 interpretation interpretation NN cord-016476-78r0rsio 245 22 challenging challenging JJ cord-016476-78r0rsio 245 23 . . . cord-016476-78r0rsio 246 1 Whilst whilst IN cord-016476-78r0rsio 246 2 experience experience NN cord-016476-78r0rsio 246 3 in in IN cord-016476-78r0rsio 246 4 baseline baseline JJ cord-016476-78r0rsio 246 5 RA RA NNP cord-016476-78r0rsio 246 6 - - HYPH cord-016476-78r0rsio 246 7 ILD ILD NNP cord-016476-78r0rsio 246 8 is be VBZ cord-016476-78r0rsio 246 9 limited limit VBN cord-016476-78r0rsio 246 10 , , , cord-016476-78r0rsio 246 11 emerging emerge VBG cord-016476-78r0rsio 246 12 observational observational JJ cord-016476-78r0rsio 246 13 data datum NNS cord-016476-78r0rsio 246 14 thus thus RB cord-016476-78r0rsio 246 15 far far RB cord-016476-78r0rsio 246 16 appears appear VBZ cord-016476-78r0rsio 246 17 tentatively tentatively RB cord-016476-78r0rsio 246 18 reassuring reassure VBG cord-016476-78r0rsio 246 19 . . . cord-016476-78r0rsio 247 1 Additionally additionally RB cord-016476-78r0rsio 247 2 patients patient NNS cord-016476-78r0rsio 247 3 on on IN cord-016476-78r0rsio 247 4 abatacept abatacept NNP cord-016476-78r0rsio 247 5 may may MD cord-016476-78r0rsio 247 6 have have VB cord-016476-78r0rsio 247 7 a a DT cord-016476-78r0rsio 247 8 more more RBR cord-016476-78r0rsio 247 9 favourable favourable JJ cord-016476-78r0rsio 247 10 infection infection NN cord-016476-78r0rsio 247 11 profile profile NN cord-016476-78r0rsio 247 12 in in IN cord-016476-78r0rsio 247 13 comparison comparison NN cord-016476-78r0rsio 247 14 to to IN cord-016476-78r0rsio 247 15 other other JJ cord-016476-78r0rsio 247 16 biologics biologic NNS cord-016476-78r0rsio 247 17 in in IN cord-016476-78r0rsio 247 18 those those DT cord-016476-78r0rsio 247 19 who who WP cord-016476-78r0rsio 247 20 have have VBP cord-016476-78r0rsio 247 21 experienced experience VBN cord-016476-78r0rsio 247 22 a a DT cord-016476-78r0rsio 247 23 hospitalised hospitalise VBN cord-016476-78r0rsio 247 24 infection infection NN cord-016476-78r0rsio 247 25 previously previously RB cord-016476-78r0rsio 247 26 [ [ -LRB- cord-016476-78r0rsio 247 27 106 106 CD cord-016476-78r0rsio 247 28 ] ] -RRB- cord-016476-78r0rsio 247 29 . . . cord-016476-78r0rsio 248 1 This this DT cord-016476-78r0rsio 248 2 study study NN cord-016476-78r0rsio 248 3 also also RB cord-016476-78r0rsio 248 4 forms form VBZ cord-016476-78r0rsio 248 5 the the DT cord-016476-78r0rsio 248 6 basis basis NN cord-016476-78r0rsio 248 7 of of IN cord-016476-78r0rsio 248 8 its -PRON- PRP$ cord-016476-78r0rsio 248 9 use use NN cord-016476-78r0rsio 248 10 as as IN cord-016476-78r0rsio 248 11 a a DT cord-016476-78r0rsio 248 12 conditional conditional JJ cord-016476-78r0rsio 248 13 recommendation recommendation NN cord-016476-78r0rsio 248 14 in in IN cord-016476-78r0rsio 248 15 the the DT cord-016476-78r0rsio 248 16 context context NN cord-016476-78r0rsio 248 17 of of IN cord-016476-78r0rsio 248 18 prior prior JJ cord-016476-78r0rsio 248 19 serious serious JJ cord-016476-78r0rsio 248 20 infection infection NN cord-016476-78r0rsio 248 21 in in IN cord-016476-78r0rsio 248 22 the the DT cord-016476-78r0rsio 248 23 ACR ACR NNP cord-016476-78r0rsio 248 24 2015 2015 CD cord-016476-78r0rsio 248 25 guidelines guideline NNS cord-016476-78r0rsio 248 26 for for IN cord-016476-78r0rsio 248 27 RA RA NNP cord-016476-78r0rsio 248 28 [ [ -LRB- cord-016476-78r0rsio 248 29 107 107 CD cord-016476-78r0rsio 248 30 ] ] -RRB- cord-016476-78r0rsio 248 31 . . . cord-016476-78r0rsio 249 1 Therefore therefore RB cord-016476-78r0rsio 249 2 given give VBN cord-016476-78r0rsio 249 3 the the DT cord-016476-78r0rsio 249 4 limitations limitation NNS cord-016476-78r0rsio 249 5 of of IN cord-016476-78r0rsio 249 6 spontaneous spontaneous JJ cord-016476-78r0rsio 249 7 pharmacovigilance pharmacovigilance NN cord-016476-78r0rsio 249 8 and and CC cord-016476-78r0rsio 249 9 inconsistent inconsistent JJ cord-016476-78r0rsio 249 10 findings finding NNS cord-016476-78r0rsio 249 11 from from IN cord-016476-78r0rsio 249 12 observational observational JJ cord-016476-78r0rsio 249 13 data datum NNS cord-016476-78r0rsio 249 14 , , , cord-016476-78r0rsio 249 15 more more JJR cord-016476-78r0rsio 249 16 observational observational JJ cord-016476-78r0rsio 249 17 data data NN cord-016476-78r0rsio 249 18 is be VBZ cord-016476-78r0rsio 249 19 required require VBN cord-016476-78r0rsio 249 20 before before IN cord-016476-78r0rsio 249 21 robust robust JJ cord-016476-78r0rsio 249 22 conclusions conclusion NNS cord-016476-78r0rsio 249 23 can can MD cord-016476-78r0rsio 249 24 be be VB cord-016476-78r0rsio 249 25 formed form VBN cord-016476-78r0rsio 249 26 regarding regard VBG cord-016476-78r0rsio 249 27 safety safety NN cord-016476-78r0rsio 249 28 of of IN cord-016476-78r0rsio 249 29 abatacept abatacept NN cord-016476-78r0rsio 249 30 in in IN cord-016476-78r0rsio 249 31 RA RA NNP cord-016476-78r0rsio 249 32 - - HYPH cord-016476-78r0rsio 249 33 ILD ILD NNP cord-016476-78r0rsio 249 34 . . . cord-016476-78r0rsio 250 1 However however RB cord-016476-78r0rsio 250 2 , , , cord-016476-78r0rsio 250 3 there there EX cord-016476-78r0rsio 250 4 may may MD cord-016476-78r0rsio 250 5 be be VB cord-016476-78r0rsio 250 6 a a DT cord-016476-78r0rsio 250 7 role role NN cord-016476-78r0rsio 250 8 for for IN cord-016476-78r0rsio 250 9 abatacept abatacept NNP cord-016476-78r0rsio 250 10 particularly particularly RB cord-016476-78r0rsio 250 11 in in IN cord-016476-78r0rsio 250 12 patients patient NNS cord-016476-78r0rsio 250 13 in in IN cord-016476-78r0rsio 250 14 whom whom WP cord-016476-78r0rsio 250 15 serious serious JJ cord-016476-78r0rsio 250 16 infection infection NN cord-016476-78r0rsio 250 17 is be VBZ cord-016476-78r0rsio 250 18 a a DT cord-016476-78r0rsio 250 19 concern concern NN cord-016476-78r0rsio 250 20 . . . cord-016476-78r0rsio 251 1 Tocilizumab Tocilizumab NNP cord-016476-78r0rsio 251 2 Tocilizumab Tocilizumab NNP cord-016476-78r0rsio 251 3 is be VBZ cord-016476-78r0rsio 251 4 a a DT cord-016476-78r0rsio 251 5 humanised humanised JJ cord-016476-78r0rsio 251 6 monoclonal monoclonal JJ cord-016476-78r0rsio 251 7 antibody antibody NN cord-016476-78r0rsio 251 8 that that WDT cord-016476-78r0rsio 251 9 inhibits inhibit VBZ cord-016476-78r0rsio 251 10 IL-6 IL-6 NNP cord-016476-78r0rsio 251 11 receptor receptor NN cord-016476-78r0rsio 251 12 signalling signal VBG cord-016476-78r0rsio 251 13 through through IN cord-016476-78r0rsio 251 14 its -PRON- PRP$ cord-016476-78r0rsio 251 15 membrane membrane NN cord-016476-78r0rsio 251 16 - - HYPH cord-016476-78r0rsio 251 17 bound bind VBN cord-016476-78r0rsio 251 18 and and CC cord-016476-78r0rsio 251 19 soluble soluble JJ cord-016476-78r0rsio 251 20 forms form NNS cord-016476-78r0rsio 251 21 . . . cord-016476-78r0rsio 252 1 In in IN cord-016476-78r0rsio 252 2 the the DT cord-016476-78r0rsio 252 3 treatment treatment NN cord-016476-78r0rsio 252 4 of of IN cord-016476-78r0rsio 252 5 active active JJ cord-016476-78r0rsio 252 6 joint joint JJ cord-016476-78r0rsio 252 7 disease disease NN cord-016476-78r0rsio 252 8 , , , cord-016476-78r0rsio 252 9 where where WRB cord-016476-78r0rsio 252 10 MTX MTX NNP cord-016476-78r0rsio 252 11 is be VBZ cord-016476-78r0rsio 252 12 contradicted contradict VBN cord-016476-78r0rsio 252 13 or or CC cord-016476-78r0rsio 252 14 not not RB cord-016476-78r0rsio 252 15 tolerated tolerate VBN cord-016476-78r0rsio 252 16 , , , cord-016476-78r0rsio 252 17 tocilizumab tocilizumab NNP cord-016476-78r0rsio 252 18 monotherapy monotherapy NN cord-016476-78r0rsio 252 19 has have VBZ cord-016476-78r0rsio 252 20 been be VBN cord-016476-78r0rsio 252 21 shown show VBN cord-016476-78r0rsio 252 22 to to TO cord-016476-78r0rsio 252 23 be be VB cord-016476-78r0rsio 252 24 as as RB cord-016476-78r0rsio 252 25 effective effective JJ cord-016476-78r0rsio 252 26 as as IN cord-016476-78r0rsio 252 27 combination combination NN cord-016476-78r0rsio 252 28 treatment treatment NN cord-016476-78r0rsio 252 29 with with IN cord-016476-78r0rsio 252 30 MTX MTX NNP cord-016476-78r0rsio 252 31 [ [ -LRB- cord-016476-78r0rsio 252 32 108 108 CD cord-016476-78r0rsio 252 33 , , , cord-016476-78r0rsio 252 34 109 109 CD cord-016476-78r0rsio 252 35 ] ] -RRB- cord-016476-78r0rsio 252 36 . . . cord-016476-78r0rsio 253 1 Given give VBN cord-016476-78r0rsio 253 2 the the DT cord-016476-78r0rsio 253 3 potential potential JJ cord-016476-78r0rsio 253 4 concerns concern NNS cord-016476-78r0rsio 253 5 regarding regard VBG cord-016476-78r0rsio 253 6 the the DT cord-016476-78r0rsio 253 7 respiratory respiratory JJ cord-016476-78r0rsio 253 8 safety safety NN cord-016476-78r0rsio 253 9 profile profile NN cord-016476-78r0rsio 253 10 of of IN cord-016476-78r0rsio 253 11 MTX MTX NNP cord-016476-78r0rsio 253 12 , , , cord-016476-78r0rsio 253 13 there there EX cord-016476-78r0rsio 253 14 may may MD cord-016476-78r0rsio 253 15 be be VB cord-016476-78r0rsio 253 16 a a DT cord-016476-78r0rsio 253 17 preference preference NN cord-016476-78r0rsio 253 18 for for IN cord-016476-78r0rsio 253 19 using use VBG cord-016476-78r0rsio 253 20 this this DT cord-016476-78r0rsio 253 21 drug drug NN cord-016476-78r0rsio 253 22 over over IN cord-016476-78r0rsio 253 23 other other JJ cord-016476-78r0rsio 253 24 biologics biologic NNS cord-016476-78r0rsio 253 25 in in IN cord-016476-78r0rsio 253 26 RA RA NNP cord-016476-78r0rsio 253 27 - - HYPH cord-016476-78r0rsio 253 28 ILD ILD NNP cord-016476-78r0rsio 253 29 by by IN cord-016476-78r0rsio 253 30 some some DT cord-016476-78r0rsio 253 31 physicians physician NNS cord-016476-78r0rsio 253 32 . . . cord-016476-78r0rsio 254 1 Experimental experimental JJ cord-016476-78r0rsio 254 2 work work NN cord-016476-78r0rsio 254 3 has have VBZ cord-016476-78r0rsio 254 4 demonstrated demonstrate VBN cord-016476-78r0rsio 254 5 profibrotic profibrotic JJ cord-016476-78r0rsio 254 6 effects effect NNS cord-016476-78r0rsio 254 7 of of IN cord-016476-78r0rsio 254 8 IL-6 IL-6 NNP cord-016476-78r0rsio 254 9 on on IN cord-016476-78r0rsio 254 10 lung lung NN cord-016476-78r0rsio 254 11 fibroblasts fibroblast NNS cord-016476-78r0rsio 254 12 , , , cord-016476-78r0rsio 254 13 which which WDT cord-016476-78r0rsio 254 14 may may MD cord-016476-78r0rsio 254 15 have have VB cord-016476-78r0rsio 254 16 the the DT cord-016476-78r0rsio 254 17 potential potential NN cord-016476-78r0rsio 254 18 to to TO cord-016476-78r0rsio 254 19 be be VB cord-016476-78r0rsio 254 20 antagonised antagonise VBN cord-016476-78r0rsio 254 21 by by IN cord-016476-78r0rsio 254 22 blocking block VBG cord-016476-78r0rsio 254 23 the the DT cord-016476-78r0rsio 254 24 IL-6/ IL-6/ NNP cord-016476-78r0rsio 254 25 IL-6 IL-6 NNP cord-016476-78r0rsio 254 26 receptor receptor NN cord-016476-78r0rsio 254 27 pathway pathway NN cord-016476-78r0rsio 254 28 , , , cord-016476-78r0rsio 254 29 suggesting suggest VBG cord-016476-78r0rsio 254 30 a a DT cord-016476-78r0rsio 254 31 potential potential JJ cord-016476-78r0rsio 254 32 benefit benefit NN cord-016476-78r0rsio 254 33 of of IN cord-016476-78r0rsio 254 34 tocilizumab tocilizumab NN cord-016476-78r0rsio 254 35 in in IN cord-016476-78r0rsio 254 36 RA RA NNP cord-016476-78r0rsio 254 37 - - HYPH cord-016476-78r0rsio 254 38 ILD ILD NNP cord-016476-78r0rsio 254 39 [ [ -LRB- cord-016476-78r0rsio 254 40 110 110 CD cord-016476-78r0rsio 254 41 ] ] -RRB- cord-016476-78r0rsio 254 42 . . . cord-016476-78r0rsio 255 1 However however RB cord-016476-78r0rsio 255 2 , , , cord-016476-78r0rsio 255 3 clinical clinical JJ cord-016476-78r0rsio 255 4 data datum NNS cord-016476-78r0rsio 255 5 on on IN cord-016476-78r0rsio 255 6 the the DT cord-016476-78r0rsio 255 7 use use NN cord-016476-78r0rsio 255 8 of of IN cord-016476-78r0rsio 255 9 tocilizumab tocilizumab NNP cord-016476-78r0rsio 255 10 in in IN cord-016476-78r0rsio 255 11 pre pre JJ cord-016476-78r0rsio 255 12 - - JJ cord-016476-78r0rsio 255 13 existing existing JJ cord-016476-78r0rsio 255 14 RA RA NNP cord-016476-78r0rsio 255 15 - - HYPH cord-016476-78r0rsio 255 16 ILD ILD NNP cord-016476-78r0rsio 255 17 is be VBZ cord-016476-78r0rsio 255 18 sparse sparse JJ cord-016476-78r0rsio 255 19 and and CC cord-016476-78r0rsio 255 20 inconclusive inconclusive JJ cord-016476-78r0rsio 255 21 . . . cord-016476-78r0rsio 256 1 Unlike unlike IN cord-016476-78r0rsio 256 2 other other JJ cord-016476-78r0rsio 256 3 biologics biologic NNS cord-016476-78r0rsio 256 4 , , , cord-016476-78r0rsio 256 5 early early JJ cord-016476-78r0rsio 256 6 RCTs rct NNS cord-016476-78r0rsio 256 7 of of IN cord-016476-78r0rsio 256 8 this this DT cord-016476-78r0rsio 256 9 biologic biologic JJ cord-016476-78r0rsio 256 10 agent agent NN cord-016476-78r0rsio 256 11 have have VBP cord-016476-78r0rsio 256 12 raised raise VBN cord-016476-78r0rsio 256 13 some some DT cord-016476-78r0rsio 256 14 concerns concern NNS cord-016476-78r0rsio 256 15 regarding regard VBG cord-016476-78r0rsio 256 16 an an DT cord-016476-78r0rsio 256 17 association association NN cord-016476-78r0rsio 256 18 with with IN cord-016476-78r0rsio 256 19 development development NN cord-016476-78r0rsio 256 20 of of IN cord-016476-78r0rsio 256 21 ILD ILD NNP cord-016476-78r0rsio 256 22 . . . cord-016476-78r0rsio 257 1 A a DT cord-016476-78r0rsio 257 2 single single JJ cord-016476-78r0rsio 257 3 case case NN cord-016476-78r0rsio 257 4 of of IN cord-016476-78r0rsio 257 5 ' ' `` cord-016476-78r0rsio 257 6 allergic allergic JJ cord-016476-78r0rsio 257 7 pneumonitis pneumonitis NN cord-016476-78r0rsio 257 8 ' ' '' cord-016476-78r0rsio 257 9 after after IN cord-016476-78r0rsio 257 10 tocilizumab tocilizumab NNP cord-016476-78r0rsio 257 11 monotherapy monotherapy VBD cord-016476-78r0rsio 257 12 exposure exposure NN cord-016476-78r0rsio 257 13 in in IN cord-016476-78r0rsio 257 14 109 109 CD cord-016476-78r0rsio 257 15 patients patient NNS cord-016476-78r0rsio 257 16 with with IN cord-016476-78r0rsio 257 17 RA RA NNP cord-016476-78r0rsio 257 18 was be VBD cord-016476-78r0rsio 257 19 reported report VBN cord-016476-78r0rsio 257 20 in in IN cord-016476-78r0rsio 257 21 2004 2004 CD cord-016476-78r0rsio 257 22 by by IN cord-016476-78r0rsio 257 23 Nishimoto Nishimoto NNP cord-016476-78r0rsio 257 24 et et NNP cord-016476-78r0rsio 257 25 al al NNP cord-016476-78r0rsio 257 26 . . . cord-016476-78r0rsio 258 1 [ [ -LRB- cord-016476-78r0rsio 258 2 111 111 CD cord-016476-78r0rsio 258 3 ] ] -RRB- cord-016476-78r0rsio 258 4 . . . cord-016476-78r0rsio 259 1 In in IN cord-016476-78r0rsio 259 2 2008 2008 CD cord-016476-78r0rsio 259 3 , , , cord-016476-78r0rsio 259 4 two two CD cord-016476-78r0rsio 259 5 of of IN cord-016476-78r0rsio 259 6 419 419 CD cord-016476-78r0rsio 259 7 patients patient NNS cord-016476-78r0rsio 259 8 treated treat VBN cord-016476-78r0rsio 259 9 with with IN cord-016476-78r0rsio 259 10 tocilizumab tocilizumab NNP cord-016476-78r0rsio 259 11 and and CC cord-016476-78r0rsio 259 12 MTX MTX NNP cord-016476-78r0rsio 259 13 in in IN cord-016476-78r0rsio 259 14 the the DT cord-016476-78r0rsio 259 15 OPTION option NN cord-016476-78r0rsio 259 16 study study NN cord-016476-78r0rsio 259 17 [ [ -LRB- cord-016476-78r0rsio 259 18 112 112 CD cord-016476-78r0rsio 259 19 ] ] -RRB- cord-016476-78r0rsio 259 20 developed develop VBD cord-016476-78r0rsio 259 21 ILD ILD NNP cord-016476-78r0rsio 259 22 at at IN cord-016476-78r0rsio 259 23 weeks week NNS cord-016476-78r0rsio 259 24 9 9 CD cord-016476-78r0rsio 259 25 and and CC cord-016476-78r0rsio 259 26 13 13 CD cord-016476-78r0rsio 259 27 , , , cord-016476-78r0rsio 259 28 with with IN cord-016476-78r0rsio 259 29 a a DT cord-016476-78r0rsio 259 30 further further JJ cord-016476-78r0rsio 259 31 two two CD cord-016476-78r0rsio 259 32 cases case NNS cord-016476-78r0rsio 259 33 of of IN cord-016476-78r0rsio 259 34 ' ' `` cord-016476-78r0rsio 259 35 culture culture NN cord-016476-78r0rsio 259 36 - - HYPH cord-016476-78r0rsio 259 37 negative negative JJ cord-016476-78r0rsio 259 38 pneumonia pneumonia NN cord-016476-78r0rsio 259 39 ' ' '' cord-016476-78r0rsio 259 40 . . . cord-016476-78r0rsio 260 1 A a DT cord-016476-78r0rsio 260 2 similar similar JJ cord-016476-78r0rsio 260 3 case case NN cord-016476-78r0rsio 260 4 was be VBD cord-016476-78r0rsio 260 5 also also RB cord-016476-78r0rsio 260 6 reported report VBN cord-016476-78r0rsio 260 7 in in IN cord-016476-78r0rsio 260 8 the the DT cord-016476-78r0rsio 260 9 SATORI SATORI NNP cord-016476-78r0rsio 260 10 [ [ -LRB- cord-016476-78r0rsio 260 11 113 113 CD cord-016476-78r0rsio 260 12 ] ] -RRB- cord-016476-78r0rsio 260 13 trial trial NN cord-016476-78r0rsio 260 14 , , , cord-016476-78r0rsio 260 15 which which WDT cord-016476-78r0rsio 260 16 included include VBD cord-016476-78r0rsio 260 17 patients patient NNS cord-016476-78r0rsio 260 18 on on IN cord-016476-78r0rsio 260 19 tocilizumab tocilizumab NNP cord-016476-78r0rsio 260 20 monotherapy monotherapy RB cord-016476-78r0rsio 260 21 . . . cord-016476-78r0rsio 261 1 In in IN cord-016476-78r0rsio 261 2 one one CD cord-016476-78r0rsio 261 3 of of IN cord-016476-78r0rsio 261 4 the the DT cord-016476-78r0rsio 261 5 few few JJ cord-016476-78r0rsio 261 6 head head NN cord-016476-78r0rsio 261 7 - - HYPH cord-016476-78r0rsio 261 8 to to IN cord-016476-78r0rsio 261 9 - - HYPH cord-016476-78r0rsio 261 10 head head NN cord-016476-78r0rsio 261 11 biologics biologic NNS cord-016476-78r0rsio 261 12 studies study NNS cord-016476-78r0rsio 261 13 , , , cord-016476-78r0rsio 261 14 the the DT cord-016476-78r0rsio 261 15 2013 2013 CD cord-016476-78r0rsio 261 16 ADACTA ADACTA NNP cord-016476-78r0rsio 261 17 trial trial NN cord-016476-78r0rsio 261 18 compared compare VBD cord-016476-78r0rsio 261 19 tocilizumab tocilizumab NNP cord-016476-78r0rsio 261 20 monotherapy monotherapy VBD cord-016476-78r0rsio 261 21 with with IN cord-016476-78r0rsio 261 22 adalimumab adalimumab NNS cord-016476-78r0rsio 261 23 monotherapy monotherapy IN cord-016476-78r0rsio 261 24 and and CC cord-016476-78r0rsio 261 25 reported report VBD cord-016476-78r0rsio 261 26 two two CD cord-016476-78r0rsio 261 27 deaths death NNS cord-016476-78r0rsio 261 28 in in IN cord-016476-78r0rsio 261 29 the the DT cord-016476-78r0rsio 261 30 tocilizumab tocilizumab NNP cord-016476-78r0rsio 261 31 arm arm NN cord-016476-78r0rsio 261 32 , , , cord-016476-78r0rsio 261 33 one one CD cord-016476-78r0rsio 261 34 of of IN cord-016476-78r0rsio 261 35 which which WDT cord-016476-78r0rsio 261 36 occurred occur VBD cord-016476-78r0rsio 261 37 suddenly suddenly RB cord-016476-78r0rsio 261 38 in in IN cord-016476-78r0rsio 261 39 a a DT cord-016476-78r0rsio 261 40 56-year 56-year JJ cord-016476-78r0rsio 261 41 - - HYPH cord-016476-78r0rsio 261 42 old old JJ cord-016476-78r0rsio 261 43 man man NN cord-016476-78r0rsio 261 44 with with IN cord-016476-78r0rsio 261 45 multiple multiple JJ cord-016476-78r0rsio 261 46 comorbidities comorbiditie NNS cord-016476-78r0rsio 261 47 , , , cord-016476-78r0rsio 261 48 including include VBG cord-016476-78r0rsio 261 49 pre pre JJ cord-016476-78r0rsio 261 50 - - JJ cord-016476-78r0rsio 261 51 existing existing JJ cord-016476-78r0rsio 261 52 ILD ILD NNP cord-016476-78r0rsio 261 53 [ [ -LRB- cord-016476-78r0rsio 261 54 114 114 CD cord-016476-78r0rsio 261 55 ] ] -RRB- cord-016476-78r0rsio 261 56 . . . cord-016476-78r0rsio 262 1 Further further JJ cord-016476-78r0rsio 262 2 deaths death NNS cord-016476-78r0rsio 262 3 due due JJ cord-016476-78r0rsio 262 4 to to IN cord-016476-78r0rsio 262 5 interstitial interstitial JJ cord-016476-78r0rsio 262 6 pneumonitis pneumonitis NN cord-016476-78r0rsio 262 7 have have VBP cord-016476-78r0rsio 262 8 been be VBN cord-016476-78r0rsio 262 9 reported report VBN cord-016476-78r0rsio 262 10 in in IN cord-016476-78r0rsio 262 11 tocilizumabexposed tocilizumabexposed JJ cord-016476-78r0rsio 262 12 arms arm NNS cord-016476-78r0rsio 262 13 in in IN cord-016476-78r0rsio 262 14 recent recent JJ cord-016476-78r0rsio 262 15 trials trial NNS cord-016476-78r0rsio 262 16 such such JJ cord-016476-78r0rsio 262 17 as as IN cord-016476-78r0rsio 262 18 the the DT cord-016476-78r0rsio 262 19 SURPRISE SURPRISE NNP cord-016476-78r0rsio 262 20 ( ( -LRB- cord-016476-78r0rsio 262 21 tocilizumab tocilizumab NNP cord-016476-78r0rsio 262 22 + + CC cord-016476-78r0rsio 262 23 MTX MTX NNP cord-016476-78r0rsio 262 24 arm arm NN cord-016476-78r0rsio 262 25 ) ) -RRB- cord-016476-78r0rsio 262 26 [ [ -LRB- cord-016476-78r0rsio 262 27 109 109 CD cord-016476-78r0rsio 262 28 ] ] -RRB- cord-016476-78r0rsio 262 29 , , , cord-016476-78r0rsio 262 30 as as RB cord-016476-78r0rsio 262 31 well well RB cord-016476-78r0rsio 262 32 as as IN cord-016476-78r0rsio 262 33 the the DT cord-016476-78r0rsio 262 34 SUMMACTA SUMMACTA NNP cord-016476-78r0rsio 262 35 trial trial NN cord-016476-78r0rsio 262 36 , , , cord-016476-78r0rsio 262 37 the the DT cord-016476-78r0rsio 262 38 latter latter JJ cord-016476-78r0rsio 262 39 reporting report VBG cord-016476-78r0rsio 262 40 one one CD cord-016476-78r0rsio 262 41 death death NN cord-016476-78r0rsio 262 42 due due IN cord-016476-78r0rsio 262 43 to to IN cord-016476-78r0rsio 262 44 ILD ILD NNP cord-016476-78r0rsio 262 45 and and CC cord-016476-78r0rsio 262 46 ARDS ARDS NNP cord-016476-78r0rsio 262 47 each each DT cord-016476-78r0rsio 262 48 [ [ -LRB- cord-016476-78r0rsio 262 49 115 115 CD cord-016476-78r0rsio 262 50 ] ] -RRB- cord-016476-78r0rsio 262 51 . . . cord-016476-78r0rsio 263 1 Of of IN cord-016476-78r0rsio 263 2 note note VB cord-016476-78r0rsio 263 3 other other JJ cord-016476-78r0rsio 263 4 anti anti JJ cord-016476-78r0rsio 263 5 - - JJ cord-016476-78r0rsio 263 6 IL-6 il-6 JJ cord-016476-78r0rsio 263 7 drugs drug NNS cord-016476-78r0rsio 263 8 being be VBG cord-016476-78r0rsio 263 9 evaluated evaluate VBN cord-016476-78r0rsio 263 10 for for IN cord-016476-78r0rsio 263 11 RA RA NNP cord-016476-78r0rsio 263 12 , , , cord-016476-78r0rsio 263 13 such such JJ cord-016476-78r0rsio 263 14 as as IN cord-016476-78r0rsio 263 15 sarilumab sarilumab NNP cord-016476-78r0rsio 263 16 ( ( -LRB- cord-016476-78r0rsio 263 17 a a DT cord-016476-78r0rsio 263 18 fully fully RB cord-016476-78r0rsio 263 19 human human JJ cord-016476-78r0rsio 263 20 anti anti JJ cord-016476-78r0rsio 263 21 - - JJ cord-016476-78r0rsio 263 22 IL-6Rα il-6rα JJ cord-016476-78r0rsio 263 23 mAb mAb NNS cord-016476-78r0rsio 263 24 that that WDT cord-016476-78r0rsio 263 25 binds bind VBZ cord-016476-78r0rsio 263 26 membrane membrane NN cord-016476-78r0rsio 263 27 - - HYPH cord-016476-78r0rsio 263 28 bound bind VBN cord-016476-78r0rsio 263 29 and and CC cord-016476-78r0rsio 263 30 soluble soluble JJ cord-016476-78r0rsio 263 31 human human JJ cord-016476-78r0rsio 263 32 IL-6Rα il-6rα CD cord-016476-78r0rsio 263 33 ) ) -RRB- cord-016476-78r0rsio 263 34 , , , cord-016476-78r0rsio 263 35 have have VBP cord-016476-78r0rsio 263 36 also also RB cord-016476-78r0rsio 263 37 reported report VBN cord-016476-78r0rsio 263 38 SRAEs srae NNS cord-016476-78r0rsio 263 39 within within IN cord-016476-78r0rsio 263 40 trials trial NNS cord-016476-78r0rsio 263 41 . . . cord-016476-78r0rsio 264 1 Of of IN cord-016476-78r0rsio 264 2 the the DT cord-016476-78r0rsio 264 3 two two CD cord-016476-78r0rsio 264 4 deaths death NNS cord-016476-78r0rsio 264 5 reported report VBN cord-016476-78r0rsio 264 6 in in IN cord-016476-78r0rsio 264 7 the the DT cord-016476-78r0rsio 264 8 SARIL SARIL NNP cord-016476-78r0rsio 264 9 - - HYPH cord-016476-78r0rsio 264 10 RA RA NNP cord-016476-78r0rsio 264 11 - - HYPH cord-016476-78r0rsio 264 12 MOBILITY MOBILITY NNP cord-016476-78r0rsio 264 13 trial trial NN cord-016476-78r0rsio 264 14 ( ( -LRB- cord-016476-78r0rsio 264 15 sarilumab sarilumab NNP cord-016476-78r0rsio 264 16 + + CC cord-016476-78r0rsio 264 17 MTX MTX NNP cord-016476-78r0rsio 264 18 ) ) -RRB- cord-016476-78r0rsio 264 19 , , , cord-016476-78r0rsio 264 20 one one CD cord-016476-78r0rsio 264 21 was be VBD cord-016476-78r0rsio 264 22 due due JJ cord-016476-78r0rsio 264 23 to to IN cord-016476-78r0rsio 264 24 ARDS ARDS NNP cord-016476-78r0rsio 264 25 ( ( -LRB- cord-016476-78r0rsio 264 26 investigator investigator NN cord-016476-78r0rsio 264 27 felt feel VBD cord-016476-78r0rsio 264 28 was be VBD cord-016476-78r0rsio 264 29 drug drug NN cord-016476-78r0rsio 264 30 - - HYPH cord-016476-78r0rsio 264 31 related relate VBN cord-016476-78r0rsio 264 32 ) ) -RRB- cord-016476-78r0rsio 264 33 [ [ -LRB- cord-016476-78r0rsio 264 34 116 116 CD cord-016476-78r0rsio 264 35 ] ] -RRB- cord-016476-78r0rsio 264 36 . . . cord-016476-78r0rsio 265 1 Within within IN cord-016476-78r0rsio 265 2 the the DT cord-016476-78r0rsio 265 3 phase phase NN cord-016476-78r0rsio 265 4 III iii CD cord-016476-78r0rsio 265 5 study study NN cord-016476-78r0rsio 265 6 published publish VBN cord-016476-78r0rsio 265 7 to to IN cord-016476-78r0rsio 265 8 date date NN cord-016476-78r0rsio 265 9 , , , cord-016476-78r0rsio 265 10 four four CD cord-016476-78r0rsio 265 11 deaths death NNS cord-016476-78r0rsio 265 12 in in IN cord-016476-78r0rsio 265 13 the the DT cord-016476-78r0rsio 265 14 sarilumab sarilumab JJ cord-016476-78r0rsio 265 15 arms arm NNS cord-016476-78r0rsio 265 16 were be VBD cord-016476-78r0rsio 265 17 described describe VBN cord-016476-78r0rsio 265 18 [ [ -LRB- cord-016476-78r0rsio 265 19 117 117 CD cord-016476-78r0rsio 265 20 ] ] -RRB- cord-016476-78r0rsio 265 21 , , , cord-016476-78r0rsio 265 22 one one CD cord-016476-78r0rsio 265 23 due due IN cord-016476-78r0rsio 265 24 to to IN cord-016476-78r0rsio 265 25 unspecified unspecified JJ cord-016476-78r0rsio 265 26 respiratory respiratory JJ cord-016476-78r0rsio 265 27 complications complication NNS cord-016476-78r0rsio 265 28 post post VBP cord-016476-78r0rsio 265 29 surgery surgery NN cord-016476-78r0rsio 265 30 . . . cord-016476-78r0rsio 266 1 Whilst whilst IN cord-016476-78r0rsio 266 2 the the DT cord-016476-78r0rsio 266 3 consequences consequence NNS cord-016476-78r0rsio 266 4 of of IN cord-016476-78r0rsio 266 5 such such JJ cord-016476-78r0rsio 266 6 reports report NNS cord-016476-78r0rsio 266 7 are be VBP cord-016476-78r0rsio 266 8 not not RB cord-016476-78r0rsio 266 9 clear clear JJ cord-016476-78r0rsio 266 10 at at IN cord-016476-78r0rsio 266 11 present present NN cord-016476-78r0rsio 266 12 for for IN cord-016476-78r0rsio 266 13 the the DT cord-016476-78r0rsio 266 14 patient patient NN cord-016476-78r0rsio 266 15 with with IN cord-016476-78r0rsio 266 16 pre pre JJ cord-016476-78r0rsio 266 17 - - JJ cord-016476-78r0rsio 266 18 existing existing JJ cord-016476-78r0rsio 266 19 ILD ILD NNP cord-016476-78r0rsio 266 20 , , , cord-016476-78r0rsio 266 21 such such JJ cord-016476-78r0rsio 266 22 observations observation NNS cord-016476-78r0rsio 266 23 suggest suggest VBP cord-016476-78r0rsio 266 24 the the DT cord-016476-78r0rsio 266 25 need need NN cord-016476-78r0rsio 266 26 for for IN cord-016476-78r0rsio 266 27 alertness alertness NN cord-016476-78r0rsio 266 28 especially especially RB cord-016476-78r0rsio 266 29 since since IN cord-016476-78r0rsio 266 30 most most JJS cord-016476-78r0rsio 266 31 trials trial NNS cord-016476-78r0rsio 266 32 exclude exclude VBP cord-016476-78r0rsio 266 33 patients patient NNS cord-016476-78r0rsio 266 34 with with IN cord-016476-78r0rsio 266 35 multimorbidity multimorbidity NN cord-016476-78r0rsio 266 36 . . . cord-016476-78r0rsio 267 1 Case case NN cord-016476-78r0rsio 267 2 reports report NNS cord-016476-78r0rsio 267 3 have have VBP cord-016476-78r0rsio 267 4 suggested suggest VBN cord-016476-78r0rsio 267 5 an an DT cord-016476-78r0rsio 267 6 association association NN cord-016476-78r0rsio 267 7 between between IN cord-016476-78r0rsio 267 8 incident incident NN cord-016476-78r0rsio 267 9 ILD ILD NNP cord-016476-78r0rsio 267 10 and and CC cord-016476-78r0rsio 267 11 tocilizumab tocilizumab NN cord-016476-78r0rsio 267 12 exposure exposure NN cord-016476-78r0rsio 267 13 in in IN cord-016476-78r0rsio 267 14 patients patient NNS cord-016476-78r0rsio 267 15 on on IN cord-016476-78r0rsio 267 16 a a DT cord-016476-78r0rsio 267 17 concurrent concurrent JJ cord-016476-78r0rsio 267 18 nbDMARDs nbdmards NN cord-016476-78r0rsio 267 19 both both DT cord-016476-78r0rsio 267 20 in in IN cord-016476-78r0rsio 267 21 RA RA NNP cord-016476-78r0rsio 267 22 [ [ -LRB- cord-016476-78r0rsio 267 23 118 118 CD cord-016476-78r0rsio 267 24 ] ] -RRB- cord-016476-78r0rsio 267 25 [ [ -LRB- cord-016476-78r0rsio 267 26 119 119 CD cord-016476-78r0rsio 267 27 ] ] -RRB- cord-016476-78r0rsio 267 28 [ [ -LRB- cord-016476-78r0rsio 267 29 120 120 CD cord-016476-78r0rsio 267 30 ] ] -RRB- cord-016476-78r0rsio 267 31 and and CC cord-016476-78r0rsio 267 32 adult adult NN cord-016476-78r0rsio 267 33 - - HYPH cord-016476-78r0rsio 267 34 onset onset NN cord-016476-78r0rsio 268 1 Still still RB cord-016476-78r0rsio 268 2 's 's POS cord-016476-78r0rsio 268 3 disease disease NN cord-016476-78r0rsio 268 4 [ [ -LRB- cord-016476-78r0rsio 268 5 121 121 CD cord-016476-78r0rsio 268 6 ] ] -RRB- cord-016476-78r0rsio 268 7 . . . cord-016476-78r0rsio 269 1 Spontaneous spontaneous JJ cord-016476-78r0rsio 269 2 pharmacovigilance pharmacovigilance NN cord-016476-78r0rsio 269 3 figures figure NNS cord-016476-78r0rsio 269 4 from from IN cord-016476-78r0rsio 269 5 the the DT cord-016476-78r0rsio 269 6 UK UK NNP cord-016476-78r0rsio 269 7 have have VBP cord-016476-78r0rsio 269 8 reported report VBN cord-016476-78r0rsio 269 9 five five CD cord-016476-78r0rsio 269 10 deaths death NNS cord-016476-78r0rsio 269 11 due due JJ cord-016476-78r0rsio 269 12 to to IN cord-016476-78r0rsio 269 13 SRAEs srae NNS cord-016476-78r0rsio 269 14 in in IN cord-016476-78r0rsio 269 15 tocilizumab tocilizumab NN cord-016476-78r0rsio 269 16 - - HYPH cord-016476-78r0rsio 269 17 exposed expose VBN cord-016476-78r0rsio 269 18 patients patient NNS cord-016476-78r0rsio 269 19 to to IN cord-016476-78r0rsio 269 20 date date NN cord-016476-78r0rsio 269 21 , , , cord-016476-78r0rsio 269 22 four four CD cord-016476-78r0rsio 269 23 due due JJ cord-016476-78r0rsio 269 24 to to IN cord-016476-78r0rsio 269 25 ILD ILD NNP cord-016476-78r0rsio 269 26 and and CC cord-016476-78r0rsio 269 27 one one CD cord-016476-78r0rsio 269 28 secondary secondary JJ cord-016476-78r0rsio 269 29 to to IN cord-016476-78r0rsio 269 30 ARDS ARDS NNP cord-016476-78r0rsio 269 31 ( ( -LRB- cord-016476-78r0rsio 269 32 Table table NN cord-016476-78r0rsio 269 33 9 9 CD cord-016476-78r0rsio 269 34 .2 .2 CD cord-016476-78r0rsio 269 35 ) ) -RRB- cord-016476-78r0rsio 269 36 . . . cord-016476-78r0rsio 270 1 Whilst whilst IN cord-016476-78r0rsio 270 2 the the DT cord-016476-78r0rsio 270 3 total total JJ cord-016476-78r0rsio 270 4 number number NN cord-016476-78r0rsio 270 5 of of IN cord-016476-78r0rsio 270 6 patients patient NNS cord-016476-78r0rsio 270 7 exposed expose VBN cord-016476-78r0rsio 270 8 to to IN cord-016476-78r0rsio 270 9 treatment treatment NN cord-016476-78r0rsio 270 10 ( ( -LRB- cord-016476-78r0rsio 270 11 denominator denominator NN cord-016476-78r0rsio 270 12 ) ) -RRB- cord-016476-78r0rsio 270 13 is be VBZ cord-016476-78r0rsio 270 14 not not RB cord-016476-78r0rsio 270 15 available available JJ cord-016476-78r0rsio 270 16 , , , cord-016476-78r0rsio 270 17 cautious cautious JJ cord-016476-78r0rsio 270 18 comparison comparison NN cord-016476-78r0rsio 270 19 of of IN cord-016476-78r0rsio 270 20 these these DT cord-016476-78r0rsio 270 21 figures figure NNS cord-016476-78r0rsio 270 22 with with IN cord-016476-78r0rsio 270 23 abatacept abatacept NNP cord-016476-78r0rsio 270 24 , , , cord-016476-78r0rsio 270 25 which which WDT cord-016476-78r0rsio 270 26 was be VBD cord-016476-78r0rsio 270 27 approved approve VBN cord-016476-78r0rsio 270 28 earlier early RBR cord-016476-78r0rsio 270 29 than than IN cord-016476-78r0rsio 270 30 tocilizumab tocilizumab NNS cord-016476-78r0rsio 270 31 by by IN cord-016476-78r0rsio 270 32 FDA FDA NNP cord-016476-78r0rsio 270 33 and and CC cord-016476-78r0rsio 270 34 EMA EMA NNP cord-016476-78r0rsio 270 35 , , , cord-016476-78r0rsio 270 36 is be VBZ cord-016476-78r0rsio 270 37 of of IN cord-016476-78r0rsio 270 38 interest interest NN cord-016476-78r0rsio 270 39 . . . cord-016476-78r0rsio 271 1 Furthermore furthermore RB cord-016476-78r0rsio 271 2 , , , cord-016476-78r0rsio 271 3 the the DT cord-016476-78r0rsio 271 4 REACTION reaction NN cord-016476-78r0rsio 271 5 study study NN cord-016476-78r0rsio 271 6 , , , cord-016476-78r0rsio 271 7 a a DT cord-016476-78r0rsio 271 8 retrospective retrospective JJ cord-016476-78r0rsio 271 9 study study NN cord-016476-78r0rsio 271 10 of of IN cord-016476-78r0rsio 271 11 229 229 CD cord-016476-78r0rsio 271 12 tocilizumabexposed tocilizumabexpose VBN cord-016476-78r0rsio 271 13 patients patient NNS cord-016476-78r0rsio 271 14 with with IN cord-016476-78r0rsio 271 15 RA RA NNP cord-016476-78r0rsio 271 16 in in IN cord-016476-78r0rsio 271 17 Japan Japan NNP cord-016476-78r0rsio 271 18 , , , cord-016476-78r0rsio 271 19 reported report VBD cord-016476-78r0rsio 271 20 interstitial interstitial JJ cord-016476-78r0rsio 271 21 pneumonia pneumonia NN cord-016476-78r0rsio 271 22 in in IN cord-016476-78r0rsio 271 23 two two CD cord-016476-78r0rsio 271 24 of of IN cord-016476-78r0rsio 271 25 the the DT cord-016476-78r0rsio 271 26 229 229 CD cord-016476-78r0rsio 271 27 patients patient NNS cord-016476-78r0rsio 271 28 followed follow VBD cord-016476-78r0rsio 271 29 up up RP cord-016476-78r0rsio 271 30 over over IN cord-016476-78r0rsio 271 31 6 6 CD cord-016476-78r0rsio 271 32 months month NNS cord-016476-78r0rsio 271 33 and and CC cord-016476-78r0rsio 271 34 an an DT cord-016476-78r0rsio 271 35 additional additional JJ cord-016476-78r0rsio 271 36 six six CD cord-016476-78r0rsio 271 37 discontinuations discontinuation NNS cord-016476-78r0rsio 271 38 for for IN cord-016476-78r0rsio 271 39 pneumonia pneumonia NN cord-016476-78r0rsio 271 40 ( ( -LRB- cord-016476-78r0rsio 271 41 presumed presume VBN cord-016476-78r0rsio 271 42 infective infective NN cord-016476-78r0rsio 271 43 ) ) -RRB- cord-016476-78r0rsio 271 44 , , , cord-016476-78r0rsio 271 45 raising raise VBG cord-016476-78r0rsio 271 46 further further JJ cord-016476-78r0rsio 271 47 concerns concern NNS cord-016476-78r0rsio 271 48 of of IN cord-016476-78r0rsio 271 49 pulmonary pulmonary JJ cord-016476-78r0rsio 271 50 toxicity toxicity NN cord-016476-78r0rsio 271 51 in in IN cord-016476-78r0rsio 271 52 this this DT cord-016476-78r0rsio 271 53 population population NN cord-016476-78r0rsio 271 54 . . . cord-016476-78r0rsio 272 1 RA RA NNP cord-016476-78r0rsio 272 2 - - HYPH cord-016476-78r0rsio 272 3 ILD ILD NNP cord-016476-78r0rsio 272 4 was be VBD cord-016476-78r0rsio 272 5 found find VBN cord-016476-78r0rsio 272 6 to to TO cord-016476-78r0rsio 272 7 have have VB cord-016476-78r0rsio 272 8 improved improve VBN cord-016476-78r0rsio 272 9 in in IN cord-016476-78r0rsio 272 10 one one CD cord-016476-78r0rsio 272 11 patient patient NN cord-016476-78r0rsio 272 12 with with IN cord-016476-78r0rsio 272 13 pre pre JJ cord-016476-78r0rsio 272 14 - - JJ cord-016476-78r0rsio 272 15 existing existing JJ cord-016476-78r0rsio 272 16 RA RA NNP cord-016476-78r0rsio 272 17 - - HYPH cord-016476-78r0rsio 272 18 ILD ILD NNP cord-016476-78r0rsio 272 19 within within IN cord-016476-78r0rsio 272 20 16 16 CD cord-016476-78r0rsio 272 21 weeks week NNS cord-016476-78r0rsio 272 22 after after IN cord-016476-78r0rsio 272 23 administration administration NN cord-016476-78r0rsio 272 24 of of IN cord-016476-78r0rsio 272 25 tocilizumab tocilizumab NNP cord-016476-78r0rsio 272 26 [ [ -LRB- cord-016476-78r0rsio 272 27 122 122 CD cord-016476-78r0rsio 272 28 ] ] -RRB- cord-016476-78r0rsio 272 29 , , , cord-016476-78r0rsio 272 30 whereas whereas IN cord-016476-78r0rsio 272 31 another another DT cord-016476-78r0rsio 272 32 patient patient NN cord-016476-78r0rsio 272 33 with with IN cord-016476-78r0rsio 272 34 biopsy biopsy NN cord-016476-78r0rsio 272 35 - - HYPH cord-016476-78r0rsio 272 36 proven prove VBN cord-016476-78r0rsio 272 37 UIP UIP NNP cord-016476-78r0rsio 272 38 and and CC cord-016476-78r0rsio 272 39 emphysema emphysema NN cord-016476-78r0rsio 272 40 developed develop VBD cord-016476-78r0rsio 272 41 a a DT cord-016476-78r0rsio 272 42 fatal fatal JJ cord-016476-78r0rsio 272 43 exacerbation exacerbation NN cord-016476-78r0rsio 272 44 of of IN cord-016476-78r0rsio 272 45 ILD ILD NNP cord-016476-78r0rsio 272 46 after after IN cord-016476-78r0rsio 272 47 treatment treatment NN cord-016476-78r0rsio 272 48 with with IN cord-016476-78r0rsio 272 49 tocilizumab tocilizumab NN cord-016476-78r0rsio 272 50 [ [ -LRB- cord-016476-78r0rsio 272 51 119 119 CD cord-016476-78r0rsio 272 52 ] ] -RRB- cord-016476-78r0rsio 272 53 . . . cord-016476-78r0rsio 273 1 Of of IN cord-016476-78r0rsio 273 2 the the DT cord-016476-78r0rsio 273 3 23 23 CD cord-016476-78r0rsio 273 4 ILD ILD NNP cord-016476-78r0rsio 273 5 events event NNS cord-016476-78r0rsio 273 6 reported report VBN cord-016476-78r0rsio 273 7 in in IN cord-016476-78r0rsio 273 8 3881 3881 CD cord-016476-78r0rsio 273 9 patients patient NNS cord-016476-78r0rsio 273 10 who who WP cord-016476-78r0rsio 273 11 received receive VBD cord-016476-78r0rsio 273 12 tocilizumab tocilizumab NNP cord-016476-78r0rsio 273 13 every every DT cord-016476-78r0rsio 273 14 4 4 CD cord-016476-78r0rsio 273 15 weeks week NNS cord-016476-78r0rsio 273 16 over over IN cord-016476-78r0rsio 273 17 28 28 CD cord-016476-78r0rsio 273 18 weeks week NNS cord-016476-78r0rsio 273 19 ( ( -LRB- cord-016476-78r0rsio 273 20 1.28 1.28 CD cord-016476-78r0rsio 273 21 per per IN cord-016476-78r0rsio 273 22 100 100 CD cord-016476-78r0rsio 273 23 patient patient NN cord-016476-78r0rsio 273 24 - - HYPH cord-016476-78r0rsio 273 25 years year NNS cord-016476-78r0rsio 273 26 ) ) -RRB- cord-016476-78r0rsio 273 27 in in IN cord-016476-78r0rsio 273 28 a a DT cord-016476-78r0rsio 273 29 post post JJ cord-016476-78r0rsio 273 30 - - JJ cord-016476-78r0rsio 273 31 marketing marketing JJ cord-016476-78r0rsio 273 32 surveillance surveillance NN cord-016476-78r0rsio 273 33 programme programme NN cord-016476-78r0rsio 273 34 in in IN cord-016476-78r0rsio 273 35 Japan Japan NNP cord-016476-78r0rsio 273 36 , , , cord-016476-78r0rsio 273 37 the the DT cord-016476-78r0rsio 273 38 presence presence NN cord-016476-78r0rsio 273 39 of of IN cord-016476-78r0rsio 273 40 a a DT cord-016476-78r0rsio 273 41 known know VBN cord-016476-78r0rsio 273 42 ILD ILD NNP cord-016476-78r0rsio 273 43 was be VBD cord-016476-78r0rsio 273 44 a a DT cord-016476-78r0rsio 273 45 risk risk NN cord-016476-78r0rsio 273 46 factor factor NN cord-016476-78r0rsio 273 47 for for IN cord-016476-78r0rsio 273 48 acute acute JJ cord-016476-78r0rsio 273 49 presentation presentation NN cord-016476-78r0rsio 273 50 with with IN cord-016476-78r0rsio 273 51 ILD ILD NNP cord-016476-78r0rsio 273 52 exacerbation exacerbation NN cord-016476-78r0rsio 273 53 and and CC cord-016476-78r0rsio 273 54 serious serious JJ cord-016476-78r0rsio 273 55 infections infection NNS cord-016476-78r0rsio 273 56 [ [ -LRB- cord-016476-78r0rsio 273 57 123 123 CD cord-016476-78r0rsio 273 58 ] ] -RRB- cord-016476-78r0rsio 273 59 . . . cord-016476-78r0rsio 274 1 Recent recent JJ cord-016476-78r0rsio 274 2 small small JJ cord-016476-78r0rsio 274 3 retrospective retrospective JJ cord-016476-78r0rsio 274 4 observational observational JJ cord-016476-78r0rsio 274 5 studies study NNS cord-016476-78r0rsio 274 6 demonstrate demonstrate VBP cord-016476-78r0rsio 274 7 limited limited JJ cord-016476-78r0rsio 274 8 reassurance reassurance NN cord-016476-78r0rsio 274 9 . . . cord-016476-78r0rsio 275 1 In in IN cord-016476-78r0rsio 275 2 the the DT cord-016476-78r0rsio 275 3 nine nine CD cord-016476-78r0rsio 275 4 patients patient NNS cord-016476-78r0rsio 275 5 with with IN cord-016476-78r0rsio 275 6 RA RA NNP cord-016476-78r0rsio 275 7 - - HYPH cord-016476-78r0rsio 275 8 ILD ILD NNP cord-016476-78r0rsio 275 9 selected select VBN cord-016476-78r0rsio 275 10 to to TO cord-016476-78r0rsio 275 11 receive receive VB cord-016476-78r0rsio 275 12 tocilizumab tocilizumab JJ cord-016476-78r0rsio 275 13 treatment treatment NN cord-016476-78r0rsio 275 14 over over IN cord-016476-78r0rsio 275 15 1 1 CD cord-016476-78r0rsio 275 16 year year NN cord-016476-78r0rsio 275 17 in in IN cord-016476-78r0rsio 275 18 the the DT cord-016476-78r0rsio 275 19 Nakashita Nakashita NNP cord-016476-78r0rsio 275 20 et et NNP cord-016476-78r0rsio 275 21 al al NNP cord-016476-78r0rsio 275 22 . . . cord-016476-78r0rsio 276 1 study study VB cord-016476-78r0rsio 276 2 [ [ -LRB- cord-016476-78r0rsio 276 3 82 82 CD cord-016476-78r0rsio 276 4 ] ] -RRB- cord-016476-78r0rsio 276 5 , , . cord-016476-78r0rsio 277 1 no no DT cord-016476-78r0rsio 277 2 patients patient NNS cord-016476-78r0rsio 277 3 were be VBD cord-016476-78r0rsio 277 4 reported report VBN cord-016476-78r0rsio 277 5 to to TO cord-016476-78r0rsio 277 6 have have VB cord-016476-78r0rsio 277 7 an an DT cord-016476-78r0rsio 277 8 ILD ILD NNP cord-016476-78r0rsio 277 9 exacerbation exacerbation NN cord-016476-78r0rsio 277 10 . . . cord-016476-78r0rsio 278 1 However however RB cord-016476-78r0rsio 278 2 patients patient NNS cord-016476-78r0rsio 278 3 who who WP cord-016476-78r0rsio 278 4 did do VBD cord-016476-78r0rsio 278 5 not not RB cord-016476-78r0rsio 278 6 complete complete VB cord-016476-78r0rsio 278 7 at at RB cord-016476-78r0rsio 278 8 least least RBS cord-016476-78r0rsio 278 9 1 1 CD cord-016476-78r0rsio 278 10 year year NN cord-016476-78r0rsio 278 11 of of IN cord-016476-78r0rsio 278 12 follow follow NN cord-016476-78r0rsio 278 13 - - HYPH cord-016476-78r0rsio 278 14 up up NN cord-016476-78r0rsio 278 15 lacked lack VBD cord-016476-78r0rsio 278 16 imaging imaging NN cord-016476-78r0rsio 278 17 data datum NNS cord-016476-78r0rsio 278 18 or or CC cord-016476-78r0rsio 278 19 discontinued discontinue VBN cord-016476-78r0rsio 278 20 treatment treatment NN cord-016476-78r0rsio 278 21 because because IN cord-016476-78r0rsio 278 22 infections infection NNS cord-016476-78r0rsio 278 23 were be VBD cord-016476-78r0rsio 278 24 excluded exclude VBN cord-016476-78r0rsio 278 25 from from IN cord-016476-78r0rsio 278 26 the the DT cord-016476-78r0rsio 278 27 study study NN cord-016476-78r0rsio 278 28 leading lead VBG cord-016476-78r0rsio 278 29 to to IN cord-016476-78r0rsio 278 30 a a DT cord-016476-78r0rsio 278 31 likely likely JJ cord-016476-78r0rsio 278 32 selection selection NN cord-016476-78r0rsio 278 33 bias bias NN cord-016476-78r0rsio 278 34 of of IN cord-016476-78r0rsio 278 35 reported report VBN cord-016476-78r0rsio 278 36 outcomes outcome NNS cord-016476-78r0rsio 278 37 . . . cord-016476-78r0rsio 279 1 In in IN cord-016476-78r0rsio 279 2 a a DT cord-016476-78r0rsio 279 3 retrospective retrospective JJ cord-016476-78r0rsio 279 4 case case NN cord-016476-78r0rsio 279 5 - - HYPH cord-016476-78r0rsio 279 6 control control NN cord-016476-78r0rsio 279 7 study study NN cord-016476-78r0rsio 279 8 in in IN cord-016476-78r0rsio 279 9 RA RA NNP cord-016476-78r0rsio 279 10 , , , cord-016476-78r0rsio 279 11 patients patient NNS cord-016476-78r0rsio 279 12 were be VBD cord-016476-78r0rsio 279 13 stratified stratify VBN cord-016476-78r0rsio 279 14 according accord VBG cord-016476-78r0rsio 279 15 to to IN cord-016476-78r0rsio 279 16 the the DT cord-016476-78r0rsio 279 17 presence presence NN cord-016476-78r0rsio 279 18 of of IN cord-016476-78r0rsio 279 19 baseline baseline JJ cord-016476-78r0rsio 279 20 RA RA NNP cord-016476-78r0rsio 279 21 - - HYPH cord-016476-78r0rsio 279 22 ILD ILD NNP cord-016476-78r0rsio 279 23 ( ( -LRB- cord-016476-78r0rsio 279 24 n n NN cord-016476-78r0rsio 279 25 = = SYM cord-016476-78r0rsio 279 26 78 78 CD cord-016476-78r0rsio 279 27 ) ) -RRB- cord-016476-78r0rsio 279 28 or or CC cord-016476-78r0rsio 279 29 without without IN cord-016476-78r0rsio 279 30 ( ( -LRB- cord-016476-78r0rsio 279 31 n n NN cord-016476-78r0rsio 279 32 = = SYM cord-016476-78r0rsio 279 33 317 317 CD cord-016476-78r0rsio 279 34 ) ) -RRB- cord-016476-78r0rsio 279 35 [ [ -LRB- cord-016476-78r0rsio 279 36 124 124 CD cord-016476-78r0rsio 279 37 ] ] -RRB- cord-016476-78r0rsio 279 38 . . . cord-016476-78r0rsio 280 1 During during IN cord-016476-78r0rsio 280 2 observation observation NN cord-016476-78r0rsio 280 3 period period NN cord-016476-78r0rsio 280 4 of of IN cord-016476-78r0rsio 280 5 148.8 148.8 CD cord-016476-78r0rsio 280 6 patient patient NN cord-016476-78r0rsio 280 7 - - HYPH cord-016476-78r0rsio 280 8 years year NNS cord-016476-78r0rsio 280 9 and and CC cord-016476-78r0rsio 280 10 629.7 629.7 CD cord-016476-78r0rsio 280 11 patient patient NN cord-016476-78r0rsio 280 12 - - HYPH cord-016476-78r0rsio 280 13 years year NNS cord-016476-78r0rsio 280 14 for for IN cord-016476-78r0rsio 280 15 the the DT cord-016476-78r0rsio 280 16 RA RA NNP cord-016476-78r0rsio 280 17 - - HYPH cord-016476-78r0rsio 280 18 ILD ILD NNP cord-016476-78r0rsio 280 19 and and CC cord-016476-78r0rsio 280 20 non non JJ cord-016476-78r0rsio 280 21 - - JJ cord-016476-78r0rsio 280 22 ILD ILD NNP cord-016476-78r0rsio 280 23 groups group NNS cord-016476-78r0rsio 280 24 , , , cord-016476-78r0rsio 280 25 respectively respectively RB cord-016476-78r0rsio 280 26 , , , cord-016476-78r0rsio 280 27 six six CD cord-016476-78r0rsio 280 28 patients patient NNS cord-016476-78r0rsio 280 29 developed develop VBD cord-016476-78r0rsio 280 30 an an DT cord-016476-78r0rsio 280 31 acute acute JJ cord-016476-78r0rsio 280 32 exacerbation exacerbation NN cord-016476-78r0rsio 280 33 in in IN cord-016476-78r0rsio 280 34 the the DT cord-016476-78r0rsio 280 35 RA RA NNP cord-016476-78r0rsio 280 36 - - HYPH cord-016476-78r0rsio 280 37 ILD ILD NNP cord-016476-78r0rsio 280 38 group group NN cord-016476-78r0rsio 280 39 ( ( -LRB- cord-016476-78r0rsio 280 40 none none NN cord-016476-78r0rsio 280 41 in in IN cord-016476-78r0rsio 280 42 the the DT cord-016476-78r0rsio 280 43 non non JJ cord-016476-78r0rsio 280 44 - - JJ cord-016476-78r0rsio 280 45 ILD ILD NNP cord-016476-78r0rsio 280 46 group group NN cord-016476-78r0rsio 280 47 ) ) -RRB- cord-016476-78r0rsio 280 48 . . . cord-016476-78r0rsio 281 1 Interesting interest VBG cord-016476-78r0rsio 281 2 all all PDT cord-016476-78r0rsio 281 3 the the DT cord-016476-78r0rsio 281 4 patients patient NNS cord-016476-78r0rsio 281 5 who who WP cord-016476-78r0rsio 281 6 developed develop VBD cord-016476-78r0rsio 281 7 an an DT cord-016476-78r0rsio 281 8 exacerbation exacerbation NN cord-016476-78r0rsio 281 9 of of IN cord-016476-78r0rsio 281 10 ILD ILD NNP cord-016476-78r0rsio 281 11 were be VBD cord-016476-78r0rsio 281 12 on on IN cord-016476-78r0rsio 281 13 tocilizumab tocilizumab NNP cord-016476-78r0rsio 281 14 monotherapy monotherapy NN cord-016476-78r0rsio 281 15 , , , cord-016476-78r0rsio 281 16 and and CC cord-016476-78r0rsio 281 17 there there EX cord-016476-78r0rsio 281 18 was be VBD cord-016476-78r0rsio 281 19 a a DT cord-016476-78r0rsio 281 20 suggestion suggestion NN cord-016476-78r0rsio 281 21 that that IN cord-016476-78r0rsio 281 22 all all DT cord-016476-78r0rsio 281 23 patients patient NNS cord-016476-78r0rsio 281 24 who who WP cord-016476-78r0rsio 281 25 developed develop VBD cord-016476-78r0rsio 281 26 an an DT cord-016476-78r0rsio 281 27 exacerbation exacerbation NN cord-016476-78r0rsio 281 28 had have VBD cord-016476-78r0rsio 281 29 more more RBR cord-016476-78r0rsio 281 30 uncontrolled uncontrolled JJ cord-016476-78r0rsio 281 31 articular articular JJ cord-016476-78r0rsio 281 32 disease disease NN cord-016476-78r0rsio 281 33 that that WDT cord-016476-78r0rsio 281 34 may may MD cord-016476-78r0rsio 281 35 in in IN cord-016476-78r0rsio 281 36 turn turn NN cord-016476-78r0rsio 281 37 be be VB cord-016476-78r0rsio 281 38 associated associate VBN cord-016476-78r0rsio 281 39 with with IN cord-016476-78r0rsio 281 40 the the DT cord-016476-78r0rsio 281 41 outcome outcome NN cord-016476-78r0rsio 281 42 [ [ -LRB- cord-016476-78r0rsio 281 43 124 124 CD cord-016476-78r0rsio 281 44 ] ] -RRB- cord-016476-78r0rsio 281 45 . . . cord-016476-78r0rsio 282 1 The the DT cord-016476-78r0rsio 282 2 administrative administrative JJ cord-016476-78r0rsio 282 3 data data NN cord-016476-78r0rsio 282 4 study study NN cord-016476-78r0rsio 282 5 by by IN cord-016476-78r0rsio 282 6 Curtis Curtis NNP cord-016476-78r0rsio 282 7 et et NNP cord-016476-78r0rsio 282 8 al al NNP cord-016476-78r0rsio 282 9 . . NNP cord-016476-78r0rsio 282 10 concluded conclude VBD cord-016476-78r0rsio 282 11 no no DT cord-016476-78r0rsio 282 12 significant significant JJ cord-016476-78r0rsio 282 13 differences difference NNS cord-016476-78r0rsio 282 14 between between IN cord-016476-78r0rsio 282 15 tocilizumab tocilizumab NNP cord-016476-78r0rsio 282 16 and and CC cord-016476-78r0rsio 282 17 other other JJ cord-016476-78r0rsio 282 18 biologic biologic JJ cord-016476-78r0rsio 282 19 drugs drug NNS cord-016476-78r0rsio 282 20 in in IN cord-016476-78r0rsio 282 21 the the DT cord-016476-78r0rsio 282 22 risk risk NN cord-016476-78r0rsio 282 23 of of IN cord-016476-78r0rsio 282 24 ILD ILD NNP cord-016476-78r0rsio 282 25 or or CC cord-016476-78r0rsio 282 26 its -PRON- PRP$ cord-016476-78r0rsio 282 27 exacerbation exacerbation NN cord-016476-78r0rsio 282 28 [ [ -LRB- cord-016476-78r0rsio 282 29 81 81 CD cord-016476-78r0rsio 282 30 ] ] -RRB- cord-016476-78r0rsio 282 31 . . . cord-016476-78r0rsio 283 1 However however RB cord-016476-78r0rsio 283 2 exacerbation exacerbation NN cord-016476-78r0rsio 283 3 of of IN cord-016476-78r0rsio 283 4 ILD ILD NNP cord-016476-78r0rsio 283 5 can can MD cord-016476-78r0rsio 283 6 be be VB cord-016476-78r0rsio 283 7 difficult difficult JJ cord-016476-78r0rsio 283 8 to to TO cord-016476-78r0rsio 283 9 define define VB cord-016476-78r0rsio 283 10 in in IN cord-016476-78r0rsio 283 11 such such JJ cord-016476-78r0rsio 283 12 databases database NNS cord-016476-78r0rsio 283 13 as as IN cord-016476-78r0rsio 283 14 recognised recognise VBN cord-016476-78r0rsio 283 15 by by IN cord-016476-78r0rsio 283 16 the the DT cord-016476-78r0rsio 283 17 authors author NNS cord-016476-78r0rsio 283 18 . . . cord-016476-78r0rsio 284 1 Hence hence RB cord-016476-78r0rsio 284 2 surrogate surrogate JJ cord-016476-78r0rsio 284 3 measures measure NNS cord-016476-78r0rsio 284 4 such such JJ cord-016476-78r0rsio 284 5 as as IN cord-016476-78r0rsio 284 6 hospitalisations hospitalisation NNS cord-016476-78r0rsio 284 7 for for IN cord-016476-78r0rsio 284 8 ILD ILD NNP cord-016476-78r0rsio 284 9 , , , cord-016476-78r0rsio 284 10 pneumonia pneumonia NN cord-016476-78r0rsio 284 11 or or CC cord-016476-78r0rsio 284 12 lung lung NN cord-016476-78r0rsio 284 13 transplant transplant NN cord-016476-78r0rsio 284 14 were be VBD cord-016476-78r0rsio 284 15 used use VBN cord-016476-78r0rsio 284 16 , , , cord-016476-78r0rsio 284 17 which which WDT cord-016476-78r0rsio 284 18 as as IN cord-016476-78r0rsio 284 19 expected expect VBN cord-016476-78r0rsio 284 20 were be VBD cord-016476-78r0rsio 284 21 observed observe VBN cord-016476-78r0rsio 284 22 infrequently infrequently RB cord-016476-78r0rsio 284 23 and and CC cord-016476-78r0rsio 284 24 capture capture VB cord-016476-78r0rsio 284 25 a a DT cord-016476-78r0rsio 284 26 heterogeneous heterogeneous JJ cord-016476-78r0rsio 284 27 overall overall JJ cord-016476-78r0rsio 284 28 outcome outcome NN cord-016476-78r0rsio 284 29 that that WDT cord-016476-78r0rsio 284 30 includes include VBZ cord-016476-78r0rsio 284 31 infection infection NN cord-016476-78r0rsio 284 32 . . . cord-016476-78r0rsio 285 1 Therefore therefore RB cord-016476-78r0rsio 285 2 , , , cord-016476-78r0rsio 285 3 whilst whilst IN cord-016476-78r0rsio 285 4 current current JJ cord-016476-78r0rsio 285 5 evidence evidence NN cord-016476-78r0rsio 285 6 does do VBZ cord-016476-78r0rsio 285 7 not not RB cord-016476-78r0rsio 285 8 allow allow VB cord-016476-78r0rsio 285 9 robust robust JJ cord-016476-78r0rsio 285 10 conclusions conclusion NNS cord-016476-78r0rsio 285 11 about about IN cord-016476-78r0rsio 285 12 the the DT cord-016476-78r0rsio 285 13 pulmonary pulmonary JJ cord-016476-78r0rsio 285 14 safety safety NN cord-016476-78r0rsio 285 15 of of IN cord-016476-78r0rsio 285 16 tocilizumab tocilizumab NNP cord-016476-78r0rsio 285 17 in in IN cord-016476-78r0rsio 285 18 RA RA NNP cord-016476-78r0rsio 285 19 - - HYPH cord-016476-78r0rsio 285 20 ILD ILD NNP cord-016476-78r0rsio 285 21 , , , cord-016476-78r0rsio 285 22 ongoing ongoing JJ cord-016476-78r0rsio 285 23 vigilance vigilance NN cord-016476-78r0rsio 285 24 is be VBZ cord-016476-78r0rsio 285 25 recommended recommend VBN cord-016476-78r0rsio 285 26 if if IN cord-016476-78r0rsio 285 27 used use VBN cord-016476-78r0rsio 285 28 in in IN cord-016476-78r0rsio 285 29 this this DT cord-016476-78r0rsio 285 30 context context NN cord-016476-78r0rsio 285 31 in in IN cord-016476-78r0rsio 285 32 the the DT cord-016476-78r0rsio 285 33 absence absence NN cord-016476-78r0rsio 285 34 of of IN cord-016476-78r0rsio 285 35 clear clear JJ cord-016476-78r0rsio 285 36 predictors predictor NNS cord-016476-78r0rsio 285 37 of of IN cord-016476-78r0rsio 285 38 ILD ILD NNP cord-016476-78r0rsio 285 39 exacerbation exacerbation NN cord-016476-78r0rsio 285 40 . . . cord-016476-78r0rsio 286 1 Anakinra Anakinra NNP cord-016476-78r0rsio 286 2 is be VBZ cord-016476-78r0rsio 286 3 a a DT cord-016476-78r0rsio 286 4 recombinant recombinant JJ cord-016476-78r0rsio 286 5 IL-1 IL-1 NNP cord-016476-78r0rsio 286 6 antagonist antagonist NN cord-016476-78r0rsio 286 7 , , , cord-016476-78r0rsio 286 8 which which WDT cord-016476-78r0rsio 286 9 binds bind VBZ cord-016476-78r0rsio 286 10 competitively competitively RB cord-016476-78r0rsio 286 11 to to IN cord-016476-78r0rsio 286 12 the the DT cord-016476-78r0rsio 286 13 type type NN cord-016476-78r0rsio 287 1 I -PRON- PRP cord-016476-78r0rsio 287 2 IL-1 IL-1 NNP cord-016476-78r0rsio 287 3 receptor receptor NN cord-016476-78r0rsio 287 4 and and CC cord-016476-78r0rsio 287 5 therefore therefore RB cord-016476-78r0rsio 287 6 acts act VBZ cord-016476-78r0rsio 287 7 as as IN cord-016476-78r0rsio 287 8 a a DT cord-016476-78r0rsio 287 9 competitive competitive JJ cord-016476-78r0rsio 287 10 antagonist antagonist NN cord-016476-78r0rsio 287 11 to to IN cord-016476-78r0rsio 287 12 IL-1 IL-1 NNP cord-016476-78r0rsio 287 13 . . . cord-016476-78r0rsio 288 1 Initial initial JJ cord-016476-78r0rsio 288 2 trials trial NNS cord-016476-78r0rsio 288 3 that that WDT cord-016476-78r0rsio 288 4 supported support VBD cord-016476-78r0rsio 288 5 the the DT cord-016476-78r0rsio 288 6 licensing licensing NN cord-016476-78r0rsio 288 7 in in IN cord-016476-78r0rsio 288 8 RA RA NNP cord-016476-78r0rsio 288 9 did do VBD cord-016476-78r0rsio 288 10 not not RB cord-016476-78r0rsio 288 11 demonstrate demonstrate VB cord-016476-78r0rsio 288 12 a a DT cord-016476-78r0rsio 288 13 signal signal NN cord-016476-78r0rsio 288 14 of of IN cord-016476-78r0rsio 288 15 concern concern NN cord-016476-78r0rsio 288 16 in in IN cord-016476-78r0rsio 288 17 relation relation NN cord-016476-78r0rsio 288 18 to to IN cord-016476-78r0rsio 288 19 incident incident NN cord-016476-78r0rsio 288 20 ILD ILD NNP cord-016476-78r0rsio 288 21 either either CC cord-016476-78r0rsio 288 22 as as IN cord-016476-78r0rsio 288 23 monotherapy monotherapy NN cord-016476-78r0rsio 288 24 [ [ -LRB- cord-016476-78r0rsio 288 25 125 125 CD cord-016476-78r0rsio 288 26 ] ] -RRB- cord-016476-78r0rsio 288 27 [ [ -LRB- cord-016476-78r0rsio 288 28 126 126 CD cord-016476-78r0rsio 288 29 ] ] -RRB- cord-016476-78r0rsio 288 30 [ [ -LRB- cord-016476-78r0rsio 288 31 127 127 CD cord-016476-78r0rsio 288 32 ] ] -RRB- cord-016476-78r0rsio 288 33 or or CC cord-016476-78r0rsio 288 34 in in IN cord-016476-78r0rsio 288 35 combination combination NN cord-016476-78r0rsio 288 36 with with IN cord-016476-78r0rsio 288 37 MTX MTX NNP cord-016476-78r0rsio 288 38 [ [ -LRB- cord-016476-78r0rsio 288 39 128 128 CD cord-016476-78r0rsio 288 40 ] ] -RRB- cord-016476-78r0rsio 288 41 . . . cord-016476-78r0rsio 289 1 Whilst whilst IN cord-016476-78r0rsio 289 2 such such JJ cord-016476-78r0rsio 289 3 data datum NNS cord-016476-78r0rsio 289 4 supported support VBD cord-016476-78r0rsio 289 5 the the DT cord-016476-78r0rsio 289 6 initial initial JJ cord-016476-78r0rsio 289 7 licensing licensing NN cord-016476-78r0rsio 289 8 of of IN cord-016476-78r0rsio 289 9 anakinra anakinra NNP cord-016476-78r0rsio 289 10 in in IN cord-016476-78r0rsio 289 11 RA RA NNP cord-016476-78r0rsio 289 12 , , , cord-016476-78r0rsio 289 13 in in IN cord-016476-78r0rsio 289 14 clinical clinical JJ cord-016476-78r0rsio 289 15 practice practice NN cord-016476-78r0rsio 289 16 , , , cord-016476-78r0rsio 289 17 it -PRON- PRP cord-016476-78r0rsio 289 18 is be VBZ cord-016476-78r0rsio 289 19 not not RB cord-016476-78r0rsio 289 20 widely widely RB cord-016476-78r0rsio 289 21 used use VBN cord-016476-78r0rsio 289 22 in in IN cord-016476-78r0rsio 289 23 RA RA NNP cord-016476-78r0rsio 289 24 for for IN cord-016476-78r0rsio 289 25 active active JJ cord-016476-78r0rsio 289 26 joint joint JJ cord-016476-78r0rsio 289 27 disease disease NN cord-016476-78r0rsio 289 28 as as IN cord-016476-78r0rsio 289 29 it -PRON- PRP cord-016476-78r0rsio 289 30 appears appear VBZ cord-016476-78r0rsio 289 31 less less RBR cord-016476-78r0rsio 289 32 efficacious efficacious JJ cord-016476-78r0rsio 289 33 than than IN cord-016476-78r0rsio 289 34 TNFi tnfi JJ cord-016476-78r0rsio 289 35 agents agent NNS cord-016476-78r0rsio 289 36 and and CC cord-016476-78r0rsio 289 37 of of IN cord-016476-78r0rsio 289 38 no no DT cord-016476-78r0rsio 289 39 additional additional JJ cord-016476-78r0rsio 289 40 value value NN cord-016476-78r0rsio 289 41 in in IN cord-016476-78r0rsio 289 42 early early JJ cord-016476-78r0rsio 289 43 RA RA NNP cord-016476-78r0rsio 289 44 [ [ -LRB- cord-016476-78r0rsio 289 45 129 129 CD cord-016476-78r0rsio 289 46 ] ] -RRB- cord-016476-78r0rsio 289 47 . . . cord-016476-78r0rsio 290 1 Moreover moreover RB cord-016476-78r0rsio 290 2 , , , cord-016476-78r0rsio 290 3 combination combination NN cord-016476-78r0rsio 290 4 of of IN cord-016476-78r0rsio 290 5 anakinra anakinra NNP cord-016476-78r0rsio 290 6 and and CC cord-016476-78r0rsio 290 7 etanercept etanercept NNP cord-016476-78r0rsio 290 8 provided provide VBD cord-016476-78r0rsio 290 9 no no DT cord-016476-78r0rsio 290 10 added add VBN cord-016476-78r0rsio 290 11 benefit benefit NN cord-016476-78r0rsio 290 12 compared compare VBN cord-016476-78r0rsio 290 13 to to IN cord-016476-78r0rsio 290 14 etanercept etanercept NNP cord-016476-78r0rsio 290 15 monotherapy monotherapy NN cord-016476-78r0rsio 290 16 , , , cord-016476-78r0rsio 290 17 and and CC cord-016476-78r0rsio 290 18 indeed indeed RB cord-016476-78r0rsio 290 19 increased increase VBD cord-016476-78r0rsio 290 20 serious serious JJ cord-016476-78r0rsio 290 21 safety safety NN cord-016476-78r0rsio 290 22 concerns concern NNS cord-016476-78r0rsio 290 23 were be VBD cord-016476-78r0rsio 290 24 reported report VBN cord-016476-78r0rsio 290 25 including include VBG cord-016476-78r0rsio 290 26 two two CD cord-016476-78r0rsio 290 27 patients patient NNS cord-016476-78r0rsio 290 28 with with IN cord-016476-78r0rsio 290 29 new new JJ cord-016476-78r0rsio 290 30 ILD ILD NNP cord-016476-78r0rsio 290 31 and and CC cord-016476-78r0rsio 290 32 pneumonitis pneumonitis NN cord-016476-78r0rsio 290 33 in in IN cord-016476-78r0rsio 290 34 the the DT cord-016476-78r0rsio 290 35 combination combination NN cord-016476-78r0rsio 290 36 biologic biologic JJ cord-016476-78r0rsio 290 37 arms arm NNS cord-016476-78r0rsio 290 38 [ [ -LRB- cord-016476-78r0rsio 290 39 130 130 CD cord-016476-78r0rsio 290 40 ] ] -RRB- cord-016476-78r0rsio 290 41 . . . cord-016476-78r0rsio 291 1 There there EX cord-016476-78r0rsio 291 2 are be VBP cord-016476-78r0rsio 291 3 sparse sparse JJ cord-016476-78r0rsio 291 4 reports report NNS cord-016476-78r0rsio 291 5 of of IN cord-016476-78r0rsio 291 6 non non JJ cord-016476-78r0rsio 291 7 - - JJ cord-016476-78r0rsio 291 8 infective infective JJ cord-016476-78r0rsio 291 9 SRAEs srae NNS cord-016476-78r0rsio 291 10 on on IN cord-016476-78r0rsio 291 11 anakinra anakinra NNP cord-016476-78r0rsio 291 12 from from IN cord-016476-78r0rsio 291 13 spontaneous spontaneous JJ cord-016476-78r0rsio 291 14 pharmacovigilance pharmacovigilance NN cord-016476-78r0rsio 291 15 ( ( -LRB- cord-016476-78r0rsio 291 16 Table table NN cord-016476-78r0rsio 291 17 9 9 CD cord-016476-78r0rsio 291 18 .2 .2 CD cord-016476-78r0rsio 291 19 ) ) -RRB- cord-016476-78r0rsio 291 20 , , , cord-016476-78r0rsio 291 21 possibly possibly RB cord-016476-78r0rsio 291 22 reflecting reflect VBG cord-016476-78r0rsio 291 23 fewer few JJR cord-016476-78r0rsio 291 24 exposed expose VBN cord-016476-78r0rsio 291 25 patients patient NNS cord-016476-78r0rsio 291 26 with with IN cord-016476-78r0rsio 291 27 RA RA NNP cord-016476-78r0rsio 291 28 . . . cord-016476-78r0rsio 292 1 Therefore therefore RB cord-016476-78r0rsio 292 2 apart apart RB cord-016476-78r0rsio 292 3 from from IN cord-016476-78r0rsio 292 4 one one CD cord-016476-78r0rsio 292 5 case case NN cord-016476-78r0rsio 292 6 of of IN cord-016476-78r0rsio 292 7 improvement improvement NN cord-016476-78r0rsio 292 8 in in IN cord-016476-78r0rsio 292 9 tocilizumab tocilizumab NN cord-016476-78r0rsio 292 10 - - HYPH cord-016476-78r0rsio 292 11 induced induce VBN cord-016476-78r0rsio 292 12 pneumonitis pneumonitis NN cord-016476-78r0rsio 292 13 following follow VBG cord-016476-78r0rsio 292 14 anakinra anakinra NNP cord-016476-78r0rsio 292 15 in in IN cord-016476-78r0rsio 292 16 a a DT cord-016476-78r0rsio 292 17 patient patient NN cord-016476-78r0rsio 292 18 with with IN cord-016476-78r0rsio 292 19 adult adult NN cord-016476-78r0rsio 292 20 - - HYPH cord-016476-78r0rsio 292 21 onset onset NN cord-016476-78r0rsio 292 22 Still still RB cord-016476-78r0rsio 292 23 's 's POS cord-016476-78r0rsio 292 24 disease disease NN cord-016476-78r0rsio 292 25 [ [ -LRB- cord-016476-78r0rsio 292 26 121 121 CD cord-016476-78r0rsio 292 27 ] ] -RRB- cord-016476-78r0rsio 292 28 , , , cord-016476-78r0rsio 292 29 there there EX cord-016476-78r0rsio 292 30 is be VBZ cord-016476-78r0rsio 292 31 no no DT cord-016476-78r0rsio 292 32 further further JJ cord-016476-78r0rsio 292 33 literature literature NN cord-016476-78r0rsio 292 34 indicative indicative NN cord-016476-78r0rsio 292 35 of of IN cord-016476-78r0rsio 292 36 non non JJ cord-016476-78r0rsio 292 37 - - JJ cord-016476-78r0rsio 292 38 infective infective JJ cord-016476-78r0rsio 292 39 SRAEs srae NNS cord-016476-78r0rsio 292 40 with with IN cord-016476-78r0rsio 292 41 its -PRON- PRP$ cord-016476-78r0rsio 292 42 use use NN cord-016476-78r0rsio 292 43 [ [ -LRB- cord-016476-78r0rsio 292 44 33 33 CD cord-016476-78r0rsio 292 45 ] ] -RRB- cord-016476-78r0rsio 292 46 but but CC cord-016476-78r0rsio 292 47 also also RB cord-016476-78r0rsio 292 48 minimal minimal JJ cord-016476-78r0rsio 292 49 evidence evidence NN cord-016476-78r0rsio 292 50 to to TO cord-016476-78r0rsio 292 51 suggest suggest VB cord-016476-78r0rsio 292 52 a a DT cord-016476-78r0rsio 292 53 potential potential JJ cord-016476-78r0rsio 292 54 beneficial beneficial JJ cord-016476-78r0rsio 292 55 role role NN cord-016476-78r0rsio 292 56 in in IN cord-016476-78r0rsio 292 57 RA RA NNP cord-016476-78r0rsio 292 58 - - HYPH cord-016476-78r0rsio 292 59 ILD ILD NNP cord-016476-78r0rsio 292 60 . . . cord-016476-78r0rsio 293 1 Janus Janus NNP cord-016476-78r0rsio 293 2 kinase kinase NN cord-016476-78r0rsio 293 3 ( ( -LRB- cord-016476-78r0rsio 293 4 JAK JAK NNP cord-016476-78r0rsio 293 5 ) ) -RRB- cord-016476-78r0rsio 293 6 inhibitors inhibitor NNS cord-016476-78r0rsio 293 7 , , , cord-016476-78r0rsio 293 8 such such JJ cord-016476-78r0rsio 293 9 as as IN cord-016476-78r0rsio 293 10 tofacitinib tofacitinib NNP cord-016476-78r0rsio 293 11 and and CC cord-016476-78r0rsio 293 12 baricitinib baricitinib NNP cord-016476-78r0rsio 293 13 , , , cord-016476-78r0rsio 293 14 are be VBP cord-016476-78r0rsio 293 15 synthetic synthetic JJ cord-016476-78r0rsio 293 16 orally orally RB cord-016476-78r0rsio 293 17 administered administer VBN cord-016476-78r0rsio 293 18 compounds compound NNS cord-016476-78r0rsio 293 19 that that WDT cord-016476-78r0rsio 293 20 block block VBP cord-016476-78r0rsio 293 21 JAK JAK NNP cord-016476-78r0rsio 293 22 , , , cord-016476-78r0rsio 293 23 a a DT cord-016476-78r0rsio 293 24 protein protein NN cord-016476-78r0rsio 293 25 that that WDT cord-016476-78r0rsio 293 26 mediates mediate VBZ cord-016476-78r0rsio 293 27 signal signal JJ cord-016476-78r0rsio 293 28 transduction transduction NN cord-016476-78r0rsio 293 29 of of IN cord-016476-78r0rsio 293 30 multiple multiple JJ cord-016476-78r0rsio 293 31 cytokines cytokine NNS cord-016476-78r0rsio 293 32 . . . cord-016476-78r0rsio 294 1 Although although IN cord-016476-78r0rsio 294 2 these these DT cord-016476-78r0rsio 294 3 are be VBP cord-016476-78r0rsio 294 4 not not RB cord-016476-78r0rsio 294 5 biologic biologic JJ cord-016476-78r0rsio 294 6 drugs drug NNS cord-016476-78r0rsio 294 7 , , , cord-016476-78r0rsio 294 8 though though IN cord-016476-78r0rsio 294 9 they -PRON- PRP cord-016476-78r0rsio 294 10 interact interact VBP cord-016476-78r0rsio 294 11 with with IN cord-016476-78r0rsio 294 12 biological biological JJ cord-016476-78r0rsio 294 13 pathways pathway NNS cord-016476-78r0rsio 294 14 , , , cord-016476-78r0rsio 294 15 they -PRON- PRP cord-016476-78r0rsio 294 16 have have VBP cord-016476-78r0rsio 294 17 been be VBN cord-016476-78r0rsio 294 18 classed class VBN cord-016476-78r0rsio 294 19 as as IN cord-016476-78r0rsio 294 20 targeted target VBN cord-016476-78r0rsio 294 21 synthetic synthetic JJ cord-016476-78r0rsio 294 22 DMARDs dmard NNS cord-016476-78r0rsio 294 23 ( ( -LRB- cord-016476-78r0rsio 294 24 tsDMARDs tsdmards NN cord-016476-78r0rsio 294 25 ) ) -RRB- cord-016476-78r0rsio 294 26 for for IN cord-016476-78r0rsio 294 27 use use NN cord-016476-78r0rsio 294 28 in in IN cord-016476-78r0rsio 294 29 moderate moderate JJ cord-016476-78r0rsio 294 30 to to IN cord-016476-78r0rsio 294 31 severe severe JJ cord-016476-78r0rsio 294 32 RA RA NNP cord-016476-78r0rsio 294 33 , , , cord-016476-78r0rsio 294 34 who who WP cord-016476-78r0rsio 294 35 are be VBP cord-016476-78r0rsio 294 36 nonresponders nonresponder NNS cord-016476-78r0rsio 294 37 or or CC cord-016476-78r0rsio 294 38 intolerant intolerant JJ cord-016476-78r0rsio 294 39 to to IN cord-016476-78r0rsio 294 40 MTX MTX NNP cord-016476-78r0rsio 294 41 [ [ -LRB- cord-016476-78r0rsio 294 42 3 3 CD cord-016476-78r0rsio 294 43 , , , cord-016476-78r0rsio 294 44 131 131 CD cord-016476-78r0rsio 294 45 ] ] -RRB- cord-016476-78r0rsio 294 46 . . . cord-016476-78r0rsio 295 1 Tofacitinib Tofacitinib NNP cord-016476-78r0rsio 295 2 has have VBZ cord-016476-78r0rsio 295 3 been be VBN cord-016476-78r0rsio 295 4 approved approve VBN cord-016476-78r0rsio 295 5 in in IN cord-016476-78r0rsio 295 6 several several JJ cord-016476-78r0rsio 295 7 countries country NNS cord-016476-78r0rsio 295 8 , , , cord-016476-78r0rsio 295 9 such such JJ cord-016476-78r0rsio 295 10 as as IN cord-016476-78r0rsio 295 11 in in IN cord-016476-78r0rsio 295 12 the the DT cord-016476-78r0rsio 295 13 USA USA NNP cord-016476-78r0rsio 295 14 , , , cord-016476-78r0rsio 295 15 Latin Latin NNP cord-016476-78r0rsio 295 16 America America NNP cord-016476-78r0rsio 295 17 and and CC cord-016476-78r0rsio 295 18 Asia Asia NNP cord-016476-78r0rsio 295 19 although although IN cord-016476-78r0rsio 295 20 not not RB cord-016476-78r0rsio 295 21 in in IN cord-016476-78r0rsio 295 22 the the DT cord-016476-78r0rsio 295 23 European European NNP cord-016476-78r0rsio 295 24 Union Union NNP cord-016476-78r0rsio 295 25 or or CC cord-016476-78r0rsio 295 26 UK UK NNP cord-016476-78r0rsio 295 27 . . . cord-016476-78r0rsio 296 1 Baricitinib Baricitinib NNP cord-016476-78r0rsio 296 2 has have VBZ cord-016476-78r0rsio 296 3 completed complete VBN cord-016476-78r0rsio 296 4 phase phase NN cord-016476-78r0rsio 296 5 III iii CD cord-016476-78r0rsio 296 6 trials trial NNS cord-016476-78r0rsio 296 7 , , , cord-016476-78r0rsio 296 8 and and CC cord-016476-78r0rsio 296 9 early early JJ cord-016476-78r0rsio 296 10 results result NNS cord-016476-78r0rsio 296 11 from from IN cord-016476-78r0rsio 296 12 head head NN cord-016476-78r0rsio 296 13 - - HYPH cord-016476-78r0rsio 296 14 to to IN cord-016476-78r0rsio 296 15 - - HYPH cord-016476-78r0rsio 296 16 head head NN cord-016476-78r0rsio 296 17 trials trial NNS cord-016476-78r0rsio 296 18 even even RB cord-016476-78r0rsio 296 19 suggest suggest VBP cord-016476-78r0rsio 296 20 that that IN cord-016476-78r0rsio 296 21 it -PRON- PRP cord-016476-78r0rsio 296 22 may may MD cord-016476-78r0rsio 296 23 be be VB cord-016476-78r0rsio 296 24 more more RBR cord-016476-78r0rsio 296 25 efficacious efficacious JJ cord-016476-78r0rsio 296 26 than than IN cord-016476-78r0rsio 296 27 a a DT cord-016476-78r0rsio 296 28 TNF TNF NNP cord-016476-78r0rsio 296 29 inhibitor inhibitor NN cord-016476-78r0rsio 296 30 [ [ -LRB- cord-016476-78r0rsio 296 31 132 132 CD cord-016476-78r0rsio 296 32 ] ] -RRB- cord-016476-78r0rsio 296 33 . . . cord-016476-78r0rsio 297 1 RCT RCT NNP cord-016476-78r0rsio 297 2 data datum NNS cord-016476-78r0rsio 297 3 thus thus RB cord-016476-78r0rsio 297 4 far far RB cord-016476-78r0rsio 297 5 with with IN cord-016476-78r0rsio 297 6 regard regard NN cord-016476-78r0rsio 297 7 to to IN cord-016476-78r0rsio 297 8 respiratory respiratory JJ cord-016476-78r0rsio 297 9 safety safety NN cord-016476-78r0rsio 297 10 of of IN cord-016476-78r0rsio 297 11 JAK JAK NNP cord-016476-78r0rsio 297 12 inhibitors inhibitor NNS cord-016476-78r0rsio 297 13 are be VBP cord-016476-78r0rsio 297 14 inconclusive inconclusive JJ cord-016476-78r0rsio 297 15 . . . cord-016476-78r0rsio 298 1 Phase phase NN cord-016476-78r0rsio 298 2 III iii CD cord-016476-78r0rsio 298 3 trials trial NNS cord-016476-78r0rsio 298 4 of of IN cord-016476-78r0rsio 298 5 tofacitinib tofacitinib NNP cord-016476-78r0rsio 298 6 with with IN cord-016476-78r0rsio 298 7 concomitant concomitant JJ cord-016476-78r0rsio 298 8 MTX MTX NNP cord-016476-78r0rsio 298 9 in in IN cord-016476-78r0rsio 298 10 patients patient NNS cord-016476-78r0rsio 298 11 with with IN cord-016476-78r0rsio 298 12 RA RA NNP cord-016476-78r0rsio 298 13 have have VBP cord-016476-78r0rsio 298 14 reported report VBN cord-016476-78r0rsio 298 15 cases case NNS cord-016476-78r0rsio 298 16 of of IN cord-016476-78r0rsio 298 17 new new JJ cord-016476-78r0rsio 298 18 - - HYPH cord-016476-78r0rsio 298 19 onset onset NN cord-016476-78r0rsio 298 20 ILD ILD NNP cord-016476-78r0rsio 298 21 and and CC cord-016476-78r0rsio 298 22 pulmonary pulmonary JJ cord-016476-78r0rsio 298 23 sarcoidosis sarcoidosi NNS cord-016476-78r0rsio 298 24 [ [ -LRB- cord-016476-78r0rsio 298 25 133 133 CD cord-016476-78r0rsio 298 26 ] ] -RRB- cord-016476-78r0rsio 298 27 . . . cord-016476-78r0rsio 299 1 Other other JJ cord-016476-78r0rsio 299 2 SRAEs srae NNS cord-016476-78r0rsio 299 3 reported report VBN cord-016476-78r0rsio 299 4 in in IN cord-016476-78r0rsio 299 5 tofacitinib tofacitinib RB cord-016476-78r0rsio 299 6 - - HYPH cord-016476-78r0rsio 299 7 treated treat VBN cord-016476-78r0rsio 299 8 arms arm NNS cord-016476-78r0rsio 299 9 in in IN cord-016476-78r0rsio 299 10 RCTs rct NNS cord-016476-78r0rsio 299 11 include include VBP cord-016476-78r0rsio 299 12 bronchopneumonia bronchopneumonia NN cord-016476-78r0rsio 299 13 [ [ -LRB- cord-016476-78r0rsio 299 14 134 134 CD cord-016476-78r0rsio 299 15 ] ] -RRB- cord-016476-78r0rsio 299 16 and and CC cord-016476-78r0rsio 299 17 a a DT cord-016476-78r0rsio 299 18 death death NN cord-016476-78r0rsio 299 19 due due IN cord-016476-78r0rsio 299 20 to to IN cord-016476-78r0rsio 299 21 ARDS ARDS NNP cord-016476-78r0rsio 299 22 [ [ -LRB- cord-016476-78r0rsio 299 23 135 135 CD cord-016476-78r0rsio 299 24 ] ] -RRB- cord-016476-78r0rsio 299 25 . . . cord-016476-78r0rsio 300 1 A a DT cord-016476-78r0rsio 300 2 combination combination NN cord-016476-78r0rsio 300 3 of of IN cord-016476-78r0rsio 300 4 pulmonary pulmonary JJ cord-016476-78r0rsio 300 5 fibrosis fibrosis NN cord-016476-78r0rsio 300 6 and and CC cord-016476-78r0rsio 300 7 chronic chronic JJ cord-016476-78r0rsio 300 8 obstructive obstructive JJ cord-016476-78r0rsio 300 9 pulmonary pulmonary JJ cord-016476-78r0rsio 300 10 disease disease NN cord-016476-78r0rsio 300 11 has have VBZ cord-016476-78r0rsio 300 12 been be VBN cord-016476-78r0rsio 300 13 observed observe VBN cord-016476-78r0rsio 300 14 in in IN cord-016476-78r0rsio 300 15 such such JJ cord-016476-78r0rsio 300 16 trials trial NNS cord-016476-78r0rsio 300 17 using use VBG cord-016476-78r0rsio 300 18 tofacitinib tofacitinib NNP cord-016476-78r0rsio 300 19 monotherapy monotherapy NN cord-016476-78r0rsio 300 20 [ [ -LRB- cord-016476-78r0rsio 300 21 136 136 CD cord-016476-78r0rsio 300 22 ] ] -RRB- cord-016476-78r0rsio 300 23 . . . cord-016476-78r0rsio 301 1 However however RB cord-016476-78r0rsio 301 2 data datum NNS cord-016476-78r0rsio 301 3 from from IN cord-016476-78r0rsio 301 4 two two CD cord-016476-78r0rsio 301 5 long long JJ cord-016476-78r0rsio 301 6 - - HYPH cord-016476-78r0rsio 301 7 term term NN cord-016476-78r0rsio 301 8 extension extension NN cord-016476-78r0rsio 301 9 studies study NNS cord-016476-78r0rsio 301 10 from from IN cord-016476-78r0rsio 301 11 Japan Japan NNP cord-016476-78r0rsio 301 12 following follow VBG cord-016476-78r0rsio 301 13 up up IN cord-016476-78r0rsio 301 14 4102 4102 CD cord-016476-78r0rsio 301 15 tofacitinib tofacitinib RB cord-016476-78r0rsio 301 16 - - HYPH cord-016476-78r0rsio 301 17 treated treat VBN cord-016476-78r0rsio 301 18 patients patient NNS cord-016476-78r0rsio 301 19 over over IN cord-016476-78r0rsio 301 20 5963 5963 CD cord-016476-78r0rsio 301 21 patient patient NN cord-016476-78r0rsio 301 22 - - HYPH cord-016476-78r0rsio 301 23 years year NNS cord-016476-78r0rsio 301 24 reported report VBD cord-016476-78r0rsio 301 25 no no DT cord-016476-78r0rsio 301 26 additional additional JJ cord-016476-78r0rsio 301 27 ILD ILD NNP cord-016476-78r0rsio 301 28 events event NNS cord-016476-78r0rsio 301 29 [ [ -LRB- cord-016476-78r0rsio 301 30 137 137 CD cord-016476-78r0rsio 301 31 ] ] -RRB- cord-016476-78r0rsio 301 32 , , , cord-016476-78r0rsio 301 33 nor nor CC cord-016476-78r0rsio 301 34 did do VBD cord-016476-78r0rsio 301 35 subsequent subsequent JJ cord-016476-78r0rsio 301 36 meta meta JJ cord-016476-78r0rsio 301 37 - - HYPH cord-016476-78r0rsio 301 38 analysis analysis NN cord-016476-78r0rsio 301 39 of of IN cord-016476-78r0rsio 301 40 tofacitinib tofacitinib NNP cord-016476-78r0rsio 301 41 trials trial NNS cord-016476-78r0rsio 301 42 [ [ -LRB- cord-016476-78r0rsio 301 43 138 138 CD cord-016476-78r0rsio 301 44 ] ] -RRB- cord-016476-78r0rsio 301 45 . . . cord-016476-78r0rsio 302 1 In in IN cord-016476-78r0rsio 302 2 addition addition NN cord-016476-78r0rsio 302 3 phase phase NN cord-016476-78r0rsio 302 4 IIb iib JJ cord-016476-78r0rsio 302 5 studies study NNS cord-016476-78r0rsio 302 6 and and CC cord-016476-78r0rsio 302 7 phase phase NN cord-016476-78r0rsio 302 8 III iii CD cord-016476-78r0rsio 302 9 studies study NNS cord-016476-78r0rsio 302 10 of of IN cord-016476-78r0rsio 302 11 baricitinib baricitinib NNP cord-016476-78r0rsio 302 12 also also RB cord-016476-78r0rsio 302 13 have have VBP cord-016476-78r0rsio 302 14 not not RB cord-016476-78r0rsio 302 15 reported report VBN cord-016476-78r0rsio 302 16 incident incident NN cord-016476-78r0rsio 302 17 ILD ILD NNP cord-016476-78r0rsio 302 18 cases case NNS cord-016476-78r0rsio 302 19 [ [ -LRB- cord-016476-78r0rsio 302 20 139 139 CD cord-016476-78r0rsio 302 21 , , , cord-016476-78r0rsio 302 22 140 140 CD cord-016476-78r0rsio 302 23 ] ] -RRB- cord-016476-78r0rsio 302 24 and and CC cord-016476-78r0rsio 302 25 is be VBZ cord-016476-78r0rsio 302 26 currently currently RB cord-016476-78r0rsio 302 27 under under IN cord-016476-78r0rsio 302 28 regulatory regulatory JJ cord-016476-78r0rsio 302 29 review review NN cord-016476-78r0rsio 302 30 . . . cord-016476-78r0rsio 303 1 In in IN cord-016476-78r0rsio 303 2 2015 2015 CD cord-016476-78r0rsio 303 3 , , , cord-016476-78r0rsio 303 4 the the DT cord-016476-78r0rsio 303 5 FDA FDA NNP cord-016476-78r0rsio 303 6 released release VBD cord-016476-78r0rsio 303 7 a a DT cord-016476-78r0rsio 303 8 Risk Risk NNP cord-016476-78r0rsio 303 9 Evaluation Evaluation NNP cord-016476-78r0rsio 303 10 and and CC cord-016476-78r0rsio 303 11 Mitigation Mitigation NNP cord-016476-78r0rsio 303 12 Strategy Strategy NNP cord-016476-78r0rsio 303 13 ( ( -LRB- cord-016476-78r0rsio 303 14 REMS REMS NNP cord-016476-78r0rsio 303 15 ) ) -RRB- cord-016476-78r0rsio 303 16 document document NN cord-016476-78r0rsio 303 17 highlighting highlight VBG cord-016476-78r0rsio 303 18 the the DT cord-016476-78r0rsio 303 19 known know VBN cord-016476-78r0rsio 303 20 concerns concern NNS cord-016476-78r0rsio 303 21 with with IN cord-016476-78r0rsio 303 22 tofacitinib tofacitinib NNP cord-016476-78r0rsio 303 23 , , , cord-016476-78r0rsio 303 24 instructing instruct VBG cord-016476-78r0rsio 303 25 the the DT cord-016476-78r0rsio 303 26 pharmaceutical pharmaceutical JJ cord-016476-78r0rsio 303 27 company company NN cord-016476-78r0rsio 303 28 to to TO cord-016476-78r0rsio 303 29 send send VB cord-016476-78r0rsio 303 30 information information NN cord-016476-78r0rsio 303 31 out out RP cord-016476-78r0rsio 303 32 to to IN cord-016476-78r0rsio 303 33 healthcare healthcare NN cord-016476-78r0rsio 303 34 professionals professional NNS cord-016476-78r0rsio 303 35 regarding regard VBG cord-016476-78r0rsio 303 36 the the DT cord-016476-78r0rsio 303 37 risk risk NN cord-016476-78r0rsio 303 38 of of IN cord-016476-78r0rsio 303 39 serious serious JJ cord-016476-78r0rsio 303 40 infections infection NNS cord-016476-78r0rsio 303 41 , , , cord-016476-78r0rsio 303 42 malignancies malignancy NNS cord-016476-78r0rsio 303 43 , , , cord-016476-78r0rsio 303 44 decreases decrease VBZ cord-016476-78r0rsio 303 45 in in IN cord-016476-78r0rsio 303 46 peripheral peripheral JJ cord-016476-78r0rsio 303 47 lymphocyte lymphocyte NN cord-016476-78r0rsio 303 48 counts count NNS cord-016476-78r0rsio 303 49 , , , cord-016476-78r0rsio 303 50 neutrophil neutrophil NN cord-016476-78r0rsio 303 51 counts count NNS cord-016476-78r0rsio 303 52 and and CC cord-016476-78r0rsio 303 53 haemoglobin haemoglobin NN cord-016476-78r0rsio 303 54 and and CC cord-016476-78r0rsio 303 55 derangement derangement NN cord-016476-78r0rsio 303 56 in in IN cord-016476-78r0rsio 303 57 lipid lipid NN cord-016476-78r0rsio 303 58 profiles profile NNS cord-016476-78r0rsio 303 59 [ [ -LRB- cord-016476-78r0rsio 303 60 141 141 CD cord-016476-78r0rsio 303 61 ] ] -RRB- cord-016476-78r0rsio 303 62 ; ; : cord-016476-78r0rsio 303 63 lung lung NN cord-016476-78r0rsio 303 64 toxicity toxicity NN cord-016476-78r0rsio 303 65 was be VBD cord-016476-78r0rsio 303 66 not not RB cord-016476-78r0rsio 303 67 mentioned mention VBN cord-016476-78r0rsio 303 68 . . . cord-016476-78r0rsio 304 1 No no DT cord-016476-78r0rsio 304 2 case case NN cord-016476-78r0rsio 304 3 reports report NNS cord-016476-78r0rsio 304 4 or or CC cord-016476-78r0rsio 304 5 regulatory regulatory JJ cord-016476-78r0rsio 304 6 reports report NNS cord-016476-78r0rsio 304 7 of of IN cord-016476-78r0rsio 304 8 ILD ILD NNP cord-016476-78r0rsio 304 9 have have VBP cord-016476-78r0rsio 304 10 been be VBN cord-016476-78r0rsio 304 11 published publish VBN cord-016476-78r0rsio 304 12 to to IN cord-016476-78r0rsio 304 13 date date NN cord-016476-78r0rsio 304 14 , , , cord-016476-78r0rsio 304 15 although although IN cord-016476-78r0rsio 304 16 tofacitinib tofacitinib NNP cord-016476-78r0rsio 304 17 was be VBD cord-016476-78r0rsio 304 18 licensed license VBN cord-016476-78r0rsio 304 19 for for IN cord-016476-78r0rsio 304 20 the the DT cord-016476-78r0rsio 304 21 treatment treatment NN cord-016476-78r0rsio 304 22 of of IN cord-016476-78r0rsio 304 23 RA RA NNP cord-016476-78r0rsio 304 24 a a DT cord-016476-78r0rsio 304 25 few few JJ cord-016476-78r0rsio 304 26 years year NNS cord-016476-78r0rsio 304 27 ago ago RB cord-016476-78r0rsio 304 28 in in IN cord-016476-78r0rsio 304 29 November November NNP cord-016476-78r0rsio 304 30 2012 2012 CD cord-016476-78r0rsio 304 31 in in IN cord-016476-78r0rsio 304 32 the the DT cord-016476-78r0rsio 304 33 USA USA NNP cord-016476-78r0rsio 304 34 and and CC cord-016476-78r0rsio 304 35 remains remain VBZ cord-016476-78r0rsio 304 36 unlicensed unlicensed JJ cord-016476-78r0rsio 304 37 in in IN cord-016476-78r0rsio 304 38 most most JJS cord-016476-78r0rsio 304 39 of of IN cord-016476-78r0rsio 304 40 Europe Europe NNP cord-016476-78r0rsio 304 41 , , , cord-016476-78r0rsio 304 42 limiting limit VBG cord-016476-78r0rsio 304 43 the the DT cord-016476-78r0rsio 304 44 numbers number NNS cord-016476-78r0rsio 304 45 of of IN cord-016476-78r0rsio 304 46 exposed expose VBN cord-016476-78r0rsio 304 47 patients patient NNS cord-016476-78r0rsio 304 48 . . . cord-016476-78r0rsio 305 1 Conclusions conclusion NNS cord-016476-78r0rsio 305 2 drawn draw VBN cord-016476-78r0rsio 305 3 regarding regard VBG cord-016476-78r0rsio 305 4 the the DT cord-016476-78r0rsio 305 5 association association NN cord-016476-78r0rsio 305 6 between between IN cord-016476-78r0rsio 305 7 JAK JAK NNP cord-016476-78r0rsio 305 8 inhibitors inhibitor NNS cord-016476-78r0rsio 305 9 and and CC cord-016476-78r0rsio 305 10 ILD ILD NNP cord-016476-78r0rsio 305 11 in in IN cord-016476-78r0rsio 305 12 patients patient NNS cord-016476-78r0rsio 305 13 with with IN cord-016476-78r0rsio 305 14 RA RA NNP cord-016476-78r0rsio 305 15 are be VBP cord-016476-78r0rsio 305 16 therefore therefore RB cord-016476-78r0rsio 305 17 restricted restrict VBN cord-016476-78r0rsio 305 18 , , , cord-016476-78r0rsio 305 19 given give VBN cord-016476-78r0rsio 305 20 limited limited JJ cord-016476-78r0rsio 305 21 data datum NNS cord-016476-78r0rsio 305 22 and and CC cord-016476-78r0rsio 305 23 further further JJ cord-016476-78r0rsio 305 24 observational observational JJ cord-016476-78r0rsio 305 25 evidence evidence NN cord-016476-78r0rsio 305 26 are be VBP cord-016476-78r0rsio 305 27 required require VBN cord-016476-78r0rsio 305 28 to to TO cord-016476-78r0rsio 305 29 assess assess VB cord-016476-78r0rsio 305 30 its -PRON- PRP$ cord-016476-78r0rsio 305 31 effect effect NN cord-016476-78r0rsio 305 32 on on IN cord-016476-78r0rsio 305 33 pre pre JJ cord-016476-78r0rsio 305 34 - - JJ cord-016476-78r0rsio 305 35 existing existing JJ cord-016476-78r0rsio 305 36 RA RA NNP cord-016476-78r0rsio 305 37 - - HYPH cord-016476-78r0rsio 305 38 ILD ILD NNP cord-016476-78r0rsio 305 39 . . . cord-016476-78r0rsio 306 1 Although although IN cord-016476-78r0rsio 306 2 RA RA NNP cord-016476-78r0rsio 306 3 - - HYPH cord-016476-78r0rsio 306 4 ILD ILD NNP cord-016476-78r0rsio 306 5 is be VBZ cord-016476-78r0rsio 306 6 a a DT cord-016476-78r0rsio 306 7 fairly fairly RB cord-016476-78r0rsio 306 8 heterogeneous heterogeneous JJ cord-016476-78r0rsio 306 9 extra extra JJ cord-016476-78r0rsio 306 10 - - JJ cord-016476-78r0rsio 306 11 articular articular JJ cord-016476-78r0rsio 306 12 manifestation manifestation NN cord-016476-78r0rsio 306 13 of of IN cord-016476-78r0rsio 306 14 RA RA NNP cord-016476-78r0rsio 306 15 , , , cord-016476-78r0rsio 306 16 the the DT cord-016476-78r0rsio 306 17 majority majority NN cord-016476-78r0rsio 306 18 of of IN cord-016476-78r0rsio 306 19 cases case NNS cord-016476-78r0rsio 306 20 mimic mimic VBP cord-016476-78r0rsio 306 21 the the DT cord-016476-78r0rsio 306 22 two two CD cord-016476-78r0rsio 306 23 idiopathic idiopathic JJ cord-016476-78r0rsio 306 24 interstitial interstitial JJ cord-016476-78r0rsio 306 25 pneumonia pneumonia NN cord-016476-78r0rsio 306 26 patterns pattern NNS cord-016476-78r0rsio 306 27 of of IN cord-016476-78r0rsio 306 28 NSIP NSIP NNP cord-016476-78r0rsio 306 29 and and CC cord-016476-78r0rsio 306 30 UIP UIP NNP cord-016476-78r0rsio 306 31 . . . cord-016476-78r0rsio 307 1 Whilst whilst IN cord-016476-78r0rsio 307 2 NSIP NSIP NNP cord-016476-78r0rsio 307 3 and and CC cord-016476-78r0rsio 307 4 organising organise VBG cord-016476-78r0rsio 307 5 pneumonia pneumonia NN cord-016476-78r0rsio 307 6 appear appear VB cord-016476-78r0rsio 307 7 to to TO cord-016476-78r0rsio 307 8 be be VB cord-016476-78r0rsio 307 9 more more RBR cord-016476-78r0rsio 307 10 responsive responsive JJ cord-016476-78r0rsio 307 11 to to IN cord-016476-78r0rsio 307 12 glucocorticoid glucocorticoid NN cord-016476-78r0rsio 307 13 treatment treatment NN cord-016476-78r0rsio 307 14 , , , cord-016476-78r0rsio 307 15 the the DT cord-016476-78r0rsio 307 16 presence presence NN cord-016476-78r0rsio 307 17 of of IN cord-016476-78r0rsio 307 18 the the DT cord-016476-78r0rsio 307 19 UIP UIP NNP cord-016476-78r0rsio 307 20 pattern pattern NN cord-016476-78r0rsio 307 21 on on IN cord-016476-78r0rsio 307 22 HRCT HRCT NNP cord-016476-78r0rsio 307 23 in in IN cord-016476-78r0rsio 307 24 patients patient NNS cord-016476-78r0rsio 307 25 with with IN cord-016476-78r0rsio 307 26 RA RA NNP cord-016476-78r0rsio 307 27 may may MD cord-016476-78r0rsio 307 28 be be VB cord-016476-78r0rsio 307 29 associated associate VBN cord-016476-78r0rsio 307 30 with with IN cord-016476-78r0rsio 307 31 a a DT cord-016476-78r0rsio 307 32 significantly significantly RB cord-016476-78r0rsio 307 33 shorter short JJR cord-016476-78r0rsio 307 34 survival survival NN cord-016476-78r0rsio 307 35 compared compare VBN cord-016476-78r0rsio 307 36 to to IN cord-016476-78r0rsio 307 37 other other JJ cord-016476-78r0rsio 307 38 forms form NNS cord-016476-78r0rsio 307 39 of of IN cord-016476-78r0rsio 307 40 interstitial interstitial JJ cord-016476-78r0rsio 307 41 disease disease NN cord-016476-78r0rsio 307 42 [ [ -LRB- cord-016476-78r0rsio 307 43 142 142 CD cord-016476-78r0rsio 307 44 ] ] -RRB- cord-016476-78r0rsio 307 45 . . . cord-016476-78r0rsio 308 1 As as IN cord-016476-78r0rsio 308 2 a a DT cord-016476-78r0rsio 308 3 general general JJ cord-016476-78r0rsio 308 4 clinical clinical JJ cord-016476-78r0rsio 308 5 guidance guidance NN cord-016476-78r0rsio 308 6 , , , cord-016476-78r0rsio 308 7 lung lung NN cord-016476-78r0rsio 308 8 disease disease NN cord-016476-78r0rsio 308 9 features feature VBZ cord-016476-78r0rsio 308 10 that that WDT cord-016476-78r0rsio 308 11 may may MD cord-016476-78r0rsio 308 12 be be VB cord-016476-78r0rsio 308 13 predictive predictive JJ cord-016476-78r0rsio 308 14 of of IN cord-016476-78r0rsio 308 15 treatment treatment NN cord-016476-78r0rsio 308 16 benefit benefit NN cord-016476-78r0rsio 308 17 include include VBP cord-016476-78r0rsio 308 18 histopathologic histopathologic JJ cord-016476-78r0rsio 308 19 patterns pattern NNS cord-016476-78r0rsio 308 20 other other JJ cord-016476-78r0rsio 308 21 than than IN cord-016476-78r0rsio 308 22 UIP UIP NNP cord-016476-78r0rsio 308 23 ( ( -LRB- cord-016476-78r0rsio 308 24 especially especially RB cord-016476-78r0rsio 308 25 NSIP NSIP NNP cord-016476-78r0rsio 308 26 and and CC cord-016476-78r0rsio 308 27 OP OP NNP cord-016476-78r0rsio 308 28 , , , cord-016476-78r0rsio 308 29 younger young JJR cord-016476-78r0rsio 308 30 age age NN cord-016476-78r0rsio 308 31 of of IN cord-016476-78r0rsio 308 32 the the DT cord-016476-78r0rsio 308 33 patient patient NN cord-016476-78r0rsio 308 34 and and CC cord-016476-78r0rsio 308 35 worsening worsening NN cord-016476-78r0rsio 308 36 of of IN cord-016476-78r0rsio 308 37 symptoms symptom NNS cord-016476-78r0rsio 308 38 , , , cord-016476-78r0rsio 308 39 PFTs pft NNS cord-016476-78r0rsio 308 40 or or CC cord-016476-78r0rsio 308 41 finding find VBG cord-016476-78r0rsio 308 42 on on IN cord-016476-78r0rsio 308 43 HRCT HRCT NNP cord-016476-78r0rsio 308 44 over over IN cord-016476-78r0rsio 308 45 the the DT cord-016476-78r0rsio 308 46 preceding precede VBG cord-016476-78r0rsio 308 47 3 3 CD cord-016476-78r0rsio 308 48 - - SYM cord-016476-78r0rsio 308 49 6 6 CD cord-016476-78r0rsio 308 50 months month NNS cord-016476-78r0rsio 308 51 [ [ -LRB- cord-016476-78r0rsio 308 52 143 143 CD cord-016476-78r0rsio 308 53 ] ] -RRB- cord-016476-78r0rsio 309 1 [ [ -LRB- cord-016476-78r0rsio 309 2 144 144 CD cord-016476-78r0rsio 309 3 ] ] -RRB- cord-016476-78r0rsio 309 4 [ [ -LRB- cord-016476-78r0rsio 309 5 145 145 CD cord-016476-78r0rsio 309 6 ] ] -RRB- cord-016476-78r0rsio 309 7 . . . cord-016476-78r0rsio 310 1 A a DT cord-016476-78r0rsio 310 2 DLCO dlco NN cord-016476-78r0rsio 310 3 of of IN cord-016476-78r0rsio 310 4 less less JJR cord-016476-78r0rsio 310 5 than than IN cord-016476-78r0rsio 310 6 54 54 CD cord-016476-78r0rsio 310 7 % % NN cord-016476-78r0rsio 310 8 is be VBZ cord-016476-78r0rsio 310 9 associated associate VBN cord-016476-78r0rsio 310 10 with with IN cord-016476-78r0rsio 310 11 progression progression NN cord-016476-78r0rsio 310 12 and and CC cord-016476-78r0rsio 310 13 poor poor JJ cord-016476-78r0rsio 310 14 prognosis prognosis NN cord-016476-78r0rsio 310 15 and and CC cord-016476-78r0rsio 310 16 may may MD cord-016476-78r0rsio 310 17 identify identify VB cord-016476-78r0rsio 310 18 patients patient NNS cord-016476-78r0rsio 310 19 who who WP cord-016476-78r0rsio 310 20 could could MD cord-016476-78r0rsio 310 21 be be VB cord-016476-78r0rsio 310 22 considered consider VBN cord-016476-78r0rsio 310 23 for for IN cord-016476-78r0rsio 310 24 treatment treatment NN cord-016476-78r0rsio 310 25 [ [ -LRB- cord-016476-78r0rsio 310 26 7 7 CD cord-016476-78r0rsio 310 27 ] ] -RRB- cord-016476-78r0rsio 310 28 . . . cord-016476-78r0rsio 311 1 Numerous numerous JJ cord-016476-78r0rsio 311 2 medications medication NNS cord-016476-78r0rsio 311 3 have have VBP cord-016476-78r0rsio 311 4 been be VBN cord-016476-78r0rsio 311 5 described describe VBN cord-016476-78r0rsio 311 6 for for IN cord-016476-78r0rsio 311 7 potential potential JJ cord-016476-78r0rsio 311 8 therapies therapy NNS cord-016476-78r0rsio 311 9 for for IN cord-016476-78r0rsio 311 10 RA RA NNP cord-016476-78r0rsio 311 11 - - HYPH cord-016476-78r0rsio 311 12 ILD ILD NNP cord-016476-78r0rsio 311 13 , , , cord-016476-78r0rsio 311 14 but but CC cord-016476-78r0rsio 311 15 currently currently RB cord-016476-78r0rsio 311 16 there there EX cord-016476-78r0rsio 311 17 are be VBP cord-016476-78r0rsio 311 18 no no DT cord-016476-78r0rsio 311 19 large large JJ cord-016476-78r0rsio 311 20 RCTs rct NNS cord-016476-78r0rsio 311 21 to to TO cord-016476-78r0rsio 311 22 help help VB cord-016476-78r0rsio 311 23 guide guide VB cord-016476-78r0rsio 311 24 physicians physician NNS cord-016476-78r0rsio 311 25 specifically specifically RB cord-016476-78r0rsio 311 26 in in IN cord-016476-78r0rsio 311 27 the the DT cord-016476-78r0rsio 311 28 management management NN cord-016476-78r0rsio 311 29 of of IN cord-016476-78r0rsio 311 30 the the DT cord-016476-78r0rsio 311 31 pulmonary pulmonary JJ cord-016476-78r0rsio 311 32 manifestations manifestation NNS cord-016476-78r0rsio 311 33 of of IN cord-016476-78r0rsio 311 34 RA RA NNP cord-016476-78r0rsio 311 35 - - HYPH cord-016476-78r0rsio 311 36 ILD ILD NNP cord-016476-78r0rsio 311 37 . . . cord-016476-78r0rsio 312 1 In in IN cord-016476-78r0rsio 312 2 addition addition NN cord-016476-78r0rsio 312 3 to to IN cord-016476-78r0rsio 312 4 immunosuppressive immunosuppressive JJ cord-016476-78r0rsio 312 5 treatments treatment NNS cord-016476-78r0rsio 312 6 , , , cord-016476-78r0rsio 312 7 general general JJ cord-016476-78r0rsio 312 8 considerations consideration NNS cord-016476-78r0rsio 312 9 for for IN cord-016476-78r0rsio 312 10 management management NN cord-016476-78r0rsio 312 11 of of IN cord-016476-78r0rsio 312 12 RA RA NNP cord-016476-78r0rsio 312 13 - - HYPH cord-016476-78r0rsio 312 14 ILD ILD NNP cord-016476-78r0rsio 312 15 include include VBP cord-016476-78r0rsio 312 16 smoking smoke VBG cord-016476-78r0rsio 312 17 cessation cessation NN cord-016476-78r0rsio 312 18 and and CC cord-016476-78r0rsio 312 19 age age NN cord-016476-78r0rsio 312 20 - - HYPH cord-016476-78r0rsio 312 21 appropriate appropriate JJ cord-016476-78r0rsio 312 22 vaccinations vaccination NNS cord-016476-78r0rsio 312 23 for for IN cord-016476-78r0rsio 312 24 pneumonia pneumonia NN cord-016476-78r0rsio 312 25 and and CC cord-016476-78r0rsio 312 26 influenza influenza NN cord-016476-78r0rsio 312 27 , , , cord-016476-78r0rsio 312 28 as as RB cord-016476-78r0rsio 312 29 well well RB cord-016476-78r0rsio 312 30 as as IN cord-016476-78r0rsio 312 31 prophylaxis prophylaxis NN cord-016476-78r0rsio 312 32 for for IN cord-016476-78r0rsio 312 33 Pneumocystis Pneumocystis NNP cord-016476-78r0rsio 312 34 jirovecii jirovecii NNP cord-016476-78r0rsio 312 35 pneumonia pneumonia NN cord-016476-78r0rsio 312 36 in in IN cord-016476-78r0rsio 312 37 patients patient NNS cord-016476-78r0rsio 312 38 who who WP cord-016476-78r0rsio 312 39 are be VBP cord-016476-78r0rsio 312 40 profoundly profoundly RB cord-016476-78r0rsio 312 41 immunosuppressed immunosuppressed JJ cord-016476-78r0rsio 312 42 [ [ -LRB- cord-016476-78r0rsio 312 43 145 145 CD cord-016476-78r0rsio 312 44 ] ] -RRB- cord-016476-78r0rsio 312 45 . . . cord-016476-78r0rsio 313 1 Typically typically RB cord-016476-78r0rsio 313 2 glucocorticoids glucocorticoid NNS cord-016476-78r0rsio 313 3 were be VBD cord-016476-78r0rsio 313 4 used use VBN cord-016476-78r0rsio 313 5 as as IN cord-016476-78r0rsio 313 6 first first JJ cord-016476-78r0rsio 313 7 - - HYPH cord-016476-78r0rsio 313 8 line line NN cord-016476-78r0rsio 313 9 therapies therapy NNS cord-016476-78r0rsio 313 10 in in IN cord-016476-78r0rsio 313 11 an an DT cord-016476-78r0rsio 313 12 attempt attempt NN cord-016476-78r0rsio 313 13 to to TO cord-016476-78r0rsio 313 14 stabilise stabilise VB cord-016476-78r0rsio 313 15 and and CC cord-016476-78r0rsio 313 16 improve improve VB cord-016476-78r0rsio 313 17 the the DT cord-016476-78r0rsio 313 18 disease disease NN cord-016476-78r0rsio 313 19 course course NN cord-016476-78r0rsio 313 20 of of IN cord-016476-78r0rsio 313 21 RA RA NNP cord-016476-78r0rsio 313 22 - - HYPH cord-016476-78r0rsio 313 23 ILD ILD NNP cord-016476-78r0rsio 313 24 based base VBN cord-016476-78r0rsio 313 25 on on IN cord-016476-78r0rsio 313 26 limited limited JJ cord-016476-78r0rsio 313 27 evidence evidence NN cord-016476-78r0rsio 313 28 from from IN cord-016476-78r0rsio 313 29 IPF IPF NNP cord-016476-78r0rsio 313 30 . . . cord-016476-78r0rsio 314 1 Because because IN cord-016476-78r0rsio 314 2 RA RA NNP cord-016476-78r0rsio 314 3 - - HYPH cord-016476-78r0rsio 314 4 ILD ILD NNP cord-016476-78r0rsio 314 5 is be VBZ cord-016476-78r0rsio 314 6 a a DT cord-016476-78r0rsio 314 7 heterogeneous heterogeneous JJ cord-016476-78r0rsio 314 8 spectrum spectrum NN cord-016476-78r0rsio 314 9 of of IN cord-016476-78r0rsio 314 10 histopathologic histopathologic JJ cord-016476-78r0rsio 314 11 patterns pattern NNS cord-016476-78r0rsio 314 12 beyond beyond IN cord-016476-78r0rsio 314 13 UIP UIP NNP cord-016476-78r0rsio 314 14 ( ( -LRB- cord-016476-78r0rsio 314 15 IPF IPF NNP cord-016476-78r0rsio 314 16 ) ) -RRB- cord-016476-78r0rsio 314 17 , , , cord-016476-78r0rsio 314 18 experience experience NN cord-016476-78r0rsio 314 19 extrapolated extrapolate VBN cord-016476-78r0rsio 314 20 from from IN cord-016476-78r0rsio 314 21 management management NN cord-016476-78r0rsio 314 22 of of IN cord-016476-78r0rsio 314 23 idiopathic idiopathic JJ cord-016476-78r0rsio 314 24 ILD ILD NNP cord-016476-78r0rsio 314 25 suggests suggest VBZ cord-016476-78r0rsio 314 26 that that IN cord-016476-78r0rsio 314 27 some some DT cord-016476-78r0rsio 314 28 forms form NNS cord-016476-78r0rsio 314 29 , , , cord-016476-78r0rsio 314 30 including include VBG cord-016476-78r0rsio 314 31 NSIP NSIP NNP cord-016476-78r0rsio 314 32 and and CC cord-016476-78r0rsio 314 33 OP OP NNP cord-016476-78r0rsio 314 34 , , , cord-016476-78r0rsio 314 35 may may MD cord-016476-78r0rsio 314 36 respond respond VB cord-016476-78r0rsio 314 37 to to IN cord-016476-78r0rsio 314 38 glucocorticoid glucocorticoid NN cord-016476-78r0rsio 314 39 therapy therapy NN cord-016476-78r0rsio 314 40 [ [ -LRB- cord-016476-78r0rsio 314 41 145 145 CD cord-016476-78r0rsio 314 42 ] ] -RRB- cord-016476-78r0rsio 314 43 . . . cord-016476-78r0rsio 315 1 Given give VBN cord-016476-78r0rsio 315 2 the the DT cord-016476-78r0rsio 315 3 paucity paucity NN cord-016476-78r0rsio 315 4 of of IN cord-016476-78r0rsio 315 5 evidence evidence NN cord-016476-78r0rsio 315 6 in in IN cord-016476-78r0rsio 315 7 RA RA NNP cord-016476-78r0rsio 315 8 - - HYPH cord-016476-78r0rsio 315 9 ILD ILD NNP cord-016476-78r0rsio 315 10 , , , cord-016476-78r0rsio 315 11 it -PRON- PRP cord-016476-78r0rsio 315 12 was be VBD cord-016476-78r0rsio 315 13 felt feel VBN cord-016476-78r0rsio 315 14 that that IN cord-016476-78r0rsio 315 15 the the DT cord-016476-78r0rsio 315 16 addition addition NN cord-016476-78r0rsio 315 17 of of IN cord-016476-78r0rsio 315 18 azathioprine azathioprine JJ cord-016476-78r0rsio 315 19 maybe maybe RB cord-016476-78r0rsio 315 20 beneficial beneficial JJ cord-016476-78r0rsio 315 21 in in IN cord-016476-78r0rsio 315 22 glucocorticoid glucocorticoid NN cord-016476-78r0rsio 315 23 - - HYPH cord-016476-78r0rsio 315 24 responsive responsive JJ cord-016476-78r0rsio 315 25 patients patient NNS cord-016476-78r0rsio 315 26 and and CC cord-016476-78r0rsio 315 27 could could MD cord-016476-78r0rsio 315 28 result result VB cord-016476-78r0rsio 315 29 in in IN cord-016476-78r0rsio 315 30 improved improved JJ cord-016476-78r0rsio 315 31 survival survival NN cord-016476-78r0rsio 315 32 compared compare VBN cord-016476-78r0rsio 315 33 to to IN cord-016476-78r0rsio 315 34 glucocorticoids glucocorticoid NNS cord-016476-78r0rsio 315 35 alone alone RB cord-016476-78r0rsio 315 36 , , , cord-016476-78r0rsio 315 37 again again RB cord-016476-78r0rsio 315 38 based base VBN cord-016476-78r0rsio 315 39 on on IN cord-016476-78r0rsio 315 40 historic historic JJ cord-016476-78r0rsio 315 41 data datum NNS cord-016476-78r0rsio 315 42 from from IN cord-016476-78r0rsio 315 43 IPF IPF NNP cord-016476-78r0rsio 315 44 studies study NNS cord-016476-78r0rsio 315 45 [ [ -LRB- cord-016476-78r0rsio 315 46 146 146 CD cord-016476-78r0rsio 315 47 ] ] -RRB- cord-016476-78r0rsio 315 48 . . . cord-016476-78r0rsio 316 1 However however RB cord-016476-78r0rsio 316 2 , , , cord-016476-78r0rsio 316 3 the the DT cord-016476-78r0rsio 316 4 2012 2012 CD cord-016476-78r0rsio 316 5 multicentre multicentre NNP cord-016476-78r0rsio 316 6 Prednisone Prednisone NNP cord-016476-78r0rsio 316 7 , , , cord-016476-78r0rsio 316 8 Azathioprine Azathioprine NNP cord-016476-78r0rsio 316 9 , , , cord-016476-78r0rsio 316 10 and and CC cord-016476-78r0rsio 316 11 ( ( -LRB- cord-016476-78r0rsio 316 12 N n NN cord-016476-78r0rsio 316 13 ) ) -RRB- cord-016476-78r0rsio 316 14 acetylcysteine acetylcysteine NN cord-016476-78r0rsio 316 15 [ [ -LRB- cord-016476-78r0rsio 316 16 NAC NAC NNP cord-016476-78r0rsio 316 17 ] ] -RRB- cord-016476-78r0rsio 316 18 : : : cord-016476-78r0rsio 317 1 A a DT cord-016476-78r0rsio 317 2 Study study NN cord-016476-78r0rsio 317 3 That that WDT cord-016476-78r0rsio 317 4 Evaluates evaluate VBZ cord-016476-78r0rsio 317 5 Response response NN cord-016476-78r0rsio 317 6 in in IN cord-016476-78r0rsio 317 7 IPF IPF NNP cord-016476-78r0rsio 317 8 ( ( -LRB- cord-016476-78r0rsio 317 9 PANTHER PANTHER NNP cord-016476-78r0rsio 317 10 - - HYPH cord-016476-78r0rsio 317 11 IPF IPF NNP cord-016476-78r0rsio 317 12 ) ) -RRB- cord-016476-78r0rsio 317 13 trial trial NN cord-016476-78r0rsio 317 14 had have VBD cord-016476-78r0rsio 317 15 to to TO cord-016476-78r0rsio 317 16 be be VB cord-016476-78r0rsio 317 17 prematurely prematurely RB cord-016476-78r0rsio 317 18 stopped stop VBN cord-016476-78r0rsio 317 19 as as IN cord-016476-78r0rsio 317 20 it -PRON- PRP cord-016476-78r0rsio 317 21 is be VBZ cord-016476-78r0rsio 317 22 found find VBN cord-016476-78r0rsio 317 23 that that IN cord-016476-78r0rsio 317 24 combination combination NN cord-016476-78r0rsio 317 25 of of IN cord-016476-78r0rsio 317 26 prednisone prednisone NN cord-016476-78r0rsio 317 27 , , , cord-016476-78r0rsio 317 28 azathioprine azathioprine NN cord-016476-78r0rsio 317 29 and and CC cord-016476-78r0rsio 317 30 NAC NAC NNP cord-016476-78r0rsio 317 31 was be VBD cord-016476-78r0rsio 317 32 associated associate VBN cord-016476-78r0rsio 317 33 with with IN cord-016476-78r0rsio 317 34 greater great JJR cord-016476-78r0rsio 317 35 mortality mortality NN cord-016476-78r0rsio 317 36 ( ( -LRB- cord-016476-78r0rsio 317 37 eight eight CD cord-016476-78r0rsio 317 38 vs. vs. IN cord-016476-78r0rsio 317 39 one one CD cord-016476-78r0rsio 317 40 death death NN cord-016476-78r0rsio 317 41 ) ) -RRB- cord-016476-78r0rsio 317 42 , , , cord-016476-78r0rsio 317 43 more more JJR cord-016476-78r0rsio 317 44 hospitalisations hospitalisation NNS cord-016476-78r0rsio 317 45 ( ( -LRB- cord-016476-78r0rsio 317 46 23 23 CD cord-016476-78r0rsio 317 47 vs. vs. CC cord-016476-78r0rsio 317 48 7 7 CD cord-016476-78r0rsio 317 49 ) ) -RRB- cord-016476-78r0rsio 317 50 and and CC cord-016476-78r0rsio 317 51 more more RBR cord-016476-78r0rsio 317 52 serious serious JJ cord-016476-78r0rsio 317 53 AEs ae NNS cord-016476-78r0rsio 317 54 ( ( -LRB- cord-016476-78r0rsio 317 55 24 24 CD cord-016476-78r0rsio 317 56 vs. vs. NN cord-016476-78r0rsio 317 57 8) 8) NN cord-016476-78r0rsio 317 58 compared compare VBN cord-016476-78r0rsio 317 59 to to IN cord-016476-78r0rsio 317 60 placebo placebo NN cord-016476-78r0rsio 317 61 in in IN cord-016476-78r0rsio 317 62 IPF IPF NNP cord-016476-78r0rsio 317 63 patients patient NNS cord-016476-78r0rsio 317 64 with with IN cord-016476-78r0rsio 317 65 mild mild JJ cord-016476-78r0rsio 317 66 to to IN cord-016476-78r0rsio 317 67 moderate moderate JJ cord-016476-78r0rsio 317 68 disease disease NN cord-016476-78r0rsio 317 69 [ [ -LRB- cord-016476-78r0rsio 317 70 147 147 CD cord-016476-78r0rsio 317 71 ] ] -RRB- cord-016476-78r0rsio 317 72 . . . cord-016476-78r0rsio 318 1 A a DT cord-016476-78r0rsio 318 2 large large JJ cord-016476-78r0rsio 318 3 proportion proportion NN cord-016476-78r0rsio 318 4 of of IN cord-016476-78r0rsio 318 5 deaths death NNS cord-016476-78r0rsio 318 6 were be VBD cord-016476-78r0rsio 318 7 due due JJ cord-016476-78r0rsio 318 8 to to IN cord-016476-78r0rsio 318 9 pulmonary pulmonary JJ cord-016476-78r0rsio 318 10 infection infection NN cord-016476-78r0rsio 318 11 , , , cord-016476-78r0rsio 318 12 highlighting highlight VBG cord-016476-78r0rsio 318 13 the the DT cord-016476-78r0rsio 318 14 need need NN cord-016476-78r0rsio 318 15 for for IN cord-016476-78r0rsio 318 16 adequate adequate JJ cord-016476-78r0rsio 318 17 precautions precaution NNS cord-016476-78r0rsio 318 18 to to TO cord-016476-78r0rsio 318 19 be be VB cord-016476-78r0rsio 318 20 taken take VBN cord-016476-78r0rsio 318 21 against against IN cord-016476-78r0rsio 318 22 respiratory respiratory JJ cord-016476-78r0rsio 318 23 infections infection NNS cord-016476-78r0rsio 318 24 in in IN cord-016476-78r0rsio 318 25 patients patient NNS cord-016476-78r0rsio 318 26 with with IN cord-016476-78r0rsio 318 27 RA RA NNP cord-016476-78r0rsio 318 28 - - HYPH cord-016476-78r0rsio 318 29 ILD ILD NNP cord-016476-78r0rsio 318 30 who who WP cord-016476-78r0rsio 318 31 are be VBP cord-016476-78r0rsio 318 32 susceptible susceptible JJ cord-016476-78r0rsio 318 33 to to IN cord-016476-78r0rsio 318 34 serious serious JJ cord-016476-78r0rsio 318 35 infections infection NNS cord-016476-78r0rsio 318 36 [ [ -LRB- cord-016476-78r0rsio 318 37 148 148 CD cord-016476-78r0rsio 318 38 ] ] -RRB- cord-016476-78r0rsio 318 39 . . . cord-016476-78r0rsio 319 1 Indeed indeed RB cord-016476-78r0rsio 319 2 in in IN cord-016476-78r0rsio 319 3 elderly elderly JJ cord-016476-78r0rsio 319 4 patients patient NNS cord-016476-78r0rsio 319 5 with with IN cord-016476-78r0rsio 319 6 RA RA NNP cord-016476-78r0rsio 319 7 , , , cord-016476-78r0rsio 319 8 prednisolone prednisolone NN cord-016476-78r0rsio 319 9 has have VBZ cord-016476-78r0rsio 319 10 been be VBN cord-016476-78r0rsio 319 11 shown show VBN cord-016476-78r0rsio 319 12 to to TO cord-016476-78r0rsio 319 13 have have VB cord-016476-78r0rsio 319 14 a a DT cord-016476-78r0rsio 319 15 dose dose NN cord-016476-78r0rsio 319 16 - - HYPH cord-016476-78r0rsio 319 17 dependent dependent JJ cord-016476-78r0rsio 319 18 risk risk NN cord-016476-78r0rsio 319 19 of of IN cord-016476-78r0rsio 319 20 infection infection NN cord-016476-78r0rsio 319 21 , , , cord-016476-78r0rsio 319 22 with with IN cord-016476-78r0rsio 319 23 current current JJ cord-016476-78r0rsio 319 24 / / SYM cord-016476-78r0rsio 319 25 recent recent JJ cord-016476-78r0rsio 319 26 glucocorticoid glucocorticoid NN cord-016476-78r0rsio 319 27 therapy therapy NN cord-016476-78r0rsio 319 28 demonstrating demonstrate VBG cord-016476-78r0rsio 319 29 the the DT cord-016476-78r0rsio 319 30 greatest great JJS cord-016476-78r0rsio 319 31 impact impact NN cord-016476-78r0rsio 319 32 on on IN cord-016476-78r0rsio 319 33 infection infection NN cord-016476-78r0rsio 319 34 risk risk NN cord-016476-78r0rsio 319 35 [ [ -LRB- cord-016476-78r0rsio 319 36 149 149 CD cord-016476-78r0rsio 319 37 ] ] -RRB- cord-016476-78r0rsio 319 38 . . . cord-016476-78r0rsio 320 1 Therefore therefore RB cord-016476-78r0rsio 320 2 use use NN cord-016476-78r0rsio 320 3 of of IN cord-016476-78r0rsio 320 4 glucocorticoids glucocorticoid NNS cord-016476-78r0rsio 320 5 specifically specifically RB cord-016476-78r0rsio 320 6 for for IN cord-016476-78r0rsio 320 7 ILD ILD NNP cord-016476-78r0rsio 320 8 in in IN cord-016476-78r0rsio 320 9 RA RA NNP cord-016476-78r0rsio 320 10 is be VBZ cord-016476-78r0rsio 320 11 best well RBS cord-016476-78r0rsio 320 12 performed perform VBN cord-016476-78r0rsio 320 13 after after IN cord-016476-78r0rsio 320 14 liaison liaison NN cord-016476-78r0rsio 320 15 with with IN cord-016476-78r0rsio 320 16 respiratory respiratory JJ cord-016476-78r0rsio 320 17 colleagues colleague NNS cord-016476-78r0rsio 320 18 , , , cord-016476-78r0rsio 320 19 with with IN cord-016476-78r0rsio 320 20 use use NN cord-016476-78r0rsio 320 21 of of IN cord-016476-78r0rsio 320 22 the the DT cord-016476-78r0rsio 320 23 lowest low JJS cord-016476-78r0rsio 320 24 possible possible JJ cord-016476-78r0rsio 320 25 dose dose NN cord-016476-78r0rsio 320 26 prescribed prescribe VBN cord-016476-78r0rsio 320 27 for for IN cord-016476-78r0rsio 320 28 the the DT cord-016476-78r0rsio 320 29 shortest short JJS cord-016476-78r0rsio 320 30 duration duration NN cord-016476-78r0rsio 320 31 . . . cord-016476-78r0rsio 321 1 Pirfenidone Pirfenidone NNP cord-016476-78r0rsio 321 2 is be VBZ cord-016476-78r0rsio 321 3 an an DT cord-016476-78r0rsio 321 4 anti anti JJ cord-016476-78r0rsio 321 5 - - JJ cord-016476-78r0rsio 321 6 fibrotic fibrotic JJ cord-016476-78r0rsio 321 7 drug drug NN cord-016476-78r0rsio 321 8 that that WDT cord-016476-78r0rsio 321 9 inhibits inhibit VBZ cord-016476-78r0rsio 321 10 transforming transform VBG cord-016476-78r0rsio 321 11 growth growth NN cord-016476-78r0rsio 321 12 factor factor NN cord-016476-78r0rsio 321 13 beta beta NN cord-016476-78r0rsio 321 14 ( ( -LRB- cord-016476-78r0rsio 321 15 TGF TGF NNP cord-016476-78r0rsio 321 16 - - HYPH cord-016476-78r0rsio 321 17 β)-stimulated β)-stimulate VBN cord-016476-78r0rsio 321 18 collagen collagen NN cord-016476-78r0rsio 321 19 synthesis synthesis NN cord-016476-78r0rsio 321 20 , , , cord-016476-78r0rsio 321 21 decreases decrease VBZ cord-016476-78r0rsio 321 22 the the DT cord-016476-78r0rsio 321 23 extracellular extracellular JJ cord-016476-78r0rsio 321 24 matrix matrix NN cord-016476-78r0rsio 321 25 and and CC cord-016476-78r0rsio 321 26 blocks block VBZ cord-016476-78r0rsio 321 27 fibroblast fibroblast NN cord-016476-78r0rsio 321 28 proliferation proliferation NN cord-016476-78r0rsio 321 29 . . . cord-016476-78r0rsio 322 1 It -PRON- PRP cord-016476-78r0rsio 322 2 has have VBZ cord-016476-78r0rsio 322 3 demonstrated demonstrate VBN cord-016476-78r0rsio 322 4 efficacy efficacy NN cord-016476-78r0rsio 322 5 in in IN cord-016476-78r0rsio 322 6 IPF IPF NNP cord-016476-78r0rsio 322 7 [ [ -LRB- cord-016476-78r0rsio 322 8 150 150 CD cord-016476-78r0rsio 322 9 ] ] -RRB- cord-016476-78r0rsio 322 10 [ [ -LRB- cord-016476-78r0rsio 322 11 151 151 CD cord-016476-78r0rsio 322 12 ] ] -RRB- cord-016476-78r0rsio 322 13 [ [ -LRB- cord-016476-78r0rsio 322 14 152 152 CD cord-016476-78r0rsio 322 15 ] ] -RRB- cord-016476-78r0rsio 322 16 and and CC cord-016476-78r0rsio 322 17 has have VBZ cord-016476-78r0rsio 322 18 been be VBN cord-016476-78r0rsio 322 19 approved approve VBN cord-016476-78r0rsio 322 20 by by IN cord-016476-78r0rsio 322 21 the the DT cord-016476-78r0rsio 322 22 National National NNP cord-016476-78r0rsio 322 23 Institute Institute NNP cord-016476-78r0rsio 322 24 of of IN cord-016476-78r0rsio 322 25 Health Health NNP cord-016476-78r0rsio 322 26 and and CC cord-016476-78r0rsio 322 27 Care Care NNP cord-016476-78r0rsio 322 28 Excellence Excellence NNP cord-016476-78r0rsio 322 29 in in IN cord-016476-78r0rsio 322 30 the the DT cord-016476-78r0rsio 322 31 UK UK NNP cord-016476-78r0rsio 322 32 and and CC cord-016476-78r0rsio 322 33 the the DT cord-016476-78r0rsio 322 34 FDA FDA NNP cord-016476-78r0rsio 322 35 in in IN cord-016476-78r0rsio 322 36 the the DT cord-016476-78r0rsio 322 37 USA USA NNP cord-016476-78r0rsio 322 38 for for IN cord-016476-78r0rsio 322 39 use use NN cord-016476-78r0rsio 322 40 in in IN cord-016476-78r0rsio 322 41 patients patient NNS cord-016476-78r0rsio 322 42 with with IN cord-016476-78r0rsio 322 43 mild mild JJ cord-016476-78r0rsio 322 44 or or CC cord-016476-78r0rsio 322 45 moderate moderate JJ cord-016476-78r0rsio 322 46 IPF IPF NNP cord-016476-78r0rsio 322 47 . . . cord-016476-78r0rsio 323 1 In in IN cord-016476-78r0rsio 323 2 CTD CTD NNP cord-016476-78r0rsio 323 3 - - HYPH cord-016476-78r0rsio 323 4 ILD ILD NNP cord-016476-78r0rsio 323 5 , , , cord-016476-78r0rsio 323 6 specifically specifically RB cord-016476-78r0rsio 323 7 secondary secondary JJ cord-016476-78r0rsio 323 8 to to IN cord-016476-78r0rsio 323 9 systemic systemic JJ cord-016476-78r0rsio 323 10 sclerosis sclerosis NN cord-016476-78r0rsio 323 11 , , , cord-016476-78r0rsio 323 12 case case NN cord-016476-78r0rsio 323 13 reports report NNS cord-016476-78r0rsio 323 14 and and CC cord-016476-78r0rsio 323 15 small small JJ cord-016476-78r0rsio 323 16 retrospective retrospective JJ cord-016476-78r0rsio 323 17 studies study NNS cord-016476-78r0rsio 323 18 have have VBP cord-016476-78r0rsio 323 19 suggested suggest VBN cord-016476-78r0rsio 323 20 modest modest JJ cord-016476-78r0rsio 323 21 benefit benefit NN cord-016476-78r0rsio 323 22 [ [ -LRB- cord-016476-78r0rsio 323 23 153 153 CD cord-016476-78r0rsio 323 24 ] ] -RRB- cord-016476-78r0rsio 323 25 [ [ -LRB- cord-016476-78r0rsio 323 26 154 154 CD cord-016476-78r0rsio 323 27 ] ] -RRB- cord-016476-78r0rsio 323 28 [ [ -LRB- cord-016476-78r0rsio 323 29 155 155 CD cord-016476-78r0rsio 323 30 ] ] -RRB- cord-016476-78r0rsio 323 31 [ [ -LRB- cord-016476-78r0rsio 323 32 156 156 CD cord-016476-78r0rsio 323 33 ] ] -RRB- cord-016476-78r0rsio 323 34 , , , cord-016476-78r0rsio 323 35 whilst whilst IN cord-016476-78r0rsio 323 36 a a DT cord-016476-78r0rsio 323 37 recent recent JJ cord-016476-78r0rsio 323 38 open open JJ cord-016476-78r0rsio 323 39 - - HYPH cord-016476-78r0rsio 323 40 label label NN cord-016476-78r0rsio 323 41 study study NN cord-016476-78r0rsio 323 42 in in IN cord-016476-78r0rsio 323 43 systemic systemic JJ cord-016476-78r0rsio 323 44 sclerosis sclerosis NN cord-016476-78r0rsio 323 45 demonstrated demonstrate VBD cord-016476-78r0rsio 323 46 acceptable acceptable JJ cord-016476-78r0rsio 323 47 tolerability tolerability NN cord-016476-78r0rsio 323 48 of of IN cord-016476-78r0rsio 323 49 pirfenidone pirfenidone NN cord-016476-78r0rsio 323 50 , , , cord-016476-78r0rsio 323 51 especially especially RB cord-016476-78r0rsio 323 52 important important JJ cord-016476-78r0rsio 323 53 since since IN cord-016476-78r0rsio 323 54 63.5 63.5 CD cord-016476-78r0rsio 323 55 % % NN cord-016476-78r0rsio 323 56 of of IN cord-016476-78r0rsio 323 57 patients patient NNS cord-016476-78r0rsio 323 58 were be VBD cord-016476-78r0rsio 323 59 on on IN cord-016476-78r0rsio 323 60 concomitant concomitant JJ cord-016476-78r0rsio 323 61 mycophenolate mycophenolate NNP cord-016476-78r0rsio 323 62 mofetil mofetil NNP cord-016476-78r0rsio 323 63 [ [ -LRB- cord-016476-78r0rsio 323 64 157 157 CD cord-016476-78r0rsio 323 65 ] ] -RRB- cord-016476-78r0rsio 323 66 . . . cord-016476-78r0rsio 324 1 Currently currently RB cord-016476-78r0rsio 324 2 there there EX cord-016476-78r0rsio 324 3 is be VBZ cord-016476-78r0rsio 324 4 no no DT cord-016476-78r0rsio 324 5 evidence evidence NN cord-016476-78r0rsio 324 6 for for IN cord-016476-78r0rsio 324 7 its -PRON- PRP$ cord-016476-78r0rsio 324 8 use use NN cord-016476-78r0rsio 324 9 in in IN cord-016476-78r0rsio 324 10 RA RA NNP cord-016476-78r0rsio 324 11 - - HYPH cord-016476-78r0rsio 324 12 ILD ILD NNP cord-016476-78r0rsio 324 13 . . . cord-016476-78r0rsio 325 1 Theoretically theoretically RB cord-016476-78r0rsio 325 2 , , , cord-016476-78r0rsio 325 3 however however RB cord-016476-78r0rsio 325 4 , , , cord-016476-78r0rsio 325 5 given give VBN cord-016476-78r0rsio 325 6 its -PRON- PRP$ cord-016476-78r0rsio 325 7 action action NN cord-016476-78r0rsio 325 8 on on IN cord-016476-78r0rsio 325 9 TGF TGF NNP cord-016476-78r0rsio 325 10 - - HYPH cord-016476-78r0rsio 325 11 β β NN cord-016476-78r0rsio 325 12 and and CC cord-016476-78r0rsio 325 13 fibroblast fibroblast NN cord-016476-78r0rsio 325 14 proliferation proliferation NN cord-016476-78r0rsio 325 15 , , , cord-016476-78r0rsio 325 16 there there EX cord-016476-78r0rsio 325 17 may may MD cord-016476-78r0rsio 325 18 be be VB cord-016476-78r0rsio 325 19 justification justification NN cord-016476-78r0rsio 325 20 of of IN cord-016476-78r0rsio 325 21 its -PRON- PRP$ cord-016476-78r0rsio 325 22 use use NN cord-016476-78r0rsio 325 23 in in IN cord-016476-78r0rsio 325 24 the the DT cord-016476-78r0rsio 325 25 fibrotic fibrotic JJ cord-016476-78r0rsio 325 26 NSIP NSIP NNP cord-016476-78r0rsio 325 27 pattern pattern NN cord-016476-78r0rsio 325 28 and and CC cord-016476-78r0rsio 325 29 fibrotic fibrotic JJ cord-016476-78r0rsio 325 30 stages stage NNS cord-016476-78r0rsio 325 31 of of IN cord-016476-78r0rsio 325 32 other other JJ cord-016476-78r0rsio 325 33 RA RA NNP cord-016476-78r0rsio 325 34 - - HYPH cord-016476-78r0rsio 325 35 ILD ILD NNP cord-016476-78r0rsio 325 36 subtypes subtype NNS cord-016476-78r0rsio 325 37 [ [ -LRB- cord-016476-78r0rsio 325 38 158 158 CD cord-016476-78r0rsio 325 39 , , , cord-016476-78r0rsio 325 40 159 159 CD cord-016476-78r0rsio 325 41 ] ] -RRB- cord-016476-78r0rsio 325 42 . . . cord-016476-78r0rsio 326 1 Currently currently RB cord-016476-78r0rsio 326 2 there there EX cord-016476-78r0rsio 326 3 is be VBZ cord-016476-78r0rsio 326 4 a a DT cord-016476-78r0rsio 326 5 phase phase NN cord-016476-78r0rsio 326 6 II II NNP cord-016476-78r0rsio 326 7 trial trial NN cord-016476-78r0rsio 326 8 underway underway JJ cord-016476-78r0rsio 326 9 to to TO cord-016476-78r0rsio 326 10 assess assess VB cord-016476-78r0rsio 326 11 the the DT cord-016476-78r0rsio 326 12 safety safety NN cord-016476-78r0rsio 326 13 and and CC cord-016476-78r0rsio 326 14 tolerability tolerability NN cord-016476-78r0rsio 326 15 of of IN cord-016476-78r0rsio 326 16 pirfenidone pirfenidone NN cord-016476-78r0rsio 326 17 2403 2403 CD cord-016476-78r0rsio 326 18 mg mg NNP cord-016476-78r0rsio 326 19 / / SYM cord-016476-78r0rsio 326 20 day day NN cord-016476-78r0rsio 326 21 for for IN cord-016476-78r0rsio 326 22 the the DT cord-016476-78r0rsio 326 23 treatment treatment NN cord-016476-78r0rsio 326 24 of of IN cord-016476-78r0rsio 326 25 RA RA NNP cord-016476-78r0rsio 326 26 - - HYPH cord-016476-78r0rsio 326 27 ILD ILD NNP cord-016476-78r0rsio 326 28 [ [ -LRB- cord-016476-78r0rsio 326 29 160 160 CD cord-016476-78r0rsio 326 30 ] ] -RRB- cord-016476-78r0rsio 326 31 , , , cord-016476-78r0rsio 326 32 with with IN cord-016476-78r0rsio 326 33 a a DT cord-016476-78r0rsio 326 34 need need NN cord-016476-78r0rsio 326 35 for for IN cord-016476-78r0rsio 326 36 more more JJR cord-016476-78r0rsio 326 37 RCTs rct NNS cord-016476-78r0rsio 326 38 the the DT cord-016476-78r0rsio 326 39 effect effect NN cord-016476-78r0rsio 326 40 on on IN cord-016476-78r0rsio 326 41 respiratory respiratory JJ cord-016476-78r0rsio 326 42 function function NN cord-016476-78r0rsio 326 43 in in IN cord-016476-78r0rsio 326 44 this this DT cord-016476-78r0rsio 326 45 setting setting NN cord-016476-78r0rsio 326 46 . . . cord-016476-78r0rsio 327 1 Other other JJ cord-016476-78r0rsio 327 2 anti anti JJ cord-016476-78r0rsio 327 3 - - JJ cord-016476-78r0rsio 327 4 fibrotic fibrotic JJ cord-016476-78r0rsio 327 5 agents agent NNS cord-016476-78r0rsio 327 6 such such JJ cord-016476-78r0rsio 327 7 as as IN cord-016476-78r0rsio 327 8 nintedanib nintedanib NNP cord-016476-78r0rsio 327 9 , , , cord-016476-78r0rsio 327 10 a a DT cord-016476-78r0rsio 327 11 tyrosine tyrosine NN cord-016476-78r0rsio 327 12 kinase kinase NN cord-016476-78r0rsio 327 13 inhibitor inhibitor NN cord-016476-78r0rsio 327 14 that that WDT cord-016476-78r0rsio 327 15 targets target VBZ cord-016476-78r0rsio 327 16 multiple multiple JJ cord-016476-78r0rsio 327 17 tyrosine tyrosine NN cord-016476-78r0rsio 327 18 kinases kinase NNS cord-016476-78r0rsio 327 19 , , , cord-016476-78r0rsio 327 20 including include VBG cord-016476-78r0rsio 327 21 vascular vascular JJ cord-016476-78r0rsio 327 22 endothelial endothelial JJ cord-016476-78r0rsio 327 23 growth growth NN cord-016476-78r0rsio 327 24 factor factor NN cord-016476-78r0rsio 327 25 , , , cord-016476-78r0rsio 327 26 fibroblast fibroblast NN cord-016476-78r0rsio 327 27 growth growth NN cord-016476-78r0rsio 327 28 factor factor NN cord-016476-78r0rsio 327 29 and and CC cord-016476-78r0rsio 327 30 platelet platelet NN cord-016476-78r0rsio 327 31 - - HYPH cord-016476-78r0rsio 327 32 derived derive VBN cord-016476-78r0rsio 327 33 growth growth NN cord-016476-78r0rsio 327 34 factor factor NN cord-016476-78r0rsio 327 35 receptors receptor NNS cord-016476-78r0rsio 327 36 , , , cord-016476-78r0rsio 327 37 have have VBP cord-016476-78r0rsio 327 38 been be VBN cord-016476-78r0rsio 327 39 recommended recommend VBN cord-016476-78r0rsio 327 40 by by IN cord-016476-78r0rsio 327 41 the the DT cord-016476-78r0rsio 327 42 international international JJ cord-016476-78r0rsio 327 43 thoracic thoracic JJ cord-016476-78r0rsio 327 44 guidelines guideline NNS cord-016476-78r0rsio 327 45 for for IN cord-016476-78r0rsio 327 46 its -PRON- PRP$ cord-016476-78r0rsio 327 47 use use NN cord-016476-78r0rsio 327 48 in in IN cord-016476-78r0rsio 327 49 IPF IPF NNP cord-016476-78r0rsio 327 50 [ [ -LRB- cord-016476-78r0rsio 327 51 144 144 CD cord-016476-78r0rsio 327 52 ] ] -RRB- cord-016476-78r0rsio 327 53 . . . cord-016476-78r0rsio 328 1 It -PRON- PRP cord-016476-78r0rsio 328 2 was be VBD cord-016476-78r0rsio 328 3 recently recently RB cord-016476-78r0rsio 328 4 found find VBN cord-016476-78r0rsio 328 5 in in IN cord-016476-78r0rsio 328 6 various various JJ cord-016476-78r0rsio 328 7 murine murine JJ cord-016476-78r0rsio 328 8 systemic systemic JJ cord-016476-78r0rsio 328 9 sclerosis sclerosis NN cord-016476-78r0rsio 328 10 models model NNS cord-016476-78r0rsio 328 11 to to TO cord-016476-78r0rsio 328 12 effectively effectively RB cord-016476-78r0rsio 328 13 inhibit inhibit VB cord-016476-78r0rsio 328 14 the the DT cord-016476-78r0rsio 328 15 endogenous endogenous JJ cord-016476-78r0rsio 328 16 as as RB cord-016476-78r0rsio 328 17 well well RB cord-016476-78r0rsio 328 18 as as IN cord-016476-78r0rsio 328 19 cytokine cytokine NN cord-016476-78r0rsio 328 20 - - HYPH cord-016476-78r0rsio 328 21 induced induce VBN cord-016476-78r0rsio 328 22 activation activation NN cord-016476-78r0rsio 328 23 of of IN cord-016476-78r0rsio 328 24 fibroblasts fibroblast NNS cord-016476-78r0rsio 328 25 and and CC cord-016476-78r0rsio 328 26 exert exert VB cord-016476-78r0rsio 328 27 potent potent JJ cord-016476-78r0rsio 328 28 anti anti JJ cord-016476-78r0rsio 328 29 - - JJ cord-016476-78r0rsio 328 30 fibrotic fibrotic JJ cord-016476-78r0rsio 328 31 effects effect NNS cord-016476-78r0rsio 328 32 [ [ -LRB- cord-016476-78r0rsio 328 33 161 161 CD cord-016476-78r0rsio 328 34 ] ] -RRB- cord-016476-78r0rsio 328 35 . . . cord-016476-78r0rsio 329 1 Whilst whilst IN cord-016476-78r0rsio 329 2 there there EX cord-016476-78r0rsio 329 3 is be VBZ cord-016476-78r0rsio 329 4 currently currently RB cord-016476-78r0rsio 329 5 no no DT cord-016476-78r0rsio 329 6 clinical clinical JJ cord-016476-78r0rsio 329 7 evidence evidence NN cord-016476-78r0rsio 329 8 to to IN cord-016476-78r0rsio 329 9 date date NN cord-016476-78r0rsio 329 10 in in IN cord-016476-78r0rsio 329 11 CTD CTD NNP cord-016476-78r0rsio 329 12 / / SYM cord-016476-78r0rsio 329 13 RA RA NNP cord-016476-78r0rsio 329 14 - - HYPH cord-016476-78r0rsio 329 15 ILD ILD NNP cord-016476-78r0rsio 329 16 , , , cord-016476-78r0rsio 329 17 there there EX cord-016476-78r0rsio 329 18 may may MD cord-016476-78r0rsio 329 19 be be VB cord-016476-78r0rsio 329 20 potential potential JJ cord-016476-78r0rsio 329 21 for for IN cord-016476-78r0rsio 329 22 future future JJ cord-016476-78r0rsio 329 23 clinical clinical JJ cord-016476-78r0rsio 329 24 trials trial NNS cord-016476-78r0rsio 329 25 with with IN cord-016476-78r0rsio 329 26 this this DT cord-016476-78r0rsio 329 27 drug drug NN cord-016476-78r0rsio 329 28 . . . cord-016476-78r0rsio 330 1 Cyclophosphamide Cyclophosphamide NNP cord-016476-78r0rsio 330 2 has have VBZ cord-016476-78r0rsio 330 3 been be VBN cord-016476-78r0rsio 330 4 commonly commonly RB cord-016476-78r0rsio 330 5 used use VBN cord-016476-78r0rsio 330 6 to to TO cord-016476-78r0rsio 330 7 treat treat VB cord-016476-78r0rsio 330 8 ILD ILD NNP cord-016476-78r0rsio 330 9 unresponsive unresponsive JJ cord-016476-78r0rsio 330 10 to to IN cord-016476-78r0rsio 330 11 glucocorticoids glucocorticoid NNS cord-016476-78r0rsio 330 12 . . . cord-016476-78r0rsio 331 1 However however RB cord-016476-78r0rsio 331 2 evidence evidence NN cord-016476-78r0rsio 331 3 of of IN cord-016476-78r0rsio 331 4 its -PRON- PRP$ cord-016476-78r0rsio 331 5 use use NN cord-016476-78r0rsio 331 6 in in IN cord-016476-78r0rsio 331 7 IPF IPF NNP cord-016476-78r0rsio 331 8 is be VBZ cord-016476-78r0rsio 331 9 lacking lack VBG cord-016476-78r0rsio 331 10 [ [ -LRB- cord-016476-78r0rsio 331 11 162 162 CD cord-016476-78r0rsio 331 12 ] ] -RRB- cord-016476-78r0rsio 331 13 . . . cord-016476-78r0rsio 332 1 Conflicting conflicting JJ cord-016476-78r0rsio 332 2 data datum NNS cord-016476-78r0rsio 332 3 exist exist VBP cord-016476-78r0rsio 332 4 regarding regard VBG cord-016476-78r0rsio 332 5 its -PRON- PRP$ cord-016476-78r0rsio 332 6 use use NN cord-016476-78r0rsio 332 7 in in IN cord-016476-78r0rsio 332 8 scleroderma scleroderma NN cord-016476-78r0rsio 332 9 - - HYPH cord-016476-78r0rsio 332 10 related relate VBN cord-016476-78r0rsio 332 11 ILD ILD NNP cord-016476-78r0rsio 332 12 [ [ -LRB- cord-016476-78r0rsio 332 13 163 163 CD cord-016476-78r0rsio 332 14 ] ] -RRB- cord-016476-78r0rsio 332 15 , , , cord-016476-78r0rsio 332 16 with with IN cord-016476-78r0rsio 332 17 additional additional JJ cord-016476-78r0rsio 332 18 concerns concern NNS cord-016476-78r0rsio 332 19 regarding regard VBG cord-016476-78r0rsio 332 20 its -PRON- PRP$ cord-016476-78r0rsio 332 21 toxicity toxicity NN cord-016476-78r0rsio 332 22 profile profile NN cord-016476-78r0rsio 332 23 . . . cord-016476-78r0rsio 333 1 RCTs RCTs NNP cord-016476-78r0rsio 333 2 using use VBG cord-016476-78r0rsio 333 3 cyclophosphamide cyclophosphamide RB cord-016476-78r0rsio 333 4 suggest suggest VBP cord-016476-78r0rsio 333 5 moderate moderate JJ cord-016476-78r0rsio 333 6 benefit benefit NN cord-016476-78r0rsio 333 7 in in IN cord-016476-78r0rsio 333 8 scleroderma scleroderma NN cord-016476-78r0rsio 333 9 - - HYPH cord-016476-78r0rsio 333 10 ILD ILD NNP cord-016476-78r0rsio 333 11 patients patient NNS cord-016476-78r0rsio 333 12 with with IN cord-016476-78r0rsio 333 13 early early JJ cord-016476-78r0rsio 333 14 disease disease NN cord-016476-78r0rsio 333 15 [ [ -LRB- cord-016476-78r0rsio 333 16 164 164 CD cord-016476-78r0rsio 333 17 ] ] -RRB- cord-016476-78r0rsio 333 18 [ [ -LRB- cord-016476-78r0rsio 333 19 165 165 CD cord-016476-78r0rsio 333 20 ] ] -RRB- cord-016476-78r0rsio 333 21 [ [ -LRB- cord-016476-78r0rsio 333 22 166 166 CD cord-016476-78r0rsio 333 23 ] ] -RRB- cord-016476-78r0rsio 333 24 , , , cord-016476-78r0rsio 333 25 although although IN cord-016476-78r0rsio 333 26 a a DT cord-016476-78r0rsio 333 27 previous previous JJ cord-016476-78r0rsio 333 28 metaanalysis metaanalysis NN cord-016476-78r0rsio 333 29 concluded conclude VBD cord-016476-78r0rsio 333 30 no no DT cord-016476-78r0rsio 333 31 improvement improvement NN cord-016476-78r0rsio 333 32 in in IN cord-016476-78r0rsio 333 33 pulmonary pulmonary JJ cord-016476-78r0rsio 333 34 function function NN cord-016476-78r0rsio 333 35 following follow VBG cord-016476-78r0rsio 333 36 12 12 CD cord-016476-78r0rsio 333 37 months month NNS cord-016476-78r0rsio 333 38 of of IN cord-016476-78r0rsio 333 39 treatment treatment NN cord-016476-78r0rsio 333 40 [ [ -LRB- cord-016476-78r0rsio 333 41 167 167 CD cord-016476-78r0rsio 333 42 ] ] -RRB- cord-016476-78r0rsio 333 43 . . . cord-016476-78r0rsio 334 1 No no DT cord-016476-78r0rsio 334 2 RCTs rct NNS cord-016476-78r0rsio 334 3 have have VBP cord-016476-78r0rsio 334 4 been be VBN cord-016476-78r0rsio 334 5 performed perform VBN cord-016476-78r0rsio 334 6 assessing assess VBG cord-016476-78r0rsio 334 7 the the DT cord-016476-78r0rsio 334 8 use use NN cord-016476-78r0rsio 334 9 of of IN cord-016476-78r0rsio 334 10 cyclophosphamide cyclophosphamide NN cord-016476-78r0rsio 334 11 in in IN cord-016476-78r0rsio 334 12 RA RA NNP cord-016476-78r0rsio 334 13 - - HYPH cord-016476-78r0rsio 334 14 ILD ILD NNP cord-016476-78r0rsio 334 15 . . . cord-016476-78r0rsio 335 1 Limited limited JJ cord-016476-78r0rsio 335 2 evidence evidence NN cord-016476-78r0rsio 335 3 suggests suggest VBZ cord-016476-78r0rsio 335 4 that that IN cord-016476-78r0rsio 335 5 there there EX cord-016476-78r0rsio 335 6 may may MD cord-016476-78r0rsio 335 7 be be VB cord-016476-78r0rsio 335 8 some some DT cord-016476-78r0rsio 335 9 role role NN cord-016476-78r0rsio 335 10 in in IN cord-016476-78r0rsio 335 11 rapidly rapidly RB cord-016476-78r0rsio 335 12 progressing progress VBG cord-016476-78r0rsio 335 13 patients patient NNS cord-016476-78r0rsio 335 14 with with IN cord-016476-78r0rsio 335 15 restricted restricted JJ cord-016476-78r0rsio 335 16 therapeutic therapeutic JJ cord-016476-78r0rsio 335 17 options option NNS cord-016476-78r0rsio 335 18 in in IN cord-016476-78r0rsio 335 19 the the DT cord-016476-78r0rsio 335 20 acute acute JJ cord-016476-78r0rsio 335 21 or or CC cord-016476-78r0rsio 335 22 subacute subacute JJ cord-016476-78r0rsio 335 23 setting set VBG cord-016476-78r0rsio 335 24 [ [ -LRB- cord-016476-78r0rsio 335 25 168 168 CD cord-016476-78r0rsio 335 26 ] ] -RRB- cord-016476-78r0rsio 335 27 or or CC cord-016476-78r0rsio 335 28 in in IN cord-016476-78r0rsio 335 29 refractory refractory JJ cord-016476-78r0rsio 335 30 drug drug NN cord-016476-78r0rsio 335 31 - - HYPH cord-016476-78r0rsio 335 32 induced induce VBN cord-016476-78r0rsio 335 33 pneumonitis pneumonitis NN cord-016476-78r0rsio 335 34 unresponsive unresponsive JJ cord-016476-78r0rsio 335 35 to to IN cord-016476-78r0rsio 335 36 glucocorticoids glucocorticoid NNS cord-016476-78r0rsio 335 37 [ [ -LRB- cord-016476-78r0rsio 335 38 169 169 CD cord-016476-78r0rsio 335 39 ] ] -RRB- cord-016476-78r0rsio 335 40 . . . cord-016476-78r0rsio 336 1 The the DT cord-016476-78r0rsio 336 2 use use NN cord-016476-78r0rsio 336 3 of of IN cord-016476-78r0rsio 336 4 this this DT cord-016476-78r0rsio 336 5 agent agent NN cord-016476-78r0rsio 336 6 is be VBZ cord-016476-78r0rsio 336 7 not not RB cord-016476-78r0rsio 336 8 recommended recommend VBN cord-016476-78r0rsio 336 9 for for IN cord-016476-78r0rsio 336 10 mild mild JJ cord-016476-78r0rsio 336 11 / / SYM cord-016476-78r0rsio 336 12 moderate moderate JJ cord-016476-78r0rsio 336 13 stable stable JJ cord-016476-78r0rsio 336 14 RA RA NNP cord-016476-78r0rsio 336 15 - - HYPH cord-016476-78r0rsio 336 16 ILD ILD NNP cord-016476-78r0rsio 336 17 disease disease NN cord-016476-78r0rsio 336 18 . . . cord-016476-78r0rsio 337 1 Experience experience NN cord-016476-78r0rsio 337 2 of of IN cord-016476-78r0rsio 337 3 using use VBG cord-016476-78r0rsio 337 4 cyclosporine cyclosporine NN cord-016476-78r0rsio 337 5 in in IN cord-016476-78r0rsio 337 6 the the DT cord-016476-78r0rsio 337 7 treatment treatment NN cord-016476-78r0rsio 337 8 of of IN cord-016476-78r0rsio 337 9 RA RA NNP cord-016476-78r0rsio 337 10 - - HYPH cord-016476-78r0rsio 337 11 ILD ILD NNP cord-016476-78r0rsio 337 12 is be VBZ cord-016476-78r0rsio 337 13 limited limit VBN cord-016476-78r0rsio 337 14 and and CC cord-016476-78r0rsio 337 15 not not RB cord-016476-78r0rsio 337 16 recommended recommend VBN cord-016476-78r0rsio 337 17 currently currently RB cord-016476-78r0rsio 337 18 due due JJ cord-016476-78r0rsio 337 19 to to IN cord-016476-78r0rsio 337 20 its -PRON- PRP$ cord-016476-78r0rsio 337 21 poor poor JJ cord-016476-78r0rsio 337 22 safety safety NN cord-016476-78r0rsio 337 23 profile profile NN cord-016476-78r0rsio 337 24 and and CC cord-016476-78r0rsio 337 25 absence absence NN cord-016476-78r0rsio 337 26 of of IN cord-016476-78r0rsio 337 27 proven prove VBN cord-016476-78r0rsio 337 28 benefit benefit NN cord-016476-78r0rsio 337 29 on on IN cord-016476-78r0rsio 337 30 pulmonary pulmonary JJ cord-016476-78r0rsio 337 31 or or CC cord-016476-78r0rsio 337 32 joint joint JJ cord-016476-78r0rsio 337 33 disease disease NN cord-016476-78r0rsio 337 34 . . . cord-016476-78r0rsio 338 1 Few few JJ cord-016476-78r0rsio 338 2 publications publication NNS cord-016476-78r0rsio 338 3 in in IN cord-016476-78r0rsio 338 4 IPF IPF NNP cord-016476-78r0rsio 338 5 have have VBP cord-016476-78r0rsio 338 6 been be VBN cord-016476-78r0rsio 338 7 less less JJR cord-016476-78r0rsio 338 8 than than IN cord-016476-78r0rsio 338 9 encouraging encourage VBG cord-016476-78r0rsio 338 10 [ [ -LRB- cord-016476-78r0rsio 338 11 170 170 CD cord-016476-78r0rsio 338 12 , , , cord-016476-78r0rsio 338 13 171 171 CD cord-016476-78r0rsio 338 14 ] ] -RRB- cord-016476-78r0rsio 338 15 ; ; : cord-016476-78r0rsio 338 16 however however RB cord-016476-78r0rsio 338 17 , , , cord-016476-78r0rsio 338 18 it -PRON- PRP cord-016476-78r0rsio 338 19 appears appear VBZ cord-016476-78r0rsio 338 20 to to TO cord-016476-78r0rsio 338 21 yield yield VB cord-016476-78r0rsio 338 22 some some DT cord-016476-78r0rsio 338 23 benefits benefit NNS cord-016476-78r0rsio 338 24 according accord VBG cord-016476-78r0rsio 338 25 to to IN cord-016476-78r0rsio 338 26 anecdotal anecdotal JJ cord-016476-78r0rsio 338 27 reports report NNS cord-016476-78r0rsio 338 28 in in IN cord-016476-78r0rsio 338 29 myositis myositis NN cord-016476-78r0rsio 338 30 - - HYPH cord-016476-78r0rsio 338 31 related relate VBN cord-016476-78r0rsio 338 32 ILD ILD NNP cord-016476-78r0rsio 338 33 particularly particularly RB cord-016476-78r0rsio 338 34 anti anti JJ cord-016476-78r0rsio 338 35 - - JJ cord-016476-78r0rsio 338 36 synthetase synthetase JJ cord-016476-78r0rsio 338 37 syndrome syndrome NN cord-016476-78r0rsio 338 38 [ [ -LRB- cord-016476-78r0rsio 338 39 172 172 CD cord-016476-78r0rsio 338 40 ] ] -RRB- cord-016476-78r0rsio 338 41 [ [ -LRB- cord-016476-78r0rsio 338 42 173 173 CD cord-016476-78r0rsio 338 43 ] ] -RRB- cord-016476-78r0rsio 338 44 [ [ -LRB- cord-016476-78r0rsio 338 45 174 174 CD cord-016476-78r0rsio 338 46 ] ] -RRB- cord-016476-78r0rsio 338 47 . . . cord-016476-78r0rsio 339 1 Mycophenolate Mycophenolate NNP cord-016476-78r0rsio 339 2 mofetil mofetil NNP cord-016476-78r0rsio 339 3 often often RB cord-016476-78r0rsio 339 4 used use VBN cord-016476-78r0rsio 339 5 in in IN cord-016476-78r0rsio 339 6 the the DT cord-016476-78r0rsio 339 7 treatment treatment NN cord-016476-78r0rsio 339 8 of of IN cord-016476-78r0rsio 339 9 scleroderma scleroderma NN cord-016476-78r0rsio 340 1 -ILD -ild PRP cord-016476-78r0rsio 340 2 is be VBZ cord-016476-78r0rsio 340 3 an an DT cord-016476-78r0rsio 340 4 inhibitor inhibitor NN cord-016476-78r0rsio 340 5 of of IN cord-016476-78r0rsio 340 6 lymphocyte lymphocyte NN cord-016476-78r0rsio 340 7 proliferation proliferation NN cord-016476-78r0rsio 340 8 and and CC cord-016476-78r0rsio 340 9 additionally additionally RB cord-016476-78r0rsio 340 10 targets target VBZ cord-016476-78r0rsio 340 11 nonimmune nonimmune JJ cord-016476-78r0rsio 340 12 cells cell NNS cord-016476-78r0rsio 340 13 such such JJ cord-016476-78r0rsio 340 14 as as IN cord-016476-78r0rsio 340 15 fibroblasts fibroblast NNS cord-016476-78r0rsio 340 16 and and CC cord-016476-78r0rsio 340 17 smooth smooth JJ cord-016476-78r0rsio 340 18 muscle muscle NN cord-016476-78r0rsio 340 19 cells cell NNS cord-016476-78r0rsio 340 20 . . . cord-016476-78r0rsio 341 1 The the DT cord-016476-78r0rsio 341 2 majority majority NN cord-016476-78r0rsio 341 3 of of IN cord-016476-78r0rsio 341 4 the the DT cord-016476-78r0rsio 341 5 evidence evidence NN cord-016476-78r0rsio 341 6 for for IN cord-016476-78r0rsio 341 7 use use NN cord-016476-78r0rsio 341 8 has have VBZ cord-016476-78r0rsio 341 9 been be VBN cord-016476-78r0rsio 341 10 derived derive VBN cord-016476-78r0rsio 341 11 from from IN cord-016476-78r0rsio 341 12 small small JJ cord-016476-78r0rsio 341 13 prospective prospective JJ cord-016476-78r0rsio 341 14 case case NN cord-016476-78r0rsio 341 15 series series NN cord-016476-78r0rsio 341 16 and and CC cord-016476-78r0rsio 341 17 retrospective retrospective JJ cord-016476-78r0rsio 341 18 reviews review NNS cord-016476-78r0rsio 341 19 and and CC cord-016476-78r0rsio 341 20 has have VBZ cord-016476-78r0rsio 341 21 been be VBN cord-016476-78r0rsio 341 22 shown show VBN cord-016476-78r0rsio 341 23 to to TO cord-016476-78r0rsio 341 24 stabilise stabilise VB cord-016476-78r0rsio 341 25 scleroderma scleroderma NN cord-016476-78r0rsio 341 26 - - : cord-016476-78r0rsio 341 27 ILD ILD NNP cord-016476-78r0rsio 341 28 [ [ -LRB- cord-016476-78r0rsio 341 29 175 175 CD cord-016476-78r0rsio 341 30 ] ] -RRB- cord-016476-78r0rsio 341 31 [ [ -LRB- cord-016476-78r0rsio 341 32 176 176 CD cord-016476-78r0rsio 341 33 ] ] -RRB- cord-016476-78r0rsio 341 34 [ [ -LRB- cord-016476-78r0rsio 341 35 177 177 CD cord-016476-78r0rsio 341 36 ] ] -RRB- cord-016476-78r0rsio 341 37 and and CC cord-016476-78r0rsio 341 38 CTD CTD NNP cord-016476-78r0rsio 341 39 - - HYPH cord-016476-78r0rsio 341 40 ILD ILD NNP cord-016476-78r0rsio 341 41 [ [ -LRB- cord-016476-78r0rsio 341 42 178 178 CD cord-016476-78r0rsio 341 43 ] ] -RRB- cord-016476-78r0rsio 341 44 . . . cord-016476-78r0rsio 342 1 In in IN cord-016476-78r0rsio 342 2 the the DT cord-016476-78r0rsio 342 3 latter latter JJ cord-016476-78r0rsio 342 4 series series NN cord-016476-78r0rsio 342 5 , , , cord-016476-78r0rsio 342 6 18 18 CD cord-016476-78r0rsio 342 7 patients patient NNS cord-016476-78r0rsio 342 8 with with IN cord-016476-78r0rsio 342 9 RA RA NNP cord-016476-78r0rsio 342 10 - - HYPH cord-016476-78r0rsio 342 11 ILD ILD NNP cord-016476-78r0rsio 342 12 were be VBD cord-016476-78r0rsio 342 13 included include VBN cord-016476-78r0rsio 342 14 ; ; : cord-016476-78r0rsio 342 15 mycophenolate mycophenolate NNP cord-016476-78r0rsio 342 16 was be VBD cord-016476-78r0rsio 342 17 associated associate VBN cord-016476-78r0rsio 342 18 with with IN cord-016476-78r0rsio 342 19 modest modest JJ cord-016476-78r0rsio 342 20 improvements improvement NNS cord-016476-78r0rsio 342 21 in in IN cord-016476-78r0rsio 342 22 forced force VBN cord-016476-78r0rsio 342 23 vital vital JJ cord-016476-78r0rsio 342 24 capacity capacity NN cord-016476-78r0rsio 342 25 ( ( -LRB- cord-016476-78r0rsio 342 26 FVC FVC NNP cord-016476-78r0rsio 342 27 ) ) -RRB- cord-016476-78r0rsio 342 28 , , , cord-016476-78r0rsio 342 29 diffusing diffuse VBG cord-016476-78r0rsio 342 30 capacity capacity NN cord-016476-78r0rsio 342 31 and and CC cord-016476-78r0rsio 342 32 reductions reduction NNS cord-016476-78r0rsio 342 33 in in IN cord-016476-78r0rsio 342 34 the the DT cord-016476-78r0rsio 342 35 prednisone prednisone NNP cord-016476-78r0rsio 342 36 dose dose NN cord-016476-78r0rsio 342 37 [ [ -LRB- cord-016476-78r0rsio 342 38 178 178 CD cord-016476-78r0rsio 342 39 ] ] -RRB- cord-016476-78r0rsio 342 40 . . . cord-016476-78r0rsio 343 1 A a DT cord-016476-78r0rsio 343 2 head head NN cord-016476-78r0rsio 343 3 - - HYPH cord-016476-78r0rsio 343 4 to to IN cord-016476-78r0rsio 343 5 - - HYPH cord-016476-78r0rsio 343 6 head head NN cord-016476-78r0rsio 343 7 RCT RCT NNP cord-016476-78r0rsio 343 8 assessing assess VBG cord-016476-78r0rsio 343 9 the the DT cord-016476-78r0rsio 343 10 use use NN cord-016476-78r0rsio 343 11 of of IN cord-016476-78r0rsio 343 12 a a DT cord-016476-78r0rsio 343 13 twoyear twoyear JJ cord-016476-78r0rsio 343 14 course course NN cord-016476-78r0rsio 343 15 of of IN cord-016476-78r0rsio 343 16 mycophenolate mycophenolate NN cord-016476-78r0rsio 343 17 compared compare VBN cord-016476-78r0rsio 343 18 to to IN cord-016476-78r0rsio 343 19 oral oral JJ cord-016476-78r0rsio 343 20 cyclophosphamide cyclophosphamide NN cord-016476-78r0rsio 343 21 for for IN cord-016476-78r0rsio 343 22 12 12 CD cord-016476-78r0rsio 343 23 months month NNS cord-016476-78r0rsio 343 24 in in IN cord-016476-78r0rsio 343 25 SSc SSc NNS cord-016476-78r0rsio 343 26 - - HYPH cord-016476-78r0rsio 343 27 ILD ILD NNP cord-016476-78r0rsio 343 28 has have VBZ cord-016476-78r0rsio 343 29 recently recently RB cord-016476-78r0rsio 343 30 been be VBN cord-016476-78r0rsio 343 31 published publish VBN cord-016476-78r0rsio 343 32 , , , cord-016476-78r0rsio 343 33 demonstrating demonstrate VBG cord-016476-78r0rsio 343 34 a a DT cord-016476-78r0rsio 343 35 more more RBR cord-016476-78r0rsio 343 36 favourable favourable JJ cord-016476-78r0rsio 343 37 safety safety NN cord-016476-78r0rsio 343 38 profile profile NN cord-016476-78r0rsio 343 39 with with IN cord-016476-78r0rsio 343 40 mycophenolate mycophenolate NNP cord-016476-78r0rsio 343 41 ; ; : cord-016476-78r0rsio 343 42 however however RB cord-016476-78r0rsio 343 43 , , , cord-016476-78r0rsio 343 44 both both DT cord-016476-78r0rsio 343 45 treatment treatment NN cord-016476-78r0rsio 343 46 arms arm NNS cord-016476-78r0rsio 343 47 demonstrate demonstrate VBP cord-016476-78r0rsio 343 48 similar similar JJ cord-016476-78r0rsio 343 49 efficacy efficacy NN cord-016476-78r0rsio 343 50 on on IN cord-016476-78r0rsio 343 51 lung lung NN cord-016476-78r0rsio 343 52 function function NN cord-016476-78r0rsio 343 53 [ [ -LRB- cord-016476-78r0rsio 343 54 179 179 CD cord-016476-78r0rsio 343 55 ] ] -RRB- cord-016476-78r0rsio 343 56 . . . cord-016476-78r0rsio 344 1 In in IN cord-016476-78r0rsio 344 2 the the DT cord-016476-78r0rsio 344 3 treatment treatment NN cord-016476-78r0rsio 344 4 of of IN cord-016476-78r0rsio 344 5 RA RA NNP cord-016476-78r0rsio 344 6 - - HYPH cord-016476-78r0rsio 344 7 ILD ILD NNP cord-016476-78r0rsio 344 8 , , , cord-016476-78r0rsio 344 9 mycophenolate mycophenolate NNP cord-016476-78r0rsio 344 10 has have VBZ cord-016476-78r0rsio 344 11 been be VBN cord-016476-78r0rsio 344 12 prescribed prescribe VBN cord-016476-78r0rsio 344 13 at at IN cord-016476-78r0rsio 344 14 doses dose NNS cord-016476-78r0rsio 344 15 of of IN cord-016476-78r0rsio 344 16 1 1 CD cord-016476-78r0rsio 344 17 - - SYM cord-016476-78r0rsio 344 18 2 2 CD cord-016476-78r0rsio 344 19 g g NN cord-016476-78r0rsio 344 20 per per IN cord-016476-78r0rsio 344 21 day day NN cord-016476-78r0rsio 344 22 in in IN cord-016476-78r0rsio 344 23 patients patient NNS cord-016476-78r0rsio 344 24 with with IN cord-016476-78r0rsio 344 25 RA RA NNP cord-016476-78r0rsio 344 26 who who WP cord-016476-78r0rsio 344 27 have have VBP cord-016476-78r0rsio 344 28 limited limit VBN cord-016476-78r0rsio 344 29 pulmonary pulmonary JJ cord-016476-78r0rsio 344 30 disease disease NN cord-016476-78r0rsio 344 31 with with IN cord-016476-78r0rsio 344 32 some some DT cord-016476-78r0rsio 344 33 benefit benefit NN cord-016476-78r0rsio 344 34 [ [ -LRB- cord-016476-78r0rsio 344 35 175 175 CD cord-016476-78r0rsio 344 36 , , , cord-016476-78r0rsio 344 37 180 180 CD cord-016476-78r0rsio 344 38 ] ] -RRB- cord-016476-78r0rsio 344 39 . . . cord-016476-78r0rsio 345 1 However however RB cord-016476-78r0rsio 345 2 it -PRON- PRP cord-016476-78r0rsio 345 3 is be VBZ cord-016476-78r0rsio 345 4 not not RB cord-016476-78r0rsio 345 5 effective effective JJ cord-016476-78r0rsio 345 6 in in IN cord-016476-78r0rsio 345 7 the the DT cord-016476-78r0rsio 345 8 treatment treatment NN cord-016476-78r0rsio 345 9 of of IN cord-016476-78r0rsio 345 10 active active JJ cord-016476-78r0rsio 345 11 articular articular JJ cord-016476-78r0rsio 345 12 disease disease NN cord-016476-78r0rsio 345 13 on on IN cord-016476-78r0rsio 345 14 RA RA NNP cord-016476-78r0rsio 345 15 , , , cord-016476-78r0rsio 345 16 requiring require VBG cord-016476-78r0rsio 345 17 the the DT cord-016476-78r0rsio 345 18 use use NN cord-016476-78r0rsio 345 19 of of IN cord-016476-78r0rsio 345 20 concomitant concomitant JJ cord-016476-78r0rsio 345 21 nbDMARDs nbdmards NN cord-016476-78r0rsio 345 22 , , , cord-016476-78r0rsio 345 23 which which WDT cord-016476-78r0rsio 345 24 may may MD cord-016476-78r0rsio 345 25 have have VB cord-016476-78r0rsio 345 26 additional additional JJ cord-016476-78r0rsio 345 27 consequences consequence NNS cord-016476-78r0rsio 345 28 on on IN cord-016476-78r0rsio 345 29 tolerability tolerability NN cord-016476-78r0rsio 345 30 . . . cord-016476-78r0rsio 346 1 Whilst whilst IN cord-016476-78r0rsio 346 2 studies study NNS cord-016476-78r0rsio 346 3 supporting support VBG cord-016476-78r0rsio 346 4 the the DT cord-016476-78r0rsio 346 5 use use NN cord-016476-78r0rsio 346 6 of of IN cord-016476-78r0rsio 346 7 mycophenolate mycophenolate NN cord-016476-78r0rsio 346 8 in in IN cord-016476-78r0rsio 346 9 RA RA NNP cord-016476-78r0rsio 346 10 - - HYPH cord-016476-78r0rsio 346 11 ILD ILD NNP cord-016476-78r0rsio 346 12 represent represent VBP cord-016476-78r0rsio 346 13 a a DT cord-016476-78r0rsio 346 14 relatively relatively RB cord-016476-78r0rsio 346 15 small small JJ cord-016476-78r0rsio 346 16 number number NN cord-016476-78r0rsio 346 17 of of IN cord-016476-78r0rsio 346 18 patients patient NNS cord-016476-78r0rsio 346 19 , , , cord-016476-78r0rsio 346 20 further further JJ cord-016476-78r0rsio 346 21 work work NN cord-016476-78r0rsio 346 22 on on IN cord-016476-78r0rsio 346 23 tolerability tolerability NN cord-016476-78r0rsio 346 24 and and CC cord-016476-78r0rsio 346 25 safety safety NN cord-016476-78r0rsio 346 26 in in IN cord-016476-78r0rsio 346 27 the the DT cord-016476-78r0rsio 346 28 context context NN cord-016476-78r0rsio 346 29 of of IN cord-016476-78r0rsio 346 30 active active JJ cord-016476-78r0rsio 346 31 RA RA NNP cord-016476-78r0rsio 346 32 is be VBZ cord-016476-78r0rsio 346 33 required require VBN cord-016476-78r0rsio 346 34 , , , cord-016476-78r0rsio 346 35 and and CC cord-016476-78r0rsio 346 36 if if IN cord-016476-78r0rsio 346 37 promising promise VBG cord-016476-78r0rsio 346 38 well well RB cord-016476-78r0rsio 346 39 - - HYPH cord-016476-78r0rsio 346 40 designed design VBN cord-016476-78r0rsio 346 41 trials trial NNS cord-016476-78r0rsio 346 42 may may MD cord-016476-78r0rsio 346 43 be be VB cord-016476-78r0rsio 346 44 helpful helpful JJ cord-016476-78r0rsio 346 45 before before IN cord-016476-78r0rsio 346 46 advocating advocate VBG cord-016476-78r0rsio 346 47 its -PRON- PRP$ cord-016476-78r0rsio 346 48 use use NN cord-016476-78r0rsio 346 49 in in IN cord-016476-78r0rsio 346 50 this this DT cord-016476-78r0rsio 346 51 area area NN cord-016476-78r0rsio 346 52 . . . cord-016476-78r0rsio 347 1 Of of IN cord-016476-78r0rsio 347 2 the the DT cord-016476-78r0rsio 347 3 biologics biologic NNS cord-016476-78r0rsio 347 4 having have VBG cord-016476-78r0rsio 347 5 potential potential JJ cord-016476-78r0rsio 347 6 utility utility NN cord-016476-78r0rsio 347 7 for for IN cord-016476-78r0rsio 347 8 treatment treatment NN cord-016476-78r0rsio 347 9 of of IN cord-016476-78r0rsio 347 10 RA RA NNP cord-016476-78r0rsio 347 11 and and CC cord-016476-78r0rsio 347 12 other other JJ cord-016476-78r0rsio 347 13 connective connective JJ cord-016476-78r0rsio 347 14 tissue tissue NN cord-016476-78r0rsio 347 15 disease disease NN cord-016476-78r0rsio 347 16 - - HYPH cord-016476-78r0rsio 347 17 related relate VBN cord-016476-78r0rsio 347 18 ILD ILD NNP cord-016476-78r0rsio 347 19 , , , cord-016476-78r0rsio 347 20 perhaps perhaps RB cord-016476-78r0rsio 347 21 rituximab rituximab NN cord-016476-78r0rsio 347 22 has have VBZ cord-016476-78r0rsio 347 23 had have VBN cord-016476-78r0rsio 347 24 the the DT cord-016476-78r0rsio 347 25 most most JJS cord-016476-78r0rsio 347 26 interest interest NN cord-016476-78r0rsio 347 27 and and CC cord-016476-78r0rsio 347 28 shown show VBN cord-016476-78r0rsio 347 29 some some DT cord-016476-78r0rsio 347 30 promising promising JJ cord-016476-78r0rsio 347 31 results result NNS cord-016476-78r0rsio 347 32 in in IN cord-016476-78r0rsio 347 33 published publish VBN cord-016476-78r0rsio 347 34 case case NN cord-016476-78r0rsio 347 35 reports report NNS cord-016476-78r0rsio 347 36 and and CC cord-016476-78r0rsio 347 37 case case NN cord-016476-78r0rsio 347 38 series series NN cord-016476-78r0rsio 347 39 , , , cord-016476-78r0rsio 347 40 not not RB cord-016476-78r0rsio 347 41 inclusive inclusive JJ cord-016476-78r0rsio 347 42 of of IN cord-016476-78r0rsio 347 43 RA RA NNP cord-016476-78r0rsio 347 44 [ [ -LRB- cord-016476-78r0rsio 347 45 181 181 CD cord-016476-78r0rsio 347 46 ] ] -RRB- cord-016476-78r0rsio 347 47 [ [ -LRB- cord-016476-78r0rsio 347 48 182 182 CD cord-016476-78r0rsio 347 49 ] ] -RRB- cord-016476-78r0rsio 347 50 [ [ -LRB- cord-016476-78r0rsio 347 51 183 183 CD cord-016476-78r0rsio 347 52 ] ] -RRB- cord-016476-78r0rsio 347 53 [ [ -LRB- cord-016476-78r0rsio 347 54 184 184 CD cord-016476-78r0rsio 347 55 ] ] -RRB- cord-016476-78r0rsio 347 56 . . . cord-016476-78r0rsio 348 1 A a DT cord-016476-78r0rsio 348 2 recent recent JJ cord-016476-78r0rsio 348 3 retrospective retrospective JJ cord-016476-78r0rsio 348 4 review review NN cord-016476-78r0rsio 348 5 of of IN cord-016476-78r0rsio 348 6 CTD CTD NNP cord-016476-78r0rsio 348 7 - - HYPH cord-016476-78r0rsio 348 8 ILD ILD NNP cord-016476-78r0rsio 348 9 cases case NNS cord-016476-78r0rsio 348 10 treated treat VBN cord-016476-78r0rsio 348 11 with with IN cord-016476-78r0rsio 348 12 rituximab rituximab NN cord-016476-78r0rsio 348 13 , , , cord-016476-78r0rsio 348 14 which which WDT cord-016476-78r0rsio 348 15 included include VBD cord-016476-78r0rsio 348 16 anti anti JJ cord-016476-78r0rsio 348 17 - - JJ cord-016476-78r0rsio 348 18 synthetase synthetase JJ cord-016476-78r0rsio 348 19 syndrome syndrome NN cord-016476-78r0rsio 348 20 ( ( -LRB- cord-016476-78r0rsio 348 21 n n NN cord-016476-78r0rsio 348 22 = = SYM cord-016476-78r0rsio 348 23 10 10 CD cord-016476-78r0rsio 348 24 ) ) -RRB- cord-016476-78r0rsio 348 25 , , , cord-016476-78r0rsio 348 26 dermatomyositis dermatomyositis NNP cord-016476-78r0rsio 348 27 ( ( -LRB- cord-016476-78r0rsio 348 28 n n NN cord-016476-78r0rsio 348 29 = = SYM cord-016476-78r0rsio 348 30 3 3 CD cord-016476-78r0rsio 348 31 ) ) -RRB- cord-016476-78r0rsio 348 32 , , , cord-016476-78r0rsio 348 33 systemic systemic JJ cord-016476-78r0rsio 348 34 sclerosis sclerosis NN cord-016476-78r0rsio 348 35 ( ( -LRB- cord-016476-78r0rsio 348 36 n n NN cord-016476-78r0rsio 348 37 = = SYM cord-016476-78r0rsio 348 38 3 3 CD cord-016476-78r0rsio 348 39 ) ) -RRB- cord-016476-78r0rsio 348 40 , , , cord-016476-78r0rsio 348 41 systemic systemic JJ cord-016476-78r0rsio 348 42 lupus lupus NN cord-016476-78r0rsio 348 43 erythematosus erythematosus NN cord-016476-78r0rsio 348 44 ( ( -LRB- cord-016476-78r0rsio 348 45 n n NN cord-016476-78r0rsio 348 46 = = SYM cord-016476-78r0rsio 348 47 2 2 CD cord-016476-78r0rsio 348 48 ) ) -RRB- cord-016476-78r0rsio 348 49 and and CC cord-016476-78r0rsio 348 50 unclassifiable unclassifiable JJ cord-016476-78r0rsio 348 51 CTD CTD NNP cord-016476-78r0rsio 348 52 - - HYPH cord-016476-78r0rsio 348 53 ILD ILD NNP cord-016476-78r0rsio 348 54 ( ( -LRB- cord-016476-78r0rsio 348 55 n n NN cord-016476-78r0rsio 348 56 = = SYM cord-016476-78r0rsio 348 57 4 4 CD cord-016476-78r0rsio 348 58 ) ) -RRB- cord-016476-78r0rsio 348 59 , , , cord-016476-78r0rsio 348 60 suggested suggest VBD cord-016476-78r0rsio 348 61 stabilisation stabilisation NN cord-016476-78r0rsio 348 62 of of IN cord-016476-78r0rsio 348 63 lung lung NN cord-016476-78r0rsio 348 64 disease disease NN cord-016476-78r0rsio 348 65 in in IN cord-016476-78r0rsio 348 66 11 11 CD cord-016476-78r0rsio 348 67 patients patient NNS cord-016476-78r0rsio 348 68 and and CC cord-016476-78r0rsio 348 69 worsening worsen VBG cord-016476-78r0rsio 348 70 in in IN cord-016476-78r0rsio 348 71 nine nine CD cord-016476-78r0rsio 348 72 patients patient NNS cord-016476-78r0rsio 348 73 . . . cord-016476-78r0rsio 349 1 Four four CD cord-016476-78r0rsio 349 2 patients patient NNS cord-016476-78r0rsio 349 3 with with IN cord-016476-78r0rsio 349 4 myositis myositis NN cord-016476-78r0rsio 349 5 had have VBD cord-016476-78r0rsio 349 6 a a DT cord-016476-78r0rsio 349 7 reported report VBN cord-016476-78r0rsio 349 8 clinically clinically RB cord-016476-78r0rsio 349 9 significant significant JJ cord-016476-78r0rsio 349 10 improvement improvement NN cord-016476-78r0rsio 349 11 with with IN cord-016476-78r0rsio 349 12 an an DT cord-016476-78r0rsio 349 13 FVC fvc NN cord-016476-78r0rsio 349 14 of of IN cord-016476-78r0rsio 349 15 > > XX cord-016476-78r0rsio 349 16 10 10 CD cord-016476-78r0rsio 349 17 % % NN cord-016476-78r0rsio 349 18 post post NN cord-016476-78r0rsio 349 19 treatment treatment NN cord-016476-78r0rsio 349 20 . . . cord-016476-78r0rsio 350 1 Whilst whilst IN cord-016476-78r0rsio 350 2 encouraging encourage VBG cord-016476-78r0rsio 350 3 in in IN cord-016476-78r0rsio 350 4 a a DT cord-016476-78r0rsio 350 5 CTD CTD NNP cord-016476-78r0rsio 350 6 - - HYPH cord-016476-78r0rsio 350 7 ILD ILD NNP cord-016476-78r0rsio 350 8 setting setting NN cord-016476-78r0rsio 350 9 , , , cord-016476-78r0rsio 350 10 most most RBS cord-016476-78r0rsio 350 11 published publish VBN cord-016476-78r0rsio 350 12 work work NN cord-016476-78r0rsio 350 13 is be VBZ cord-016476-78r0rsio 350 14 in in IN cord-016476-78r0rsio 350 15 the the DT cord-016476-78r0rsio 350 16 form form NN cord-016476-78r0rsio 350 17 of of IN cord-016476-78r0rsio 350 18 case case NN cord-016476-78r0rsio 350 19 reports report NNS cord-016476-78r0rsio 350 20 , , , cord-016476-78r0rsio 350 21 subject subject JJ cord-016476-78r0rsio 350 22 to to IN cord-016476-78r0rsio 350 23 reporting report VBG cord-016476-78r0rsio 350 24 bias bias NN cord-016476-78r0rsio 350 25 , , , cord-016476-78r0rsio 350 26 or or CC cord-016476-78r0rsio 350 27 retrospective retrospective JJ cord-016476-78r0rsio 350 28 case case NN cord-016476-78r0rsio 350 29 series series NN cord-016476-78r0rsio 350 30 . . . cord-016476-78r0rsio 351 1 Evidence evidence NN cord-016476-78r0rsio 351 2 of of IN cord-016476-78r0rsio 351 3 rituximab rituximab JJ cord-016476-78r0rsio 351 4 use use NN cord-016476-78r0rsio 351 5 for for IN cord-016476-78r0rsio 351 6 the the DT cord-016476-78r0rsio 351 7 treatment treatment NN cord-016476-78r0rsio 351 8 of of IN cord-016476-78r0rsio 351 9 RA RA NNP cord-016476-78r0rsio 351 10 - - HYPH cord-016476-78r0rsio 351 11 ILD ILD NNP cord-016476-78r0rsio 351 12 has have VBZ cord-016476-78r0rsio 351 13 not not RB cord-016476-78r0rsio 351 14 been be VBN cord-016476-78r0rsio 351 15 encouraging encouraging JJ cord-016476-78r0rsio 351 16 and and CC cord-016476-78r0rsio 351 17 studies study NNS cord-016476-78r0rsio 351 18 to to IN cord-016476-78r0rsio 351 19 date date NN cord-016476-78r0rsio 351 20 have have VBP cord-016476-78r0rsio 351 21 been be VBN cord-016476-78r0rsio 351 22 small small JJ cord-016476-78r0rsio 351 23 or or CC cord-016476-78r0rsio 351 24 inconclusive inconclusive JJ cord-016476-78r0rsio 351 25 . . . cord-016476-78r0rsio 352 1 In in IN cord-016476-78r0rsio 352 2 an an DT cord-016476-78r0rsio 352 3 open open JJ cord-016476-78r0rsio 352 4 - - HYPH cord-016476-78r0rsio 352 5 label label NN cord-016476-78r0rsio 352 6 pilot pilot NN cord-016476-78r0rsio 352 7 study study NN cord-016476-78r0rsio 352 8 of of IN cord-016476-78r0rsio 352 9 rituximab rituximab NN cord-016476-78r0rsio 352 10 in in IN cord-016476-78r0rsio 352 11 RA RA NNP cord-016476-78r0rsio 352 12 - - HYPH cord-016476-78r0rsio 352 13 ILD ILD NNP cord-016476-78r0rsio 352 14 [ [ -LRB- cord-016476-78r0rsio 352 15 185 185 CD cord-016476-78r0rsio 352 16 ] ] -RRB- cord-016476-78r0rsio 352 17 of of IN cord-016476-78r0rsio 352 18 seven seven CD cord-016476-78r0rsio 352 19 patients patient NNS cord-016476-78r0rsio 352 20 who who WP cord-016476-78r0rsio 352 21 completed complete VBD cord-016476-78r0rsio 352 22 a a DT cord-016476-78r0rsio 352 23 48-week 48-week CD cord-016476-78r0rsio 352 24 follow follow NN cord-016476-78r0rsio 352 25 - - HYPH cord-016476-78r0rsio 352 26 up up NN cord-016476-78r0rsio 352 27 , , , cord-016476-78r0rsio 352 28 one one CD cord-016476-78r0rsio 352 29 showed show VBD cord-016476-78r0rsio 352 30 improvement improvement NN cord-016476-78r0rsio 352 31 in in IN cord-016476-78r0rsio 352 32 respiratory respiratory JJ cord-016476-78r0rsio 352 33 function function NN cord-016476-78r0rsio 352 34 , , , cord-016476-78r0rsio 352 35 five five CD cord-016476-78r0rsio 352 36 were be VBD cord-016476-78r0rsio 352 37 stable stable JJ cord-016476-78r0rsio 352 38 and and CC cord-016476-78r0rsio 352 39 one one CD cord-016476-78r0rsio 352 40 deteriorated deteriorate VBD cord-016476-78r0rsio 352 41 . . . cord-016476-78r0rsio 353 1 The the DT cord-016476-78r0rsio 353 2 study study NN cord-016476-78r0rsio 353 3 initially initially RB cord-016476-78r0rsio 353 4 recruited recruit VBD cord-016476-78r0rsio 353 5 ten ten CD cord-016476-78r0rsio 353 6 patients patient NNS cord-016476-78r0rsio 353 7 , , , cord-016476-78r0rsio 353 8 and and CC cord-016476-78r0rsio 353 9 of of IN cord-016476-78r0rsio 353 10 the the DT cord-016476-78r0rsio 353 11 three three CD cord-016476-78r0rsio 353 12 who who WP cord-016476-78r0rsio 353 13 did do VBD cord-016476-78r0rsio 353 14 not not RB cord-016476-78r0rsio 353 15 complete complete VB cord-016476-78r0rsio 353 16 the the DT cord-016476-78r0rsio 353 17 study study NN cord-016476-78r0rsio 353 18 , , , cord-016476-78r0rsio 353 19 one one CD cord-016476-78r0rsio 353 20 patient patient NN cord-016476-78r0rsio 353 21 died die VBD cord-016476-78r0rsio 353 22 of of IN cord-016476-78r0rsio 353 23 ARDS ARDS NNP cord-016476-78r0rsio 353 24 / / SYM cord-016476-78r0rsio 353 25 possible possible JJ cord-016476-78r0rsio 353 26 pneumonia pneumonia NN cord-016476-78r0rsio 353 27 , , , cord-016476-78r0rsio 353 28 6 6 CD cord-016476-78r0rsio 353 29 weeks week NNS cord-016476-78r0rsio 353 30 post post NN cord-016476-78r0rsio 353 31 treatment treatment NN cord-016476-78r0rsio 353 32 ( ( -LRB- cord-016476-78r0rsio 353 33 no no DT cord-016476-78r0rsio 353 34 infective infective JJ cord-016476-78r0rsio 353 35 source source NN cord-016476-78r0rsio 353 36 identified identify VBN cord-016476-78r0rsio 353 37 ) ) -RRB- cord-016476-78r0rsio 353 38 . . . cord-016476-78r0rsio 354 1 Four four CD cord-016476-78r0rsio 354 2 small small JJ cord-016476-78r0rsio 354 3 retrospective retrospective JJ cord-016476-78r0rsio 354 4 observational observational JJ cord-016476-78r0rsio 354 5 studies study NNS cord-016476-78r0rsio 354 6 assessing assess VBG cord-016476-78r0rsio 354 7 the the DT cord-016476-78r0rsio 354 8 use use NN cord-016476-78r0rsio 354 9 of of IN cord-016476-78r0rsio 354 10 rituximab rituximab NN cord-016476-78r0rsio 354 11 in in IN cord-016476-78r0rsio 354 12 RA RA NNP cord-016476-78r0rsio 354 13 - - HYPH cord-016476-78r0rsio 354 14 ILD ILD NNP cord-016476-78r0rsio 354 15 have have VBP cord-016476-78r0rsio 354 16 been be VBN cord-016476-78r0rsio 354 17 inconclusive inconclusive JJ cord-016476-78r0rsio 354 18 ( ( -LRB- cord-016476-78r0rsio 354 19 all all DT cord-016476-78r0rsio 354 20 still still RB cord-016476-78r0rsio 354 21 in in IN cord-016476-78r0rsio 354 22 abstract abstract JJ cord-016476-78r0rsio 354 23 form form NN cord-016476-78r0rsio 354 24 , , , cord-016476-78r0rsio 354 25 full full JJ cord-016476-78r0rsio 354 26 papers paper NNS cord-016476-78r0rsio 354 27 not not RB cord-016476-78r0rsio 354 28 published publish VBN cord-016476-78r0rsio 354 29 ) ) -RRB- cord-016476-78r0rsio 354 30 . . . cord-016476-78r0rsio 355 1 Dass Dass NNP cord-016476-78r0rsio 355 2 and and CC cord-016476-78r0rsio 355 3 colleagues colleague NNS cord-016476-78r0rsio 355 4 in in IN cord-016476-78r0rsio 355 5 2011 2011 CD cord-016476-78r0rsio 355 6 [ [ -LRB- cord-016476-78r0rsio 355 7 186 186 CD cord-016476-78r0rsio 355 8 ] ] -RRB- cord-016476-78r0rsio 355 9 presented present VBN cord-016476-78r0rsio 355 10 data datum NNS cord-016476-78r0rsio 355 11 from from IN cord-016476-78r0rsio 355 12 48 48 CD cord-016476-78r0rsio 355 13 patients patient NNS cord-016476-78r0rsio 355 14 with with IN cord-016476-78r0rsio 355 15 baseline baseline JJ cord-016476-78r0rsio 355 16 RA RA NNP cord-016476-78r0rsio 355 17 - - HYPH cord-016476-78r0rsio 355 18 ILD ILD NNP cord-016476-78r0rsio 355 19 ; ; : cord-016476-78r0rsio 355 20 three three CD cord-016476-78r0rsio 355 21 deaths death NNS cord-016476-78r0rsio 355 22 were be VBD cord-016476-78r0rsio 355 23 reported report VBN cord-016476-78r0rsio 355 24 in in IN cord-016476-78r0rsio 355 25 patients patient NNS cord-016476-78r0rsio 355 26 with with IN cord-016476-78r0rsio 355 27 RA RA NNP cord-016476-78r0rsio 355 28 - - HYPH cord-016476-78r0rsio 355 29 ILD ILD NNP cord-016476-78r0rsio 355 30 following follow VBG cord-016476-78r0rsio 355 31 rituximab rituximab JJ cord-016476-78r0rsio 355 32 treatment treatment NN cord-016476-78r0rsio 355 33 , , , cord-016476-78r0rsio 355 34 one one CD cord-016476-78r0rsio 355 35 due due IN cord-016476-78r0rsio 355 36 to to IN cord-016476-78r0rsio 355 37 pneumonia pneumonia NN cord-016476-78r0rsio 355 38 and and CC cord-016476-78r0rsio 355 39 possible possible JJ cord-016476-78r0rsio 355 40 acute acute JJ cord-016476-78r0rsio 355 41 progression progression NN cord-016476-78r0rsio 355 42 of of IN cord-016476-78r0rsio 355 43 ILD ILD NNP cord-016476-78r0rsio 355 44 , , , cord-016476-78r0rsio 355 45 4 4 CD cord-016476-78r0rsio 355 46 weeks week NNS cord-016476-78r0rsio 355 47 after after IN cord-016476-78r0rsio 355 48 the the DT cord-016476-78r0rsio 355 49 first first JJ cord-016476-78r0rsio 355 50 cycle cycle NN cord-016476-78r0rsio 355 51 of of IN cord-016476-78r0rsio 355 52 rituximab rituximab NN cord-016476-78r0rsio 355 53 therapy therapy NN cord-016476-78r0rsio 355 54 . . . cord-016476-78r0rsio 356 1 Furthermore furthermore RB cord-016476-78r0rsio 356 2 , , , cord-016476-78r0rsio 356 3 five five CD cord-016476-78r0rsio 356 4 patients patient NNS cord-016476-78r0rsio 356 5 had have VBD cord-016476-78r0rsio 356 6 a a DT cord-016476-78r0rsio 356 7 decline decline NN cord-016476-78r0rsio 356 8 in in IN cord-016476-78r0rsio 356 9 transfer transfer NN cord-016476-78r0rsio 356 10 factor factor NN cord-016476-78r0rsio 356 11 of of IN cord-016476-78r0rsio 356 12 > > XX cord-016476-78r0rsio 356 13 10 10 CD cord-016476-78r0rsio 356 14 % % NN cord-016476-78r0rsio 356 15 over over IN cord-016476-78r0rsio 356 16 an an DT cord-016476-78r0rsio 356 17 unspecified unspecified JJ cord-016476-78r0rsio 356 18 time time NN cord-016476-78r0rsio 356 19 in in IN cord-016476-78r0rsio 356 20 the the DT cord-016476-78r0rsio 356 21 presented present VBN cord-016476-78r0rsio 356 22 results result NNS cord-016476-78r0rsio 356 23 of of IN cord-016476-78r0rsio 356 24 this this DT cord-016476-78r0rsio 356 25 study study NN cord-016476-78r0rsio 356 26 . . . cord-016476-78r0rsio 357 1 The the DT cord-016476-78r0rsio 357 2 same same JJ cord-016476-78r0rsio 357 3 group group NN cord-016476-78r0rsio 357 4 reported report VBD cord-016476-78r0rsio 357 5 their -PRON- PRP$ cord-016476-78r0rsio 357 6 rituximab rituximab JJ cord-016476-78r0rsio 357 7 experience experience NN cord-016476-78r0rsio 357 8 in in IN cord-016476-78r0rsio 357 9 RA RA NNP cord-016476-78r0rsio 357 10 - - HYPH cord-016476-78r0rsio 357 11 ILD ILD NNP cord-016476-78r0rsio 357 12 over over IN cord-016476-78r0rsio 357 13 10 10 CD cord-016476-78r0rsio 357 14 years year NNS cord-016476-78r0rsio 357 15 ( ( -LRB- cord-016476-78r0rsio 357 16 January January NNP cord-016476-78r0rsio 357 17 2004-July 2004-july CD cord-016476-78r0rsio 357 18 2014 2014 CD cord-016476-78r0rsio 357 19 ) ) -RRB- cord-016476-78r0rsio 357 20 in in IN cord-016476-78r0rsio 357 21 2015 2015 CD cord-016476-78r0rsio 357 22 [ [ -LRB- cord-016476-78r0rsio 357 23 187 187 CD cord-016476-78r0rsio 357 24 ] ] -RRB- cord-016476-78r0rsio 357 25 . . . cord-016476-78r0rsio 358 1 Of of IN cord-016476-78r0rsio 358 2 the the DT cord-016476-78r0rsio 358 3 53 53 CD cord-016476-78r0rsio 358 4 patients patient NNS cord-016476-78r0rsio 358 5 with with IN cord-016476-78r0rsio 358 6 RA RA NNP cord-016476-78r0rsio 358 7 - - HYPH cord-016476-78r0rsio 358 8 ILD ILD NNP cord-016476-78r0rsio 358 9 on on IN cord-016476-78r0rsio 358 10 rituximab rituximab NN cord-016476-78r0rsio 358 11 with with IN cord-016476-78r0rsio 358 12 a a DT cord-016476-78r0rsio 358 13 total total NN cord-016476-78r0rsio 358 14 of of IN cord-016476-78r0rsio 358 15 171 171 CD cord-016476-78r0rsio 358 16 patient patient NN cord-016476-78r0rsio 358 17 - - HYPH cord-016476-78r0rsio 358 18 years year NNS cord-016476-78r0rsio 358 19 , , , cord-016476-78r0rsio 358 20 the the DT cord-016476-78r0rsio 358 21 authors author NNS cord-016476-78r0rsio 358 22 concluded conclude VBD cord-016476-78r0rsio 358 23 there there EX cord-016476-78r0rsio 358 24 was be VBD cord-016476-78r0rsio 358 25 no no DT cord-016476-78r0rsio 358 26 significant significant JJ cord-016476-78r0rsio 358 27 improvement improvement NN cord-016476-78r0rsio 358 28 or or CC cord-016476-78r0rsio 358 29 deterioration deterioration NN cord-016476-78r0rsio 358 30 in in IN cord-016476-78r0rsio 358 31 the the DT cord-016476-78r0rsio 358 32 majority majority NN cord-016476-78r0rsio 358 33 ( ( -LRB- cord-016476-78r0rsio 358 34 as as IN cord-016476-78r0rsio 358 35 measured measure VBN cord-016476-78r0rsio 358 36 using use VBG cord-016476-78r0rsio 358 37 FVC/ FVC/ NNP cord-016476-78r0rsio 358 38 DLCO DLCO NNP cord-016476-78r0rsio 358 39 ; ; : cord-016476-78r0rsio 358 40 actual actual JJ cord-016476-78r0rsio 358 41 data datum NNS cord-016476-78r0rsio 358 42 not not RB cord-016476-78r0rsio 358 43 available available JJ cord-016476-78r0rsio 358 44 in in IN cord-016476-78r0rsio 358 45 abstract abstract JJ cord-016476-78r0rsio 358 46 ) ) -RRB- cord-016476-78r0rsio 358 47 . . . cord-016476-78r0rsio 359 1 However however RB cord-016476-78r0rsio 359 2 there there EX cord-016476-78r0rsio 359 3 were be VBD cord-016476-78r0rsio 359 4 12 12 CD cord-016476-78r0rsio 359 5 deaths death NNS cord-016476-78r0rsio 359 6 reported report VBN cord-016476-78r0rsio 359 7 , , , cord-016476-78r0rsio 359 8 nine nine CD cord-016476-78r0rsio 359 9 of of IN cord-016476-78r0rsio 359 10 which which WDT cord-016476-78r0rsio 359 11 were be VBD cord-016476-78r0rsio 359 12 attributed attribute VBN cord-016476-78r0rsio 359 13 to to IN cord-016476-78r0rsio 359 14 progressive progressive JJ cord-016476-78r0rsio 359 15 ILD ILD NNP cord-016476-78r0rsio 359 16 ( ( -LRB- cord-016476-78r0rsio 359 17 median median NN cord-016476-78r0rsio 359 18 DLCO dlco DT cord-016476-78r0rsio 359 19 of of IN cord-016476-78r0rsio 359 20 41 41 CD cord-016476-78r0rsio 359 21 % % NN cord-016476-78r0rsio 359 22 [ [ -LRB- cord-016476-78r0rsio 359 23 range range NN cord-016476-78r0rsio 359 24 35 35 CD cord-016476-78r0rsio 359 25 -64 -64 NN cord-016476-78r0rsio 359 26 % % NN cord-016476-78r0rsio 359 27 ] ] -RRB- cord-016476-78r0rsio 359 28 pre pre JJ cord-016476-78r0rsio 359 29 - - JJ cord-016476-78r0rsio 359 30 rituximab rituximab JJ cord-016476-78r0rsio 359 31 ) ) -RRB- cord-016476-78r0rsio 359 32 . . . cord-016476-78r0rsio 360 1 Other other JJ cord-016476-78r0rsio 360 2 reasons reason NNS cord-016476-78r0rsio 360 3 for for IN cord-016476-78r0rsio 360 4 death death NN cord-016476-78r0rsio 360 5 were be VBD cord-016476-78r0rsio 360 6 lung lung NN cord-016476-78r0rsio 360 7 cancer cancer NN cord-016476-78r0rsio 360 8 , , , cord-016476-78r0rsio 360 9 colon colon NN cord-016476-78r0rsio 360 10 cancer cancer NN cord-016476-78r0rsio 360 11 and and CC cord-016476-78r0rsio 360 12 infection infection NN cord-016476-78r0rsio 360 13 post post NN cord-016476-78r0rsio 360 14 surgery surgery NN cord-016476-78r0rsio 361 1 ( ( -LRB- cord-016476-78r0rsio 361 2 n n NN cord-016476-78r0rsio 361 3 = = SYM cord-016476-78r0rsio 361 4 1 1 CD cord-016476-78r0rsio 361 5 each each DT cord-016476-78r0rsio 361 6 ) ) -RRB- cord-016476-78r0rsio 361 7 . . . cord-016476-78r0rsio 362 1 Becerra Becerra NNP cord-016476-78r0rsio 362 2 et et NNP cord-016476-78r0rsio 362 3 al al NNP cord-016476-78r0rsio 362 4 . . . cord-016476-78r0rsio 363 1 [ [ -LRB- cord-016476-78r0rsio 363 2 188 188 CD cord-016476-78r0rsio 363 3 ] ] -RRB- cord-016476-78r0rsio 363 4 reported report VBN cord-016476-78r0rsio 363 5 on on IN cord-016476-78r0rsio 363 6 a a DT cord-016476-78r0rsio 363 7 single single JJ cord-016476-78r0rsio 363 8 - - HYPH cord-016476-78r0rsio 363 9 centre centre NN cord-016476-78r0rsio 363 10 retrospective retrospective JJ cord-016476-78r0rsio 363 11 review review NN cord-016476-78r0rsio 363 12 of of IN cord-016476-78r0rsio 363 13 38 38 CD cord-016476-78r0rsio 363 14 patients patient NNS cord-016476-78r0rsio 363 15 with with IN cord-016476-78r0rsio 363 16 RA RA NNP cord-016476-78r0rsio 363 17 and and CC cord-016476-78r0rsio 363 18 known know VBN cord-016476-78r0rsio 363 19 lung lung NN cord-016476-78r0rsio 363 20 involvement involvement NN cord-016476-78r0rsio 363 21 who who WP cord-016476-78r0rsio 363 22 were be VBD cord-016476-78r0rsio 363 23 undergoing undergo VBG cord-016476-78r0rsio 363 24 therapy therapy NN cord-016476-78r0rsio 363 25 with with IN cord-016476-78r0rsio 363 26 rituximab rituximab NN cord-016476-78r0rsio 363 27 , , , cord-016476-78r0rsio 363 28 of of IN cord-016476-78r0rsio 363 29 whom whom WP cord-016476-78r0rsio 363 30 19 19 CD cord-016476-78r0rsio 363 31 had have VBD cord-016476-78r0rsio 363 32 established establish VBN cord-016476-78r0rsio 363 33 RA RA NNP cord-016476-78r0rsio 363 34 - - HYPH cord-016476-78r0rsio 363 35 ILD ILD NNP cord-016476-78r0rsio 363 36 . . . cord-016476-78r0rsio 364 1 Progression progression NN cord-016476-78r0rsio 364 2 of of IN cord-016476-78r0rsio 364 3 ILD ILD NNP cord-016476-78r0rsio 364 4 over over IN cord-016476-78r0rsio 364 5 4 4 CD cord-016476-78r0rsio 364 6 years year NNS cord-016476-78r0rsio 364 7 was be VBD cord-016476-78r0rsio 364 8 described describe VBN cord-016476-78r0rsio 364 9 in in IN cord-016476-78r0rsio 364 10 one one CD cord-016476-78r0rsio 364 11 patient patient NN cord-016476-78r0rsio 364 12 with with IN cord-016476-78r0rsio 364 13 severe severe JJ cord-016476-78r0rsio 364 14 UIP UIP NNP cord-016476-78r0rsio 364 15 at at IN cord-016476-78r0rsio 364 16 baseline baseline NN cord-016476-78r0rsio 364 17 . . . cord-016476-78r0rsio 365 1 Improvement improvement NN cord-016476-78r0rsio 365 2 in in IN cord-016476-78r0rsio 365 3 lung lung NN cord-016476-78r0rsio 365 4 function function NN cord-016476-78r0rsio 365 5 was be VBD cord-016476-78r0rsio 365 6 observed observe VBN cord-016476-78r0rsio 365 7 in in IN cord-016476-78r0rsio 365 8 none none NN cord-016476-78r0rsio 365 9 of of IN cord-016476-78r0rsio 365 10 the the DT cord-016476-78r0rsio 365 11 patients patient NNS cord-016476-78r0rsio 365 12 , , , cord-016476-78r0rsio 365 13 66 66 CD cord-016476-78r0rsio 365 14 % % NN cord-016476-78r0rsio 365 15 ( ( -LRB- cord-016476-78r0rsio 365 16 n n NN cord-016476-78r0rsio 365 17 = = SYM cord-016476-78r0rsio 365 18 25 25 CD cord-016476-78r0rsio 365 19 ) ) -RRB- cord-016476-78r0rsio 365 20 reporting report VBG cord-016476-78r0rsio 365 21 respiratory respiratory JJ cord-016476-78r0rsio 365 22 infections infection NNS cord-016476-78r0rsio 365 23 , , , cord-016476-78r0rsio 365 24 two two CD cord-016476-78r0rsio 365 25 of of IN cord-016476-78r0rsio 365 26 which which WDT cord-016476-78r0rsio 365 27 required require VBD cord-016476-78r0rsio 365 28 hospitalisation hospitalisation NN cord-016476-78r0rsio 365 29 . . . cord-016476-78r0rsio 366 1 Recent recent JJ cord-016476-78r0rsio 366 2 work work NN cord-016476-78r0rsio 366 3 from from IN cord-016476-78r0rsio 366 4 the the DT cord-016476-78r0rsio 366 5 BSRBR BSRBR NNP cord-016476-78r0rsio 366 6 - - HYPH cord-016476-78r0rsio 366 7 RA RA NNP cord-016476-78r0rsio 366 8 compared compare VBN cord-016476-78r0rsio 366 9 mortality mortality NN cord-016476-78r0rsio 366 10 of of IN cord-016476-78r0rsio 366 11 353 353 CD cord-016476-78r0rsio 366 12 patients patient NNS cord-016476-78r0rsio 366 13 with with IN cord-016476-78r0rsio 366 14 physician physician NN cord-016476-78r0rsio 366 15 - - HYPH cord-016476-78r0rsio 366 16 reported report VBN cord-016476-78r0rsio 366 17 RA RA NNP cord-016476-78r0rsio 366 18 - - HYPH cord-016476-78r0rsio 366 19 ILD ILD NNP cord-016476-78r0rsio 366 20 , , , cord-016476-78r0rsio 366 21 of of IN cord-016476-78r0rsio 366 22 whom whom WP cord-016476-78r0rsio 366 23 310 310 CD cord-016476-78r0rsio 366 24 were be VBD cord-016476-78r0rsio 366 25 treated treat VBN cord-016476-78r0rsio 366 26 with with IN cord-016476-78r0rsio 366 27 TNFi TNFi NNS cord-016476-78r0rsio 366 28 and and CC cord-016476-78r0rsio 366 29 43 43 CD cord-016476-78r0rsio 366 30 on on IN cord-016476-78r0rsio 366 31 rituximab rituximab NN cord-016476-78r0rsio 366 32 [ [ -LRB- cord-016476-78r0rsio 366 33 189 189 CD cord-016476-78r0rsio 366 34 ] ] -RRB- cord-016476-78r0rsio 366 35 . . . cord-016476-78r0rsio 367 1 The the DT cord-016476-78r0rsio 367 2 differences difference NNS cord-016476-78r0rsio 367 3 in in IN cord-016476-78r0rsio 367 4 mortality mortality NN cord-016476-78r0rsio 367 5 between between IN cord-016476-78r0rsio 367 6 the the DT cord-016476-78r0rsio 367 7 two two CD cord-016476-78r0rsio 367 8 groups group NNS cord-016476-78r0rsio 367 9 were be VBD cord-016476-78r0rsio 367 10 not not RB cord-016476-78r0rsio 367 11 statistically statistically RB cord-016476-78r0rsio 367 12 significant significant JJ cord-016476-78r0rsio 367 13 , , , cord-016476-78r0rsio 367 14 and and CC cord-016476-78r0rsio 367 15 adjustment adjustment NN cord-016476-78r0rsio 367 16 for for IN cord-016476-78r0rsio 367 17 baseline baseline JJ cord-016476-78r0rsio 367 18 confounders confounder NNS cord-016476-78r0rsio 367 19 made make VBD cord-016476-78r0rsio 367 20 little little JJ cord-016476-78r0rsio 367 21 difference difference NN cord-016476-78r0rsio 367 22 to to IN cord-016476-78r0rsio 367 23 the the DT cord-016476-78r0rsio 367 24 estimates estimate NNS cord-016476-78r0rsio 367 25 ( ( -LRB- cord-016476-78r0rsio 367 26 HR HR NNP cord-016476-78r0rsio 367 27 adj adj JJ cord-016476-78r0rsio 367 28 0.51 0.51 CD cord-016476-78r0rsio 367 29 , , , cord-016476-78r0rsio 367 30 95 95 CD cord-016476-78r0rsio 367 31 % % NN cord-016476-78r0rsio 367 32 CI CI NNP cord-016476-78r0rsio 367 33 0.25 0.25 CD cord-016476-78r0rsio 367 34 - - SYM cord-016476-78r0rsio 367 35 1.06 1.06 CD cord-016476-78r0rsio 367 36 ) ) -RRB- cord-016476-78r0rsio 367 37 . . . cord-016476-78r0rsio 368 1 However however RB cord-016476-78r0rsio 368 2 , , , cord-016476-78r0rsio 368 3 methodological methodological JJ cord-016476-78r0rsio 368 4 issues issue NNS cord-016476-78r0rsio 368 5 included include VBD cord-016476-78r0rsio 368 6 inherent inherent JJ cord-016476-78r0rsio 368 7 differences difference NNS cord-016476-78r0rsio 368 8 in in IN cord-016476-78r0rsio 368 9 the the DT cord-016476-78r0rsio 368 10 two two CD cord-016476-78r0rsio 368 11 treated treat VBN cord-016476-78r0rsio 368 12 groups group NNS cord-016476-78r0rsio 368 13 ( ( -LRB- cord-016476-78r0rsio 368 14 the the DT cord-016476-78r0rsio 368 15 TNFi TNFi NNP cord-016476-78r0rsio 368 16 group group NN cord-016476-78r0rsio 368 17 being be VBG cord-016476-78r0rsio 368 18 a a DT cord-016476-78r0rsio 368 19 more more RBR cord-016476-78r0rsio 368 20 historic historic JJ cord-016476-78r0rsio 368 21 cohort cohort NN cord-016476-78r0rsio 368 22 , , , cord-016476-78r0rsio 368 23 therefore therefore RB cord-016476-78r0rsio 368 24 likely likely RB cord-016476-78r0rsio 368 25 to to TO cord-016476-78r0rsio 368 26 have have VB cord-016476-78r0rsio 368 27 more more JJR cord-016476-78r0rsio 368 28 severe severe JJ cord-016476-78r0rsio 368 29 disease disease NN cord-016476-78r0rsio 368 30 ) ) -RRB- cord-016476-78r0rsio 368 31 , , , cord-016476-78r0rsio 368 32 low low JJ cord-016476-78r0rsio 368 33 numbers number NNS cord-016476-78r0rsio 368 34 of of IN cord-016476-78r0rsio 368 35 deaths death NNS cord-016476-78r0rsio 368 36 and and CC cord-016476-78r0rsio 368 37 no no DT cord-016476-78r0rsio 368 38 information information NN cord-016476-78r0rsio 368 39 on on IN cord-016476-78r0rsio 368 40 baseline baseline JJ cord-016476-78r0rsio 368 41 RA RA NNP cord-016476-78r0rsio 368 42 - - HYPH cord-016476-78r0rsio 368 43 ILD ILD NNP cord-016476-78r0rsio 368 44 severity severity NN cord-016476-78r0rsio 368 45 . . . cord-016476-78r0rsio 369 1 The the DT cord-016476-78r0rsio 369 2 results result NNS cord-016476-78r0rsio 369 3 of of IN cord-016476-78r0rsio 369 4 all all DT cord-016476-78r0rsio 369 5 four four CD cord-016476-78r0rsio 369 6 of of IN cord-016476-78r0rsio 369 7 these these DT cord-016476-78r0rsio 369 8 studies study NNS cord-016476-78r0rsio 369 9 are be VBP cord-016476-78r0rsio 369 10 difficult difficult JJ cord-016476-78r0rsio 369 11 to to TO cord-016476-78r0rsio 369 12 interpret interpret VB cord-016476-78r0rsio 369 13 often often RB cord-016476-78r0rsio 369 14 due due IN cord-016476-78r0rsio 369 15 to to IN cord-016476-78r0rsio 369 16 a a DT cord-016476-78r0rsio 369 17 lack lack NN cord-016476-78r0rsio 369 18 of of IN cord-016476-78r0rsio 369 19 well well RB cord-016476-78r0rsio 369 20 - - HYPH cord-016476-78r0rsio 369 21 matched match VBN cord-016476-78r0rsio 369 22 comparator comparator NN cord-016476-78r0rsio 369 23 groups group NNS cord-016476-78r0rsio 369 24 and and CC cord-016476-78r0rsio 369 25 uncertainty uncertainty NN cord-016476-78r0rsio 369 26 about about IN cord-016476-78r0rsio 369 27 the the DT cord-016476-78r0rsio 369 28 natural natural JJ cord-016476-78r0rsio 369 29 history history NN cord-016476-78r0rsio 369 30 of of IN cord-016476-78r0rsio 369 31 RA RA NNP cord-016476-78r0rsio 369 32 - - HYPH cord-016476-78r0rsio 369 33 ILD ILD NNP cord-016476-78r0rsio 369 34 . . . cord-016476-78r0rsio 370 1 Therefore therefore RB cord-016476-78r0rsio 370 2 , , , cord-016476-78r0rsio 370 3 currently currently RB cord-016476-78r0rsio 370 4 , , , cord-016476-78r0rsio 370 5 few few JJ cord-016476-78r0rsio 370 6 data datum NNS cord-016476-78r0rsio 370 7 exists exist VBZ cord-016476-78r0rsio 370 8 that that WDT cord-016476-78r0rsio 370 9 suggest suggest VBP cord-016476-78r0rsio 370 10 that that IN cord-016476-78r0rsio 370 11 rituximab rituximab NN cord-016476-78r0rsio 370 12 can can MD cord-016476-78r0rsio 370 13 markedly markedly RB cord-016476-78r0rsio 370 14 improve improve VB cord-016476-78r0rsio 370 15 RA RA NNP cord-016476-78r0rsio 370 16 - - HYPH cord-016476-78r0rsio 370 17 ILD ILD NNP cord-016476-78r0rsio 370 18 . . . cord-016476-78r0rsio 371 1 In in IN cord-016476-78r0rsio 371 2 comparison comparison NN cord-016476-78r0rsio 371 3 to to IN cord-016476-78r0rsio 371 4 other other JJ cord-016476-78r0rsio 371 5 biologics biologic NNS cord-016476-78r0rsio 371 6 , , , cord-016476-78r0rsio 371 7 there there EX cord-016476-78r0rsio 371 8 did do VBD cord-016476-78r0rsio 371 9 not not RB cord-016476-78r0rsio 371 10 seem seem VB cord-016476-78r0rsio 371 11 to to TO cord-016476-78r0rsio 371 12 be be VB cord-016476-78r0rsio 371 13 a a DT cord-016476-78r0rsio 371 14 significantly significantly RB cord-016476-78r0rsio 371 15 lower low JJR cord-016476-78r0rsio 371 16 risk risk NN cord-016476-78r0rsio 371 17 of of IN cord-016476-78r0rsio 371 18 complications complication NNS cord-016476-78r0rsio 371 19 related relate VBN cord-016476-78r0rsio 371 20 to to IN cord-016476-78r0rsio 371 21 ILD ILD NNP cord-016476-78r0rsio 371 22 in in IN cord-016476-78r0rsio 371 23 the the DT cord-016476-78r0rsio 371 24 Curtis Curtis NNP cord-016476-78r0rsio 371 25 et et NNP cord-016476-78r0rsio 371 26 al al NNP cord-016476-78r0rsio 371 27 . . . cord-016476-78r0rsio 372 1 study study VB cord-016476-78r0rsio 372 2 [ [ -LRB- cord-016476-78r0rsio 372 3 81 81 CD cord-016476-78r0rsio 372 4 ] ] -RRB- cord-016476-78r0rsio 372 5 , , , cord-016476-78r0rsio 372 6 although although IN cord-016476-78r0rsio 372 7 channelling channel VBG cord-016476-78r0rsio 372 8 bias bias NN cord-016476-78r0rsio 372 9 may may MD cord-016476-78r0rsio 372 10 exist exist VB cord-016476-78r0rsio 372 11 . . . cord-016476-78r0rsio 373 1 Furthermore furthermore RB cord-016476-78r0rsio 373 2 rituximab rituximab RB cord-016476-78r0rsio 373 3 is be VBZ cord-016476-78r0rsio 373 4 known know VBN cord-016476-78r0rsio 373 5 to to TO cord-016476-78r0rsio 373 6 reduce reduce VB cord-016476-78r0rsio 373 7 IgG igg NN cord-016476-78r0rsio 373 8 levels level NNS cord-016476-78r0rsio 373 9 , , , cord-016476-78r0rsio 373 10 which which WDT cord-016476-78r0rsio 373 11 in in IN cord-016476-78r0rsio 373 12 turn turn NN cord-016476-78r0rsio 373 13 may may MD cord-016476-78r0rsio 373 14 be be VB cord-016476-78r0rsio 373 15 associated associate VBN cord-016476-78r0rsio 373 16 with with IN cord-016476-78r0rsio 373 17 an an DT cord-016476-78r0rsio 373 18 increased increase VBN cord-016476-78r0rsio 373 19 infection infection NN cord-016476-78r0rsio 373 20 risk risk NN cord-016476-78r0rsio 373 21 , , , cord-016476-78r0rsio 373 22 which which WDT cord-016476-78r0rsio 373 23 bears bear VBZ cord-016476-78r0rsio 373 24 consideration consideration NN cord-016476-78r0rsio 373 25 whilst whilst IN cord-016476-78r0rsio 373 26 making make VBG cord-016476-78r0rsio 373 27 such such JJ cord-016476-78r0rsio 373 28 treatment treatment NN cord-016476-78r0rsio 373 29 decisions decision NNS cord-016476-78r0rsio 373 30 [ [ -LRB- cord-016476-78r0rsio 373 31 190 190 CD cord-016476-78r0rsio 373 32 ] ] -RRB- cord-016476-78r0rsio 373 33 . . . cord-016476-78r0rsio 374 1 In in IN cord-016476-78r0rsio 374 2 the the DT cord-016476-78r0rsio 374 3 context context NN cord-016476-78r0rsio 374 4 of of IN cord-016476-78r0rsio 374 5 RA RA NNP cord-016476-78r0rsio 374 6 overlap overlap VB cord-016476-78r0rsio 374 7 with with IN cord-016476-78r0rsio 374 8 another another DT cord-016476-78r0rsio 374 9 CTD CTD NNP cord-016476-78r0rsio 374 10 , , , cord-016476-78r0rsio 374 11 however however RB cord-016476-78r0rsio 374 12 , , , cord-016476-78r0rsio 374 13 RTX RTX NNP cord-016476-78r0rsio 374 14 may may MD cord-016476-78r0rsio 374 15 have have VB cord-016476-78r0rsio 374 16 a a DT cord-016476-78r0rsio 374 17 role role NN cord-016476-78r0rsio 374 18 in in IN cord-016476-78r0rsio 374 19 stabilising stabilise VBG cord-016476-78r0rsio 374 20 ILD ILD NNP cord-016476-78r0rsio 374 21 , , , cord-016476-78r0rsio 374 22 especially especially RB cord-016476-78r0rsio 374 23 with with IN cord-016476-78r0rsio 374 24 other other JJ cord-016476-78r0rsio 374 25 extra extra JJ cord-016476-78r0rsio 374 26 - - JJ cord-016476-78r0rsio 374 27 pulmonary pulmonary JJ cord-016476-78r0rsio 374 28 manifestations manifestation NNS cord-016476-78r0rsio 374 29 of of IN cord-016476-78r0rsio 374 30 CTD CTD NNP cord-016476-78r0rsio 374 31 which which WDT cord-016476-78r0rsio 374 32 exist exist VBP cord-016476-78r0rsio 374 33 that that WDT cord-016476-78r0rsio 374 34 may may MD cord-016476-78r0rsio 374 35 benefit benefit VB cord-016476-78r0rsio 374 36 from from IN cord-016476-78r0rsio 374 37 B b NN cord-016476-78r0rsio 374 38 - - HYPH cord-016476-78r0rsio 374 39 cell cell NN cord-016476-78r0rsio 374 40 depletion depletion NN cord-016476-78r0rsio 374 41 . . . cord-016476-78r0rsio 375 1 A a DT cord-016476-78r0rsio 375 2 clinical clinical JJ cord-016476-78r0rsio 375 3 trial trial NN cord-016476-78r0rsio 375 4 is be VBZ cord-016476-78r0rsio 375 5 currently currently RB cord-016476-78r0rsio 375 6 underway underway JJ cord-016476-78r0rsio 375 7 comparing compare VBG cord-016476-78r0rsio 375 8 rituximab rituximab NN cord-016476-78r0rsio 375 9 versus versus IN cord-016476-78r0rsio 375 10 cyclophosphamide cyclophosphamide NN cord-016476-78r0rsio 375 11 in in IN cord-016476-78r0rsio 375 12 patients patient NNS cord-016476-78r0rsio 375 13 with with IN cord-016476-78r0rsio 375 14 systemic systemic JJ cord-016476-78r0rsio 375 15 sclerosis sclerosis NN cord-016476-78r0rsio 375 16 , , , cord-016476-78r0rsio 375 17 myositis myositis NN cord-016476-78r0rsio 375 18 and and CC cord-016476-78r0rsio 375 19 mixed mixed JJ cord-016476-78r0rsio 375 20 connective connective JJ cord-016476-78r0rsio 375 21 tissue tissue NN cord-016476-78r0rsio 375 22 disease disease NN cord-016476-78r0rsio 375 23 ( ( -LRB- cord-016476-78r0rsio 375 24 RECITAL recital NN cord-016476-78r0rsio 375 25 , , , cord-016476-78r0rsio 375 26 ClinicalTrials.gov ClinicalTrials.gov NNP cord-016476-78r0rsio 375 27 Identifier identifier NN cord-016476-78r0rsio 375 28 : : : cord-016476-78r0rsio 375 29 NCT01862926 NCT01862926 NNP cord-016476-78r0rsio 375 30 ) ) -RRB- cord-016476-78r0rsio 375 31 . . . cord-016476-78r0rsio 376 1 Currently currently RB cord-016476-78r0rsio 376 2 , , , cord-016476-78r0rsio 376 3 therefore therefore RB cord-016476-78r0rsio 376 4 , , , cord-016476-78r0rsio 376 5 the the DT cord-016476-78r0rsio 376 6 evidence evidence NN cord-016476-78r0rsio 376 7 does do VBZ cord-016476-78r0rsio 376 8 not not RB cord-016476-78r0rsio 376 9 support support VB cord-016476-78r0rsio 376 10 preferentially preferentially RB cord-016476-78r0rsio 376 11 switching switch VBG cord-016476-78r0rsio 376 12 to to IN cord-016476-78r0rsio 376 13 rituximab rituximab NN cord-016476-78r0rsio 376 14 in in IN cord-016476-78r0rsio 376 15 all all DT cord-016476-78r0rsio 376 16 patients patient NNS cord-016476-78r0rsio 376 17 with with IN cord-016476-78r0rsio 376 18 RA RA NNP cord-016476-78r0rsio 376 19 - - HYPH cord-016476-78r0rsio 376 20 ILD ILD NNP cord-016476-78r0rsio 376 21 who who WP cord-016476-78r0rsio 376 22 have have VBP cord-016476-78r0rsio 376 23 active active JJ cord-016476-78r0rsio 376 24 joint joint JJ cord-016476-78r0rsio 376 25 disease disease NN cord-016476-78r0rsio 376 26 , , , cord-016476-78r0rsio 376 27 regardless regardless RB cord-016476-78r0rsio 376 28 of of IN cord-016476-78r0rsio 376 29 the the DT cord-016476-78r0rsio 376 30 severity severity NN cord-016476-78r0rsio 376 31 of of IN cord-016476-78r0rsio 376 32 lung lung NN cord-016476-78r0rsio 376 33 disease disease NN cord-016476-78r0rsio 376 34 . . . cord-016476-78r0rsio 377 1 In in IN cord-016476-78r0rsio 377 2 end end NN cord-016476-78r0rsio 377 3 - - HYPH cord-016476-78r0rsio 377 4 stage stage NN cord-016476-78r0rsio 377 5 refractory refractory JJ cord-016476-78r0rsio 377 6 RA RA NNP cord-016476-78r0rsio 377 7 - - HYPH cord-016476-78r0rsio 377 8 ILD ILD NNP cord-016476-78r0rsio 377 9 , , , cord-016476-78r0rsio 377 10 single single JJ cord-016476-78r0rsio 377 11 lung lung NN cord-016476-78r0rsio 377 12 transplantation transplantation NN cord-016476-78r0rsio 377 13 may may MD cord-016476-78r0rsio 377 14 be be VB cord-016476-78r0rsio 377 15 considered consider VBN cord-016476-78r0rsio 377 16 . . . cord-016476-78r0rsio 378 1 However however RB cord-016476-78r0rsio 378 2 there there EX cord-016476-78r0rsio 378 3 are be VBP cord-016476-78r0rsio 378 4 limited limited JJ cord-016476-78r0rsio 378 5 data datum NNS cord-016476-78r0rsio 378 6 on on IN cord-016476-78r0rsio 378 7 long long JJ cord-016476-78r0rsio 378 8 - - HYPH cord-016476-78r0rsio 378 9 term term NN cord-016476-78r0rsio 378 10 outcomes outcome NNS cord-016476-78r0rsio 378 11 for for IN cord-016476-78r0rsio 378 12 lung lung NN cord-016476-78r0rsio 378 13 transplant transplant NN cord-016476-78r0rsio 378 14 in in IN cord-016476-78r0rsio 378 15 RA RA NNP cord-016476-78r0rsio 378 16 - - HYPH cord-016476-78r0rsio 378 17 ILD ILD NNP cord-016476-78r0rsio 378 18 . . . cord-016476-78r0rsio 379 1 Amongst amongst IN cord-016476-78r0rsio 379 2 ten ten CD cord-016476-78r0rsio 379 3 patients patient NNS cord-016476-78r0rsio 379 4 with with IN cord-016476-78r0rsio 379 5 RA RA NNP cord-016476-78r0rsio 379 6 - - HYPH cord-016476-78r0rsio 379 7 ILD ILD NNP cord-016476-78r0rsio 379 8 who who WP cord-016476-78r0rsio 379 9 underwent undergo VBD cord-016476-78r0rsio 379 10 transplantation transplantation NN cord-016476-78r0rsio 379 11 , , , cord-016476-78r0rsio 379 12 survival survival NN cord-016476-78r0rsio 379 13 at at IN cord-016476-78r0rsio 379 14 1 1 CD cord-016476-78r0rsio 379 15 year year NN cord-016476-78r0rsio 379 16 was be VBD cord-016476-78r0rsio 379 17 similar similar JJ cord-016476-78r0rsio 379 18 to to IN cord-016476-78r0rsio 379 19 IPF IPF NNP cord-016476-78r0rsio 379 20 lung lung NN cord-016476-78r0rsio 379 21 transplant transplant NN cord-016476-78r0rsio 379 22 recipients recipient NNS cord-016476-78r0rsio 379 23 ( ( -LRB- cord-016476-78r0rsio 379 24 67 67 CD cord-016476-78r0rsio 379 25 and and CC cord-016476-78r0rsio 379 26 69 69 CD cord-016476-78r0rsio 379 27 % % NN cord-016476-78r0rsio 379 28 , , , cord-016476-78r0rsio 379 29 respectively respectively RB cord-016476-78r0rsio 379 30 ) ) -RRB- cord-016476-78r0rsio 379 31 , , , cord-016476-78r0rsio 379 32 although although IN cord-016476-78r0rsio 379 33 higher high JJR cord-016476-78r0rsio 379 34 for for IN cord-016476-78r0rsio 379 35 scleroderma scleroderma NN cord-016476-78r0rsio 379 36 - - : cord-016476-78r0rsio 379 37 ILD ILD NNP cord-016476-78r0rsio 379 38 at at IN cord-016476-78r0rsio 379 39 82 82 CD cord-016476-78r0rsio 379 40 % % NN cord-016476-78r0rsio 379 41 [ [ -LRB- cord-016476-78r0rsio 379 42 191 191 CD cord-016476-78r0rsio 379 43 ] ] -RRB- cord-016476-78r0rsio 379 44 . . . cord-016476-78r0rsio 380 1 Eligibility eligibility NN cord-016476-78r0rsio 380 2 for for IN cord-016476-78r0rsio 380 3 lung lung NN cord-016476-78r0rsio 380 4 transplantation transplantation NN cord-016476-78r0rsio 380 5 may may MD cord-016476-78r0rsio 380 6 be be VB cord-016476-78r0rsio 380 7 restricted restrict VBN cord-016476-78r0rsio 380 8 due due IN cord-016476-78r0rsio 380 9 to to IN cord-016476-78r0rsio 380 10 age age NN cord-016476-78r0rsio 380 11 ( ( -LRB- cord-016476-78r0rsio 380 12 typically typically RB cord-016476-78r0rsio 380 13 < < XX cord-016476-78r0rsio 380 14 65 65 CD cord-016476-78r0rsio 380 15 years year NNS cord-016476-78r0rsio 380 16 ) ) -RRB- cord-016476-78r0rsio 380 17 , , , cord-016476-78r0rsio 380 18 contraindicated contraindicate VBN cord-016476-78r0rsio 380 19 with with IN cord-016476-78r0rsio 380 20 certain certain JJ cord-016476-78r0rsio 380 21 comorbidities comorbiditie NNS cord-016476-78r0rsio 380 22 common common JJ cord-016476-78r0rsio 380 23 in in IN cord-016476-78r0rsio 380 24 RA RA NNP cord-016476-78r0rsio 380 25 including include VBG cord-016476-78r0rsio 380 26 osteoporosis osteoporosis NN cord-016476-78r0rsio 380 27 , , , cord-016476-78r0rsio 380 28 whilst whilst IN cord-016476-78r0rsio 380 29 other other JJ cord-016476-78r0rsio 380 30 extra extra JJ cord-016476-78r0rsio 380 31 - - JJ cord-016476-78r0rsio 380 32 articular articular JJ cord-016476-78r0rsio 380 33 manifestations manifestation NNS cord-016476-78r0rsio 380 34 of of IN cord-016476-78r0rsio 380 35 RA RA NNP cord-016476-78r0rsio 380 36 may may MD cord-016476-78r0rsio 380 37 in in IN cord-016476-78r0rsio 380 38 turn turn NN cord-016476-78r0rsio 380 39 complicate complicate VB cord-016476-78r0rsio 380 40 transplantation transplantation NN cord-016476-78r0rsio 380 41 . . . cord-016476-78r0rsio 381 1 Nonetheless nonetheless RB cord-016476-78r0rsio 381 2 , , , cord-016476-78r0rsio 381 3 comparable comparable JJ cord-016476-78r0rsio 381 4 survival survival NN cord-016476-78r0rsio 381 5 outcomes outcome NNS cord-016476-78r0rsio 381 6 of of IN cord-016476-78r0rsio 381 7 RA RA NNP cord-016476-78r0rsio 381 8 - - HYPH cord-016476-78r0rsio 381 9 ILD ILD NNP cord-016476-78r0rsio 381 10 with with IN cord-016476-78r0rsio 381 11 IPF IPF NNP cord-016476-78r0rsio 381 12 are be VBP cord-016476-78r0rsio 381 13 somewhat somewhat RB cord-016476-78r0rsio 381 14 reassuring reassuring JJ cord-016476-78r0rsio 381 15 . . . cord-016476-78r0rsio 382 1 In in IN cord-016476-78r0rsio 382 2 summary summary NN cord-016476-78r0rsio 382 3 at at IN cord-016476-78r0rsio 382 4 present present JJ cord-016476-78r0rsio 382 5 , , , cord-016476-78r0rsio 382 6 there there EX cord-016476-78r0rsio 382 7 are be VBP cord-016476-78r0rsio 382 8 no no DT cord-016476-78r0rsio 382 9 current current JJ cord-016476-78r0rsio 382 10 treatments treatment NNS cord-016476-78r0rsio 382 11 available available JJ cord-016476-78r0rsio 382 12 that that WDT cord-016476-78r0rsio 382 13 have have VBP cord-016476-78r0rsio 382 14 appeared appear VBN cord-016476-78r0rsio 382 15 to to TO cord-016476-78r0rsio 382 16 consistently consistently RB cord-016476-78r0rsio 382 17 stabilise stabilise VB cord-016476-78r0rsio 382 18 RA RA NNP cord-016476-78r0rsio 382 19 - - HYPH cord-016476-78r0rsio 382 20 ILD ILD NNP cord-016476-78r0rsio 382 21 as as RB cord-016476-78r0rsio 382 22 well well RB cord-016476-78r0rsio 382 23 as as IN cord-016476-78r0rsio 382 24 adequately adequately RB cord-016476-78r0rsio 382 25 treat treat VB cord-016476-78r0rsio 382 26 joint joint JJ cord-016476-78r0rsio 382 27 symptoms symptom NNS cord-016476-78r0rsio 382 28 . . . cord-016476-78r0rsio 383 1 The the DT cord-016476-78r0rsio 383 2 risks risk NNS cord-016476-78r0rsio 383 3 and and CC cord-016476-78r0rsio 383 4 limited limited JJ cord-016476-78r0rsio 383 5 benefits benefit NNS cord-016476-78r0rsio 383 6 of of IN cord-016476-78r0rsio 383 7 such such JJ cord-016476-78r0rsio 383 8 medications medication NNS cord-016476-78r0rsio 383 9 bear bear NN cord-016476-78r0rsio 383 10 consideration consideration NN cord-016476-78r0rsio 383 11 , , , cord-016476-78r0rsio 383 12 especially especially RB cord-016476-78r0rsio 383 13 since since IN cord-016476-78r0rsio 383 14 most most JJS cord-016476-78r0rsio 383 15 evidence evidence NN cord-016476-78r0rsio 383 16 for for IN cord-016476-78r0rsio 383 17 efficacy efficacy NN cord-016476-78r0rsio 383 18 has have VBZ cord-016476-78r0rsio 383 19 been be VBN cord-016476-78r0rsio 383 20 demonstrated demonstrate VBN cord-016476-78r0rsio 383 21 in in IN cord-016476-78r0rsio 383 22 IPF IPF NNP cord-016476-78r0rsio 383 23 and and CC cord-016476-78r0rsio 383 24 CTD CTD NNP cord-016476-78r0rsio 383 25 - - HYPH cord-016476-78r0rsio 383 26 ILD ILD NNP cord-016476-78r0rsio 383 27 . . . cord-016476-78r0rsio 384 1 Glucocorticoids Glucocorticoids NNP cord-016476-78r0rsio 384 2 may may MD cord-016476-78r0rsio 384 3 be be VB cord-016476-78r0rsio 384 4 used use VBN cord-016476-78r0rsio 384 5 in in IN cord-016476-78r0rsio 384 6 RA RA NNP cord-016476-78r0rsio 384 7 - - HYPH cord-016476-78r0rsio 384 8 ILD ILD NNP cord-016476-78r0rsio 384 9 , , , cord-016476-78r0rsio 384 10 however however RB cord-016476-78r0rsio 384 11 , , , cord-016476-78r0rsio 384 12 with with IN cord-016476-78r0rsio 384 13 the the DT cord-016476-78r0rsio 384 14 lowest low JJS cord-016476-78r0rsio 384 15 effective effective JJ cord-016476-78r0rsio 384 16 dose dose NN cord-016476-78r0rsio 384 17 for for IN cord-016476-78r0rsio 384 18 the the DT cord-016476-78r0rsio 384 19 shortest short JJS cord-016476-78r0rsio 384 20 possible possible JJ cord-016476-78r0rsio 384 21 duration duration NN cord-016476-78r0rsio 384 22 to to TO cord-016476-78r0rsio 384 23 minimise minimise VB cord-016476-78r0rsio 384 24 risk risk NN cord-016476-78r0rsio 384 25 of of IN cord-016476-78r0rsio 384 26 infection infection NN cord-016476-78r0rsio 384 27 amongst amongst IN cord-016476-78r0rsio 384 28 others other NNS cord-016476-78r0rsio 384 29 . . . cord-016476-78r0rsio 385 1 Robust robust JJ cord-016476-78r0rsio 385 2 RCTs rct NNS cord-016476-78r0rsio 385 3 are be VBP cord-016476-78r0rsio 385 4 required require VBN cord-016476-78r0rsio 385 5 to to TO cord-016476-78r0rsio 385 6 support support VB cord-016476-78r0rsio 385 7 the the DT cord-016476-78r0rsio 385 8 use use NN cord-016476-78r0rsio 385 9 of of IN cord-016476-78r0rsio 385 10 novel novel JJ cord-016476-78r0rsio 385 11 antfibrotic antfibrotic JJ cord-016476-78r0rsio 385 12 agents agent NNS cord-016476-78r0rsio 385 13 or or CC cord-016476-78r0rsio 385 14 immunosuppressive immunosuppressive JJ cord-016476-78r0rsio 385 15 therapies therapy NNS cord-016476-78r0rsio 385 16 directed direct VBN cord-016476-78r0rsio 385 17 towards towards IN cord-016476-78r0rsio 385 18 treatment treatment NN cord-016476-78r0rsio 385 19 of of IN cord-016476-78r0rsio 385 20 RA RA NNP cord-016476-78r0rsio 385 21 - - HYPH cord-016476-78r0rsio 385 22 ILD ILD NNP cord-016476-78r0rsio 385 23 . . . cord-016476-78r0rsio 386 1 However however RB cord-016476-78r0rsio 386 2 , , , cord-016476-78r0rsio 386 3 at at IN cord-016476-78r0rsio 386 4 present present NN cord-016476-78r0rsio 386 5 there there EX cord-016476-78r0rsio 386 6 is be VBZ cord-016476-78r0rsio 386 7 a a DT cord-016476-78r0rsio 386 8 paucity paucity NN cord-016476-78r0rsio 386 9 of of IN cord-016476-78r0rsio 386 10 evidence evidence NN cord-016476-78r0rsio 386 11 to to TO cord-016476-78r0rsio 386 12 support support VB cord-016476-78r0rsio 386 13 the the DT cord-016476-78r0rsio 386 14 routine routine JJ cord-016476-78r0rsio 386 15 use use NN cord-016476-78r0rsio 386 16 of of IN cord-016476-78r0rsio 386 17 these these DT cord-016476-78r0rsio 386 18 strategiest strategi JJS cord-016476-78r0rsio 386 19 . . . cord-016476-78r0rsio 387 1 Evidence evidence NN cord-016476-78r0rsio 387 2 to to TO cord-016476-78r0rsio 387 3 guide guide VB cord-016476-78r0rsio 387 4 management management NN cord-016476-78r0rsio 387 5 and and CC cord-016476-78r0rsio 387 6 treatment treatment NN cord-016476-78r0rsio 387 7 of of IN cord-016476-78r0rsio 387 8 RA RA NNP cord-016476-78r0rsio 387 9 - - HYPH cord-016476-78r0rsio 387 10 ILD ILD NNP cord-016476-78r0rsio 387 11 is be VBZ cord-016476-78r0rsio 387 12 of of IN cord-016476-78r0rsio 387 13 low low JJ cord-016476-78r0rsio 387 14 quality quality NN cord-016476-78r0rsio 387 15 or or CC cord-016476-78r0rsio 387 16 absent absent JJ cord-016476-78r0rsio 387 17 , , , cord-016476-78r0rsio 387 18 hence hence RB cord-016476-78r0rsio 387 19 extrapolated extrapolate VBN cord-016476-78r0rsio 387 20 from from IN cord-016476-78r0rsio 387 21 systemic systemic JJ cord-016476-78r0rsio 387 22 sclerosis sclerosis NN cord-016476-78r0rsio 387 23 - - : cord-016476-78r0rsio 387 24 ILD ILD NNP cord-016476-78r0rsio 387 25 or or CC cord-016476-78r0rsio 387 26 IPF IPF NNP cord-016476-78r0rsio 387 27 . . . cord-016476-78r0rsio 388 1 However however RB cord-016476-78r0rsio 388 2 , , , cord-016476-78r0rsio 388 3 despite despite IN cord-016476-78r0rsio 388 4 the the DT cord-016476-78r0rsio 388 5 lack lack NN cord-016476-78r0rsio 388 6 of of IN cord-016476-78r0rsio 388 7 robust robust JJ cord-016476-78r0rsio 388 8 data datum NNS cord-016476-78r0rsio 388 9 , , , cord-016476-78r0rsio 388 10 clinicians clinician NNS cord-016476-78r0rsio 388 11 are be VBP cord-016476-78r0rsio 388 12 required require VBN cord-016476-78r0rsio 388 13 to to TO cord-016476-78r0rsio 388 14 advise advise VB cord-016476-78r0rsio 388 15 patients patient NNS cord-016476-78r0rsio 388 16 on on IN cord-016476-78r0rsio 388 17 the the DT cord-016476-78r0rsio 388 18 comparative comparative JJ cord-016476-78r0rsio 388 19 safety safety NN cord-016476-78r0rsio 388 20 of of IN cord-016476-78r0rsio 388 21 treatment treatment NN cord-016476-78r0rsio 388 22 and and CC cord-016476-78r0rsio 388 23 strategies strategy NNS cord-016476-78r0rsio 388 24 to to TO cord-016476-78r0rsio 388 25 minimise minimise VB cord-016476-78r0rsio 388 26 complications complication NNS cord-016476-78r0rsio 388 27 of of IN cord-016476-78r0rsio 388 28 RA RA NNP cord-016476-78r0rsio 388 29 - - HYPH cord-016476-78r0rsio 388 30 ILD ILD NNP cord-016476-78r0rsio 388 31 such such JJ cord-016476-78r0rsio 388 32 as as IN cord-016476-78r0rsio 388 33 infection infection NN cord-016476-78r0rsio 388 34 and and CC cord-016476-78r0rsio 388 35 reduce reduce VB cord-016476-78r0rsio 388 36 the the DT cord-016476-78r0rsio 388 37 overall overall JJ cord-016476-78r0rsio 388 38 burden burden NN cord-016476-78r0rsio 388 39 of of IN cord-016476-78r0rsio 388 40 morbidity morbidity NN cord-016476-78r0rsio 388 41 to to TO cord-016476-78r0rsio 388 42 prolong prolong VB cord-016476-78r0rsio 388 43 survival survival NN cord-016476-78r0rsio 388 44 . . . cord-016476-78r0rsio 389 1 In in IN cord-016476-78r0rsio 389 2 addition addition NN cord-016476-78r0rsio 389 3 RA RA NNP cord-016476-78r0rsio 389 4 management management NN cord-016476-78r0rsio 389 5 has have VBZ cord-016476-78r0rsio 389 6 become become VBN cord-016476-78r0rsio 389 7 increasingly increasingly RB cord-016476-78r0rsio 389 8 complex complex JJ cord-016476-78r0rsio 389 9 over over IN cord-016476-78r0rsio 389 10 the the DT cord-016476-78r0rsio 389 11 last last JJ cord-016476-78r0rsio 389 12 decade decade NN cord-016476-78r0rsio 389 13 . . . cord-016476-78r0rsio 390 1 Several several JJ cord-016476-78r0rsio 390 2 effective effective JJ cord-016476-78r0rsio 390 3 DMARDs dmard NNS cord-016476-78r0rsio 390 4 are be VBP cord-016476-78r0rsio 390 5 available available JJ cord-016476-78r0rsio 390 6 , , , cord-016476-78r0rsio 390 7 and and CC cord-016476-78r0rsio 390 8 treat treat VB cord-016476-78r0rsio 390 9 - - HYPH cord-016476-78r0rsio 390 10 to to IN cord-016476-78r0rsio 390 11 - - HYPH cord-016476-78r0rsio 390 12 target target NN cord-016476-78r0rsio 390 13 strategies strategy NNS cord-016476-78r0rsio 390 14 support support VBP cord-016476-78r0rsio 390 15 the the DT cord-016476-78r0rsio 390 16 use use NN cord-016476-78r0rsio 390 17 of of IN cord-016476-78r0rsio 390 18 early early JJ cord-016476-78r0rsio 390 19 , , , cord-016476-78r0rsio 390 20 rapidly rapidly RB cord-016476-78r0rsio 390 21 escalating escalate VBG cord-016476-78r0rsio 390 22 treatment treatment NN cord-016476-78r0rsio 390 23 often often RB cord-016476-78r0rsio 390 24 in in IN cord-016476-78r0rsio 390 25 combination combination NN cord-016476-78r0rsio 390 26 with with IN cord-016476-78r0rsio 390 27 each each DT cord-016476-78r0rsio 390 28 other other JJ cord-016476-78r0rsio 390 29 . . . cord-016476-78r0rsio 391 1 As as IN cord-016476-78r0rsio 391 2 discussed discuss VBN cord-016476-78r0rsio 391 3 earlier early RBR cord-016476-78r0rsio 391 4 , , , cord-016476-78r0rsio 391 5 there there EX cord-016476-78r0rsio 391 6 are be VBP cord-016476-78r0rsio 391 7 no no DT cord-016476-78r0rsio 391 8 treatments treatment NNS cord-016476-78r0rsio 391 9 that that WDT cord-016476-78r0rsio 391 10 conclusively conclusively RB cord-016476-78r0rsio 391 11 improve improve VBP cord-016476-78r0rsio 391 12 both both CC cord-016476-78r0rsio 391 13 joint joint JJ cord-016476-78r0rsio 391 14 and and CC cord-016476-78r0rsio 391 15 pulmonary pulmonary JJ cord-016476-78r0rsio 391 16 disease disease NN cord-016476-78r0rsio 391 17 in in IN cord-016476-78r0rsio 391 18 all all DT cord-016476-78r0rsio 391 19 patients patient NNS cord-016476-78r0rsio 391 20 ; ; : cord-016476-78r0rsio 391 21 therefore therefore RB cord-016476-78r0rsio 391 22 , , , cord-016476-78r0rsio 391 23 careful careful JJ cord-016476-78r0rsio 391 24 baseline baseline JJ cord-016476-78r0rsio 391 25 assessment assessment NN cord-016476-78r0rsio 391 26 , , , cord-016476-78r0rsio 391 27 adequate adequate JJ cord-016476-78r0rsio 391 28 risk risk NN cord-016476-78r0rsio 391 29 assessment assessment NN cord-016476-78r0rsio 391 30 for for IN cord-016476-78r0rsio 391 31 adverse adverse JJ cord-016476-78r0rsio 391 32 outcomes outcome NNS cord-016476-78r0rsio 391 33 and and CC cord-016476-78r0rsio 391 34 regular regular JJ cord-016476-78r0rsio 391 35 monitoring monitoring NN cord-016476-78r0rsio 391 36 and and CC cord-016476-78r0rsio 391 37 vigilance vigilance NN cord-016476-78r0rsio 391 38 whilst whilst IN cord-016476-78r0rsio 391 39 using use VBG cord-016476-78r0rsio 391 40 the the DT cord-016476-78r0rsio 391 41 majority majority NN cord-016476-78r0rsio 391 42 of of IN cord-016476-78r0rsio 391 43 DMARD DMARD NNP cord-016476-78r0rsio 391 44 strategies strategy NNS cord-016476-78r0rsio 391 45 are be VBP cord-016476-78r0rsio 391 46 essential essential JJ cord-016476-78r0rsio 391 47 . . . cord-016476-78r0rsio 392 1 To to TO cord-016476-78r0rsio 392 2 enable enable VB cord-016476-78r0rsio 392 3 guidance guidance NN cord-016476-78r0rsio 392 4 of of IN cord-016476-78r0rsio 392 5 management management NN cord-016476-78r0rsio 392 6 strategies strategy NNS cord-016476-78r0rsio 392 7 , , , cord-016476-78r0rsio 392 8 a a DT cord-016476-78r0rsio 392 9 recent recent JJ cord-016476-78r0rsio 392 10 approach approach NN cord-016476-78r0rsio 392 11 in in IN cord-016476-78r0rsio 392 12 idiopathic idiopathic JJ cord-016476-78r0rsio 392 13 interstitial interstitial JJ cord-016476-78r0rsio 392 14 pneumonias pneumonia NNS cord-016476-78r0rsio 392 15 ( ( -LRB- cord-016476-78r0rsio 392 16 IIP IIP NNP cord-016476-78r0rsio 392 17 ) ) -RRB- cord-016476-78r0rsio 392 18 has have VBZ cord-016476-78r0rsio 392 19 been be VBN cord-016476-78r0rsio 392 20 to to TO cord-016476-78r0rsio 392 21 classify classify VB cord-016476-78r0rsio 392 22 pulmonary pulmonary JJ cord-016476-78r0rsio 392 23 disease disease NN cord-016476-78r0rsio 392 24 as as IN cord-016476-78r0rsio 392 25 self self NN cord-016476-78r0rsio 392 26 - - HYPH cord-016476-78r0rsio 392 27 limiting limit VBG cord-016476-78r0rsio 392 28 , , , cord-016476-78r0rsio 392 29 reversible reversible JJ cord-016476-78r0rsio 392 30 , , , cord-016476-78r0rsio 392 31 stable stable JJ cord-016476-78r0rsio 392 32 , , , cord-016476-78r0rsio 392 33 progressive progressive JJ cord-016476-78r0rsio 392 34 or or CC cord-016476-78r0rsio 392 35 irreversible irreversible JJ cord-016476-78r0rsio 392 36 [ [ -LRB- cord-016476-78r0rsio 392 37 143 143 CD cord-016476-78r0rsio 392 38 , , , cord-016476-78r0rsio 392 39 192 192 CD cord-016476-78r0rsio 392 40 , , , cord-016476-78r0rsio 392 41 193 193 CD cord-016476-78r0rsio 392 42 ] ] -RRB- cord-016476-78r0rsio 392 43 . . . cord-016476-78r0rsio 393 1 A a DT cord-016476-78r0rsio 393 2 thorough thorough JJ cord-016476-78r0rsio 393 3 assessment assessment NN cord-016476-78r0rsio 393 4 of of IN cord-016476-78r0rsio 393 5 baseline baseline JJ cord-016476-78r0rsio 393 6 RA RA NNP cord-016476-78r0rsio 393 7 - - HYPH cord-016476-78r0rsio 393 8 ILD ILD NNP cord-016476-78r0rsio 393 9 severity severity NN cord-016476-78r0rsio 393 10 should should MD cord-016476-78r0rsio 393 11 consider consider VB cord-016476-78r0rsio 393 12 clinical clinical JJ cord-016476-78r0rsio 393 13 features feature NNS cord-016476-78r0rsio 393 14 , , , cord-016476-78r0rsio 393 15 PFTs pft NNS cord-016476-78r0rsio 393 16 and and CC cord-016476-78r0rsio 393 17 imaging imaging NN cord-016476-78r0rsio 393 18 pattern pattern NN cord-016476-78r0rsio 393 19 / / SYM cord-016476-78r0rsio 393 20 extent extent NN cord-016476-78r0rsio 393 21 on on IN cord-016476-78r0rsio 393 22 HRCT HRCT NNP cord-016476-78r0rsio 393 23 , , , cord-016476-78r0rsio 393 24 low low JJ cord-016476-78r0rsio 393 25 DLCO DLCO NNP cord-016476-78r0rsio 393 26 and and CC cord-016476-78r0rsio 393 27 a a DT cord-016476-78r0rsio 393 28 high high JJ cord-016476-78r0rsio 393 29 radiological radiological JJ cord-016476-78r0rsio 393 30 fibrosis fibrosis NN cord-016476-78r0rsio 393 31 score score NN cord-016476-78r0rsio 393 32 on on IN cord-016476-78r0rsio 393 33 HRCT HRCT NNP cord-016476-78r0rsio 393 34 being be VBG cord-016476-78r0rsio 393 35 predictors predictor NNS cord-016476-78r0rsio 393 36 of of IN cord-016476-78r0rsio 393 37 poor poor JJ cord-016476-78r0rsio 393 38 survival survival NN cord-016476-78r0rsio 393 39 [ [ -LRB- cord-016476-78r0rsio 393 40 194 194 CD cord-016476-78r0rsio 393 41 ] ] -RRB- cord-016476-78r0rsio 393 42 [ [ -LRB- cord-016476-78r0rsio 393 43 195 195 CD cord-016476-78r0rsio 393 44 ] ] -RRB- cord-016476-78r0rsio 393 45 [ [ -LRB- cord-016476-78r0rsio 393 46 196 196 CD cord-016476-78r0rsio 393 47 ] ] -RRB- cord-016476-78r0rsio 393 48 . . . cord-016476-78r0rsio 394 1 Such such JJ cord-016476-78r0rsio 394 2 information information NN cord-016476-78r0rsio 394 3 in in IN cord-016476-78r0rsio 394 4 combination combination NN cord-016476-78r0rsio 394 5 with with IN cord-016476-78r0rsio 394 6 monitoring monitor VBG cord-016476-78r0rsio 394 7 disease disease NN cord-016476-78r0rsio 394 8 progression progression NN cord-016476-78r0rsio 394 9 over over IN cord-016476-78r0rsio 394 10 time time NN cord-016476-78r0rsio 394 11 allows allow VBZ cord-016476-78r0rsio 394 12 mapping mapping NN cord-016476-78r0rsio 394 13 of of IN cord-016476-78r0rsio 394 14 the the DT cord-016476-78r0rsio 394 15 disease disease NN cord-016476-78r0rsio 394 16 trajectory trajectory NN cord-016476-78r0rsio 394 17 and and CC cord-016476-78r0rsio 394 18 may may MD cord-016476-78r0rsio 394 19 better better RB cord-016476-78r0rsio 394 20 inform inform VB cord-016476-78r0rsio 394 21 management management NN cord-016476-78r0rsio 394 22 decisions decision NNS cord-016476-78r0rsio 394 23 in in IN cord-016476-78r0rsio 394 24 the the DT cord-016476-78r0rsio 394 25 face face NN cord-016476-78r0rsio 394 26 of of IN cord-016476-78r0rsio 394 27 poor poor JJ cord-016476-78r0rsio 394 28 evidence evidence NN cord-016476-78r0rsio 394 29 . . . cord-016476-78r0rsio 395 1 Clinical clinical JJ cord-016476-78r0rsio 395 2 assessment assessment NN cord-016476-78r0rsio 395 3 including include VBG cord-016476-78r0rsio 395 4 quantification quantification NN cord-016476-78r0rsio 395 5 of of IN cord-016476-78r0rsio 395 6 exercise exercise NN cord-016476-78r0rsio 395 7 tolerance tolerance NN cord-016476-78r0rsio 395 8 using use VBG cord-016476-78r0rsio 395 9 instruments instrument NNS cord-016476-78r0rsio 395 10 such such JJ cord-016476-78r0rsio 395 11 as as IN cord-016476-78r0rsio 395 12 the the DT cord-016476-78r0rsio 395 13 five five CD cord-016476-78r0rsio 395 14 - - HYPH cord-016476-78r0rsio 395 15 point point NN cord-016476-78r0rsio 395 16 Medical Medical NNP cord-016476-78r0rsio 395 17 Research Research NNP cord-016476-78r0rsio 395 18 Council Council NNP cord-016476-78r0rsio 395 19 ( ( -LRB- cord-016476-78r0rsio 395 20 MRC MRC NNP cord-016476-78r0rsio 395 21 ) ) -RRB- cord-016476-78r0rsio 395 22 breathlessness breathlessness NN cord-016476-78r0rsio 395 23 scale scale NN cord-016476-78r0rsio 395 24 [ [ -LRB- cord-016476-78r0rsio 395 25 197 197 CD cord-016476-78r0rsio 395 26 ] ] -RRB- cord-016476-78r0rsio 395 27 can can MD cord-016476-78r0rsio 395 28 help help VB cord-016476-78r0rsio 395 29 aid aid VB cord-016476-78r0rsio 395 30 serial serial JJ cord-016476-78r0rsio 395 31 assessment assessment NN cord-016476-78r0rsio 395 32 of of IN cord-016476-78r0rsio 395 33 the the DT cord-016476-78r0rsio 395 34 symptoms symptom NNS cord-016476-78r0rsio 395 35 of of IN cord-016476-78r0rsio 395 36 RA RA NNP cord-016476-78r0rsio 395 37 - - HYPH cord-016476-78r0rsio 395 38 ILD ILD NNP cord-016476-78r0rsio 395 39 ( ( -LRB- cord-016476-78r0rsio 395 40 Table table NN cord-016476-78r0rsio 395 41 9 9 CD cord-016476-78r0rsio 395 42 .3 .3 CD cord-016476-78r0rsio 395 43 ) ) -RRB- cord-016476-78r0rsio 395 44 . . . cord-016476-78r0rsio 396 1 Bibasilar Bibasilar NNP cord-016476-78r0rsio 396 2 crepitations crepitation NNS cord-016476-78r0rsio 396 3 are be VBP cord-016476-78r0rsio 396 4 an an DT cord-016476-78r0rsio 396 5 associated associate VBN cord-016476-78r0rsio 396 6 feature feature NN cord-016476-78r0rsio 396 7 that that WDT cord-016476-78r0rsio 396 8 may may MD cord-016476-78r0rsio 396 9 help help VB cord-016476-78r0rsio 396 10 trigger trigger VB cord-016476-78r0rsio 396 11 detection detection NN cord-016476-78r0rsio 396 12 of of IN cord-016476-78r0rsio 396 13 asymptomatic asymptomatic JJ cord-016476-78r0rsio 396 14 ILD ILD NNP cord-016476-78r0rsio 396 15 , , , cord-016476-78r0rsio 396 16 but but CC cord-016476-78r0rsio 396 17 have have VBP cord-016476-78r0rsio 396 18 limited limit VBN cord-016476-78r0rsio 396 19 value value NN cord-016476-78r0rsio 396 20 in in IN cord-016476-78r0rsio 396 21 assessing assess VBG cord-016476-78r0rsio 396 22 severity severity NN cord-016476-78r0rsio 396 23 or or CC cord-016476-78r0rsio 396 24 monitoring monitoring NN cord-016476-78r0rsio 396 25 progression progression NN cord-016476-78r0rsio 396 26 . . . cord-016476-78r0rsio 397 1 The the DT cord-016476-78r0rsio 397 2 6-min 6-min CD cord-016476-78r0rsio 397 3 walk walk NN cord-016476-78r0rsio 397 4 test test NN cord-016476-78r0rsio 397 5 is be VBZ cord-016476-78r0rsio 397 6 a a DT cord-016476-78r0rsio 397 7 commonly commonly RB cord-016476-78r0rsio 397 8 used use VBN cord-016476-78r0rsio 397 9 instrument instrument NN cord-016476-78r0rsio 397 10 for for IN cord-016476-78r0rsio 397 11 assessing assess VBG cord-016476-78r0rsio 397 12 IPF IPF NNP cord-016476-78r0rsio 397 13 and and CC cord-016476-78r0rsio 397 14 can can MD cord-016476-78r0rsio 397 15 be be VB cord-016476-78r0rsio 397 16 performed perform VBN cord-016476-78r0rsio 397 17 easily easily RB cord-016476-78r0rsio 397 18 . . . cord-016476-78r0rsio 398 1 Reduced reduce VBN cord-016476-78r0rsio 398 2 walk walk NN cord-016476-78r0rsio 398 3 distance distance NN cord-016476-78r0rsio 398 4 and and CC cord-016476-78r0rsio 398 5 oxygen oxygen NN cord-016476-78r0rsio 398 6 desaturation desaturation NN cord-016476-78r0rsio 398 7 below below IN cord-016476-78r0rsio 398 8 88 88 CD cord-016476-78r0rsio 398 9 % % NN cord-016476-78r0rsio 398 10 are be VBP cord-016476-78r0rsio 398 11 poor poor JJ cord-016476-78r0rsio 398 12 prognostic prognostic JJ cord-016476-78r0rsio 398 13 factors factor NNS cord-016476-78r0rsio 398 14 in in IN cord-016476-78r0rsio 398 15 IPF IPF NNP cord-016476-78r0rsio 398 16 [ [ -LRB- cord-016476-78r0rsio 398 17 144 144 CD cord-016476-78r0rsio 398 18 , , , cord-016476-78r0rsio 398 19 198 198 CD cord-016476-78r0rsio 398 20 ] ] -RRB- cord-016476-78r0rsio 398 21 ; ; : cord-016476-78r0rsio 398 22 however however RB cord-016476-78r0rsio 398 23 , , , cord-016476-78r0rsio 398 24 practically practically RB cord-016476-78r0rsio 398 25 this this DT cord-016476-78r0rsio 398 26 may may MD cord-016476-78r0rsio 398 27 be be VB cord-016476-78r0rsio 398 28 challenging challenge VBG cord-016476-78r0rsio 398 29 to to TO cord-016476-78r0rsio 398 30 perform perform VB cord-016476-78r0rsio 398 31 in in IN cord-016476-78r0rsio 398 32 RA RA NNP cord-016476-78r0rsio 398 33 patients patient NNS cord-016476-78r0rsio 398 34 with with IN cord-016476-78r0rsio 398 35 poor poor JJ cord-016476-78r0rsio 398 36 mobility mobility NN cord-016476-78r0rsio 398 37 . . . cord-016476-78r0rsio 399 1 PFTs pft NNS cord-016476-78r0rsio 399 2 provide provide VBP cord-016476-78r0rsio 399 3 objective objective JJ cord-016476-78r0rsio 399 4 measures measure NNS cord-016476-78r0rsio 399 5 of of IN cord-016476-78r0rsio 399 6 lung lung NN cord-016476-78r0rsio 399 7 function function NN cord-016476-78r0rsio 399 8 and and CC cord-016476-78r0rsio 399 9 should should MD cord-016476-78r0rsio 399 10 be be VB cord-016476-78r0rsio 399 11 performed perform VBN cord-016476-78r0rsio 399 12 in in IN cord-016476-78r0rsio 399 13 all all DT cord-016476-78r0rsio 399 14 patients patient NNS cord-016476-78r0rsio 399 15 with with IN cord-016476-78r0rsio 399 16 respiratory respiratory JJ cord-016476-78r0rsio 399 17 clinical clinical JJ cord-016476-78r0rsio 399 18 features feature NNS cord-016476-78r0rsio 399 19 , , , cord-016476-78r0rsio 399 20 or or CC cord-016476-78r0rsio 399 21 confirmed confirm VBD cord-016476-78r0rsio 399 22 RA RA NNP cord-016476-78r0rsio 399 23 - - HYPH cord-016476-78r0rsio 399 24 ILD ILD NNP cord-016476-78r0rsio 399 25 , , , cord-016476-78r0rsio 399 26 prior prior RB cord-016476-78r0rsio 399 27 to to IN cord-016476-78r0rsio 399 28 decisions decision NNS cord-016476-78r0rsio 399 29 about about IN cord-016476-78r0rsio 399 30 therapy therapy NN cord-016476-78r0rsio 399 31 . . . cord-016476-78r0rsio 400 1 ILDs ILDs NNPS cord-016476-78r0rsio 400 2 share share VBP cord-016476-78r0rsio 400 3 a a DT cord-016476-78r0rsio 400 4 restrictive restrictive JJ cord-016476-78r0rsio 400 5 pattern pattern NN cord-016476-78r0rsio 400 6 , , , cord-016476-78r0rsio 400 7 with with IN cord-016476-78r0rsio 400 8 reductions reduction NNS cord-016476-78r0rsio 400 9 in in IN cord-016476-78r0rsio 400 10 lung lung NN cord-016476-78r0rsio 400 11 volumes volume NNS cord-016476-78r0rsio 400 12 and and CC cord-016476-78r0rsio 400 13 a a DT cord-016476-78r0rsio 400 14 reduced reduce VBN cord-016476-78r0rsio 400 15 DLCO DLCO NNP cord-016476-78r0rsio 400 16 [ [ -LRB- cord-016476-78r0rsio 400 17 199 199 CD cord-016476-78r0rsio 400 18 ] ] -RRB- cord-016476-78r0rsio 400 19 . . . cord-016476-78r0rsio 401 1 Low low JJ cord-016476-78r0rsio 401 2 baseline baseline JJ cord-016476-78r0rsio 401 3 FVC fvc NN cord-016476-78r0rsio 401 4 and and CC cord-016476-78r0rsio 401 5 DLCO DLCO NNP cord-016476-78r0rsio 401 6 ( ( -LRB- cord-016476-78r0rsio 401 7 FVC FVC NNP cord-016476-78r0rsio 401 8 < < XX cord-016476-78r0rsio 401 9 60 60 CD cord-016476-78r0rsio 401 10 % % NN cord-016476-78r0rsio 401 11 and and CC cord-016476-78r0rsio 401 12 DLCO dlco RB cord-016476-78r0rsio 401 13 < < XX cord-016476-78r0rsio 401 14 40 40 CD cord-016476-78r0rsio 401 15 % % NN cord-016476-78r0rsio 401 16 of of IN cord-016476-78r0rsio 401 17 predicted predict VBN cord-016476-78r0rsio 401 18 values value NNS cord-016476-78r0rsio 401 19 ) ) -RRB- cord-016476-78r0rsio 401 20 are be VBP cord-016476-78r0rsio 401 21 independent independent JJ cord-016476-78r0rsio 401 22 predictors predictor NNS cord-016476-78r0rsio 401 23 of of IN cord-016476-78r0rsio 401 24 early early JJ cord-016476-78r0rsio 401 25 death death NN cord-016476-78r0rsio 401 26 in in IN cord-016476-78r0rsio 401 27 patients patient NNS cord-016476-78r0rsio 401 28 with with IN cord-016476-78r0rsio 401 29 IPF IPF NNP cord-016476-78r0rsio 401 30 [ [ -LRB- cord-016476-78r0rsio 401 31 195 195 CD cord-016476-78r0rsio 401 32 , , , cord-016476-78r0rsio 401 33 196 196 CD cord-016476-78r0rsio 401 34 ] ] -RRB- cord-016476-78r0rsio 401 35 . . . cord-016476-78r0rsio 402 1 Importantly importantly RB cord-016476-78r0rsio 402 2 , , , cord-016476-78r0rsio 402 3 a a DT cord-016476-78r0rsio 402 4 6 6 CD cord-016476-78r0rsio 402 5 - - HYPH cord-016476-78r0rsio 402 6 12-month 12-month JJ cord-016476-78r0rsio 402 7 decline decline NN cord-016476-78r0rsio 402 8 in in IN cord-016476-78r0rsio 402 9 FVC FVC NNP cord-016476-78r0rsio 402 10 of of IN cord-016476-78r0rsio 402 11 ≥10 ≥10 NNP cord-016476-78r0rsio 402 12 % % NN cord-016476-78r0rsio 402 13 , , , cord-016476-78r0rsio 402 14 or or CC cord-016476-78r0rsio 402 15 a a DT cord-016476-78r0rsio 402 16 decline decline NN cord-016476-78r0rsio 402 17 in in IN cord-016476-78r0rsio 402 18 DLCO DLCO NNP cord-016476-78r0rsio 402 19 of of IN cord-016476-78r0rsio 402 20 ≥15 ≥15 NNP cord-016476-78r0rsio 402 21 % % NN cord-016476-78r0rsio 402 22 , , , cord-016476-78r0rsio 402 23 is be VBZ cord-016476-78r0rsio 402 24 associated associate VBN cord-016476-78r0rsio 402 25 with with IN cord-016476-78r0rsio 402 26 increased increase VBN cord-016476-78r0rsio 402 27 mortality mortality NN cord-016476-78r0rsio 402 28 in in IN cord-016476-78r0rsio 402 29 IPF IPF NNP cord-016476-78r0rsio 402 30 [ [ -LRB- cord-016476-78r0rsio 402 31 200 200 CD cord-016476-78r0rsio 402 32 ] ] -RRB- cord-016476-78r0rsio 402 33 ; ; : cord-016476-78r0rsio 402 34 this this DT cord-016476-78r0rsio 402 35 association association NN cord-016476-78r0rsio 402 36 might may MD cord-016476-78r0rsio 402 37 also also RB cord-016476-78r0rsio 402 38 exist exist VB cord-016476-78r0rsio 402 39 in in IN cord-016476-78r0rsio 402 40 patients patient NNS cord-016476-78r0rsio 402 41 with with IN cord-016476-78r0rsio 402 42 idiopathic idiopathic JJ cord-016476-78r0rsio 402 43 fibrotic fibrotic JJ cord-016476-78r0rsio 402 44 NSIP NSIP NNP cord-016476-78r0rsio 402 45 . . . cord-016476-78r0rsio 403 1 bDMARDs bDMARDs NNP cord-016476-78r0rsio 403 2 biologic biologic JJ cord-016476-78r0rsio 403 3 disease disease NN cord-016476-78r0rsio 403 4 - - HYPH cord-016476-78r0rsio 403 5 modifying modify VBG cord-016476-78r0rsio 403 6 antirheumatic antirheumatic JJ cord-016476-78r0rsio 403 7 drugs drug NNS cord-016476-78r0rsio 403 8 , , , cord-016476-78r0rsio 403 9 DLCO dlco RB cord-016476-78r0rsio 403 10 diffusing diffuse VBG cord-016476-78r0rsio 403 11 capacity capacity NN cord-016476-78r0rsio 403 12 of of IN cord-016476-78r0rsio 403 13 the the DT cord-016476-78r0rsio 403 14 lungs lung NNS cord-016476-78r0rsio 403 15 for for IN cord-016476-78r0rsio 403 16 carbon carbon NN cord-016476-78r0rsio 403 17 monoxide monoxide NN cord-016476-78r0rsio 403 18 , , , cord-016476-78r0rsio 403 19 FVC FVC NNP cord-016476-78r0rsio 403 20 forced force VBD cord-016476-78r0rsio 403 21 vital vital JJ cord-016476-78r0rsio 403 22 capacity capacity NN cord-016476-78r0rsio 403 23 , , , cord-016476-78r0rsio 403 24 ILD ILD NNP cord-016476-78r0rsio 403 25 interstitial interstitial JJ cord-016476-78r0rsio 403 26 lung lung NN cord-016476-78r0rsio 403 27 disease disease NN cord-016476-78r0rsio 403 28 , , , cord-016476-78r0rsio 403 29 HRCT HRCT NNP cord-016476-78r0rsio 403 30 highresolution highresolution NN cord-016476-78r0rsio 403 31 computed compute VBD cord-016476-78r0rsio 403 32 tomography tomography NNP cord-016476-78r0rsio 403 33 , , , cord-016476-78r0rsio 403 34 nbDMARDs nbdmards FW cord-016476-78r0rsio 403 35 non non JJ cord-016476-78r0rsio 403 36 - - JJ cord-016476-78r0rsio 403 37 biologic biologic JJ cord-016476-78r0rsio 403 38 disease disease NN cord-016476-78r0rsio 403 39 - - HYPH cord-016476-78r0rsio 403 40 modifying modify VBG cord-016476-78r0rsio 403 41 antirheumatic antirheumatic JJ cord-016476-78r0rsio 403 42 drugs drug NNS cord-016476-78r0rsio 403 43 , , , cord-016476-78r0rsio 403 44 PFTs pft NNS cord-016476-78r0rsio 403 45 pulmonary pulmonary JJ cord-016476-78r0rsio 403 46 function function NN cord-016476-78r0rsio 403 47 tests test NNS cord-016476-78r0rsio 403 48 , , , cord-016476-78r0rsio 403 49 TB TB NNP cord-016476-78r0rsio 403 50 tuberculosis tuberculosis NN cord-016476-78r0rsio 403 51 , , , cord-016476-78r0rsio 403 52 UIP UIP NNP cord-016476-78r0rsio 403 53 usual usual JJ cord-016476-78r0rsio 403 54 interstitial interstitial JJ cord-016476-78r0rsio 403 55 pneumonia pneumonia NN cord-016476-78r0rsio 403 56 HRCT HRCT NNP cord-016476-78r0rsio 403 57 imaging imaging NN cord-016476-78r0rsio 403 58 is be VBZ cord-016476-78r0rsio 403 59 indicated indicate VBN cord-016476-78r0rsio 403 60 in in IN cord-016476-78r0rsio 403 61 patients patient NNS cord-016476-78r0rsio 403 62 with with IN cord-016476-78r0rsio 403 63 RA RA NNP cord-016476-78r0rsio 403 64 - - HYPH cord-016476-78r0rsio 403 65 ILD ILD NNP cord-016476-78r0rsio 403 66 clinical clinical JJ cord-016476-78r0rsio 403 67 features feature NNS cord-016476-78r0rsio 403 68 or or CC cord-016476-78r0rsio 403 69 in in IN cord-016476-78r0rsio 403 70 asymptomatic asymptomatic JJ cord-016476-78r0rsio 403 71 patients patient NNS cord-016476-78r0rsio 403 72 with with IN cord-016476-78r0rsio 403 73 a a DT cord-016476-78r0rsio 403 74 DLCO dlco NN cord-016476-78r0rsio 403 75 of of IN cord-016476-78r0rsio 403 76 < < $ cord-016476-78r0rsio 403 77 70 70 CD cord-016476-78r0rsio 403 78 % % NN cord-016476-78r0rsio 403 79 of of IN cord-016476-78r0rsio 403 80 predicted predict VBN cord-016476-78r0rsio 403 81 [ [ -LRB- cord-016476-78r0rsio 403 82 201 201 CD cord-016476-78r0rsio 403 83 ] ] -RRB- cord-016476-78r0rsio 403 84 . . . cord-016476-78r0rsio 404 1 Individuals individual NNS cord-016476-78r0rsio 404 2 with with IN cord-016476-78r0rsio 404 3 HRCT HRCT NNP cord-016476-78r0rsio 404 4 findings finding NNS cord-016476-78r0rsio 404 5 consistent consistent JJ cord-016476-78r0rsio 404 6 with with IN cord-016476-78r0rsio 404 7 UIP UIP NNP cord-016476-78r0rsio 404 8 , , , cord-016476-78r0rsio 404 9 such such JJ cord-016476-78r0rsio 404 10 as as IN cord-016476-78r0rsio 404 11 basally basally RB cord-016476-78r0rsio 404 12 dominant dominant JJ cord-016476-78r0rsio 404 13 honeycomb honeycomb NN cord-016476-78r0rsio 404 14 cysts cyst NNS cord-016476-78r0rsio 404 15 with with IN cord-016476-78r0rsio 404 16 little little JJ cord-016476-78r0rsio 404 17 or or CC cord-016476-78r0rsio 404 18 no no DT cord-016476-78r0rsio 404 19 ground ground NN cord-016476-78r0rsio 404 20 - - HYPH cord-016476-78r0rsio 404 21 glass glass NN cord-016476-78r0rsio 404 22 change change NN cord-016476-78r0rsio 404 23 , , , cord-016476-78r0rsio 404 24 have have VBP cord-016476-78r0rsio 404 25 poorer poor JJR cord-016476-78r0rsio 404 26 prognosis prognosis NN cord-016476-78r0rsio 404 27 than than IN cord-016476-78r0rsio 404 28 those those DT cord-016476-78r0rsio 404 29 with with IN cord-016476-78r0rsio 404 30 HRCT HRCT NNP cord-016476-78r0rsio 404 31 - - HYPH cord-016476-78r0rsio 404 32 detected detect VBN cord-016476-78r0rsio 404 33 features feature NNS cord-016476-78r0rsio 404 34 indicative indicative JJ cord-016476-78r0rsio 404 35 of of IN cord-016476-78r0rsio 404 36 other other JJ cord-016476-78r0rsio 404 37 types type NNS cord-016476-78r0rsio 404 38 of of IN cord-016476-78r0rsio 404 39 IIP IIP NNP cord-016476-78r0rsio 404 40 [ [ -LRB- cord-016476-78r0rsio 404 41 142 142 CD cord-016476-78r0rsio 404 42 , , , cord-016476-78r0rsio 404 43 202 202 CD cord-016476-78r0rsio 404 44 ] ] -RRB- cord-016476-78r0rsio 404 45 . . . cord-016476-78r0rsio 405 1 In in IN cord-016476-78r0rsio 405 2 SSc SSc NNP cord-016476-78r0rsio 405 3 - - HYPH cord-016476-78r0rsio 405 4 ILD ILD NNP cord-016476-78r0rsio 405 5 , , , cord-016476-78r0rsio 405 6 an an DT cord-016476-78r0rsio 405 7 HRCT HRCT NNP cord-016476-78r0rsio 405 8 - - HYPH cord-016476-78r0rsio 405 9 based base VBN cord-016476-78r0rsio 405 10 prognostic prognostic JJ cord-016476-78r0rsio 405 11 staging staging NN cord-016476-78r0rsio 405 12 system system NN cord-016476-78r0rsio 405 13 has have VBZ cord-016476-78r0rsio 405 14 been be VBN cord-016476-78r0rsio 405 15 developed develop VBN cord-016476-78r0rsio 405 16 , , , cord-016476-78r0rsio 405 17 categorising categorise VBG cord-016476-78r0rsio 405 18 patients patient NNS cord-016476-78r0rsio 405 19 as as IN cord-016476-78r0rsio 405 20 having have VBG cord-016476-78r0rsio 405 21 limited limit VBN cord-016476-78r0rsio 405 22 ( ( -LRB- cord-016476-78r0rsio 405 23 < < XX cord-016476-78r0rsio 405 24 20 20 CD cord-016476-78r0rsio 405 25 % % NN cord-016476-78r0rsio 405 26 lung lung NN cord-016476-78r0rsio 405 27 involvement involvement NN cord-016476-78r0rsio 405 28 ) ) -RRB- cord-016476-78r0rsio 405 29 or or CC cord-016476-78r0rsio 405 30 extensive extensive JJ cord-016476-78r0rsio 405 31 ( ( -LRB- cord-016476-78r0rsio 405 32 > > NFP cord-016476-78r0rsio 405 33 20 20 CD cord-016476-78r0rsio 405 34 % % NN cord-016476-78r0rsio 405 35 lung lung NN cord-016476-78r0rsio 405 36 involvement involvement NN cord-016476-78r0rsio 405 37 ) ) -RRB- cord-016476-78r0rsio 406 1 SSc SSc NNP cord-016476-78r0rsio 406 2 - - HYPH cord-016476-78r0rsio 406 3 ILD ILD NNP cord-016476-78r0rsio 406 4 , , , cord-016476-78r0rsio 406 5 with with IN cord-016476-78r0rsio 406 6 extensive extensive JJ cord-016476-78r0rsio 406 7 disease disease NN cord-016476-78r0rsio 406 8 found find VBN cord-016476-78r0rsio 406 9 to to TO cord-016476-78r0rsio 406 10 be be VB cord-016476-78r0rsio 406 11 a a DT cord-016476-78r0rsio 406 12 strong strong JJ cord-016476-78r0rsio 406 13 predictor predictor NN cord-016476-78r0rsio 406 14 of of IN cord-016476-78r0rsio 406 15 mortality mortality NN cord-016476-78r0rsio 406 16 [ [ -LRB- cord-016476-78r0rsio 406 17 203 203 CD cord-016476-78r0rsio 406 18 ] ] -RRB- cord-016476-78r0rsio 406 19 . . . cord-016476-78r0rsio 407 1 Similarly similarly RB cord-016476-78r0rsio 407 2 quantifying quantify VBG cord-016476-78r0rsio 407 3 the the DT cord-016476-78r0rsio 407 4 extent extent NN cord-016476-78r0rsio 407 5 of of IN cord-016476-78r0rsio 407 6 fibrosis fibrosis NN cord-016476-78r0rsio 407 7 and and CC cord-016476-78r0rsio 407 8 disease disease NN cord-016476-78r0rsio 407 9 on on IN cord-016476-78r0rsio 407 10 HRCT HRCT NNP cord-016476-78r0rsio 407 11 has have VBZ cord-016476-78r0rsio 407 12 been be VBN cord-016476-78r0rsio 407 13 shown show VBN cord-016476-78r0rsio 407 14 to to TO cord-016476-78r0rsio 407 15 predict predict VB cord-016476-78r0rsio 407 16 disease disease NN cord-016476-78r0rsio 407 17 progression progression NN cord-016476-78r0rsio 407 18 in in IN cord-016476-78r0rsio 407 19 IPF IPF NNP cord-016476-78r0rsio 407 20 [ [ -LRB- cord-016476-78r0rsio 407 21 204 204 CD cord-016476-78r0rsio 407 22 ] ] -RRB- cord-016476-78r0rsio 407 23 . . . cord-016476-78r0rsio 408 1 No no DT cord-016476-78r0rsio 408 2 comparable comparable JJ cord-016476-78r0rsio 408 3 studies study NNS cord-016476-78r0rsio 408 4 have have VBP cord-016476-78r0rsio 408 5 assessed assess VBN cord-016476-78r0rsio 408 6 the the DT cord-016476-78r0rsio 408 7 use use NN cord-016476-78r0rsio 408 8 of of IN cord-016476-78r0rsio 408 9 similar similar JJ cord-016476-78r0rsio 408 10 HRCT HRCT NNP cord-016476-78r0rsio 408 11 - - HYPH cord-016476-78r0rsio 408 12 based base VBN cord-016476-78r0rsio 408 13 scoring scoring NN cord-016476-78r0rsio 408 14 in in IN cord-016476-78r0rsio 408 15 RA RA NNP cord-016476-78r0rsio 408 16 - - HYPH cord-016476-78r0rsio 408 17 ILD ILD NNP cord-016476-78r0rsio 408 18 , , , cord-016476-78r0rsio 408 19 although although IN cord-016476-78r0rsio 408 20 a a DT cord-016476-78r0rsio 408 21 small small JJ cord-016476-78r0rsio 408 22 study study NN cord-016476-78r0rsio 408 23 suggested suggest VBD cord-016476-78r0rsio 408 24 that that IN cord-016476-78r0rsio 408 25 the the DT cord-016476-78r0rsio 408 26 degree degree NN cord-016476-78r0rsio 408 27 of of IN cord-016476-78r0rsio 408 28 interstitial interstitial JJ cord-016476-78r0rsio 408 29 changes change NNS cord-016476-78r0rsio 408 30 detected detect VBD cord-016476-78r0rsio 408 31 using use VBG cord-016476-78r0rsio 408 32 HRCT HRCT NNP cord-016476-78r0rsio 408 33 imaging imaging NN cord-016476-78r0rsio 408 34 was be VBD cord-016476-78r0rsio 408 35 predictive predictive JJ cord-016476-78r0rsio 408 36 of of IN cord-016476-78r0rsio 408 37 prognosis prognosis NN cord-016476-78r0rsio 408 38 [ [ -LRB- cord-016476-78r0rsio 408 39 205 205 CD cord-016476-78r0rsio 408 40 ] ] -RRB- cord-016476-78r0rsio 408 41 . . . cord-016476-78r0rsio 409 1 On on IN cord-016476-78r0rsio 409 2 the the DT cord-016476-78r0rsio 409 3 basis basis NN cord-016476-78r0rsio 409 4 of of IN cord-016476-78r0rsio 409 5 these these DT cord-016476-78r0rsio 409 6 factors factor NNS cord-016476-78r0rsio 409 7 , , , cord-016476-78r0rsio 409 8 the the DT cord-016476-78r0rsio 409 9 authors author NNS cord-016476-78r0rsio 409 10 have have VBP cord-016476-78r0rsio 409 11 previously previously RB cord-016476-78r0rsio 409 12 proposed propose VBN cord-016476-78r0rsio 409 13 a a DT cord-016476-78r0rsio 409 14 framework framework NN cord-016476-78r0rsio 409 15 for for IN cord-016476-78r0rsio 409 16 assessment assessment NN cord-016476-78r0rsio 409 17 of of IN cord-016476-78r0rsio 409 18 RA RA NNP cord-016476-78r0rsio 409 19 - - HYPH cord-016476-78r0rsio 409 20 ILD ILD NNP cord-016476-78r0rsio 409 21 , , , cord-016476-78r0rsio 409 22 risk risk NN cord-016476-78r0rsio 409 23 assessment assessment NN cord-016476-78r0rsio 409 24 before before IN cord-016476-78r0rsio 409 25 initiation initiation NN cord-016476-78r0rsio 409 26 of of IN cord-016476-78r0rsio 409 27 biologic biologic JJ cord-016476-78r0rsio 409 28 therapy therapy NN cord-016476-78r0rsio 409 29 and and CC cord-016476-78r0rsio 409 30 post post JJ cord-016476-78r0rsio 409 31 - - JJ cord-016476-78r0rsio 409 32 treatment treatment JJ cord-016476-78r0rsio 409 33 monitoring monitoring NN cord-016476-78r0rsio 409 34 [ [ -LRB- cord-016476-78r0rsio 409 35 206 206 CD cord-016476-78r0rsio 409 36 ] ] -RRB- cord-016476-78r0rsio 410 1 ( ( -LRB- cord-016476-78r0rsio 410 2 Fig Fig NNP cord-016476-78r0rsio 410 3 . . . cord-016476-78r0rsio 410 4 9.1 9.1 CD cord-016476-78r0rsio 410 5 ) ) -RRB- cord-016476-78r0rsio 410 6 . . . cord-016476-78r0rsio 411 1 The the DT cord-016476-78r0rsio 411 2 proposed propose VBN cord-016476-78r0rsio 411 3 approach approach NN cord-016476-78r0rsio 411 4 is be VBZ cord-016476-78r0rsio 411 5 designed design VBN cord-016476-78r0rsio 411 6 to to TO cord-016476-78r0rsio 411 7 help help VB cord-016476-78r0rsio 411 8 predict predict VB cord-016476-78r0rsio 411 9 short short JJ cord-016476-78r0rsio 411 10 - - HYPH cord-016476-78r0rsio 411 11 term term NN cord-016476-78r0rsio 411 12 progression progression NN cord-016476-78r0rsio 411 13 of of IN cord-016476-78r0rsio 411 14 ILD ILD NNP cord-016476-78r0rsio 411 15 irrespective irrespective RB cord-016476-78r0rsio 411 16 of of IN cord-016476-78r0rsio 411 17 biologic biologic JJ cord-016476-78r0rsio 411 18 therapy therapy NN cord-016476-78r0rsio 411 19 . . . cord-016476-78r0rsio 412 1 In in IN cord-016476-78r0rsio 412 2 patients patient NNS cord-016476-78r0rsio 412 3 at at IN cord-016476-78r0rsio 412 4 higher high JJR cord-016476-78r0rsio 412 5 risk risk NN cord-016476-78r0rsio 412 6 of of IN cord-016476-78r0rsio 412 7 progression progression NN cord-016476-78r0rsio 412 8 , , , cord-016476-78r0rsio 412 9 even even RB cord-016476-78r0rsio 412 10 in in IN cord-016476-78r0rsio 412 11 patients patient NNS cord-016476-78r0rsio 412 12 who who WP cord-016476-78r0rsio 412 13 appear appear VBP cord-016476-78r0rsio 412 14 to to TO cord-016476-78r0rsio 412 15 have have VB cord-016476-78r0rsio 412 16 stable stable JJ cord-016476-78r0rsio 412 17 lung lung NN cord-016476-78r0rsio 412 18 disease disease NN cord-016476-78r0rsio 412 19 over over IN cord-016476-78r0rsio 412 20 a a DT cord-016476-78r0rsio 412 21 one one CD cord-016476-78r0rsio 412 22 - - HYPH cord-016476-78r0rsio 412 23 or or CC cord-016476-78r0rsio 412 24 two two CD cord-016476-78r0rsio 412 25 - - HYPH cord-016476-78r0rsio 412 26 year year NN cord-016476-78r0rsio 412 27 period period NN cord-016476-78r0rsio 412 28 , , , cord-016476-78r0rsio 412 29 treatment treatment NN cord-016476-78r0rsio 412 30 decisions decision NNS cord-016476-78r0rsio 412 31 should should MD cord-016476-78r0rsio 412 32 involve involve VB cord-016476-78r0rsio 412 33 a a DT cord-016476-78r0rsio 412 34 multidisciplinary multidisciplinary JJ cord-016476-78r0rsio 412 35 approach approach NN cord-016476-78r0rsio 412 36 including include VBG cord-016476-78r0rsio 412 37 a a DT cord-016476-78r0rsio 412 38 respiratory respiratory JJ cord-016476-78r0rsio 412 39 physician physician NN cord-016476-78r0rsio 412 40 as as RB cord-016476-78r0rsio 412 41 well well RB cord-016476-78r0rsio 412 42 as as IN cord-016476-78r0rsio 412 43 a a DT cord-016476-78r0rsio 412 44 careful careful JJ cord-016476-78r0rsio 412 45 discussion discussion NN cord-016476-78r0rsio 412 46 with with IN cord-016476-78r0rsio 412 47 the the DT cord-016476-78r0rsio 412 48 patient patient NN cord-016476-78r0rsio 412 49 regarding regard VBG cord-016476-78r0rsio 412 50 the the DT cord-016476-78r0rsio 412 51 benefits benefit NNS cord-016476-78r0rsio 412 52 and and CC cord-016476-78r0rsio 412 53 risks risk NNS cord-016476-78r0rsio 412 54 of of IN cord-016476-78r0rsio 412 55 treatment treatment NN cord-016476-78r0rsio 412 56 options option NNS cord-016476-78r0rsio 412 57 available available JJ cord-016476-78r0rsio 412 58 . . . cord-016476-78r0rsio 413 1 In in IN cord-016476-78r0rsio 413 2 all all DT cord-016476-78r0rsio 413 3 patients patient NNS cord-016476-78r0rsio 413 4 , , , cord-016476-78r0rsio 413 5 including include VBG cord-016476-78r0rsio 413 6 those those DT cord-016476-78r0rsio 413 7 with with IN cord-016476-78r0rsio 413 8 self self NN cord-016476-78r0rsio 413 9 - - HYPH cord-016476-78r0rsio 413 10 limiting limit VBG cord-016476-78r0rsio 413 11 and and CC cord-016476-78r0rsio 413 12 stable stable JJ cord-016476-78r0rsio 413 13 RA RA NNP cord-016476-78r0rsio 413 14 - - HYPH cord-016476-78r0rsio 413 15 ILD ILD NNP cord-016476-78r0rsio 413 16 on on IN cord-016476-78r0rsio 413 17 treatment treatment NN cord-016476-78r0rsio 413 18 for for IN cord-016476-78r0rsio 413 19 their -PRON- PRP$ cord-016476-78r0rsio 413 20 joint joint JJ cord-016476-78r0rsio 413 21 disease disease NN cord-016476-78r0rsio 413 22 , , , cord-016476-78r0rsio 413 23 rheumatologists rheumatologist NNS cord-016476-78r0rsio 413 24 should should MD cord-016476-78r0rsio 413 25 prompt prompt VB cord-016476-78r0rsio 413 26 questioning questioning NN cord-016476-78r0rsio 413 27 of of IN cord-016476-78r0rsio 413 28 new new JJ cord-016476-78r0rsio 413 29 or or CC cord-016476-78r0rsio 413 30 evolving evolve VBG cord-016476-78r0rsio 413 31 respiratory respiratory JJ cord-016476-78r0rsio 413 32 symptoms symptom NNS cord-016476-78r0rsio 413 33 at at IN cord-016476-78r0rsio 413 34 follow follow NN cord-016476-78r0rsio 413 35 - - HYPH cord-016476-78r0rsio 413 36 up up NN cord-016476-78r0rsio 413 37 , , , cord-016476-78r0rsio 413 38 as as IN cord-016476-78r0rsio 413 39 patients patient NNS cord-016476-78r0rsio 413 40 may may MD cord-016476-78r0rsio 413 41 not not RB cord-016476-78r0rsio 413 42 spontaneously spontaneously RB cord-016476-78r0rsio 413 43 disclose disclose VB cord-016476-78r0rsio 413 44 such such JJ cord-016476-78r0rsio 413 45 information information NN cord-016476-78r0rsio 413 46 . . . cord-016476-78r0rsio 414 1 All all DT cord-016476-78r0rsio 414 2 patients patient NNS cord-016476-78r0rsio 414 3 who who WP cord-016476-78r0rsio 414 4 smoke smoke VBP cord-016476-78r0rsio 414 5 should should MD cord-016476-78r0rsio 414 6 be be VB cord-016476-78r0rsio 414 7 educated educate VBN cord-016476-78r0rsio 414 8 about about IN cord-016476-78r0rsio 414 9 the the DT cord-016476-78r0rsio 414 10 important important JJ cord-016476-78r0rsio 414 11 associated associate VBN cord-016476-78r0rsio 414 12 risks risk NNS cord-016476-78r0rsio 414 13 . . . cord-016476-78r0rsio 415 1 Whilst whilst IN cord-016476-78r0rsio 415 2 being be VBG cord-016476-78r0rsio 415 3 implicated implicate VBN cord-016476-78r0rsio 415 4 in in IN cord-016476-78r0rsio 415 5 the the DT cord-016476-78r0rsio 415 6 pathogenesis pathogenesis NN cord-016476-78r0rsio 415 7 of of IN cord-016476-78r0rsio 415 8 RA RA NNP cord-016476-78r0rsio 415 9 - - HYPH cord-016476-78r0rsio 415 10 ILD ILD NNP cord-016476-78r0rsio 415 11 , , , cord-016476-78r0rsio 415 12 it -PRON- PRP cord-016476-78r0rsio 415 13 may may MD cord-016476-78r0rsio 415 14 also also RB cord-016476-78r0rsio 415 15 lead lead VB cord-016476-78r0rsio 415 16 to to IN cord-016476-78r0rsio 415 17 deterioration deterioration NN cord-016476-78r0rsio 415 18 of of IN cord-016476-78r0rsio 415 19 lung lung NN cord-016476-78r0rsio 415 20 disease disease NN cord-016476-78r0rsio 415 21 and and CC cord-016476-78r0rsio 415 22 is be VBZ cord-016476-78r0rsio 415 23 associated associate VBN cord-016476-78r0rsio 415 24 with with IN cord-016476-78r0rsio 415 25 higher high JJR cord-016476-78r0rsio 415 26 joint joint JJ cord-016476-78r0rsio 415 27 disease disease NN cord-016476-78r0rsio 415 28 activity activity NN cord-016476-78r0rsio 415 29 and and CC cord-016476-78r0rsio 415 30 reduction reduction NN cord-016476-78r0rsio 415 31 in in IN cord-016476-78r0rsio 415 32 the the DT cord-016476-78r0rsio 415 33 effectiveness effectiveness NN cord-016476-78r0rsio 415 34 of of IN cord-016476-78r0rsio 415 35 medications medication NNS cord-016476-78r0rsio 415 36 such such JJ cord-016476-78r0rsio 415 37 as as IN cord-016476-78r0rsio 415 38 MTX MTX NNP cord-016476-78r0rsio 415 39 and and CC cord-016476-78r0rsio 415 40 TNFi tnfi JJ cord-016476-78r0rsio 415 41 drugs drug NNS cord-016476-78r0rsio 415 42 [ [ -LRB- cord-016476-78r0rsio 415 43 207 207 CD cord-016476-78r0rsio 415 44 ] ] -RRB- cord-016476-78r0rsio 415 45 . . . cord-016476-78r0rsio 416 1 Smoking smoke VBG cord-016476-78r0rsio 416 2 cessation cessation NN cord-016476-78r0rsio 416 3 advice advice NN cord-016476-78r0rsio 416 4 and and CC cord-016476-78r0rsio 416 5 further further JJ cord-016476-78r0rsio 416 6 support support NN cord-016476-78r0rsio 416 7 such such JJ cord-016476-78r0rsio 416 8 as as IN cord-016476-78r0rsio 416 9 nicotine nicotine NN cord-016476-78r0rsio 416 10 replacement replacement NN cord-016476-78r0rsio 416 11 therapy therapy NN cord-016476-78r0rsio 416 12 should should MD cord-016476-78r0rsio 416 13 be be VB cord-016476-78r0rsio 416 14 made make VBN cord-016476-78r0rsio 416 15 available available JJ cord-016476-78r0rsio 416 16 for for IN cord-016476-78r0rsio 416 17 all all DT cord-016476-78r0rsio 416 18 patients patient NNS cord-016476-78r0rsio 416 19 with with IN cord-016476-78r0rsio 416 20 RA RA NNP cord-016476-78r0rsio 416 21 - - HYPH cord-016476-78r0rsio 416 22 ILD ILD NNP cord-016476-78r0rsio 416 23 [ [ -LRB- cord-016476-78r0rsio 416 24 159 159 CD cord-016476-78r0rsio 416 25 ] ] -RRB- cord-016476-78r0rsio 416 26 . . . cord-016476-78r0rsio 417 1 Following follow VBG cord-016476-78r0rsio 417 2 an an DT cord-016476-78r0rsio 417 3 adequate adequate JJ cord-016476-78r0rsio 417 4 period period NN cord-016476-78r0rsio 417 5 of of IN cord-016476-78r0rsio 417 6 monitored monitored JJ cord-016476-78r0rsio 417 7 observation observation NN cord-016476-78r0rsio 417 8 , , , cord-016476-78r0rsio 417 9 classification classification NN cord-016476-78r0rsio 417 10 of of IN cord-016476-78r0rsio 417 11 the the DT cord-016476-78r0rsio 417 12 trajectory trajectory NN cord-016476-78r0rsio 417 13 of of IN cord-016476-78r0rsio 417 14 RA RA NNP cord-016476-78r0rsio 417 15 - - HYPH cord-016476-78r0rsio 417 16 ILD ILD NNP cord-016476-78r0rsio 417 17 may may MD cord-016476-78r0rsio 417 18 be be VB cord-016476-78r0rsio 417 19 possible possible JJ cord-016476-78r0rsio 417 20 in in IN cord-016476-78r0rsio 417 21 the the DT cord-016476-78r0rsio 417 22 individual individual JJ cord-016476-78r0rsio 417 23 patient patient NN cord-016476-78r0rsio 417 24 . . . cord-016476-78r0rsio 418 1 In in IN cord-016476-78r0rsio 418 2 patients patient NNS cord-016476-78r0rsio 418 3 in in IN cord-016476-78r0rsio 418 4 whom whom WP cord-016476-78r0rsio 418 5 a a DT cord-016476-78r0rsio 418 6 12 12 CD cord-016476-78r0rsio 418 7 - - HYPH cord-016476-78r0rsio 418 8 24-month 24-month JJ cord-016476-78r0rsio 418 9 period period NN cord-016476-78r0rsio 418 10 of of IN cord-016476-78r0rsio 418 11 stability stability NN cord-016476-78r0rsio 418 12 is be VBZ cord-016476-78r0rsio 418 13 observed observe VBN cord-016476-78r0rsio 418 14 , , , cord-016476-78r0rsio 418 15 PFT PFT NNP cord-016476-78r0rsio 418 16 follow follow VB cord-016476-78r0rsio 418 17 - - HYPH cord-016476-78r0rsio 418 18 up up RP cord-016476-78r0rsio 418 19 intervals interval NNS cord-016476-78r0rsio 418 20 can can MD cord-016476-78r0rsio 418 21 be be VB cord-016476-78r0rsio 418 22 extended extend VBN cord-016476-78r0rsio 418 23 to to IN cord-016476-78r0rsio 418 24 12 12 CD cord-016476-78r0rsio 418 25 monthly monthly NN cord-016476-78r0rsio 418 26 . . . cord-016476-78r0rsio 419 1 Routine routine JJ cord-016476-78r0rsio 419 2 monitoring monitoring NN cord-016476-78r0rsio 419 3 of of IN cord-016476-78r0rsio 419 4 PFTs pft NNS cord-016476-78r0rsio 419 5 is be VBZ cord-016476-78r0rsio 419 6 suggested suggest VBN cord-016476-78r0rsio 419 7 every every DT cord-016476-78r0rsio 419 8 3 3 CD cord-016476-78r0rsio 419 9 - - SYM cord-016476-78r0rsio 419 10 6 6 CD cord-016476-78r0rsio 419 11 months month NNS cord-016476-78r0rsio 419 12 in in IN cord-016476-78r0rsio 419 13 individuals individual NNS cord-016476-78r0rsio 419 14 at at IN cord-016476-78r0rsio 419 15 high high JJ cord-016476-78r0rsio 419 16 risk risk NN cord-016476-78r0rsio 419 17 of of IN cord-016476-78r0rsio 419 18 progression progression NN cord-016476-78r0rsio 419 19 of of IN cord-016476-78r0rsio 419 20 RA RA NNP cord-016476-78r0rsio 419 21 - - HYPH cord-016476-78r0rsio 419 22 ILD ILD NNP cord-016476-78r0rsio 419 23 or or CC cord-016476-78r0rsio 419 24 on on IN cord-016476-78r0rsio 419 25 any any DT cord-016476-78r0rsio 419 26 biologic biologic JJ cord-016476-78r0rsio 419 27 drug drug NN cord-016476-78r0rsio 419 28 [ [ -LRB- cord-016476-78r0rsio 419 29 206 206 CD cord-016476-78r0rsio 419 30 ] ] -RRB- cord-016476-78r0rsio 419 31 . . . cord-016476-78r0rsio 420 1 An an DT cord-016476-78r0rsio 420 2 observed observed JJ cord-016476-78r0rsio 420 3 decline decline NN cord-016476-78r0rsio 420 4 following follow VBG cord-016476-78r0rsio 420 5 serial serial JJ cord-016476-78r0rsio 420 6 PFTs pft NNS cord-016476-78r0rsio 420 7 could could MD cord-016476-78r0rsio 420 8 be be VB cord-016476-78r0rsio 420 9 due due JJ cord-016476-78r0rsio 420 10 to to IN cord-016476-78r0rsio 420 11 progression progression NN cord-016476-78r0rsio 420 12 of of IN cord-016476-78r0rsio 420 13 RA RA NNP cord-016476-78r0rsio 420 14 - - HYPH cord-016476-78r0rsio 420 15 ILD ILD NNP cord-016476-78r0rsio 420 16 , , , cord-016476-78r0rsio 420 17 either either CC cord-016476-78r0rsio 420 18 its -PRON- PRP$ cord-016476-78r0rsio 420 19 natural natural JJ cord-016476-78r0rsio 420 20 [ [ -LRB- cord-016476-78r0rsio 420 21 206 206 CD cord-016476-78r0rsio 420 22 ] ] -RRB- cord-016476-78r0rsio 420 23 history history NN cord-016476-78r0rsio 420 24 or or CC cord-016476-78r0rsio 420 25 accelerated accelerate VBN cord-016476-78r0rsio 420 26 by by IN cord-016476-78r0rsio 420 27 therapy therapy NN cord-016476-78r0rsio 420 28 or or CC cord-016476-78r0rsio 420 29 attributable attributable JJ cord-016476-78r0rsio 420 30 to to IN cord-016476-78r0rsio 420 31 other other JJ cord-016476-78r0rsio 420 32 causes cause NNS cord-016476-78r0rsio 420 33 that that WDT cord-016476-78r0rsio 420 34 may may MD cord-016476-78r0rsio 420 35 or or CC cord-016476-78r0rsio 420 36 may may MD cord-016476-78r0rsio 420 37 not not RB cord-016476-78r0rsio 420 38 have have VB cord-016476-78r0rsio 420 39 an an DT cord-016476-78r0rsio 420 40 association association NN cord-016476-78r0rsio 420 41 with with IN cord-016476-78r0rsio 420 42 the the DT cord-016476-78r0rsio 420 43 DMARD DMARD NNP cord-016476-78r0rsio 420 44 prescribed prescribe VBN cord-016476-78r0rsio 420 45 . . . cord-016476-78r0rsio 420 46 ' ' '' cord-016476-78r0rsio 421 1 Reversible reversible JJ cord-016476-78r0rsio 421 2 ' ' '' cord-016476-78r0rsio 421 3 decline decline NN cord-016476-78r0rsio 421 4 has have VBZ cord-016476-78r0rsio 421 5 been be VBN cord-016476-78r0rsio 421 6 categorised categorise VBN cord-016476-78r0rsio 421 7 into into IN cord-016476-78r0rsio 421 8 potentially potentially RB cord-016476-78r0rsio 421 9 reversible reversible JJ cord-016476-78r0rsio 421 10 with with IN cord-016476-78r0rsio 421 11 risk risk NN cord-016476-78r0rsio 421 12 of of IN cord-016476-78r0rsio 421 13 irreversible irreversible JJ cord-016476-78r0rsio 421 14 disease disease NN cord-016476-78r0rsio 421 15 ( ( -LRB- cord-016476-78r0rsio 421 16 e.g. e.g. IN cord-016476-78r0rsio 421 17 cases case NNS cord-016476-78r0rsio 421 18 of of IN cord-016476-78r0rsio 421 19 drug drug NN cord-016476-78r0rsio 421 20 - - HYPH cord-016476-78r0rsio 421 21 induced induce VBN cord-016476-78r0rsio 421 22 lung lung NN cord-016476-78r0rsio 421 23 disease disease NN cord-016476-78r0rsio 421 24 ) ) -RRB- cord-016476-78r0rsio 421 25 or or CC cord-016476-78r0rsio 421 26 reversible reversible JJ cord-016476-78r0rsio 421 27 disease disease NN cord-016476-78r0rsio 421 28 with with IN cord-016476-78r0rsio 421 29 risk risk NN cord-016476-78r0rsio 421 30 of of IN cord-016476-78r0rsio 421 31 progression progression NN cord-016476-78r0rsio 421 32 ( ( -LRB- cord-016476-78r0rsio 421 33 e.g. e.g. RB cord-016476-78r0rsio 421 34 RA ra NN cord-016476-78r0rsio 421 35 - - HYPH cord-016476-78r0rsio 421 36 cellular cellular JJ cord-016476-78r0rsio 421 37 NSIP NSIP NNP cord-016476-78r0rsio 421 38 , , , cord-016476-78r0rsio 421 39 some some DT cord-016476-78r0rsio 421 40 RA ra NN cord-016476-78r0rsio 421 41 - - HYPH cord-016476-78r0rsio 421 42 fibrotic fibrotic JJ cord-016476-78r0rsio 421 43 NSIP NSIP NNP cord-016476-78r0rsio 421 44 , , , cord-016476-78r0rsio 421 45 RA RA NNP cord-016476-78r0rsio 421 46 - - HYPH cord-016476-78r0rsio 421 47 organising organise VBG cord-016476-78r0rsio 421 48 pneumonia pneumonia NN cord-016476-78r0rsio 421 49 ) ) -RRB- cord-016476-78r0rsio 421 50 [ [ -LRB- cord-016476-78r0rsio 421 51 143 143 CD cord-016476-78r0rsio 421 52 ] ] -RRB- cord-016476-78r0rsio 421 53 . . . cord-016476-78r0rsio 422 1 Management management NN cord-016476-78r0rsio 422 2 strategy strategy NN cord-016476-78r0rsio 422 3 for for IN cord-016476-78r0rsio 422 4 the the DT cord-016476-78r0rsio 422 5 former former JJ cord-016476-78r0rsio 422 6 would would MD cord-016476-78r0rsio 422 7 involve involve VB cord-016476-78r0rsio 422 8 cessation cessation NN cord-016476-78r0rsio 422 9 of of IN cord-016476-78r0rsio 422 10 the the DT cord-016476-78r0rsio 422 11 putative putative JJ cord-016476-78r0rsio 422 12 drug drug NN cord-016476-78r0rsio 422 13 with with IN cord-016476-78r0rsio 422 14 or or CC cord-016476-78r0rsio 422 15 without without IN cord-016476-78r0rsio 422 16 further further JJ cord-016476-78r0rsio 422 17 treatment treatment NN cord-016476-78r0rsio 422 18 with with IN cord-016476-78r0rsio 422 19 glucocorticoids glucocorticoid NNS cord-016476-78r0rsio 422 20 if if IN cord-016476-78r0rsio 422 21 required require VBN cord-016476-78r0rsio 422 22 , , , cord-016476-78r0rsio 422 23 whilst whilst IN cord-016476-78r0rsio 422 24 the the DT cord-016476-78r0rsio 422 25 latter latter JJ cord-016476-78r0rsio 422 26 may may MD cord-016476-78r0rsio 422 27 require require VB cord-016476-78r0rsio 422 28 more more RBR cord-016476-78r0rsio 422 29 prolonged prolong VBN cord-016476-78r0rsio 422 30 therapy therapy NN cord-016476-78r0rsio 422 31 and and CC cord-016476-78r0rsio 422 32 monitoring monitoring NN cord-016476-78r0rsio 422 33 . . . cord-016476-78r0rsio 423 1 In in IN cord-016476-78r0rsio 423 2 practice practice NN cord-016476-78r0rsio 423 3 , , , cord-016476-78r0rsio 423 4 the the DT cord-016476-78r0rsio 423 5 two two CD cord-016476-78r0rsio 423 6 are be VBP cord-016476-78r0rsio 423 7 difficult difficult JJ cord-016476-78r0rsio 423 8 to to TO cord-016476-78r0rsio 423 9 delineate delineate VB cord-016476-78r0rsio 423 10 given give VBN cord-016476-78r0rsio 423 11 their -PRON- PRP$ cord-016476-78r0rsio 423 12 similar similar JJ cord-016476-78r0rsio 423 13 presentations presentation NNS cord-016476-78r0rsio 423 14 , , , cord-016476-78r0rsio 423 15 and and CC cord-016476-78r0rsio 423 16 therefore therefore RB cord-016476-78r0rsio 423 17 rheumatologists rheumatologist NNS cord-016476-78r0rsio 423 18 faced face VBN cord-016476-78r0rsio 423 19 with with IN cord-016476-78r0rsio 423 20 such such JJ cord-016476-78r0rsio 423 21 patients patient NNS cord-016476-78r0rsio 423 22 demonstrating demonstrate VBG cord-016476-78r0rsio 423 23 worsening worsen VBG cord-016476-78r0rsio 423 24 respiratory respiratory JJ cord-016476-78r0rsio 423 25 symptoms symptom NNS cord-016476-78r0rsio 423 26 or or CC cord-016476-78r0rsio 423 27 lung lung NN cord-016476-78r0rsio 423 28 function function NN cord-016476-78r0rsio 423 29 should should MD cord-016476-78r0rsio 423 30 consult consult VB cord-016476-78r0rsio 423 31 with with IN cord-016476-78r0rsio 423 32 respiratory respiratory JJ cord-016476-78r0rsio 423 33 colleagues colleague NNS cord-016476-78r0rsio 423 34 early early RB cord-016476-78r0rsio 423 35 . . . cord-016476-78r0rsio 424 1 If if IN cord-016476-78r0rsio 424 2 the the DT cord-016476-78r0rsio 424 3 deterioration deterioration NN cord-016476-78r0rsio 424 4 in in IN cord-016476-78r0rsio 424 5 clinical clinical JJ cord-016476-78r0rsio 424 6 picture picture NN cord-016476-78r0rsio 424 7 is be VBZ cord-016476-78r0rsio 424 8 found find VBN cord-016476-78r0rsio 424 9 to to TO cord-016476-78r0rsio 424 10 be be VB cord-016476-78r0rsio 424 11 due due JJ cord-016476-78r0rsio 424 12 to to IN cord-016476-78r0rsio 424 13 progression progression NN cord-016476-78r0rsio 424 14 of of IN cord-016476-78r0rsio 424 15 RA RA NNP cord-016476-78r0rsio 424 16 - - HYPH cord-016476-78r0rsio 424 17 ILD ILD NNP cord-016476-78r0rsio 424 18 , , , cord-016476-78r0rsio 424 19 the the DT cord-016476-78r0rsio 424 20 decision decision NN cord-016476-78r0rsio 424 21 to to TO cord-016476-78r0rsio 424 22 continue continue VB cord-016476-78r0rsio 424 23 any any DT cord-016476-78r0rsio 424 24 DMARD DMARD NNP cord-016476-78r0rsio 424 25 , , , cord-016476-78r0rsio 424 26 but but CC cord-016476-78r0rsio 424 27 especially especially RB cord-016476-78r0rsio 424 28 bDMARDs bdmards VBP cord-016476-78r0rsio 424 29 or or CC cord-016476-78r0rsio 424 30 tsDMARDs tsdmards NN cord-016476-78r0rsio 424 31 , , , cord-016476-78r0rsio 424 32 necessitates necessitate VBZ cord-016476-78r0rsio 424 33 clinical clinical JJ cord-016476-78r0rsio 424 34 decisions decision NNS cord-016476-78r0rsio 424 35 on on IN cord-016476-78r0rsio 424 36 a a DT cord-016476-78r0rsio 424 37 case case NN cord-016476-78r0rsio 424 38 - - HYPH cord-016476-78r0rsio 424 39 to to IN cord-016476-78r0rsio 424 40 - - HYPH cord-016476-78r0rsio 424 41 case case NN cord-016476-78r0rsio 424 42 basis basis NN cord-016476-78r0rsio 424 43 . . . cord-016476-78r0rsio 425 1 The the DT cord-016476-78r0rsio 425 2 choice choice NN cord-016476-78r0rsio 425 3 of of IN cord-016476-78r0rsio 425 4 whether whether IN cord-016476-78r0rsio 425 5 to to TO cord-016476-78r0rsio 425 6 continue continue VB cord-016476-78r0rsio 425 7 with with IN cord-016476-78r0rsio 425 8 effective effective JJ cord-016476-78r0rsio 425 9 DMARD DMARD NNP cord-016476-78r0rsio 425 10 therapy therapy NN cord-016476-78r0rsio 425 11 for for IN cord-016476-78r0rsio 425 12 joint joint JJ cord-016476-78r0rsio 425 13 disease disease NN cord-016476-78r0rsio 425 14 or or CC cord-016476-78r0rsio 425 15 the the DT cord-016476-78r0rsio 425 16 risk risk NN cord-016476-78r0rsio 425 17 of of IN cord-016476-78r0rsio 425 18 potential potential JJ cord-016476-78r0rsio 425 19 pulmonary pulmonary JJ cord-016476-78r0rsio 425 20 toxicity toxicity NN cord-016476-78r0rsio 425 21 may may MD cord-016476-78r0rsio 425 22 be be VB cord-016476-78r0rsio 425 23 based base VBN cord-016476-78r0rsio 425 24 on on IN cord-016476-78r0rsio 425 25 the the DT cord-016476-78r0rsio 425 26 perceived perceive VBN cord-016476-78r0rsio 425 27 likelihood likelihood NN cord-016476-78r0rsio 425 28 that that IN cord-016476-78r0rsio 425 29 the the DT cord-016476-78r0rsio 425 30 DMARD DMARD NNP cord-016476-78r0rsio 425 31 in in IN cord-016476-78r0rsio 425 32 question question NN cord-016476-78r0rsio 425 33 is be VBZ cord-016476-78r0rsio 425 34 driving drive VBG cord-016476-78r0rsio 425 35 deterioration deterioration NN cord-016476-78r0rsio 425 36 ( ( -LRB- cord-016476-78r0rsio 425 37 e.g. e.g. DT cord-016476-78r0rsio 425 38 temporal temporal JJ cord-016476-78r0rsio 425 39 relationship relationship NN cord-016476-78r0rsio 425 40 of of IN cord-016476-78r0rsio 425 41 starting start VBG cord-016476-78r0rsio 425 42 the the DT cord-016476-78r0rsio 425 43 drug drug NN cord-016476-78r0rsio 425 44 with with IN cord-016476-78r0rsio 425 45 the the DT cord-016476-78r0rsio 425 46 clinical clinical JJ cord-016476-78r0rsio 425 47 scenario scenario NN cord-016476-78r0rsio 425 48 ) ) -RRB- cord-016476-78r0rsio 425 49 . . . cord-016476-78r0rsio 426 1 Currently currently RB cord-016476-78r0rsio 426 2 there there EX cord-016476-78r0rsio 426 3 is be VBZ cord-016476-78r0rsio 426 4 no no DT cord-016476-78r0rsio 426 5 observational observational JJ cord-016476-78r0rsio 426 6 evidence evidence NN cord-016476-78r0rsio 426 7 that that WDT cord-016476-78r0rsio 426 8 preferentially preferentially RB cord-016476-78r0rsio 426 9 switching switch VBG cord-016476-78r0rsio 426 10 between between IN cord-016476-78r0rsio 426 11 biologics biologic NNS cord-016476-78r0rsio 426 12 , , , cord-016476-78r0rsio 426 13 for for IN cord-016476-78r0rsio 426 14 instance instance NN cord-016476-78r0rsio 426 15 , , , cord-016476-78r0rsio 426 16 helps help VBZ cord-016476-78r0rsio 426 17 prolong prolong VB cord-016476-78r0rsio 426 18 survival survival NN cord-016476-78r0rsio 426 19 or or CC cord-016476-78r0rsio 426 20 stabilises stabilise VBZ cord-016476-78r0rsio 426 21 the the DT cord-016476-78r0rsio 426 22 disease disease NN cord-016476-78r0rsio 426 23 ; ; : cord-016476-78r0rsio 426 24 however however RB cord-016476-78r0rsio 426 25 , , , cord-016476-78r0rsio 426 26 this this DT cord-016476-78r0rsio 426 27 may may MD cord-016476-78r0rsio 426 28 be be VB cord-016476-78r0rsio 426 29 tried try VBN cord-016476-78r0rsio 426 30 in in IN cord-016476-78r0rsio 426 31 individuals individual NNS cord-016476-78r0rsio 426 32 that that WDT cord-016476-78r0rsio 426 33 require require VBP cord-016476-78r0rsio 426 34 management management NN cord-016476-78r0rsio 426 35 of of IN cord-016476-78r0rsio 426 36 their -PRON- PRP$ cord-016476-78r0rsio 426 37 articular articular JJ cord-016476-78r0rsio 426 38 disease disease NN cord-016476-78r0rsio 426 39 following follow VBG cord-016476-78r0rsio 426 40 careful careful JJ cord-016476-78r0rsio 426 41 discussion discussion NN cord-016476-78r0rsio 426 42 . . . cord-016476-78r0rsio 427 1 In in IN cord-016476-78r0rsio 427 2 patients patient NNS cord-016476-78r0rsio 427 3 deemed deem VBN cord-016476-78r0rsio 427 4 to to TO cord-016476-78r0rsio 427 5 have have VB cord-016476-78r0rsio 427 6 progressive progressive JJ cord-016476-78r0rsio 427 7 , , , cord-016476-78r0rsio 427 8 irreversible irreversible JJ cord-016476-78r0rsio 427 9 disease disease NN cord-016476-78r0rsio 427 10 , , , cord-016476-78r0rsio 427 11 management management NN cord-016476-78r0rsio 427 12 of of IN cord-016476-78r0rsio 427 13 patients patient NNS cord-016476-78r0rsio 427 14 with with IN cord-016476-78r0rsio 427 15 RA RA NNP cord-016476-78r0rsio 427 16 - - HYPH cord-016476-78r0rsio 427 17 ILD ILD NNP cord-016476-78r0rsio 427 18 in in IN cord-016476-78r0rsio 427 19 a a DT cord-016476-78r0rsio 427 20 joint joint JJ cord-016476-78r0rsio 427 21 pulmonary pulmonary NN cord-016476-78r0rsio 427 22 and and CC cord-016476-78r0rsio 427 23 rheumatology rheumatology NN cord-016476-78r0rsio 427 24 clinic clinic NN cord-016476-78r0rsio 427 25 should should MD cord-016476-78r0rsio 427 26 be be VB cord-016476-78r0rsio 427 27 especially especially RB cord-016476-78r0rsio 427 28 considered consider VBN cord-016476-78r0rsio 427 29 where where WRB cord-016476-78r0rsio 427 30 possible possible JJ cord-016476-78r0rsio 427 31 , , , cord-016476-78r0rsio 427 32 with with IN cord-016476-78r0rsio 427 33 attempts attempt NNS cord-016476-78r0rsio 427 34 made make VBN cord-016476-78r0rsio 427 35 at at IN cord-016476-78r0rsio 427 36 stabilisation stabilisation NN cord-016476-78r0rsio 427 37 . . . cord-016476-78r0rsio 428 1 In in IN cord-016476-78r0rsio 428 2 all all DT cord-016476-78r0rsio 428 3 patients patient NNS cord-016476-78r0rsio 428 4 , , , cord-016476-78r0rsio 428 5 and and CC cord-016476-78r0rsio 428 6 especially especially RB cord-016476-78r0rsio 428 7 in in IN cord-016476-78r0rsio 428 8 those those DT cord-016476-78r0rsio 428 9 with with IN cord-016476-78r0rsio 428 10 multimorbidity multimorbidity NN cord-016476-78r0rsio 428 11 , , , cord-016476-78r0rsio 428 12 conservative conservative JJ cord-016476-78r0rsio 428 13 and and CC cord-016476-78r0rsio 428 14 nonpharmacological nonpharmacological JJ cord-016476-78r0rsio 428 15 options option NNS cord-016476-78r0rsio 428 16 that that WDT cord-016476-78r0rsio 428 17 may may MD cord-016476-78r0rsio 428 18 be be VB cord-016476-78r0rsio 428 19 worth worth JJ cord-016476-78r0rsio 428 20 exploring explore VBG cord-016476-78r0rsio 428 21 include include VBP cord-016476-78r0rsio 428 22 education education NN cord-016476-78r0rsio 428 23 , , , cord-016476-78r0rsio 428 24 psychological psychological JJ cord-016476-78r0rsio 428 25 support support NN cord-016476-78r0rsio 428 26 , , , cord-016476-78r0rsio 428 27 pulmonary pulmonary JJ cord-016476-78r0rsio 428 28 rehabilitation rehabilitation NN cord-016476-78r0rsio 428 29 and and CC cord-016476-78r0rsio 428 30 supplemental supplemental JJ cord-016476-78r0rsio 428 31 oxygen oxygen NN cord-016476-78r0rsio 428 32 if if IN cord-016476-78r0rsio 428 33 appropriate appropriate JJ cord-016476-78r0rsio 428 34 [ [ -LRB- cord-016476-78r0rsio 428 35 143 143 CD cord-016476-78r0rsio 428 36 , , , cord-016476-78r0rsio 428 37 159 159 CD cord-016476-78r0rsio 428 38 , , , cord-016476-78r0rsio 428 39 208 208 CD cord-016476-78r0rsio 428 40 ] ] -RRB- cord-016476-78r0rsio 428 41 . . . cord-016476-78r0rsio 429 1 SRAEs srae NNS cord-016476-78r0rsio 429 2 following follow VBG cord-016476-78r0rsio 429 3 treatments treatment NNS cord-016476-78r0rsio 429 4 for for IN cord-016476-78r0rsio 429 5 RA RA NNP cord-016476-78r0rsio 429 6 may may MD cord-016476-78r0rsio 429 7 be be VB cord-016476-78r0rsio 429 8 due due JJ cord-016476-78r0rsio 429 9 to to IN cord-016476-78r0rsio 429 10 incidence incidence NN cord-016476-78r0rsio 429 11 / / SYM cord-016476-78r0rsio 429 12 exacerbation exacerbation NN cord-016476-78r0rsio 429 13 of of IN cord-016476-78r0rsio 429 14 RA RA NNP cord-016476-78r0rsio 429 15 - - HYPH cord-016476-78r0rsio 429 16 ILD ILD NNP cord-016476-78r0rsio 429 17 or or CC cord-016476-78r0rsio 429 18 due due IN cord-016476-78r0rsio 429 19 to to IN cord-016476-78r0rsio 429 20 other other JJ cord-016476-78r0rsio 429 21 reported report VBN cord-016476-78r0rsio 429 22 pulmonary pulmonary JJ cord-016476-78r0rsio 429 23 complications complication NNS cord-016476-78r0rsio 429 24 summarised summarise VBN cord-016476-78r0rsio 429 25 in in IN cord-016476-78r0rsio 429 26 Table Table NNP cord-016476-78r0rsio 429 27 9 9 CD cord-016476-78r0rsio 429 28 .4 .4 CD cord-016476-78r0rsio 429 29 . . . cord-016476-78r0rsio 430 1 Careful careful JJ cord-016476-78r0rsio 430 2 consideration consideration NN cord-016476-78r0rsio 430 3 of of IN cord-016476-78r0rsio 430 4 the the DT cord-016476-78r0rsio 430 5 underlying underlying JJ cord-016476-78r0rsio 430 6 aetiology aetiology NN cord-016476-78r0rsio 430 7 of of IN cord-016476-78r0rsio 430 8 SRAEs srae NNS cord-016476-78r0rsio 430 9 is be VBZ cord-016476-78r0rsio 430 10 essential essential JJ cord-016476-78r0rsio 430 11 , , , cord-016476-78r0rsio 430 12 as as IN cord-016476-78r0rsio 430 13 deterioration deterioration NN cord-016476-78r0rsio 430 14 in in IN cord-016476-78r0rsio 430 15 chest chest NN cord-016476-78r0rsio 430 16 symptoms symptom NNS cord-016476-78r0rsio 430 17 may may MD cord-016476-78r0rsio 430 18 not not RB cord-016476-78r0rsio 430 19 be be VB cord-016476-78r0rsio 430 20 due due JJ cord-016476-78r0rsio 430 21 to to IN cord-016476-78r0rsio 430 22 pneumonitis pneumonitis NN cord-016476-78r0rsio 430 23 or or CC cord-016476-78r0rsio 430 24 progression progression NN cord-016476-78r0rsio 430 25 of of IN cord-016476-78r0rsio 430 26 ILD ILD NNP cord-016476-78r0rsio 430 27 , , , cord-016476-78r0rsio 430 28 which which WDT cord-016476-78r0rsio 430 29 has have VBZ cord-016476-78r0rsio 430 30 been be VBN cord-016476-78r0rsio 430 31 the the DT cord-016476-78r0rsio 430 32 focus focus NN cord-016476-78r0rsio 430 33 of of IN cord-016476-78r0rsio 430 34 review review NN cord-016476-78r0rsio 430 35 in in IN cord-016476-78r0rsio 430 36 this this DT cord-016476-78r0rsio 430 37 chapter chapter NN cord-016476-78r0rsio 430 38 . . . cord-016476-78r0rsio 431 1 A a DT cord-016476-78r0rsio 431 2 thorough thorough JJ cord-016476-78r0rsio 431 3 investigation investigation NN cord-016476-78r0rsio 431 4 of of IN cord-016476-78r0rsio 431 5 common common JJ cord-016476-78r0rsio 431 6 and and CC cord-016476-78r0rsio 431 7 opportunistic opportunistic JJ cord-016476-78r0rsio 431 8 infections infection NNS cord-016476-78r0rsio 431 9 is be VBZ cord-016476-78r0rsio 431 10 imperative imperative JJ cord-016476-78r0rsio 431 11 in in IN cord-016476-78r0rsio 431 12 patients patient NNS cord-016476-78r0rsio 431 13 with with IN cord-016476-78r0rsio 431 14 RA RA NNP cord-016476-78r0rsio 431 15 , , , cord-016476-78r0rsio 431 16 especially especially RB cord-016476-78r0rsio 431 17 on on IN cord-016476-78r0rsio 431 18 high high JJ cord-016476-78r0rsio 431 19 glucocorticoid glucocorticoid NN cord-016476-78r0rsio 431 20 doses dose NNS cord-016476-78r0rsio 431 21 , , , cord-016476-78r0rsio 431 22 certain certain JJ cord-016476-78r0rsio 431 23 nbDMARDs nbDMARDs NNP cord-016476-78r0rsio 431 24 , , , cord-016476-78r0rsio 431 25 bDMARDs bDMARDs NNP cord-016476-78r0rsio 431 26 and and CC cord-016476-78r0rsio 431 27 tsDMARDs tsdmards NN cord-016476-78r0rsio 431 28 . . . cord-016476-78r0rsio 432 1 A a DT cord-016476-78r0rsio 432 2 full full JJ cord-016476-78r0rsio 432 3 review review NN cord-016476-78r0rsio 432 4 of of IN cord-016476-78r0rsio 432 5 infection infection NN cord-016476-78r0rsio 432 6 risk risk NN cord-016476-78r0rsio 432 7 and and CC cord-016476-78r0rsio 432 8 biologics biologic NNS cord-016476-78r0rsio 432 9 is be VBZ cord-016476-78r0rsio 432 10 beyond beyond IN cord-016476-78r0rsio 432 11 the the DT cord-016476-78r0rsio 432 12 scope scope NN cord-016476-78r0rsio 432 13 of of IN cord-016476-78r0rsio 432 14 this this DT cord-016476-78r0rsio 432 15 chapter chapter NN cord-016476-78r0rsio 432 16 , , , cord-016476-78r0rsio 432 17 as as IN cord-016476-78r0rsio 432 18 has have VBZ cord-016476-78r0rsio 432 19 been be VBN cord-016476-78r0rsio 432 20 extensively extensively RB cord-016476-78r0rsio 432 21 reviewed review VBN cord-016476-78r0rsio 432 22 recently recently RB cord-016476-78r0rsio 432 23 [ [ -LRB- cord-016476-78r0rsio 432 24 209 209 CD cord-016476-78r0rsio 432 25 , , , cord-016476-78r0rsio 432 26 210 210 CD cord-016476-78r0rsio 432 27 ] ] -RRB- cord-016476-78r0rsio 432 28 . . . cord-016476-78r0rsio 433 1 Rare rare JJ cord-016476-78r0rsio 433 2 reports report NNS cord-016476-78r0rsio 433 3 of of IN cord-016476-78r0rsio 433 4 pulmonary pulmonary JJ cord-016476-78r0rsio 433 5 manifestations manifestation NNS cord-016476-78r0rsio 433 6 of of IN cord-016476-78r0rsio 433 7 certain certain JJ cord-016476-78r0rsio 433 8 drugs drug NNS cord-016476-78r0rsio 433 9 have have VBP cord-016476-78r0rsio 433 10 also also RB cord-016476-78r0rsio 433 11 been be VBN cord-016476-78r0rsio 433 12 reported report VBN cord-016476-78r0rsio 433 13 in in IN cord-016476-78r0rsio 433 14 the the DT cord-016476-78r0rsio 433 15 literature literature NN cord-016476-78r0rsio 433 16 and and CC cord-016476-78r0rsio 433 17 are be VBP cord-016476-78r0rsio 433 18 summarised summarise VBN cord-016476-78r0rsio 433 19 in in IN cord-016476-78r0rsio 433 20 Table Table NNP cord-016476-78r0rsio 433 21 9 9 CD cord-016476-78r0rsio 433 22 .4 .4 CD cord-016476-78r0rsio 433 23 . . . cord-016476-78r0rsio 434 1 For for IN cord-016476-78r0rsio 434 2 instance instance NN cord-016476-78r0rsio 434 3 , , , cord-016476-78r0rsio 434 4 lymphoproliferative lymphoproliferative JJ cord-016476-78r0rsio 434 5 disease disease NN cord-016476-78r0rsio 434 6 ( ( -LRB- cord-016476-78r0rsio 434 7 including include VBG cord-016476-78r0rsio 434 8 non non JJ cord-016476-78r0rsio 434 9 - - JJ cord-016476-78r0rsio 434 10 Hodgkin Hodgkin NNP cord-016476-78r0rsio 434 11 lymphoma lymphoma NN cord-016476-78r0rsio 434 12 ) ) -RRB- cord-016476-78r0rsio 434 13 have have VBP cord-016476-78r0rsio 434 14 been be VBN cord-016476-78r0rsio 434 15 described describe VBN cord-016476-78r0rsio 434 16 during during IN cord-016476-78r0rsio 434 17 treatment treatment NN cord-016476-78r0rsio 434 18 with with IN cord-016476-78r0rsio 434 19 MTX MTX NNP cord-016476-78r0rsio 434 20 and and CC cord-016476-78r0rsio 434 21 may may MD cord-016476-78r0rsio 434 22 regress regress VB cord-016476-78r0rsio 434 23 following follow VBG cord-016476-78r0rsio 434 24 cessation cessation NN cord-016476-78r0rsio 434 25 [ [ -LRB- cord-016476-78r0rsio 434 26 211 211 CD cord-016476-78r0rsio 434 27 , , , cord-016476-78r0rsio 434 28 212 212 CD cord-016476-78r0rsio 434 29 ] ] -RRB- cord-016476-78r0rsio 434 30 . . . cord-016476-78r0rsio 435 1 TNFis tnfis NN cord-016476-78r0rsio 435 2 have have VBP cord-016476-78r0rsio 435 3 been be VBN cord-016476-78r0rsio 435 4 associated associate VBN cord-016476-78r0rsio 435 5 with with IN cord-016476-78r0rsio 435 6 paradoxical paradoxical JJ cord-016476-78r0rsio 435 7 AEs ae NNS cord-016476-78r0rsio 435 8 ( ( -LRB- cord-016476-78r0rsio 435 9 associated associate VBN cord-016476-78r0rsio 435 10 with with IN cord-016476-78r0rsio 435 11 the the DT cord-016476-78r0rsio 435 12 9 9 CD cord-016476-78r0rsio 435 13 Management Management NNP cord-016476-78r0rsio 435 14 of of IN cord-016476-78r0rsio 435 15 the the DT cord-016476-78r0rsio 435 16 Rheumatoid Rheumatoid NNP cord-016476-78r0rsio 435 17 Arthritis arthritis NN cord-016476-78r0rsio 435 18 Patient Patient NNP cord-016476-78r0rsio 435 19 with with IN cord-016476-78r0rsio 435 20 Interstitial Interstitial NNP cord-016476-78r0rsio 435 21 Lung Lung NNP cord-016476-78r0rsio 435 22 Disease Disease NNP cord-016476-78r0rsio 435 23 treatment treatment NN cord-016476-78r0rsio 435 24 and and CC cord-016476-78r0rsio 435 25 possible possible JJ cord-016476-78r0rsio 435 26 induction induction NN cord-016476-78r0rsio 435 27 of of IN cord-016476-78r0rsio 435 28 the the DT cord-016476-78r0rsio 435 29 same same JJ cord-016476-78r0rsio 435 30 event event NN cord-016476-78r0rsio 435 31 ) ) -RRB- cord-016476-78r0rsio 435 32 such such JJ cord-016476-78r0rsio 435 33 as as IN cord-016476-78r0rsio 435 34 sarcoidosis sarcoidosis NN cord-016476-78r0rsio 435 35 and and CC cord-016476-78r0rsio 435 36 vasculitis vasculitis NN cord-016476-78r0rsio 435 37 [ [ -LRB- cord-016476-78r0rsio 435 38 48 48 CD cord-016476-78r0rsio 435 39 ] ] -RRB- cord-016476-78r0rsio 435 40 . . . cord-016476-78r0rsio 436 1 The the DT cord-016476-78r0rsio 436 2 authors author NNS cord-016476-78r0rsio 436 3 recommend recommend VBP cord-016476-78r0rsio 436 4 a a DT cord-016476-78r0rsio 436 5 low low JJ cord-016476-78r0rsio 436 6 threshold threshold NN cord-016476-78r0rsio 436 7 for for IN cord-016476-78r0rsio 436 8 withholding withhold VBG cord-016476-78r0rsio 436 9 treatment treatment NN cord-016476-78r0rsio 436 10 with with IN cord-016476-78r0rsio 436 11 such such JJ cord-016476-78r0rsio 436 12 cases case NNS cord-016476-78r0rsio 436 13 , , , cord-016476-78r0rsio 436 14 close close JJ cord-016476-78r0rsio 436 15 liaison liaison NN cord-016476-78r0rsio 436 16 with with IN cord-016476-78r0rsio 436 17 respiratory respiratory JJ cord-016476-78r0rsio 436 18 and and CC cord-016476-78r0rsio 436 19 infectious infectious JJ cord-016476-78r0rsio 436 20 disease disease NN cord-016476-78r0rsio 436 21 physicians physician NNS cord-016476-78r0rsio 436 22 and and CC cord-016476-78r0rsio 436 23 imaging image VBG cord-016476-78r0rsio 436 24 using use VBG cord-016476-78r0rsio 436 25 HRCT HRCT NNP cord-016476-78r0rsio 436 26 , , , cord-016476-78r0rsio 436 27 which which WDT cord-016476-78r0rsio 436 28 in in IN cord-016476-78r0rsio 436 29 turn turn NN cord-016476-78r0rsio 436 30 may may MD cord-016476-78r0rsio 436 31 help help VB cord-016476-78r0rsio 436 32 determine determine VB cord-016476-78r0rsio 436 33 the the DT cord-016476-78r0rsio 436 34 cause cause NN cord-016476-78r0rsio 436 35 of of IN cord-016476-78r0rsio 436 36 the the DT cord-016476-78r0rsio 436 37 deterioration deterioration NN cord-016476-78r0rsio 436 38 . . . cord-016476-78r0rsio 437 1 The the DT cord-016476-78r0rsio 437 2 respiratory respiratory JJ cord-016476-78r0rsio 437 3 safety safety NN cord-016476-78r0rsio 437 4 of of IN cord-016476-78r0rsio 437 5 RA RA NNP cord-016476-78r0rsio 437 6 therapy therapy NN cord-016476-78r0rsio 437 7 is be VBZ cord-016476-78r0rsio 437 8 an an DT cord-016476-78r0rsio 437 9 important important JJ cord-016476-78r0rsio 437 10 consideration consideration NN cord-016476-78r0rsio 437 11 whilst whilst IN cord-016476-78r0rsio 437 12 deciding decide VBG cord-016476-78r0rsio 437 13 on on IN cord-016476-78r0rsio 437 14 the the DT cord-016476-78r0rsio 437 15 best good JJS cord-016476-78r0rsio 437 16 treatment treatment NN cord-016476-78r0rsio 437 17 for for IN cord-016476-78r0rsio 437 18 patients patient NNS cord-016476-78r0rsio 437 19 with with IN cord-016476-78r0rsio 437 20 RA RA NNP cord-016476-78r0rsio 437 21 with with IN cord-016476-78r0rsio 437 22 active active JJ cord-016476-78r0rsio 437 23 joint joint JJ cord-016476-78r0rsio 437 24 disease disease NN cord-016476-78r0rsio 437 25 and and CC cord-016476-78r0rsio 437 26 coexisting coexist VBG cord-016476-78r0rsio 437 27 ILD ILD NNP cord-016476-78r0rsio 437 28 . . . cord-016476-78r0rsio 438 1 This this DT cord-016476-78r0rsio 438 2 chapter chapter NN cord-016476-78r0rsio 438 3 summarises summarise VBZ cord-016476-78r0rsio 438 4 the the DT cord-016476-78r0rsio 438 5 current current JJ cord-016476-78r0rsio 438 6 evidence evidence NN cord-016476-78r0rsio 438 7 available available JJ cord-016476-78r0rsio 438 8 of of IN cord-016476-78r0rsio 438 9 the the DT cord-016476-78r0rsio 438 10 use use NN cord-016476-78r0rsio 438 11 of of IN cord-016476-78r0rsio 438 12 DMARDs dmard NNS cord-016476-78r0rsio 438 13 in in IN cord-016476-78r0rsio 438 14 the the DT cord-016476-78r0rsio 438 15 context context NN cord-016476-78r0rsio 438 16 of of IN cord-016476-78r0rsio 438 17 pulmonary pulmonary JJ cord-016476-78r0rsio 438 18 toxicity toxicity NN cord-016476-78r0rsio 438 19 . . . cord-016476-78r0rsio 439 1 However however RB cord-016476-78r0rsio 439 2 several several JJ cord-016476-78r0rsio 439 3 limitations limitation NNS cord-016476-78r0rsio 439 4 of of IN cord-016476-78r0rsio 439 5 the the DT cord-016476-78r0rsio 439 6 existing exist VBG cord-016476-78r0rsio 439 7 literature literature NN cord-016476-78r0rsio 439 8 exist exist VBP cord-016476-78r0rsio 439 9 . . . cord-016476-78r0rsio 440 1 Whilst whilst IN cord-016476-78r0rsio 440 2 RA RA NNP cord-016476-78r0rsio 440 3 - - HYPH cord-016476-78r0rsio 440 4 ILD ILD NNP cord-016476-78r0rsio 440 5 is be VBZ cord-016476-78r0rsio 440 6 increasingly increasingly RB cord-016476-78r0rsio 440 7 recognised recognise VBN cord-016476-78r0rsio 440 8 , , , cord-016476-78r0rsio 440 9 its -PRON- PRP$ cord-016476-78r0rsio 440 10 natural natural JJ cord-016476-78r0rsio 440 11 history history NN cord-016476-78r0rsio 440 12 is be VBZ cord-016476-78r0rsio 440 13 still still RB cord-016476-78r0rsio 440 14 poorly poorly RB cord-016476-78r0rsio 440 15 understood understand VBN cord-016476-78r0rsio 440 16 . . . cord-016476-78r0rsio 441 1 With with IN cord-016476-78r0rsio 441 2 newer new JJR cord-016476-78r0rsio 441 3 treatments treatment NNS cord-016476-78r0rsio 441 4 , , , cord-016476-78r0rsio 441 5 case case NN cord-016476-78r0rsio 441 6 reports report NNS cord-016476-78r0rsio 441 7 are be VBP cord-016476-78r0rsio 441 8 helpful helpful JJ cord-016476-78r0rsio 441 9 to to TO cord-016476-78r0rsio 441 10 identify identify VB cord-016476-78r0rsio 441 11 a a DT cord-016476-78r0rsio 441 12 signal signal NN cord-016476-78r0rsio 441 13 for for IN cord-016476-78r0rsio 441 14 concern concern NN cord-016476-78r0rsio 441 15 , , , cord-016476-78r0rsio 441 16 although although IN cord-016476-78r0rsio 441 17 such such JJ cord-016476-78r0rsio 441 18 case case NN cord-016476-78r0rsio 441 19 reports report NNS cord-016476-78r0rsio 441 20 are be VBP cord-016476-78r0rsio 441 21 insufficient insufficient JJ cord-016476-78r0rsio 441 22 alone alone RB cord-016476-78r0rsio 441 23 to to TO cord-016476-78r0rsio 441 24 provide provide VB cord-016476-78r0rsio 441 25 a a DT cord-016476-78r0rsio 441 26 clear clear JJ cord-016476-78r0rsio 441 27 picture picture NN cord-016476-78r0rsio 441 28 of of IN cord-016476-78r0rsio 441 29 drug drug NN cord-016476-78r0rsio 441 30 toxicity toxicity NN cord-016476-78r0rsio 441 31 . . . cord-016476-78r0rsio 442 1 Where where WRB cord-016476-78r0rsio 442 2 observational observational JJ cord-016476-78r0rsio 442 3 evidence evidence NN cord-016476-78r0rsio 442 4 is be VBZ cord-016476-78r0rsio 442 5 available available JJ cord-016476-78r0rsio 442 6 , , , cord-016476-78r0rsio 442 7 confounding confound VBG cord-016476-78r0rsio 442 8 by by IN cord-016476-78r0rsio 442 9 indication indication NN cord-016476-78r0rsio 442 10 and and CC cord-016476-78r0rsio 442 11 channelling channel VBG cord-016476-78r0rsio 442 12 to to IN cord-016476-78r0rsio 442 13 certain certain JJ cord-016476-78r0rsio 442 14 treatments treatment NNS cord-016476-78r0rsio 442 15 may may MD cord-016476-78r0rsio 442 16 limit limit VB cord-016476-78r0rsio 442 17 robust robust JJ cord-016476-78r0rsio 442 18 conclusions conclusion NNS cord-016476-78r0rsio 442 19 . . . cord-016476-78r0rsio 443 1 The the DT cord-016476-78r0rsio 443 2 lack lack NN cord-016476-78r0rsio 443 3 of of IN cord-016476-78r0rsio 443 4 adequate adequate JJ cord-016476-78r0rsio 443 5 comparator comparator NN cord-016476-78r0rsio 443 6 groups group NNS cord-016476-78r0rsio 443 7 in in IN cord-016476-78r0rsio 443 8 several several JJ cord-016476-78r0rsio 443 9 retrospective retrospective JJ cord-016476-78r0rsio 443 10 studies study NNS cord-016476-78r0rsio 443 11 may may MD cord-016476-78r0rsio 443 12 No no DT cord-016476-78r0rsio 443 13 conclusive conclusive JJ cord-016476-78r0rsio 443 14 data datum NNS cord-016476-78r0rsio 443 15 on on IN cord-016476-78r0rsio 443 16 pneumonitis pneumonitis NN cord-016476-78r0rsio 443 17 risk risk NN cord-016476-78r0rsio 443 18 bDMARDs bDMARDs NNP cord-016476-78r0rsio 443 19 biologic biologic JJ cord-016476-78r0rsio 443 20 disease disease NN cord-016476-78r0rsio 443 21 - - HYPH cord-016476-78r0rsio 443 22 modifying modify VBG cord-016476-78r0rsio 443 23 antirheumatic antirheumatic JJ cord-016476-78r0rsio 443 24 drugs drug NNS cord-016476-78r0rsio 443 25 , , , cord-016476-78r0rsio 443 26 DRESS dress VB cord-016476-78r0rsio 443 27 drug drug NN cord-016476-78r0rsio 443 28 reaction reaction NN cord-016476-78r0rsio 443 29 with with IN cord-016476-78r0rsio 443 30 eosinophilia eosinophilia JJ cord-016476-78r0rsio 443 31 and and CC cord-016476-78r0rsio 443 32 systemic systemic JJ cord-016476-78r0rsio 443 33 symptoms symptom NNS cord-016476-78r0rsio 443 34 , , , cord-016476-78r0rsio 443 35 ILD ILD NNP cord-016476-78r0rsio 443 36 interstitial interstitial JJ cord-016476-78r0rsio 443 37 lung lung NN cord-016476-78r0rsio 443 38 disease disease NN cord-016476-78r0rsio 443 39 , , , cord-016476-78r0rsio 443 40 nbDMARDs nbdmards FW cord-016476-78r0rsio 443 41 non non JJ cord-016476-78r0rsio 443 42 - - JJ cord-016476-78r0rsio 443 43 biologic biologic JJ cord-016476-78r0rsio 443 44 biologic biologic JJ cord-016476-78r0rsio 443 45 disease disease NN cord-016476-78r0rsio 443 46 - - HYPH cord-016476-78r0rsio 443 47 modifying modify VBG cord-016476-78r0rsio 443 48 antirheumatic antirheumatic JJ cord-016476-78r0rsio 443 49 drugs drug NNS cord-016476-78r0rsio 443 50 , , , cord-016476-78r0rsio 443 51 tsDMARDs tsdmard VBZ cord-016476-78r0rsio 443 52 targeted target VBN cord-016476-78r0rsio 443 53 synthetic synthetic JJ cord-016476-78r0rsio 443 54 disease disease NN cord-016476-78r0rsio 443 55 - - HYPH cord-016476-78r0rsio 443 56 modifying modify VBG cord-016476-78r0rsio 443 57 antirheumatic antirheumatic JJ cord-016476-78r0rsio 443 58 drugs drug NNS cord-016476-78r0rsio 443 59 further far RBR cord-016476-78r0rsio 443 60 limit limit VB cord-016476-78r0rsio 443 61 inferences inference NNS cord-016476-78r0rsio 443 62 drawn draw VBN cord-016476-78r0rsio 443 63 from from IN cord-016476-78r0rsio 443 64 the the DT cord-016476-78r0rsio 443 65 evidence evidence NN cord-016476-78r0rsio 443 66 . . . cord-016476-78r0rsio 444 1 It -PRON- PRP cord-016476-78r0rsio 444 2 appears appear VBZ cord-016476-78r0rsio 444 3 that that IN cord-016476-78r0rsio 444 4 legitimate legitimate JJ cord-016476-78r0rsio 444 5 concerns concern NNS cord-016476-78r0rsio 444 6 are be VBP cord-016476-78r0rsio 444 7 associated associate VBN cord-016476-78r0rsio 444 8 with with IN cord-016476-78r0rsio 444 9 several several JJ cord-016476-78r0rsio 444 10 therapies therapy NNS cord-016476-78r0rsio 444 11 ; ; : cord-016476-78r0rsio 444 12 therefore therefore RB cord-016476-78r0rsio 444 13 , , , cord-016476-78r0rsio 444 14 involving involve VBG cord-016476-78r0rsio 444 15 patients patient NNS cord-016476-78r0rsio 444 16 and and CC cord-016476-78r0rsio 444 17 multidisciplinary multidisciplinary JJ cord-016476-78r0rsio 444 18 teams team NNS cord-016476-78r0rsio 444 19 in in IN cord-016476-78r0rsio 444 20 such such JJ cord-016476-78r0rsio 444 21 decisions decision NNS cord-016476-78r0rsio 444 22 is be VBZ cord-016476-78r0rsio 444 23 important important JJ cord-016476-78r0rsio 444 24 . . . cord-016476-78r0rsio 445 1 Careful careful JJ cord-016476-78r0rsio 445 2 discussion discussion NN cord-016476-78r0rsio 445 3 of of IN cord-016476-78r0rsio 445 4 the the DT cord-016476-78r0rsio 445 5 benefits benefit NNS cord-016476-78r0rsio 445 6 and and CC cord-016476-78r0rsio 445 7 harms harm NNS cord-016476-78r0rsio 445 8 of of IN cord-016476-78r0rsio 445 9 treatments treatment NNS cord-016476-78r0rsio 445 10 is be VBZ cord-016476-78r0rsio 445 11 encouraged encourage VBN cord-016476-78r0rsio 445 12 , , , cord-016476-78r0rsio 445 13 although although IN cord-016476-78r0rsio 445 14 this this DT cord-016476-78r0rsio 445 15 is be VBZ cord-016476-78r0rsio 445 16 made make VBN cord-016476-78r0rsio 445 17 more more RBR cord-016476-78r0rsio 445 18 challenging challenging JJ cord-016476-78r0rsio 445 19 by by IN cord-016476-78r0rsio 445 20 the the DT cord-016476-78r0rsio 445 21 uncertainty uncertainty NN cord-016476-78r0rsio 445 22 of of IN cord-016476-78r0rsio 445 23 the the DT cord-016476-78r0rsio 445 24 current current JJ cord-016476-78r0rsio 445 25 safety safety NN cord-016476-78r0rsio 445 26 profile profile NN cord-016476-78r0rsio 445 27 . . . cord-016476-78r0rsio 446 1 Systematic systematic JJ cord-016476-78r0rsio 446 2 pre pre JJ cord-016476-78r0rsio 446 3 - - JJ cord-016476-78r0rsio 446 4 and and CC cord-016476-78r0rsio 446 5 post post JJ cord-016476-78r0rsio 446 6 - - JJ cord-016476-78r0rsio 446 7 treatment treatment JJ cord-016476-78r0rsio 446 8 assessment assessment NN cord-016476-78r0rsio 446 9 can can MD cord-016476-78r0rsio 446 10 help help VB cord-016476-78r0rsio 446 11 identify identify VB cord-016476-78r0rsio 446 12 the the DT cord-016476-78r0rsio 446 13 trajectory trajectory NN cord-016476-78r0rsio 446 14 of of IN cord-016476-78r0rsio 446 15 patients patient NNS cord-016476-78r0rsio 446 16 with with IN cord-016476-78r0rsio 446 17 RA RA NNP cord-016476-78r0rsio 446 18 - - HYPH cord-016476-78r0rsio 446 19 ILD ILD NNP cord-016476-78r0rsio 446 20 and and CC cord-016476-78r0rsio 446 21 enable enable VB cord-016476-78r0rsio 446 22 more more JJR cord-016476-78r0rsio 446 23 effective effective JJ cord-016476-78r0rsio 446 24 risk risk NN cord-016476-78r0rsio 446 25 stratification stratification NN cord-016476-78r0rsio 446 26 , , , cord-016476-78r0rsio 446 27 enabling enable VBG cord-016476-78r0rsio 446 28 clinicians clinician NNS cord-016476-78r0rsio 446 29 and and CC cord-016476-78r0rsio 446 30 patients patient NNS cord-016476-78r0rsio 446 31 to to TO cord-016476-78r0rsio 446 32 make make VB cord-016476-78r0rsio 446 33 better well RBR cord-016476-78r0rsio 446 34 - - HYPH cord-016476-78r0rsio 446 35 informed inform VBN cord-016476-78r0rsio 446 36 decisions decision NNS cord-016476-78r0rsio 446 37 . . . cord-016476-78r0rsio 447 1 Unfortunately unfortunately RB cord-016476-78r0rsio 447 2 at at IN cord-016476-78r0rsio 447 3 present present JJ cord-016476-78r0rsio 447 4 , , , cord-016476-78r0rsio 447 5 there there EX cord-016476-78r0rsio 447 6 are be VBP cord-016476-78r0rsio 447 7 limited limit VBN cord-016476-78r0rsio 447 8 therapeutic therapeutic JJ cord-016476-78r0rsio 447 9 options option NNS cord-016476-78r0rsio 447 10 for for IN cord-016476-78r0rsio 447 11 additional additional JJ cord-016476-78r0rsio 447 12 treatment treatment NN cord-016476-78r0rsio 447 13 for for IN cord-016476-78r0rsio 447 14 specifically specifically RB cord-016476-78r0rsio 447 15 stabilising stabilise VBG cord-016476-78r0rsio 447 16 or or CC cord-016476-78r0rsio 447 17 reversing reverse VBG cord-016476-78r0rsio 447 18 established establish VBN cord-016476-78r0rsio 447 19 fibrosis fibrosis NN cord-016476-78r0rsio 447 20 ; ; : cord-016476-78r0rsio 447 21 however however RB cord-016476-78r0rsio 447 22 , , , cord-016476-78r0rsio 447 23 emerging emerge VBG cord-016476-78r0rsio 447 24 treatments treatment NNS cord-016476-78r0rsio 447 25 such such JJ cord-016476-78r0rsio 447 26 as as IN cord-016476-78r0rsio 447 27 novel novel JJ cord-016476-78r0rsio 447 28 anti anti NNS cord-016476-78r0rsio 447 29 - - NNS cord-016476-78r0rsio 447 30 fibrotics fibrotic NNS cord-016476-78r0rsio 447 31 may may MD cord-016476-78r0rsio 447 32 hold hold VB cord-016476-78r0rsio 447 33 promise promise NN cord-016476-78r0rsio 447 34 . . . cord-016476-78r0rsio 448 1 Given give VBN cord-016476-78r0rsio 448 2 the the DT cord-016476-78r0rsio 448 3 current current JJ cord-016476-78r0rsio 448 4 evidence evidence NN cord-016476-78r0rsio 448 5 base base NN cord-016476-78r0rsio 448 6 , , , cord-016476-78r0rsio 448 7 the the DT cord-016476-78r0rsio 448 8 decision decision NN cord-016476-78r0rsio 448 9 to to TO cord-016476-78r0rsio 448 10 start start VB cord-016476-78r0rsio 448 11 an an DT cord-016476-78r0rsio 448 12 DMARD DMARD NNP cord-016476-78r0rsio 448 13 in in IN cord-016476-78r0rsio 448 14 patients patient NNS cord-016476-78r0rsio 448 15 with with IN cord-016476-78r0rsio 448 16 RA RA NNP cord-016476-78r0rsio 448 17 who who WP cord-016476-78r0rsio 448 18 have have VBP cord-016476-78r0rsio 448 19 ILD ILD NNP cord-016476-78r0rsio 448 20 should should MD cord-016476-78r0rsio 448 21 be be VB cord-016476-78r0rsio 448 22 based base VBN cord-016476-78r0rsio 448 23 on on IN cord-016476-78r0rsio 448 24 its -PRON- PRP$ cord-016476-78r0rsio 448 25 potential potential NN cord-016476-78r0rsio 448 26 for for IN cord-016476-78r0rsio 448 27 improving improve VBG cord-016476-78r0rsio 448 28 joint joint JJ cord-016476-78r0rsio 448 29 disease disease NN cord-016476-78r0rsio 448 30 , , , cord-016476-78r0rsio 448 31 individual individual JJ cord-016476-78r0rsio 448 32 patient patient NN cord-016476-78r0rsio 448 33 characteristics characteristic NNS cord-016476-78r0rsio 448 34 , , , cord-016476-78r0rsio 448 35 patient patient JJ cord-016476-78r0rsio 448 36 education education NN cord-016476-78r0rsio 448 37 about about IN cord-016476-78r0rsio 448 38 the the DT cord-016476-78r0rsio 448 39 known know VBN cord-016476-78r0rsio 448 40 risks risk NNS cord-016476-78r0rsio 448 41 and and CC cord-016476-78r0rsio 448 42 benefits benefit NNS cord-016476-78r0rsio 448 43 of of IN cord-016476-78r0rsio 448 44 treatment treatment NN cord-016476-78r0rsio 448 45 and and CC cord-016476-78r0rsio 448 46 multidisciplinary multidisciplinary JJ cord-016476-78r0rsio 448 47 team team NN cord-016476-78r0rsio 448 48 input input NN cord-016476-78r0rsio 448 49 . . . cord-016476-78r0rsio 449 1 Rheumatoid rheumatoid JJ cord-016476-78r0rsio 449 2 arthritis arthritis NN cord-016476-78r0rsio 449 3 classification classification NN cord-016476-78r0rsio 449 4 criteria criterion NNS cord-016476-78r0rsio 449 5 : : : cord-016476-78r0rsio 449 6 an an DT cord-016476-78r0rsio 449 7 American American NNP cord-016476-78r0rsio 449 8 College College NNP cord-016476-78r0rsio 449 9 of of IN cord-016476-78r0rsio 449 10 Rheumatology Rheumatology NNP cord-016476-78r0rsio 449 11 / / SYM cord-016476-78r0rsio 449 12 European European NNP cord-016476-78r0rsio 449 13 league league NNP cord-016476-78r0rsio 449 14 against against IN cord-016476-78r0rsio 449 15 rheumatism rheumatism NN cord-016476-78r0rsio 449 16 collaborative collaborative NNP cord-016476-78r0rsio 449 17 initiative initiative NN cord-016476-78r0rsio 449 18 Treating treat VBG cord-016476-78r0rsio 449 19 rheumatoid rheumatoid NN cord-016476-78r0rsio 449 20 arthritis arthritis NN cord-016476-78r0rsio 449 21 to to TO cord-016476-78r0rsio 449 22 target target VB cord-016476-78r0rsio 449 23 : : : cord-016476-78r0rsio 449 24 2014 2014 CD cord-016476-78r0rsio 449 25 update update NN cord-016476-78r0rsio 449 26 of of IN cord-016476-78r0rsio 449 27 the the DT cord-016476-78r0rsio 449 28 recommendations recommendation NNS cord-016476-78r0rsio 449 29 of of IN cord-016476-78r0rsio 449 30 an an DT cord-016476-78r0rsio 449 31 international international JJ cord-016476-78r0rsio 449 32 task task NN cord-016476-78r0rsio 449 33 force force NN cord-016476-78r0rsio 449 34 EULAR EULAR NNP cord-016476-78r0rsio 449 35 recommendations recommendation NNS cord-016476-78r0rsio 449 36 for for IN cord-016476-78r0rsio 449 37 the the DT cord-016476-78r0rsio 449 38 management management NN cord-016476-78r0rsio 449 39 of of IN cord-016476-78r0rsio 449 40 rheumatoid rheumatoid JJ cord-016476-78r0rsio 449 41 arthritis arthritis NN cord-016476-78r0rsio 449 42 with with IN cord-016476-78r0rsio 449 43 synthetic synthetic JJ cord-016476-78r0rsio 449 44 and and CC cord-016476-78r0rsio 449 45 biological biological JJ cord-016476-78r0rsio 449 46 disease disease NN cord-016476-78r0rsio 449 47 - - HYPH cord-016476-78r0rsio 449 48 modifying modify VBG cord-016476-78r0rsio 449 49 antirheumatic antirheumatic JJ cord-016476-78r0rsio 449 50 drugs drug NNS cord-016476-78r0rsio 449 51 : : : cord-016476-78r0rsio 449 52 2013 2013 CD cord-016476-78r0rsio 449 53 update update NN cord-016476-78r0rsio 449 54 Acute acute JJ cord-016476-78r0rsio 449 55 lymphocytic lymphocytic JJ cord-016476-78r0rsio 449 56 leukemia leukemia NN cord-016476-78r0rsio 449 57 in in IN cord-016476-78r0rsio 449 58 children child NNS cord-016476-78r0rsio 449 59 : : : cord-016476-78r0rsio 450 1 maintenance maintenance NN cord-016476-78r0rsio 450 2 therapy therapy NN cord-016476-78r0rsio 450 3 with with IN cord-016476-78r0rsio 450 4 methotrexate methotrexate NNP cord-016476-78r0rsio 450 5 administered administer VBD cord-016476-78r0rsio 450 6 intermittently intermittently RB cord-016476-78r0rsio 450 7 Acute acute JJ cord-016476-78r0rsio 450 8 lung lung NN cord-016476-78r0rsio 450 9 disease disease NN cord-016476-78r0rsio 450 10 associated associate VBN cord-016476-78r0rsio 450 11 with with IN cord-016476-78r0rsio 450 12 low low JJ cord-016476-78r0rsio 450 13 - - HYPH cord-016476-78r0rsio 450 14 dose dose NN cord-016476-78r0rsio 450 15 pulse pulse NN cord-016476-78r0rsio 450 16 methotrexate methotrexate NNP cord-016476-78r0rsio 450 17 therapy therapy NN cord-016476-78r0rsio 450 18 in in IN cord-016476-78r0rsio 450 19 patients patient NNS cord-016476-78r0rsio 450 20 with with IN cord-016476-78r0rsio 450 21 rheumatoid rheumatoid NN cord-016476-78r0rsio 450 22 arthritis arthritis NN cord-016476-78r0rsio 450 23 Methotrexate Methotrexate NNP cord-016476-78r0rsio 450 24 pneumonitis pneumonitis NN cord-016476-78r0rsio 450 25 : : : cord-016476-78r0rsio 450 26 review review NN cord-016476-78r0rsio 450 27 of of IN cord-016476-78r0rsio 450 28 the the DT cord-016476-78r0rsio 450 29 literature literature NN cord-016476-78r0rsio 450 30 and and CC cord-016476-78r0rsio 450 31 histopathological histopathological NNP cord-016476-78r0rsio 450 32 findings finding NNS cord-016476-78r0rsio 450 33 in in IN cord-016476-78r0rsio 450 34 nine nine CD cord-016476-78r0rsio 450 35 patients patient NNS cord-016476-78r0rsio 450 36 Investigation Investigation NNP cord-016476-78r0rsio 450 37 of of IN cord-016476-78r0rsio 450 38 the the DT cord-016476-78r0rsio 450 39 chronic chronic JJ cord-016476-78r0rsio 450 40 pulmonary pulmonary JJ cord-016476-78r0rsio 450 41 effects effect NNS cord-016476-78r0rsio 450 42 of of IN cord-016476-78r0rsio 450 43 low low JJ cord-016476-78r0rsio 450 44 - - HYPH cord-016476-78r0rsio 450 45 dose dose NN cord-016476-78r0rsio 450 46 oral oral JJ cord-016476-78r0rsio 450 47 methotrexate methotrexate NN cord-016476-78r0rsio 450 48 in in IN cord-016476-78r0rsio 450 49 patients patient NNS cord-016476-78r0rsio 450 50 with with IN cord-016476-78r0rsio 450 51 rheumatoid rheumatoid NN cord-016476-78r0rsio 450 52 arthritis arthritis NN cord-016476-78r0rsio 450 53 : : : cord-016476-78r0rsio 451 1 a a DT cord-016476-78r0rsio 451 2 prospective prospective JJ cord-016476-78r0rsio 451 3 study study NN cord-016476-78r0rsio 451 4 incorporating incorporate VBG cord-016476-78r0rsio 451 5 HRCT HRCT NNP cord-016476-78r0rsio 451 6 scanning scanning NN cord-016476-78r0rsio 451 7 and and CC cord-016476-78r0rsio 451 8 pulmonary pulmonary JJ cord-016476-78r0rsio 451 9 function function NN cord-016476-78r0rsio 451 10 tests test VBZ cord-016476-78r0rsio 451 11 Long long JJ cord-016476-78r0rsio 451 12 - - HYPH cord-016476-78r0rsio 451 13 term term NN cord-016476-78r0rsio 451 14 safety safety NN cord-016476-78r0rsio 451 15 of of IN cord-016476-78r0rsio 451 16 methotrexate methotrexate NNP cord-016476-78r0rsio 451 17 monotherapy monotherapy NNP cord-016476-78r0rsio 451 18 in in IN cord-016476-78r0rsio 451 19 patients patient NNS cord-016476-78r0rsio 451 20 with with IN cord-016476-78r0rsio 451 21 rheumatoid rheumatoid NN cord-016476-78r0rsio 451 22 arthritis arthritis NN cord-016476-78r0rsio 451 23 : : : cord-016476-78r0rsio 451 24 a a DT cord-016476-78r0rsio 451 25 systematic systematic JJ cord-016476-78r0rsio 451 26 literature literature NN cord-016476-78r0rsio 451 27 research research NN cord-016476-78r0rsio 451 28 How how WRB cord-016476-78r0rsio 451 29 common common JJ cord-016476-78r0rsio 451 30 is be VBZ cord-016476-78r0rsio 451 31 methotrexate methotrexate NNP cord-016476-78r0rsio 451 32 pneumonitis pneumonitis NNP cord-016476-78r0rsio 451 33 ? ? . cord-016476-78r0rsio 452 1 A a DT cord-016476-78r0rsio 452 2 large large JJ cord-016476-78r0rsio 452 3 prospective prospective JJ cord-016476-78r0rsio 452 4 study study NN cord-016476-78r0rsio 452 5 investigates investigate VBZ cord-016476-78r0rsio 452 6 Methotrexate Methotrexate NNP cord-016476-78r0rsio 452 7 pneumonitis pneumonitis NN cord-016476-78r0rsio 452 8 in in IN cord-016476-78r0rsio 452 9 rheumatoid rheumatoid NN cord-016476-78r0rsio 452 10 arthritis arthritis NN cord-016476-78r0rsio 452 11 : : : cord-016476-78r0rsio 452 12 potential potential JJ cord-016476-78r0rsio 452 13 risk risk NN cord-016476-78r0rsio 452 14 factors factor NNS cord-016476-78r0rsio 452 15 . . . cord-016476-78r0rsio 453 1 Four four CD cord-016476-78r0rsio 453 2 case case NN cord-016476-78r0rsio 453 3 reports report NNS cord-016476-78r0rsio 453 4 and and CC cord-016476-78r0rsio 453 5 a a DT cord-016476-78r0rsio 453 6 review review NN cord-016476-78r0rsio 453 7 of of IN cord-016476-78r0rsio 453 8 the the DT cord-016476-78r0rsio 453 9 literature literature NN cord-016476-78r0rsio 453 10 Pulmonary pulmonary JJ cord-016476-78r0rsio 453 11 disease disease NN cord-016476-78r0rsio 453 12 during during IN cord-016476-78r0rsio 453 13 the the DT cord-016476-78r0rsio 453 14 treatment treatment NN cord-016476-78r0rsio 453 15 of of IN cord-016476-78r0rsio 453 16 rheumatoid rheumatoid JJ cord-016476-78r0rsio 453 17 arthritis arthritis NN cord-016476-78r0rsio 453 18 with with IN cord-016476-78r0rsio 453 19 low low JJ cord-016476-78r0rsio 453 20 dose dose NN cord-016476-78r0rsio 453 21 pulse pulse NN cord-016476-78r0rsio 453 22 methotrexate methotrexate NNP cord-016476-78r0rsio 453 23 Clinical Clinical NNP cord-016476-78r0rsio 453 24 , , , cord-016476-78r0rsio 453 25 laboratory laboratory NN cord-016476-78r0rsio 453 26 , , , cord-016476-78r0rsio 453 27 radiographic radiographic JJ cord-016476-78r0rsio 453 28 , , , cord-016476-78r0rsio 453 29 and and CC cord-016476-78r0rsio 453 30 histopathologic histopathologic NNP cord-016476-78r0rsio 453 31 features feature NNS cord-016476-78r0rsio 453 32 of of IN cord-016476-78r0rsio 453 33 methotrexate methotrexate NN cord-016476-78r0rsio 453 34 - - HYPH cord-016476-78r0rsio 453 35 associated associate VBN cord-016476-78r0rsio 453 36 lung lung NN cord-016476-78r0rsio 453 37 injury injury NN cord-016476-78r0rsio 453 38 in in IN cord-016476-78r0rsio 453 39 patients patient NNS cord-016476-78r0rsio 453 40 with with IN cord-016476-78r0rsio 453 41 rheumatoid rheumatoid NN cord-016476-78r0rsio 453 42 arthritis arthritis NN cord-016476-78r0rsio 453 43 : : : cord-016476-78r0rsio 453 44 a a DT cord-016476-78r0rsio 453 45 multicenter multicenter JJ cord-016476-78r0rsio 453 46 study study NN cord-016476-78r0rsio 453 47 with with IN cord-016476-78r0rsio 453 48 literature literature NN cord-016476-78r0rsio 453 49 review review NN cord-016476-78r0rsio 453 50 Methotrexate Methotrexate NNP cord-016476-78r0rsio 453 51 - - HYPH cord-016476-78r0rsio 453 52 induced induce VBN cord-016476-78r0rsio 453 53 pulmonary pulmonary JJ cord-016476-78r0rsio 453 54 injury injury NN cord-016476-78r0rsio 453 55 : : : cord-016476-78r0rsio 454 1 serial serial JJ cord-016476-78r0rsio 454 2 CT CT NNP cord-016476-78r0rsio 454 3 findings finding NNS cord-016476-78r0rsio 454 4 Spectrum Spectrum NNP cord-016476-78r0rsio 454 5 of of IN cord-016476-78r0rsio 454 6 CD4 CD4 NNP cord-016476-78r0rsio 454 7 to to IN cord-016476-78r0rsio 454 8 CD8 CD8 NNP cord-016476-78r0rsio 454 9 T T NNP cord-016476-78r0rsio 454 10 - - HYPH cord-016476-78r0rsio 454 11 cell cell NN cord-016476-78r0rsio 454 12 ratios ratio NNS cord-016476-78r0rsio 454 13 in in IN cord-016476-78r0rsio 454 14 lymphocytic lymphocytic JJ cord-016476-78r0rsio 454 15 alveolitis alveolitis NN cord-016476-78r0rsio 454 16 associated associate VBN cord-016476-78r0rsio 454 17 with with IN cord-016476-78r0rsio 454 18 methotrexate methotrexate NNP cord-016476-78r0rsio 454 19 - - HYPH cord-016476-78r0rsio 454 20 induced induce VBN cord-016476-78r0rsio 454 21 pneumonitis pneumonitis NN cord-016476-78r0rsio 454 22 Bronchoalveolar Bronchoalveolar NNP cord-016476-78r0rsio 454 23 lavage lavage NN cord-016476-78r0rsio 454 24 cell cell NN cord-016476-78r0rsio 454 25 profile profile NN cord-016476-78r0rsio 454 26 in in IN cord-016476-78r0rsio 454 27 methotrexate methotrexate NNP cord-016476-78r0rsio 454 28 induced induce VBN cord-016476-78r0rsio 454 29 pneumonitis pneumonitis NN cord-016476-78r0rsio 454 30 Incidence incidence NN cord-016476-78r0rsio 454 31 , , , cord-016476-78r0rsio 454 32 prevalence prevalence NN cord-016476-78r0rsio 454 33 and and CC cord-016476-78r0rsio 454 34 possible possible JJ cord-016476-78r0rsio 454 35 risk risk NN cord-016476-78r0rsio 454 36 factors factor NNS cord-016476-78r0rsio 454 37 for for IN cord-016476-78r0rsio 454 38 pneumonitis pneumonitis NN cord-016476-78r0rsio 454 39 in in IN cord-016476-78r0rsio 454 40 patients patient NNS cord-016476-78r0rsio 454 41 with with IN cord-016476-78r0rsio 454 42 rheumatoid rheumatoid NN cord-016476-78r0rsio 454 43 arthritis arthritis NN cord-016476-78r0rsio 454 44 receiving receive VBG cord-016476-78r0rsio 454 45 methotrexate methotrexate NNP cord-016476-78r0rsio 454 46 Pneumonitis Pneumonitis NNP cord-016476-78r0rsio 454 47 complicating complicate VBG cord-016476-78r0rsio 454 48 methotrexate methotrexate NNP cord-016476-78r0rsio 454 49 therapy therapy NN cord-016476-78r0rsio 454 50 for for IN cord-016476-78r0rsio 454 51 pustular pustular JJ cord-016476-78r0rsio 454 52 psoriasis psoriasis NN cord-016476-78r0rsio 455 1 Methotrexate Methotrexate NNP cord-016476-78r0rsio 455 2 use use NN cord-016476-78r0rsio 455 3 and and CC cord-016476-78r0rsio 455 4 risk risk NN cord-016476-78r0rsio 455 5 of of IN cord-016476-78r0rsio 455 6 lung lung NN cord-016476-78r0rsio 455 7 disease disease NN cord-016476-78r0rsio 455 8 in in IN cord-016476-78r0rsio 455 9 psoriasis psoriasis NN cord-016476-78r0rsio 455 10 , , , cord-016476-78r0rsio 455 11 psoriatic psoriatic JJ cord-016476-78r0rsio 455 12 arthritis arthritis NN cord-016476-78r0rsio 455 13 , , , cord-016476-78r0rsio 455 14 and and CC cord-016476-78r0rsio 455 15 inflammatory inflammatory JJ cord-016476-78r0rsio 455 16 bowel bowel NN cord-016476-78r0rsio 455 17 disease disease NN cord-016476-78r0rsio 455 18 : : : cord-016476-78r0rsio 455 19 systematic systematic JJ cord-016476-78r0rsio 455 20 literature literature NN cord-016476-78r0rsio 455 21 review review NN cord-016476-78r0rsio 455 22 and and CC cord-016476-78r0rsio 455 23 metaanalysis metaanalysis NN cord-016476-78r0rsio 455 24 of of IN cord-016476-78r0rsio 455 25 randomised randomised JJ cord-016476-78r0rsio 455 26 controlled control VBN cord-016476-78r0rsio 455 27 trials trial NNS cord-016476-78r0rsio 455 28 Risk Risk NNP cord-016476-78r0rsio 455 29 factors factor NNS cord-016476-78r0rsio 455 30 for for IN cord-016476-78r0rsio 455 31 methotrexate methotrexate NN cord-016476-78r0rsio 455 32 - - HYPH cord-016476-78r0rsio 455 33 induced induce VBN cord-016476-78r0rsio 455 34 lung lung NN cord-016476-78r0rsio 455 35 injury injury NN cord-016476-78r0rsio 455 36 in in IN cord-016476-78r0rsio 455 37 patients patient NNS cord-016476-78r0rsio 455 38 with with IN cord-016476-78r0rsio 455 39 rheumatoid rheumatoid NN cord-016476-78r0rsio 455 40 arthritis arthritis NN cord-016476-78r0rsio 455 41 : : : cord-016476-78r0rsio 455 42 a a DT cord-016476-78r0rsio 455 43 multicenter multicenter NN cord-016476-78r0rsio 455 44 , , , cord-016476-78r0rsio 455 45 case case NN cord-016476-78r0rsio 455 46 - - HYPH cord-016476-78r0rsio 455 47 control control NN cord-016476-78r0rsio 455 48 study study NN cord-016476-78r0rsio 455 49 Reducing reduce VBG cord-016476-78r0rsio 455 50 the the DT cord-016476-78r0rsio 455 51 risk risk NN cord-016476-78r0rsio 455 52 of of IN cord-016476-78r0rsio 455 53 methotrexate methotrexate NNP cord-016476-78r0rsio 455 54 pneumonitis pneumonitis NNP cord-016476-78r0rsio 455 55 in in IN cord-016476-78r0rsio 455 56 rheumatoid rheumatoid NN cord-016476-78r0rsio 455 57 arthritis arthritis NN cord-016476-78r0rsio 455 58 Pulmonary pulmonary JJ cord-016476-78r0rsio 455 59 function function NN cord-016476-78r0rsio 455 60 in in IN cord-016476-78r0rsio 455 61 patients patient NNS cord-016476-78r0rsio 455 62 receiving receive VBG cord-016476-78r0rsio 455 63 long long JJ cord-016476-78r0rsio 455 64 - - HYPH cord-016476-78r0rsio 455 65 term term NN cord-016476-78r0rsio 455 66 low low JJ cord-016476-78r0rsio 455 67 - - HYPH cord-016476-78r0rsio 455 68 dose dose NN cord-016476-78r0rsio 455 69 methotrexate methotrexate NNP cord-016476-78r0rsio 455 70 Can Can MD cord-016476-78r0rsio 455 71 baseline baseline VB cord-016476-78r0rsio 455 72 pulmonary pulmonary JJ cord-016476-78r0rsio 455 73 function function NN cord-016476-78r0rsio 455 74 tests test NNS cord-016476-78r0rsio 455 75 predict predict VBP cord-016476-78r0rsio 455 76 pulmonary pulmonary JJ cord-016476-78r0rsio 455 77 toxicity toxicity NN cord-016476-78r0rsio 455 78 in in IN cord-016476-78r0rsio 455 79 patients patient NNS cord-016476-78r0rsio 455 80 receiving receive VBG cord-016476-78r0rsio 455 81 methotrexate methotrexate NNP cord-016476-78r0rsio 455 82 for for IN cord-016476-78r0rsio 455 83 rheumatoid rheumatoid NN cord-016476-78r0rsio 455 84 arthritis arthritis NN cord-016476-78r0rsio 455 85 ? ? . cord-016476-78r0rsio 456 1 Interstitial interstitial JJ cord-016476-78r0rsio 456 2 lung lung NN cord-016476-78r0rsio 456 3 disease disease NN cord-016476-78r0rsio 456 4 related relate VBN cord-016476-78r0rsio 456 5 to to IN cord-016476-78r0rsio 456 6 rheumatoid rheumatoid JJ cord-016476-78r0rsio 456 7 arthritis arthritis NN cord-016476-78r0rsio 456 8 : : : cord-016476-78r0rsio 457 1 evolution evolution NN cord-016476-78r0rsio 457 2 after after IN cord-016476-78r0rsio 457 3 treatment treatment NN cord-016476-78r0rsio 457 4 Interstitial interstitial JJ cord-016476-78r0rsio 457 5 lung lung NN cord-016476-78r0rsio 457 6 disease disease NN cord-016476-78r0rsio 457 7 associated associate VBN cord-016476-78r0rsio 457 8 with with IN cord-016476-78r0rsio 457 9 leflunomide leflunomide NN cord-016476-78r0rsio 457 10 Japan Japan NNP cord-016476-78r0rsio 457 11 deaths death NNS cord-016476-78r0rsio 457 12 spark spark VBP cord-016476-78r0rsio 457 13 concerns concern NNS cord-016476-78r0rsio 457 14 over over IN cord-016476-78r0rsio 457 15 arthritis arthritis NN cord-016476-78r0rsio 457 16 drug drug NN cord-016476-78r0rsio 457 17 Risk Risk NNP cord-016476-78r0rsio 457 18 of of IN cord-016476-78r0rsio 457 19 interstitial interstitial JJ cord-016476-78r0rsio 457 20 lung lung NN cord-016476-78r0rsio 457 21 disease disease NN cord-016476-78r0rsio 457 22 associated associate VBN cord-016476-78r0rsio 457 23 with with IN cord-016476-78r0rsio 457 24 leflunomide leflunomide JJ cord-016476-78r0rsio 457 25 treatment treatment NN cord-016476-78r0rsio 457 26 in in IN cord-016476-78r0rsio 457 27 Korean korean JJ cord-016476-78r0rsio 457 28 patients patient NNS cord-016476-78r0rsio 457 29 with with IN cord-016476-78r0rsio 457 30 rheumatoid rheumatoid NN cord-016476-78r0rsio 457 31 arthritis arthritis NN cord-016476-78r0rsio 457 32 Rheumatoid Rheumatoid NNP cord-016476-78r0rsio 457 33 arthritis arthritis NN cord-016476-78r0rsio 457 34 complicated complicate VBN cord-016476-78r0rsio 457 35 with with IN cord-016476-78r0rsio 457 36 acute acute JJ cord-016476-78r0rsio 457 37 interstitial interstitial JJ cord-016476-78r0rsio 457 38 pneumonia pneumonia NN cord-016476-78r0rsio 457 39 induced induce VBN cord-016476-78r0rsio 457 40 by by IN cord-016476-78r0rsio 457 41 leflunomide leflunomide NN cord-016476-78r0rsio 457 42 as as IN cord-016476-78r0rsio 457 43 an an DT cord-016476-78r0rsio 457 44 adverse adverse JJ cord-016476-78r0rsio 457 45 reaction reaction NN cord-016476-78r0rsio 457 46 Leflunomide Leflunomide NNP cord-016476-78r0rsio 457 47 - - HYPH cord-016476-78r0rsio 457 48 related relate VBN cord-016476-78r0rsio 457 49 acute acute JJ cord-016476-78r0rsio 457 50 interstitial interstitial JJ cord-016476-78r0rsio 457 51 pneumonia pneumonia NN cord-016476-78r0rsio 457 52 in in IN cord-016476-78r0rsio 457 53 two two CD cord-016476-78r0rsio 457 54 patients patient NNS cord-016476-78r0rsio 457 55 with with IN cord-016476-78r0rsio 457 56 rheumatoid rheumatoid NN cord-016476-78r0rsio 457 57 arthritis arthritis NN cord-016476-78r0rsio 457 58 : : : cord-016476-78r0rsio 457 59 autopsy autopsy JJ cord-016476-78r0rsio 457 60 findings finding NNS cord-016476-78r0rsio 457 61 with with IN cord-016476-78r0rsio 457 62 a a DT cord-016476-78r0rsio 457 63 mosaic mosaic JJ cord-016476-78r0rsio 457 64 pattern pattern NN cord-016476-78r0rsio 457 65 of of IN cord-016476-78r0rsio 457 66 acute acute JJ cord-016476-78r0rsio 457 67 and and CC cord-016476-78r0rsio 457 68 organizing organizing NN cord-016476-78r0rsio 458 1 diffuse diffuse VB cord-016476-78r0rsio 458 2 alveolar alveolar NN cord-016476-78r0rsio 458 3 damage damage NN cord-016476-78r0rsio 458 4 Pneumonitis Pneumonitis NNP cord-016476-78r0rsio 458 5 associated associate VBN cord-016476-78r0rsio 458 6 with with IN cord-016476-78r0rsio 458 7 leflunomide leflunomide NN cord-016476-78r0rsio 458 8 : : : cord-016476-78r0rsio 458 9 a a DT cord-016476-78r0rsio 458 10 profile profile NN cord-016476-78r0rsio 458 11 of of IN cord-016476-78r0rsio 458 12 New New NNP cord-016476-78r0rsio 458 13 Zealand Zealand NNP cord-016476-78r0rsio 458 14 and and CC cord-016476-78r0rsio 459 1 Australian australian JJ cord-016476-78r0rsio 459 2 reports report VBZ cord-016476-78r0rsio 459 3 Clinical clinical JJ cord-016476-78r0rsio 459 4 expression expression NN cord-016476-78r0rsio 459 5 of of IN cord-016476-78r0rsio 459 6 leflunomide leflunomide NN cord-016476-78r0rsio 459 7 - - HYPH cord-016476-78r0rsio 459 8 induced induce VBN cord-016476-78r0rsio 459 9 pneumonitis pneumonitis NN cord-016476-78r0rsio 459 10 Leflunomide Leflunomide NNP cord-016476-78r0rsio 459 11 use use NN cord-016476-78r0rsio 459 12 and and CC cord-016476-78r0rsio 459 13 the the DT cord-016476-78r0rsio 459 14 risk risk NN cord-016476-78r0rsio 459 15 of of IN cord-016476-78r0rsio 459 16 interstitial interstitial JJ cord-016476-78r0rsio 459 17 lung lung NN cord-016476-78r0rsio 459 18 disease disease NN cord-016476-78r0rsio 459 19 in in IN cord-016476-78r0rsio 459 20 rheumatoid rheumatoid NNP cord-016476-78r0rsio 459 21 arthritis arthritis NN cord-016476-78r0rsio 459 22 Leflunomide Leflunomide NNP cord-016476-78r0rsio 459 23 - - HYPH cord-016476-78r0rsio 459 24 induced induce VBN cord-016476-78r0rsio 459 25 interstitial interstitial JJ cord-016476-78r0rsio 459 26 lung lung NN cord-016476-78r0rsio 459 27 disease disease NN cord-016476-78r0rsio 459 28 : : : cord-016476-78r0rsio 459 29 prevalence prevalence NN cord-016476-78r0rsio 459 30 and and CC cord-016476-78r0rsio 459 31 risk risk NN cord-016476-78r0rsio 459 32 factors factor NNS cord-016476-78r0rsio 459 33 in in IN cord-016476-78r0rsio 459 34 Japanese japanese JJ cord-016476-78r0rsio 459 35 patients patient NNS cord-016476-78r0rsio 459 36 with with IN cord-016476-78r0rsio 459 37 rheumatoid rheumatoid NN cord-016476-78r0rsio 459 38 arthritis arthritis NN cord-016476-78r0rsio 459 39 Interstitial interstitial JJ cord-016476-78r0rsio 459 40 lung lung NN cord-016476-78r0rsio 459 41 diseases disease NNS cord-016476-78r0rsio 459 42 induced induce VBN cord-016476-78r0rsio 459 43 or or CC cord-016476-78r0rsio 459 44 exacerbated exacerbate VBN cord-016476-78r0rsio 459 45 by by IN cord-016476-78r0rsio 459 46 DMARDS DMARDS NNP cord-016476-78r0rsio 459 47 and and CC cord-016476-78r0rsio 459 48 biologic biologic JJ cord-016476-78r0rsio 459 49 agents agent NNS cord-016476-78r0rsio 459 50 in in IN cord-016476-78r0rsio 459 51 rheumatoid rheumatoid NN cord-016476-78r0rsio 459 52 arthritis arthritis NN cord-016476-78r0rsio 459 53 : : : cord-016476-78r0rsio 460 1 a a DT cord-016476-78r0rsio 460 2 systematic systematic JJ cord-016476-78r0rsio 460 3 literature literature NN cord-016476-78r0rsio 460 4 review review NN cord-016476-78r0rsio 460 5 HLA HLA NNP cord-016476-78r0rsio 460 6 - - HYPH cord-016476-78r0rsio 460 7 A*31:01 A*31:01 NNP cord-016476-78r0rsio 460 8 and and CC cord-016476-78r0rsio 460 9 methotrexate methotrexate NN cord-016476-78r0rsio 460 10 - - HYPH cord-016476-78r0rsio 460 11 induced induce VBN cord-016476-78r0rsio 460 12 interstitial interstitial JJ cord-016476-78r0rsio 460 13 lung lung NN cord-016476-78r0rsio 460 14 disease disease NN cord-016476-78r0rsio 460 15 in in IN cord-016476-78r0rsio 460 16 Japanese japanese JJ cord-016476-78r0rsio 460 17 rheumatoid rheumatoid NN cord-016476-78r0rsio 460 18 arthritis arthritis NN cord-016476-78r0rsio 460 19 patients patient NNS cord-016476-78r0rsio 460 20 : : : cord-016476-78r0rsio 460 21 a a DT cord-016476-78r0rsio 460 22 multidrug multidrug NN cord-016476-78r0rsio 460 23 hypersensitivity hypersensitivity NN cord-016476-78r0rsio 460 24 marker marker NN cord-016476-78r0rsio 460 25 ? ? . cord-016476-78r0rsio 461 1 Risk risk NN cord-016476-78r0rsio 461 2 of of IN cord-016476-78r0rsio 461 3 interstitial interstitial JJ cord-016476-78r0rsio 461 4 lung lung NN cord-016476-78r0rsio 461 5 disease disease NN cord-016476-78r0rsio 461 6 associated associate VBN cord-016476-78r0rsio 461 7 with with IN cord-016476-78r0rsio 461 8 leflunomide leflunomide JJ cord-016476-78r0rsio 461 9 treatment treatment NN cord-016476-78r0rsio 461 10 in in IN cord-016476-78r0rsio 461 11 Korean korean JJ cord-016476-78r0rsio 461 12 patients patient NNS cord-016476-78r0rsio 461 13 with with IN cord-016476-78r0rsio 461 14 rheumatoid rheumatoid NN cord-016476-78r0rsio 461 15 arthritis arthritis NN cord-016476-78r0rsio 461 16 Factors factor NNS cord-016476-78r0rsio 461 17 associated associate VBN cord-016476-78r0rsio 461 18 with with IN cord-016476-78r0rsio 461 19 fatal fatal JJ cord-016476-78r0rsio 461 20 outcome outcome NN cord-016476-78r0rsio 461 21 of of IN cord-016476-78r0rsio 461 22 leflunomideinduced leflunomideinduced JJ cord-016476-78r0rsio 461 23 lung lung NN cord-016476-78r0rsio 461 24 injury injury NN cord-016476-78r0rsio 461 25 in in IN cord-016476-78r0rsio 461 26 Japanese japanese JJ cord-016476-78r0rsio 461 27 patients patient NNS cord-016476-78r0rsio 461 28 with with IN cord-016476-78r0rsio 461 29 rheumatoid rheumatoid NN cord-016476-78r0rsio 461 30 arthritis arthritis NN cord-016476-78r0rsio 461 31 Sulfasalazine Sulfasalazine NNP cord-016476-78r0rsio 461 32 : : : cord-016476-78r0rsio 461 33 a a DT cord-016476-78r0rsio 461 34 rare rare JJ cord-016476-78r0rsio 461 35 cause cause NN cord-016476-78r0rsio 461 36 of of IN cord-016476-78r0rsio 461 37 acute acute JJ cord-016476-78r0rsio 461 38 eosinophilic eosinophilic JJ cord-016476-78r0rsio 461 39 pneumonia pneumonia NN cord-016476-78r0rsio 461 40 A a DT cord-016476-78r0rsio 461 41 case case NN cord-016476-78r0rsio 461 42 of of IN cord-016476-78r0rsio 461 43 severe severe JJ cord-016476-78r0rsio 461 44 pulmonary pulmonary JJ cord-016476-78r0rsio 461 45 infiltration infiltration NN cord-016476-78r0rsio 461 46 with with IN cord-016476-78r0rsio 461 47 eosinophilia eosinophilia NN cord-016476-78r0rsio 461 48 ( ( -LRB- cord-016476-78r0rsio 461 49 PIE pie NN cord-016476-78r0rsio 461 50 ) ) -RRB- cord-016476-78r0rsio 461 51 syndrome syndrome NN cord-016476-78r0rsio 461 52 induced induce VBN cord-016476-78r0rsio 461 53 by by IN cord-016476-78r0rsio 461 54 sulphasalazine sulphasalazine NN cord-016476-78r0rsio 461 55 Pulmonary pulmonary JJ cord-016476-78r0rsio 461 56 infiltration infiltration NN cord-016476-78r0rsio 461 57 and and CC cord-016476-78r0rsio 461 58 eosinophilia eosinophilia NN cord-016476-78r0rsio 461 59 associated associate VBN cord-016476-78r0rsio 461 60 with with IN cord-016476-78r0rsio 461 61 sulfasalazine sulfasalazine NN cord-016476-78r0rsio 461 62 therapy therapy NN cord-016476-78r0rsio 461 63 for for IN cord-016476-78r0rsio 461 64 ulcerative ulcerative JJ cord-016476-78r0rsio 461 65 colitis colitis NNP cord-016476-78r0rsio 461 66 : : : cord-016476-78r0rsio 461 67 a a DT cord-016476-78r0rsio 461 68 case case NN cord-016476-78r0rsio 461 69 report report NN cord-016476-78r0rsio 461 70 and and CC cord-016476-78r0rsio 461 71 review review NN cord-016476-78r0rsio 461 72 of of IN cord-016476-78r0rsio 461 73 literature literature NN cord-016476-78r0rsio 461 74 Sulphasalazine Sulphasalazine NNP cord-016476-78r0rsio 461 75 and and CC cord-016476-78r0rsio 461 76 lung lung NN cord-016476-78r0rsio 461 77 toxicity toxicity NN cord-016476-78r0rsio 461 78 DRESS dress NN cord-016476-78r0rsio 461 79 syndrome syndrome NN cord-016476-78r0rsio 461 80 in in IN cord-016476-78r0rsio 461 81 a a DT cord-016476-78r0rsio 461 82 patient patient NN cord-016476-78r0rsio 461 83 on on IN cord-016476-78r0rsio 461 84 sulfasalazine sulfasalazine NN cord-016476-78r0rsio 461 85 for for IN cord-016476-78r0rsio 461 86 rheumatoid rheumatoid NN cord-016476-78r0rsio 461 87 arthritis arthritis NN cord-016476-78r0rsio 461 88 Severe severe JJ cord-016476-78r0rsio 461 89 drug drug NN cord-016476-78r0rsio 461 90 hypersensitivity hypersensitivity NN cord-016476-78r0rsio 461 91 syndrome syndrome NN cord-016476-78r0rsio 461 92 due due JJ cord-016476-78r0rsio 461 93 to to IN cord-016476-78r0rsio 461 94 sulphasalazine sulphasalazine NN cord-016476-78r0rsio 461 95 in in IN cord-016476-78r0rsio 461 96 patient patient NN cord-016476-78r0rsio 461 97 with with IN cord-016476-78r0rsio 461 98 rheumatoid rheumatoid NNP cord-016476-78r0rsio 461 99 arthritis arthritis NN cord-016476-78r0rsio 461 100 Review Review NNP cord-016476-78r0rsio 461 101 series series NN cord-016476-78r0rsio 461 102 : : : cord-016476-78r0rsio 461 103 aspects aspect NNS cord-016476-78r0rsio 461 104 of of IN cord-016476-78r0rsio 461 105 interstitial interstitial JJ cord-016476-78r0rsio 461 106 lung lung NN cord-016476-78r0rsio 461 107 disease disease NN cord-016476-78r0rsio 461 108 : : : cord-016476-78r0rsio 461 109 connective connective JJ cord-016476-78r0rsio 461 110 tissue tissue NN cord-016476-78r0rsio 461 111 disease disease NN cord-016476-78r0rsio 461 112 - - HYPH cord-016476-78r0rsio 461 113 associated associate VBN cord-016476-78r0rsio 461 114 interstitial interstitial JJ cord-016476-78r0rsio 461 115 lung lung NN cord-016476-78r0rsio 461 116 disease disease NN cord-016476-78r0rsio 462 1 : : : cord-016476-78r0rsio 462 2 how how WRB cord-016476-78r0rsio 462 3 does do VBZ cord-016476-78r0rsio 462 4 it -PRON- PRP cord-016476-78r0rsio 462 5 differ differ VB cord-016476-78r0rsio 462 6 from from IN cord-016476-78r0rsio 462 7 IPF IPF NNP cord-016476-78r0rsio 462 8 ? ? . cord-016476-78r0rsio 463 1 How how WRB cord-016476-78r0rsio 463 2 should should MD cord-016476-78r0rsio 463 3 the the DT cord-016476-78r0rsio 463 4 clinical clinical JJ cord-016476-78r0rsio 463 5 approach approach NN cord-016476-78r0rsio 463 6 differ differ VB cord-016476-78r0rsio 463 7 ? ? . cord-016476-78r0rsio 464 1 Interstitial interstitial JJ cord-016476-78r0rsio 464 2 lung lung NN cord-016476-78r0rsio 464 3 disease disease NN cord-016476-78r0rsio 464 4 induced induce VBN cord-016476-78r0rsio 464 5 by by IN cord-016476-78r0rsio 464 6 hydroxychloroquine hydroxychloroquine NNP cord-016476-78r0rsio 464 7 Hydroxychloroquine Hydroxychloroquine NNP cord-016476-78r0rsio 464 8 - - HYPH cord-016476-78r0rsio 464 9 induced induce VBN cord-016476-78r0rsio 464 10 DRESS dress NN cord-016476-78r0rsio 464 11 syndrome syndrome NN cord-016476-78r0rsio 464 12 Hydroxychloroquine Hydroxychloroquine NNP cord-016476-78r0rsio 464 13 in in IN cord-016476-78r0rsio 464 14 children child NNS cord-016476-78r0rsio 464 15 with with IN cord-016476-78r0rsio 464 16 interstitial interstitial JJ cord-016476-78r0rsio 464 17 ( ( -LRB- cord-016476-78r0rsio 464 18 diffuse diffuse JJ cord-016476-78r0rsio 464 19 parenchymal parenchymal NN cord-016476-78r0rsio 464 20 ) ) -RRB- cord-016476-78r0rsio 464 21 lung lung NN cord-016476-78r0rsio 464 22 diseases disease NNS cord-016476-78r0rsio 465 1 Biologics biologic NNS cord-016476-78r0rsio 465 2 - - HYPH cord-016476-78r0rsio 465 3 induced induce VBN cord-016476-78r0rsio 465 4 autoimmune autoimmune JJ cord-016476-78r0rsio 465 5 diseases disease NNS cord-016476-78r0rsio 466 1 Autoimmune autoimmune JJ cord-016476-78r0rsio 466 2 diseases disease NNS cord-016476-78r0rsio 466 3 induced induce VBN cord-016476-78r0rsio 466 4 by by IN cord-016476-78r0rsio 466 5 TNFtargeted tnftargeted JJ cord-016476-78r0rsio 466 6 therapies therapy NNS cord-016476-78r0rsio 466 7 : : : cord-016476-78r0rsio 466 8 analysis analysis NN cord-016476-78r0rsio 466 9 of of IN cord-016476-78r0rsio 466 10 233 233 CD cord-016476-78r0rsio 466 11 cases case NNS cord-016476-78r0rsio 466 12 Role role NN cord-016476-78r0rsio 466 13 of of IN cord-016476-78r0rsio 466 14 tumor tumor NN cord-016476-78r0rsio 466 15 necrosis necrosis NN cord-016476-78r0rsio 466 16 factor factor NN cord-016476-78r0rsio 466 17 - - HYPH cord-016476-78r0rsio 466 18 alpha alpha NN cord-016476-78r0rsio 466 19 in in IN cord-016476-78r0rsio 466 20 the the DT cord-016476-78r0rsio 466 21 spontaneous spontaneous JJ cord-016476-78r0rsio 466 22 development development NN cord-016476-78r0rsio 466 23 of of IN cord-016476-78r0rsio 466 24 pulmonary pulmonary JJ cord-016476-78r0rsio 466 25 fibrosis fibrosis NN cord-016476-78r0rsio 466 26 in in IN cord-016476-78r0rsio 466 27 viable viable JJ cord-016476-78r0rsio 466 28 motheaten motheaten JJ cord-016476-78r0rsio 466 29 mutant mutant JJ cord-016476-78r0rsio 466 30 mice mice NN cord-016476-78r0rsio 466 31 Expression expression NN cord-016476-78r0rsio 466 32 and and CC cord-016476-78r0rsio 466 33 localization localization NN cord-016476-78r0rsio 466 34 of of IN cord-016476-78r0rsio 466 35 tumor tumor NN cord-016476-78r0rsio 466 36 necrosis necrosis NN cord-016476-78r0rsio 466 37 factoralpha factoralpha NNP cord-016476-78r0rsio 466 38 and and CC cord-016476-78r0rsio 466 39 its -PRON- PRP$ cord-016476-78r0rsio 466 40 mRNA mrna NN cord-016476-78r0rsio 466 41 in in IN cord-016476-78r0rsio 466 42 idiopathic idiopathic JJ cord-016476-78r0rsio 466 43 pulmonary pulmonary JJ cord-016476-78r0rsio 466 44 fibrosis fibrosis NN cord-016476-78r0rsio 466 45 A a DT cord-016476-78r0rsio 466 46 case case NN cord-016476-78r0rsio 466 47 of of IN cord-016476-78r0rsio 466 48 interstitial interstitial JJ cord-016476-78r0rsio 466 49 pneumonia pneumonia NN cord-016476-78r0rsio 466 50 induced induce VBN cord-016476-78r0rsio 466 51 by by IN cord-016476-78r0rsio 466 52 rituximab rituximab NN cord-016476-78r0rsio 466 53 therapy therapy NN cord-016476-78r0rsio 467 1 Infliximab Infliximab NNP cord-016476-78r0rsio 467 2 ( ( -LRB- cord-016476-78r0rsio 467 3 chimeric chimeric JJ cord-016476-78r0rsio 467 4 anti anti JJ cord-016476-78r0rsio 467 5 - - JJ cord-016476-78r0rsio 467 6 tumour tumour JJ cord-016476-78r0rsio 467 7 necrosis necrosis NN cord-016476-78r0rsio 467 8 factor factor NN cord-016476-78r0rsio 467 9 alpha alpha NN cord-016476-78r0rsio 467 10 monoclonal monoclonal JJ cord-016476-78r0rsio 467 11 antibody antibody NN cord-016476-78r0rsio 467 12 ) ) -RRB- cord-016476-78r0rsio 467 13 versus versus IN cord-016476-78r0rsio 467 14 placebo placebo NN cord-016476-78r0rsio 467 15 in in IN cord-016476-78r0rsio 467 16 rheumatoid rheumatoid NN cord-016476-78r0rsio 467 17 arthritis arthritis NN cord-016476-78r0rsio 467 18 patients patient NNS cord-016476-78r0rsio 467 19 receiving receive VBG cord-016476-78r0rsio 467 20 concomitant concomitant JJ cord-016476-78r0rsio 467 21 methotrexate methotrexate NNP cord-016476-78r0rsio 467 22 : : : cord-016476-78r0rsio 467 23 a a DT cord-016476-78r0rsio 467 24 randomised randomised JJ cord-016476-78r0rsio 467 25 phase phase NN cord-016476-78r0rsio 467 26 III iii CD cord-016476-78r0rsio 467 27 trial trial NN cord-016476-78r0rsio 467 28 . . . cord-016476-78r0rsio 468 1 ATTRACT attract VB cord-016476-78r0rsio 468 2 study study NN cord-016476-78r0rsio 468 3 group group NN cord-016476-78r0rsio 469 1 A a DT cord-016476-78r0rsio 469 2 comparison comparison NN cord-016476-78r0rsio 469 3 of of IN cord-016476-78r0rsio 469 4 etanercept etanercept NNP cord-016476-78r0rsio 469 5 and and CC cord-016476-78r0rsio 469 6 methotrexate methotrexate NNP cord-016476-78r0rsio 469 7 in in IN cord-016476-78r0rsio 469 8 patients patient NNS cord-016476-78r0rsio 469 9 with with IN cord-016476-78r0rsio 469 10 early early JJ cord-016476-78r0rsio 469 11 rheumatoid rheumatoid NN cord-016476-78r0rsio 469 12 arthritis arthritis NN cord-016476-78r0rsio 469 13 Etanercept Etanercept NNP cord-016476-78r0rsio 469 14 versus versus IN cord-016476-78r0rsio 469 15 methotrexate methotrexate NNP cord-016476-78r0rsio 469 16 in in IN cord-016476-78r0rsio 469 17 patients patient NNS cord-016476-78r0rsio 469 18 with with IN cord-016476-78r0rsio 469 19 early early JJ cord-016476-78r0rsio 469 20 rheumatoid rheumatoid NN cord-016476-78r0rsio 469 21 arthritis arthritis NN cord-016476-78r0rsio 469 22 : : : cord-016476-78r0rsio 469 23 two two CD cord-016476-78r0rsio 469 24 - - HYPH cord-016476-78r0rsio 469 25 year year NN cord-016476-78r0rsio 469 26 radiographic radiographic JJ cord-016476-78r0rsio 469 27 and and CC cord-016476-78r0rsio 469 28 clinical clinical JJ cord-016476-78r0rsio 469 29 outcomes outcome NNS cord-016476-78r0rsio 470 1 Longterm longterm JJ cord-016476-78r0rsio 470 2 safety safety NN cord-016476-78r0rsio 470 3 , , , cord-016476-78r0rsio 470 4 efficacy efficacy NN cord-016476-78r0rsio 470 5 , , , cord-016476-78r0rsio 470 6 and and CC cord-016476-78r0rsio 470 7 radiographic radiographic JJ cord-016476-78r0rsio 470 8 outcome outcome NN cord-016476-78r0rsio 470 9 with with IN cord-016476-78r0rsio 470 10 etanercept etanercept NNP cord-016476-78r0rsio 470 11 treatment treatment NN cord-016476-78r0rsio 470 12 in in IN cord-016476-78r0rsio 470 13 patients patient NNS cord-016476-78r0rsio 470 14 with with IN cord-016476-78r0rsio 470 15 early early JJ cord-016476-78r0rsio 470 16 rheumatoid rheumatoid NN cord-016476-78r0rsio 470 17 arthritis arthritis NN cord-016476-78r0rsio 470 18 Etanercept Etanercept NNP cord-016476-78r0rsio 470 19 treatment treatment NN cord-016476-78r0rsio 470 20 in in IN cord-016476-78r0rsio 470 21 adults adult NNS cord-016476-78r0rsio 470 22 with with IN cord-016476-78r0rsio 470 23 established establish VBN cord-016476-78r0rsio 470 24 rheumatoid rheumatoid JJ cord-016476-78r0rsio 470 25 arthritis arthritis NN cord-016476-78r0rsio 470 26 : : : cord-016476-78r0rsio 470 27 7 7 CD cord-016476-78r0rsio 470 28 years year NNS cord-016476-78r0rsio 470 29 of of IN cord-016476-78r0rsio 470 30 clinical clinical JJ cord-016476-78r0rsio 470 31 experience experience NN cord-016476-78r0rsio 471 1 The the DT cord-016476-78r0rsio 471 2 PREMIER PREMIER NNP cord-016476-78r0rsio 471 3 study study NN cord-016476-78r0rsio 471 4 : : : cord-016476-78r0rsio 471 5 a a DT cord-016476-78r0rsio 471 6 multicenter multicenter NN cord-016476-78r0rsio 471 7 , , , cord-016476-78r0rsio 471 8 randomized randomized JJ cord-016476-78r0rsio 471 9 , , , cord-016476-78r0rsio 471 10 double double JJ cord-016476-78r0rsio 471 11 - - HYPH cord-016476-78r0rsio 471 12 blind blind JJ cord-016476-78r0rsio 471 13 clinical clinical JJ cord-016476-78r0rsio 471 14 trial trial NN cord-016476-78r0rsio 471 15 of of IN cord-016476-78r0rsio 471 16 combination combination NN cord-016476-78r0rsio 471 17 therapy therapy NN cord-016476-78r0rsio 471 18 with with IN cord-016476-78r0rsio 471 19 adalimumab adalimumab NNP cord-016476-78r0rsio 471 20 plus plus CC cord-016476-78r0rsio 471 21 methotrexate methotrexate NNP cord-016476-78r0rsio 471 22 versus versus IN cord-016476-78r0rsio 471 23 methotrexate methotrexate NNP cord-016476-78r0rsio 471 24 alone alone RB cord-016476-78r0rsio 471 25 or or CC cord-016476-78r0rsio 471 26 adalimumab adalimumab NNS cord-016476-78r0rsio 471 27 alone alone JJ cord-016476-78r0rsio 471 28 in in IN cord-016476-78r0rsio 471 29 patients patient NNS cord-016476-78r0rsio 471 30 with with IN cord-016476-78r0rsio 471 31 early early JJ cord-016476-78r0rsio 471 32 , , , cord-016476-78r0rsio 471 33 aggressive aggressive JJ cord-016476-78r0rsio 471 34 rheumatoid rheumatoid NN cord-016476-78r0rsio 471 35 arthritis arthritis NN cord-016476-78r0rsio 471 36 who who WP cord-016476-78r0rsio 471 37 had have VBD cord-016476-78r0rsio 471 38 not not RB cord-016476-78r0rsio 471 39 had have VBN cord-016476-78r0rsio 471 40 previo previo NNP cord-016476-78r0rsio 471 41 Adalimumab Adalimumab NNP cord-016476-78r0rsio 471 42 alone alone RB cord-016476-78r0rsio 471 43 and and CC cord-016476-78r0rsio 471 44 in in IN cord-016476-78r0rsio 471 45 combination combination NN cord-016476-78r0rsio 471 46 with with IN cord-016476-78r0rsio 471 47 disease disease NN cord-016476-78r0rsio 471 48 - - HYPH cord-016476-78r0rsio 471 49 modifying modify VBG cord-016476-78r0rsio 471 50 antirheumatic antirheumatic JJ cord-016476-78r0rsio 471 51 drugs drug NNS cord-016476-78r0rsio 471 52 for for IN cord-016476-78r0rsio 471 53 the the DT cord-016476-78r0rsio 471 54 treatment treatment NN cord-016476-78r0rsio 471 55 of of IN cord-016476-78r0rsio 471 56 rheumatoid rheumatoid JJ cord-016476-78r0rsio 471 57 arthritis arthritis NN cord-016476-78r0rsio 471 58 in in IN cord-016476-78r0rsio 471 59 clinical clinical JJ cord-016476-78r0rsio 471 60 practice practice NN cord-016476-78r0rsio 471 61 : : : cord-016476-78r0rsio 471 62 the the DT cord-016476-78r0rsio 471 63 research research NN cord-016476-78r0rsio 471 64 in in IN cord-016476-78r0rsio 471 65 active active JJ cord-016476-78r0rsio 471 66 rheumatoid rheumatoid NN cord-016476-78r0rsio 471 67 arthritis arthritis NN cord-016476-78r0rsio 471 68 ( ( -LRB- cord-016476-78r0rsio 471 69 ReAct ReAct NNP cord-016476-78r0rsio 471 70 ) ) -RRB- cord-016476-78r0rsio 471 71 trial trial NN cord-016476-78r0rsio 471 72 Golimumab Golimumab NNP cord-016476-78r0rsio 471 73 , , , cord-016476-78r0rsio 471 74 a a DT cord-016476-78r0rsio 471 75 human human JJ cord-016476-78r0rsio 471 76 anti anti JJ cord-016476-78r0rsio 471 77 - - JJ cord-016476-78r0rsio 471 78 tumor tumor JJ cord-016476-78r0rsio 471 79 necrosis necrosis NN cord-016476-78r0rsio 471 80 factor factor NN cord-016476-78r0rsio 471 81 alpha alpha NN cord-016476-78r0rsio 471 82 monoclonal monoclonal JJ cord-016476-78r0rsio 471 83 antibody antibody NN cord-016476-78r0rsio 471 84 , , , cord-016476-78r0rsio 471 85 injected inject VBN cord-016476-78r0rsio 471 86 subcutaneously subcutaneously RB cord-016476-78r0rsio 471 87 every every DT cord-016476-78r0rsio 471 88 four four CD cord-016476-78r0rsio 471 89 weeks week NNS cord-016476-78r0rsio 471 90 in in IN cord-016476-78r0rsio 471 91 methotrexatenaive methotrexatenaive JJ cord-016476-78r0rsio 471 92 patients patient NNS cord-016476-78r0rsio 471 93 with with IN cord-016476-78r0rsio 471 94 active active JJ cord-016476-78r0rsio 471 95 rheumatoid rheumatoid NN cord-016476-78r0rsio 471 96 arthritis arthritis NN cord-016476-78r0rsio 471 97 : : : cord-016476-78r0rsio 471 98 twenty twenty CD cord-016476-78r0rsio 471 99 - - HYPH cord-016476-78r0rsio 471 100 four four CD cord-016476-78r0rsio 471 101 - - HYPH cord-016476-78r0rsio 471 102 week week NN cord-016476-78r0rsio 471 103 results result NNS cord-016476-78r0rsio 471 104 of of IN cord-016476-78r0rsio 471 105 a a DT cord-016476-78r0rsio 471 106 phase phase NN cord-016476-78r0rsio 471 107 III iii CD cord-016476-78r0rsio 471 108 , , , cord-016476-78r0rsio 471 109 multicenter multicenter JJ cord-016476-78r0rsio 471 110 , , , cord-016476-78r0rsio 471 111 randomized randomized JJ cord-016476-78r0rsio 471 112 , , , cord-016476-78r0rsio 471 113 double double JJ cord-016476-78r0rsio 471 114 - - HYPH cord-016476-78r0rsio 471 115 bli bli NNP cord-016476-78r0rsio 471 116 Golimumab Golimumab NNP cord-016476-78r0rsio 471 117 , , , cord-016476-78r0rsio 471 118 a a DT cord-016476-78r0rsio 471 119 human human JJ cord-016476-78r0rsio 471 120 antibody antibody NN cord-016476-78r0rsio 471 121 to to TO cord-016476-78r0rsio 471 122 tumour tumour VB cord-016476-78r0rsio 471 123 necrosis necrosis NN cord-016476-78r0rsio 471 124 factor factor NN cord-016476-78r0rsio 471 125 { { -LRB- cord-016476-78r0rsio 471 126 alpha alpha NN cord-016476-78r0rsio 471 127 } } -RRB- cord-016476-78r0rsio 471 128 given give VBN cord-016476-78r0rsio 471 129 by by IN cord-016476-78r0rsio 471 130 monthly monthly JJ cord-016476-78r0rsio 471 131 subcutaneous subcutaneous JJ cord-016476-78r0rsio 471 132 injections injection NNS cord-016476-78r0rsio 471 133 , , , cord-016476-78r0rsio 471 134 in in IN cord-016476-78r0rsio 471 135 active active JJ cord-016476-78r0rsio 471 136 rheumatoid rheumatoid NN cord-016476-78r0rsio 471 137 arthritis arthritis NN cord-016476-78r0rsio 471 138 despite despite IN cord-016476-78r0rsio 471 139 methotrexate methotrexate NNP cord-016476-78r0rsio 471 140 therapy therapy NNP cord-016476-78r0rsio 471 141 : : : cord-016476-78r0rsio 471 142 the the DT cord-016476-78r0rsio 471 143 GO GO NNP cord-016476-78r0rsio 471 144 - - HYPH cord-016476-78r0rsio 471 145 FORWARD FORWARD NNP cord-016476-78r0rsio 471 146 study study NN cord-016476-78r0rsio 471 147 Golimumab Golimumab NNP cord-016476-78r0rsio 471 148 in in IN cord-016476-78r0rsio 471 149 patients patient NNS cord-016476-78r0rsio 471 150 with with IN cord-016476-78r0rsio 471 151 active active JJ cord-016476-78r0rsio 471 152 rheumatoid rheumatoid NN cord-016476-78r0rsio 471 153 arthritis arthritis NN cord-016476-78r0rsio 471 154 who who WP cord-016476-78r0rsio 471 155 have have VBP cord-016476-78r0rsio 471 156 previous previous JJ cord-016476-78r0rsio 471 157 experience experience NN cord-016476-78r0rsio 471 158 with with IN cord-016476-78r0rsio 471 159 tumour tumour NN cord-016476-78r0rsio 471 160 necrosis necrosis NN cord-016476-78r0rsio 471 161 factor factor NN cord-016476-78r0rsio 471 162 inhibitors inhibitor NNS cord-016476-78r0rsio 471 163 : : : cord-016476-78r0rsio 471 164 results result NNS cord-016476-78r0rsio 471 165 of of IN cord-016476-78r0rsio 471 166 a a DT cord-016476-78r0rsio 471 167 long long JJ cord-016476-78r0rsio 471 168 - - HYPH cord-016476-78r0rsio 471 169 term term NN cord-016476-78r0rsio 471 170 extension extension NN cord-016476-78r0rsio 471 171 of of IN cord-016476-78r0rsio 471 172 the the DT cord-016476-78r0rsio 471 173 randomised randomised JJ cord-016476-78r0rsio 471 174 , , , cord-016476-78r0rsio 471 175 double double JJ cord-016476-78r0rsio 471 176 - - HYPH cord-016476-78r0rsio 471 177 blind blind JJ cord-016476-78r0rsio 471 178 , , , cord-016476-78r0rsio 471 179 placebo placebo NN cord-016476-78r0rsio 471 180 - - HYPH cord-016476-78r0rsio 471 181 controlled control VBN cord-016476-78r0rsio 471 182 GO GO NNP cord-016476-78r0rsio 471 183 - - HYPH cord-016476-78r0rsio 471 184 AFTER after IN cord-016476-78r0rsio 471 185 study study NN cord-016476-78r0rsio 471 186 through through IN cord-016476-78r0rsio 471 187 week week NN cord-016476-78r0rsio 471 188 160 160 CD cord-016476-78r0rsio 471 189 Golimumab Golimumab NNPS cord-016476-78r0rsio 471 190 in in IN cord-016476-78r0rsio 471 191 patients patient NNS cord-016476-78r0rsio 471 192 with with IN cord-016476-78r0rsio 471 193 active active JJ cord-016476-78r0rsio 471 194 rheumatoid rheumatoid NN cord-016476-78r0rsio 471 195 arthritis arthritis NN cord-016476-78r0rsio 471 196 after after IN cord-016476-78r0rsio 471 197 treatment treatment NN cord-016476-78r0rsio 471 198 with with IN cord-016476-78r0rsio 471 199 tumor tumor NN cord-016476-78r0rsio 471 200 necrosis necrosis NN cord-016476-78r0rsio 471 201 factor factor NN cord-016476-78r0rsio 472 1 α α NNP cord-016476-78r0rsio 472 2 inhibitors inhibitor NNS cord-016476-78r0rsio 472 3 : : : cord-016476-78r0rsio 472 4 findings finding NNS cord-016476-78r0rsio 472 5 with with IN cord-016476-78r0rsio 472 6 up up IN cord-016476-78r0rsio 472 7 to to TO cord-016476-78r0rsio 472 8 five five CD cord-016476-78r0rsio 472 9 years year NNS cord-016476-78r0rsio 472 10 of of IN cord-016476-78r0rsio 472 11 treatment treatment NN cord-016476-78r0rsio 472 12 in in IN cord-016476-78r0rsio 472 13 the the DT cord-016476-78r0rsio 472 14 multicenter multicenter NN cord-016476-78r0rsio 472 15 , , , cord-016476-78r0rsio 472 16 randomized randomized JJ cord-016476-78r0rsio 472 17 , , , cord-016476-78r0rsio 472 18 double double JJ cord-016476-78r0rsio 472 19 - - HYPH cord-016476-78r0rsio 472 20 blind blind JJ cord-016476-78r0rsio 472 21 , , , cord-016476-78r0rsio 472 22 placebo placebo NN cord-016476-78r0rsio 472 23 - - HYPH cord-016476-78r0rsio 472 24 controlled control VBN cord-016476-78r0rsio 472 25 , , , cord-016476-78r0rsio 472 26 phase phase NN cord-016476-78r0rsio 472 27 3 3 CD cord-016476-78r0rsio 472 28 GO go VB cord-016476-78r0rsio 472 29 - - HYPH cord-016476-78r0rsio 472 30 AFTER after IN cord-016476-78r0rsio 472 31 study study NN cord-016476-78r0rsio 473 1 Certolizumab Certolizumab NNP cord-016476-78r0rsio 473 2 pegol pegol NNP cord-016476-78r0rsio 473 3 plus plus CC cord-016476-78r0rsio 473 4 methotrexate methotrexate NNP cord-016476-78r0rsio 473 5 is be VBZ cord-016476-78r0rsio 473 6 significantly significantly RB cord-016476-78r0rsio 473 7 more more RBR cord-016476-78r0rsio 473 8 effective effective JJ cord-016476-78r0rsio 473 9 than than IN cord-016476-78r0rsio 473 10 placebo placebo NN cord-016476-78r0rsio 473 11 plus plus CC cord-016476-78r0rsio 473 12 methotrexate methotrexate NNP cord-016476-78r0rsio 473 13 in in IN cord-016476-78r0rsio 473 14 active active JJ cord-016476-78r0rsio 473 15 rheumatoid rheumatoid NN cord-016476-78r0rsio 473 16 arthritis arthritis NN cord-016476-78r0rsio 473 17 : : : cord-016476-78r0rsio 473 18 findings finding NNS cord-016476-78r0rsio 473 19 of of IN cord-016476-78r0rsio 473 20 a a DT cord-016476-78r0rsio 473 21 fifty fifty CD cord-016476-78r0rsio 473 22 - - HYPH cord-016476-78r0rsio 473 23 two two CD cord-016476-78r0rsio 473 24 - - HYPH cord-016476-78r0rsio 473 25 week week NN cord-016476-78r0rsio 473 26 , , , cord-016476-78r0rsio 473 27 phase phase NN cord-016476-78r0rsio 473 28 III III NNP cord-016476-78r0rsio 473 29 , , , cord-016476-78r0rsio 473 30 multicenter multicenter JJ cord-016476-78r0rsio 473 31 , , , cord-016476-78r0rsio 473 32 randomized randomized JJ cord-016476-78r0rsio 473 33 , , , cord-016476-78r0rsio 473 34 double double JJ cord-016476-78r0rsio 473 35 - - HYPH cord-016476-78r0rsio 473 36 blind blind JJ cord-016476-78r0rsio 473 37 , , , cord-016476-78r0rsio 473 38 placebo placebo NN cord-016476-78r0rsio 473 39 - - HYPH cord-016476-78r0rsio 473 40 controlled control VBN cord-016476-78r0rsio 473 41 , , , cord-016476-78r0rsio 473 42 parallel parallel JJ cord-016476-78r0rsio 473 43 - - HYPH cord-016476-78r0rsio 473 44 group group NN cord-016476-78r0rsio 473 45 study study NN cord-016476-78r0rsio 473 46 Efficacy Efficacy NNP cord-016476-78r0rsio 473 47 and and CC cord-016476-78r0rsio 473 48 safety safety NN cord-016476-78r0rsio 473 49 of of IN cord-016476-78r0rsio 473 50 certolizumab certolizumab NNP cord-016476-78r0rsio 473 51 pegol pegol NNP cord-016476-78r0rsio 473 52 plus plus CC cord-016476-78r0rsio 473 53 methotrexate methotrexate NNP cord-016476-78r0rsio 473 54 in in IN cord-016476-78r0rsio 473 55 active active JJ cord-016476-78r0rsio 473 56 rheumatoid rheumatoid NN cord-016476-78r0rsio 473 57 arthritis arthritis NN cord-016476-78r0rsio 473 58 : : : cord-016476-78r0rsio 473 59 the the DT cord-016476-78r0rsio 473 60 RAPID rapid JJ cord-016476-78r0rsio 473 61 2 2 CD cord-016476-78r0rsio 473 62 study study NN cord-016476-78r0rsio 473 63 . . . cord-016476-78r0rsio 474 1 A a DT cord-016476-78r0rsio 474 2 randomised randomised JJ cord-016476-78r0rsio 474 3 controlled control VBN cord-016476-78r0rsio 474 4 trial trial NN cord-016476-78r0rsio 474 5 Long long JJ cord-016476-78r0rsio 474 6 - - HYPH cord-016476-78r0rsio 474 7 term term NN cord-016476-78r0rsio 474 8 safety safety NN cord-016476-78r0rsio 474 9 and and CC cord-016476-78r0rsio 474 10 efficacy efficacy NN cord-016476-78r0rsio 474 11 of of IN cord-016476-78r0rsio 474 12 certolizumab certolizumab NNP cord-016476-78r0rsio 474 13 pegol pegol NNP cord-016476-78r0rsio 474 14 in in IN cord-016476-78r0rsio 474 15 combination combination NN cord-016476-78r0rsio 474 16 with with IN cord-016476-78r0rsio 474 17 methotrexate methotrexate NNP cord-016476-78r0rsio 474 18 in in IN cord-016476-78r0rsio 474 19 the the DT cord-016476-78r0rsio 474 20 treatment treatment NN cord-016476-78r0rsio 474 21 of of IN cord-016476-78r0rsio 474 22 rheumatoid rheumatoid NNP cord-016476-78r0rsio 474 23 arthritis arthritis NN cord-016476-78r0rsio 474 24 : : : cord-016476-78r0rsio 475 1 5-year 5-year CD cord-016476-78r0rsio 475 2 results result NNS cord-016476-78r0rsio 475 3 from from IN cord-016476-78r0rsio 475 4 the the DT cord-016476-78r0rsio 475 5 RAPID rapid JJ cord-016476-78r0rsio 475 6 1 1 CD cord-016476-78r0rsio 475 7 trial trial NN cord-016476-78r0rsio 475 8 and and CC cord-016476-78r0rsio 475 9 open open JJ cord-016476-78r0rsio 475 10 - - HYPH cord-016476-78r0rsio 475 11 label label NN cord-016476-78r0rsio 475 12 extension extension NN cord-016476-78r0rsio 475 13 Fatal fatal JJ cord-016476-78r0rsio 475 14 exacerbation exacerbation NN cord-016476-78r0rsio 475 15 of of IN cord-016476-78r0rsio 475 16 rheumatoid rheumatoid JJ cord-016476-78r0rsio 475 17 arthritis arthritis NN cord-016476-78r0rsio 475 18 associated associate VBD cord-016476-78r0rsio 475 19 fibrosing fibrose VBG cord-016476-78r0rsio 475 20 alveolitis alveolitis NNP cord-016476-78r0rsio 475 21 in in IN cord-016476-78r0rsio 475 22 patients patient NNS cord-016476-78r0rsio 475 23 given give VBN cord-016476-78r0rsio 475 24 infliximab infliximab JJ cord-016476-78r0rsio 475 25 Pulmonary pulmonary JJ cord-016476-78r0rsio 475 26 complications complication NNS cord-016476-78r0rsio 475 27 of of IN cord-016476-78r0rsio 475 28 infliximab infliximab JJ cord-016476-78r0rsio 475 29 therapy therapy NN cord-016476-78r0rsio 475 30 in in IN cord-016476-78r0rsio 475 31 patients patient NNS cord-016476-78r0rsio 475 32 with with IN cord-016476-78r0rsio 475 33 rheumatoid rheumatoid NN cord-016476-78r0rsio 475 34 arthritis arthritis NN cord-016476-78r0rsio 475 35 Interstitial Interstitial NNP cord-016476-78r0rsio 475 36 lung lung NN cord-016476-78r0rsio 475 37 disease disease NN cord-016476-78r0rsio 475 38 induced induce VBN cord-016476-78r0rsio 475 39 or or CC cord-016476-78r0rsio 475 40 exacerbated exacerbate VBN cord-016476-78r0rsio 475 41 by by IN cord-016476-78r0rsio 475 42 TNF TNF NNP cord-016476-78r0rsio 475 43 - - HYPH cord-016476-78r0rsio 475 44 targeted target VBN cord-016476-78r0rsio 475 45 therapies therapy NNS cord-016476-78r0rsio 475 46 : : : cord-016476-78r0rsio 475 47 analysis analysis NN cord-016476-78r0rsio 475 48 of of IN cord-016476-78r0rsio 475 49 122 122 CD cord-016476-78r0rsio 475 50 cases case NNS cord-016476-78r0rsio 475 51 Interstitial interstitial JJ cord-016476-78r0rsio 475 52 lung lung NN cord-016476-78r0rsio 475 53 disease disease NN cord-016476-78r0rsio 475 54 following follow VBG cord-016476-78r0rsio 475 55 certolizumab certolizumab NNP cord-016476-78r0rsio 475 56 pegol pegol NNP cord-016476-78r0rsio 475 57 A a DT cord-016476-78r0rsio 475 58 case case NN cord-016476-78r0rsio 475 59 of of IN cord-016476-78r0rsio 475 60 certolizumab certolizumab NNP cord-016476-78r0rsio 475 61 - - HYPH cord-016476-78r0rsio 475 62 induced induce VBN cord-016476-78r0rsio 475 63 interstitial interstitial JJ cord-016476-78r0rsio 475 64 lung lung NN cord-016476-78r0rsio 475 65 disease disease NN cord-016476-78r0rsio 475 66 in in IN cord-016476-78r0rsio 475 67 a a DT cord-016476-78r0rsio 475 68 patient patient NN cord-016476-78r0rsio 475 69 with with IN cord-016476-78r0rsio 475 70 rheumatoid rheumatoid NN cord-016476-78r0rsio 475 71 arthritis arthritis NN cord-016476-78r0rsio 475 72 Severe severe JJ cord-016476-78r0rsio 475 73 interstitial interstitial JJ cord-016476-78r0rsio 475 74 lung lung NN cord-016476-78r0rsio 475 75 disease disease NN cord-016476-78r0rsio 475 76 following follow VBG cord-016476-78r0rsio 475 77 treatment treatment NN cord-016476-78r0rsio 475 78 with with IN cord-016476-78r0rsio 475 79 certolizumab certolizumab NNP cord-016476-78r0rsio 475 80 pegol pegol NNP cord-016476-78r0rsio 475 81 : : : cord-016476-78r0rsio 475 82 a a DT cord-016476-78r0rsio 475 83 case case NN cord-016476-78r0rsio 475 84 report report NN cord-016476-78r0rsio 475 85 Acute acute JJ cord-016476-78r0rsio 475 86 exacerbation exacerbation NN cord-016476-78r0rsio 475 87 of of IN cord-016476-78r0rsio 475 88 rheumatoid rheumatoid NNP cord-016476-78r0rsio 475 89 interstitial interstitial JJ cord-016476-78r0rsio 475 90 lung lung NN cord-016476-78r0rsio 475 91 disease disease NN cord-016476-78r0rsio 475 92 during during IN cord-016476-78r0rsio 475 93 the the DT cord-016476-78r0rsio 475 94 maintenance maintenance NN cord-016476-78r0rsio 475 95 therapy therapy NN cord-016476-78r0rsio 475 96 with with IN cord-016476-78r0rsio 475 97 certolizumab certolizumab NNP cord-016476-78r0rsio 475 98 pegol pegol NNP cord-016476-78r0rsio 475 99 Non non JJ cord-016476-78r0rsio 475 100 - - JJ cord-016476-78r0rsio 475 101 infectious infectious JJ cord-016476-78r0rsio 475 102 pulmonary pulmonary JJ cord-016476-78r0rsio 475 103 complications complication NNS cord-016476-78r0rsio 475 104 of of IN cord-016476-78r0rsio 475 105 newer new JJR cord-016476-78r0rsio 475 106 biological biological JJ cord-016476-78r0rsio 475 107 agents agent NNS cord-016476-78r0rsio 475 108 for for IN cord-016476-78r0rsio 475 109 rheumatic rheumatic JJ cord-016476-78r0rsio 475 110 diseases disease NNS cord-016476-78r0rsio 475 111 - - : cord-016476-78r0rsio 475 112 a a DT cord-016476-78r0rsio 475 113 systematic systematic JJ cord-016476-78r0rsio 475 114 literature literature NN cord-016476-78r0rsio 475 115 review review NN cord-016476-78r0rsio 475 116 Fatal fatal JJ cord-016476-78r0rsio 475 117 fibrosing fibrose VBG cord-016476-78r0rsio 475 118 alveolitis alveolitis NNP cord-016476-78r0rsio 475 119 with with IN cord-016476-78r0rsio 475 120 certolizumab certolizumab NNP cord-016476-78r0rsio 475 121 Infliximab Infliximab NNP cord-016476-78r0rsio 475 122 treatment treatment NN cord-016476-78r0rsio 475 123 in in IN cord-016476-78r0rsio 475 124 a a DT cord-016476-78r0rsio 475 125 patient patient NN cord-016476-78r0rsio 475 126 with with IN cord-016476-78r0rsio 475 127 rheumatoid rheumatoid NN cord-016476-78r0rsio 475 128 arthritis arthritis NN cord-016476-78r0rsio 475 129 and and CC cord-016476-78r0rsio 475 130 pulmonary pulmonary JJ cord-016476-78r0rsio 475 131 fibrosis fibrosis NN cord-016476-78r0rsio 476 1 Clinical clinical JJ cord-016476-78r0rsio 476 2 response response NN cord-016476-78r0rsio 476 3 of of IN cord-016476-78r0rsio 476 4 rheumatoid rheumatoid JJ cord-016476-78r0rsio 476 5 arthritis arthritis NN cord-016476-78r0rsio 476 6 - - HYPH cord-016476-78r0rsio 476 7 associated associate VBN cord-016476-78r0rsio 476 8 pulmonary pulmonary JJ cord-016476-78r0rsio 476 9 fibrosis fibrosis NN cord-016476-78r0rsio 476 10 to to TO cord-016476-78r0rsio 476 11 tumor tumor NN cord-016476-78r0rsio 476 12 necrosis necrosis NN cord-016476-78r0rsio 476 13 factor factor NN cord-016476-78r0rsio 476 14 - - HYPH cord-016476-78r0rsio 476 15 alpha alpha NN cord-016476-78r0rsio 476 16 inhibition inhibition NN cord-016476-78r0rsio 477 1 Infliximab Infliximab NNP cord-016476-78r0rsio 477 2 therapy therapy NN cord-016476-78r0rsio 477 3 in in IN cord-016476-78r0rsio 477 4 pulmonary pulmonary JJ cord-016476-78r0rsio 477 5 fibrosis fibrosis NN cord-016476-78r0rsio 477 6 associated associate VBN cord-016476-78r0rsio 477 7 with with IN cord-016476-78r0rsio 477 8 collagen collagen NN cord-016476-78r0rsio 477 9 vascular vascular JJ cord-016476-78r0rsio 477 10 disease disease NN cord-016476-78r0rsio 477 11 Rheumatoid Rheumatoid NNP cord-016476-78r0rsio 477 12 arthritis arthritis NN cord-016476-78r0rsio 477 13 treatment treatment NN cord-016476-78r0rsio 477 14 and and CC cord-016476-78r0rsio 477 15 the the DT cord-016476-78r0rsio 477 16 risk risk NN cord-016476-78r0rsio 477 17 of of IN cord-016476-78r0rsio 477 18 severe severe JJ cord-016476-78r0rsio 477 19 interstitial interstitial JJ cord-016476-78r0rsio 477 20 lung lung NN cord-016476-78r0rsio 477 21 disease disease NNP cord-016476-78r0rsio 477 22 Association Association NNP cord-016476-78r0rsio 477 23 between between IN cord-016476-78r0rsio 477 24 anti anti JJ cord-016476-78r0rsio 477 25 - - JJ cord-016476-78r0rsio 477 26 TNF tnf JJ cord-016476-78r0rsio 477 27 - - HYPH cord-016476-78r0rsio 477 28 alpha alpha NN cord-016476-78r0rsio 477 29 therapy therapy NN cord-016476-78r0rsio 477 30 and and CC cord-016476-78r0rsio 477 31 interstitial interstitial JJ cord-016476-78r0rsio 477 32 lung lung NN cord-016476-78r0rsio 477 33 disease disease NN cord-016476-78r0rsio 477 34 Incidence Incidence NNP cord-016476-78r0rsio 477 35 and and CC cord-016476-78r0rsio 477 36 complications complication NNS cord-016476-78r0rsio 477 37 of of IN cord-016476-78r0rsio 477 38 interstitial interstitial JJ cord-016476-78r0rsio 477 39 lung lung NN cord-016476-78r0rsio 477 40 disease disease NN cord-016476-78r0rsio 477 41 in in IN cord-016476-78r0rsio 477 42 users user NNS cord-016476-78r0rsio 477 43 of of IN cord-016476-78r0rsio 477 44 tocilizumab tocilizumab NNP cord-016476-78r0rsio 477 45 , , , cord-016476-78r0rsio 477 46 rituximab rituximab NN cord-016476-78r0rsio 477 47 , , , cord-016476-78r0rsio 477 48 abatacept abatacept NNP cord-016476-78r0rsio 477 49 and and CC cord-016476-78r0rsio 477 50 anti anti JJ cord-016476-78r0rsio 477 51 - - JJ cord-016476-78r0rsio 477 52 tumor tumor JJ cord-016476-78r0rsio 477 53 necrosis necrosis NN cord-016476-78r0rsio 477 54 factor factor NN cord-016476-78r0rsio 478 1 α α NNP cord-016476-78r0rsio 478 2 agents agent NNS cord-016476-78r0rsio 478 3 , , , cord-016476-78r0rsio 478 4 a a DT cord-016476-78r0rsio 478 5 retrospective retrospective JJ cord-016476-78r0rsio 478 6 cohort cohort NN cord-016476-78r0rsio 478 7 study study NN cord-016476-78r0rsio 478 8 Potential potential JJ cord-016476-78r0rsio 478 9 risk risk NN cord-016476-78r0rsio 478 10 of of IN cord-016476-78r0rsio 478 11 TNF TNF NNP cord-016476-78r0rsio 478 12 inhibitors inhibitor NNS cord-016476-78r0rsio 478 13 on on IN cord-016476-78r0rsio 478 14 the the DT cord-016476-78r0rsio 478 15 progression progression NN cord-016476-78r0rsio 478 16 of of IN cord-016476-78r0rsio 478 17 interstitial interstitial JJ cord-016476-78r0rsio 478 18 lung lung NN cord-016476-78r0rsio 478 19 disease disease NN cord-016476-78r0rsio 478 20 in in IN cord-016476-78r0rsio 478 21 patients patient NNS cord-016476-78r0rsio 478 22 with with IN cord-016476-78r0rsio 478 23 rheumatoid rheumatoid NN cord-016476-78r0rsio 478 24 arthritis arthritis NN cord-016476-78r0rsio 478 25 Influence influence NN cord-016476-78r0rsio 478 26 of of IN cord-016476-78r0rsio 478 27 anti anti JJ cord-016476-78r0rsio 478 28 - - JJ cord-016476-78r0rsio 478 29 TNF tnf JJ cord-016476-78r0rsio 478 30 therapy therapy NN cord-016476-78r0rsio 478 31 on on IN cord-016476-78r0rsio 478 32 mortality mortality NN cord-016476-78r0rsio 478 33 in in IN cord-016476-78r0rsio 478 34 patients patient NNS cord-016476-78r0rsio 478 35 with with IN cord-016476-78r0rsio 478 36 rheumatoid rheumatoid NN cord-016476-78r0rsio 478 37 arthritis arthritis NN cord-016476-78r0rsio 478 38 - - HYPH cord-016476-78r0rsio 478 39 associated associate VBN cord-016476-78r0rsio 478 40 interstitial interstitial JJ cord-016476-78r0rsio 478 41 lung lung NN cord-016476-78r0rsio 478 42 disease disease NN cord-016476-78r0rsio 478 43 : : : cord-016476-78r0rsio 479 1 results result NNS cord-016476-78r0rsio 479 2 from from IN cord-016476-78r0rsio 479 3 the the DT cord-016476-78r0rsio 479 4 British British NNP cord-016476-78r0rsio 479 5 Society Society NNP cord-016476-78r0rsio 479 6 for for IN cord-016476-78r0rsio 479 7 Rheumatology Rheumatology NNP cord-016476-78r0rsio 479 8 biologics biologic NNS cord-016476-78r0rsio 479 9 register register VBP cord-016476-78r0rsio 479 10 The the DT cord-016476-78r0rsio 479 11 role role NN cord-016476-78r0rsio 479 12 of of IN cord-016476-78r0rsio 479 13 biosimilars biosimilar NNS cord-016476-78r0rsio 479 14 in in IN cord-016476-78r0rsio 479 15 the the DT cord-016476-78r0rsio 479 16 treatment treatment NN cord-016476-78r0rsio 479 17 of of IN cord-016476-78r0rsio 479 18 rheumatic rheumatic JJ cord-016476-78r0rsio 479 19 diseases disease NNS cord-016476-78r0rsio 480 1 A a DT cord-016476-78r0rsio 480 2 randomised randomised JJ cord-016476-78r0rsio 480 3 , , , cord-016476-78r0rsio 480 4 double double JJ cord-016476-78r0rsio 480 5 - - HYPH cord-016476-78r0rsio 480 6 blind blind JJ cord-016476-78r0rsio 480 7 , , , cord-016476-78r0rsio 480 8 parallel parallel JJ cord-016476-78r0rsio 480 9 - - HYPH cord-016476-78r0rsio 480 10 group group NN cord-016476-78r0rsio 480 11 study study NN cord-016476-78r0rsio 480 12 to to TO cord-016476-78r0rsio 480 13 demonstrate demonstrate VB cord-016476-78r0rsio 480 14 equivalence equivalence NN cord-016476-78r0rsio 480 15 in in IN cord-016476-78r0rsio 480 16 efficacy efficacy NN cord-016476-78r0rsio 480 17 and and CC cord-016476-78r0rsio 480 18 safety safety NN cord-016476-78r0rsio 480 19 of of IN cord-016476-78r0rsio 480 20 CT CT NNP cord-016476-78r0rsio 480 21 - - HYPH cord-016476-78r0rsio 480 22 P13 P13 NNP cord-016476-78r0rsio 480 23 compared compare VBN cord-016476-78r0rsio 480 24 with with IN cord-016476-78r0rsio 480 25 innovator innovator NN cord-016476-78r0rsio 480 26 infliximab infliximab VBD cord-016476-78r0rsio 480 27 when when WRB cord-016476-78r0rsio 480 28 coadministered coadministere VBN cord-016476-78r0rsio 480 29 with with IN cord-016476-78r0rsio 480 30 methotrexate methotrexate NNP cord-016476-78r0rsio 480 31 in in IN cord-016476-78r0rsio 480 32 patients patient NNS cord-016476-78r0rsio 480 33 with with IN cord-016476-78r0rsio 480 34 active active JJ cord-016476-78r0rsio 480 35 rheumatoid rheumatoid NN cord-016476-78r0rsio 480 36 arthritis arthritis NN cord-016476-78r0rsio 480 37 : : : cord-016476-78r0rsio 481 1 the the DT cord-016476-78r0rsio 481 2 PLANETRA PLANETRA NNP cord-016476-78r0rsio 481 3 study study VBP cord-016476-78r0rsio 481 4 A a DT cord-016476-78r0rsio 481 5 phase phase NN cord-016476-78r0rsio 481 6 III iii CD cord-016476-78r0rsio 481 7 randomized randomized JJ cord-016476-78r0rsio 481 8 study study NN cord-016476-78r0rsio 481 9 to to TO cord-016476-78r0rsio 481 10 evaluate evaluate VB cord-016476-78r0rsio 481 11 the the DT cord-016476-78r0rsio 481 12 efficacy efficacy NN cord-016476-78r0rsio 481 13 and and CC cord-016476-78r0rsio 481 14 safety safety NN cord-016476-78r0rsio 481 15 of of IN cord-016476-78r0rsio 481 16 CT CT NNP cord-016476-78r0rsio 481 17 - - HYPH cord-016476-78r0rsio 481 18 P13 P13 NNP cord-016476-78r0rsio 481 19 compared compare VBN cord-016476-78r0rsio 481 20 with with IN cord-016476-78r0rsio 481 21 reference reference NN cord-016476-78r0rsio 481 22 infliximab infliximab VBN cord-016476-78r0rsio 481 23 in in IN cord-016476-78r0rsio 481 24 patients patient NNS cord-016476-78r0rsio 481 25 with with IN cord-016476-78r0rsio 481 26 active active JJ cord-016476-78r0rsio 481 27 rheumatoid rheumatoid NN cord-016476-78r0rsio 481 28 arthritis arthritis NN cord-016476-78r0rsio 481 29 : : : cord-016476-78r0rsio 482 1 54-week 54-week CD cord-016476-78r0rsio 482 2 results result NNS cord-016476-78r0rsio 482 3 from from IN cord-016476-78r0rsio 482 4 the the DT cord-016476-78r0rsio 482 5 PLANETRA PLANETRA NNP cord-016476-78r0rsio 482 6 study study NN cord-016476-78r0rsio 483 1 A a DT cord-016476-78r0rsio 483 2 randomised randomised JJ cord-016476-78r0rsio 483 3 , , , cord-016476-78r0rsio 483 4 double double JJ cord-016476-78r0rsio 483 5 - - HYPH cord-016476-78r0rsio 483 6 blind blind JJ cord-016476-78r0rsio 483 7 , , , cord-016476-78r0rsio 483 8 multicentre multicentre NNP cord-016476-78r0rsio 483 9 , , , cord-016476-78r0rsio 483 10 parallel parallel JJ cord-016476-78r0rsio 483 11 - - HYPH cord-016476-78r0rsio 483 12 group group NN cord-016476-78r0rsio 483 13 , , , cord-016476-78r0rsio 483 14 prospective prospective JJ cord-016476-78r0rsio 483 15 study study NN cord-016476-78r0rsio 483 16 comparing compare VBG cord-016476-78r0rsio 483 17 the the DT cord-016476-78r0rsio 483 18 pharmacokinetics pharmacokinetic NNS cord-016476-78r0rsio 483 19 , , , cord-016476-78r0rsio 483 20 safety safety NN cord-016476-78r0rsio 483 21 , , , cord-016476-78r0rsio 483 22 and and CC cord-016476-78r0rsio 483 23 efficacy efficacy NN cord-016476-78r0rsio 483 24 of of IN cord-016476-78r0rsio 483 25 CT CT NNP cord-016476-78r0rsio 483 26 - - HYPH cord-016476-78r0rsio 483 27 P13 P13 NNP cord-016476-78r0rsio 483 28 and and CC cord-016476-78r0rsio 483 29 innovator innovator NN cord-016476-78r0rsio 483 30 infliximab infliximab VBD cord-016476-78r0rsio 483 31 in in IN cord-016476-78r0rsio 483 32 patients patient NNS cord-016476-78r0rsio 483 33 with with IN cord-016476-78r0rsio 483 34 ankylosing ankylosing NNP cord-016476-78r0rsio 483 35 spondylitis spondylitis NN cord-016476-78r0rsio 483 36 : : : cord-016476-78r0rsio 483 37 the the DT cord-016476-78r0rsio 483 38 PLANETAS PLANETAS NNP cord-016476-78r0rsio 483 39 study study NN cord-016476-78r0rsio 483 40 Efficacy Efficacy NNP cord-016476-78r0rsio 483 41 and and CC cord-016476-78r0rsio 483 42 safety safety NN cord-016476-78r0rsio 483 43 of of IN cord-016476-78r0rsio 483 44 CT CT NNP cord-016476-78r0rsio 483 45 - - HYPH cord-016476-78r0rsio 483 46 P13 P13 NNP cord-016476-78r0rsio 483 47 ( ( -LRB- cord-016476-78r0rsio 483 48 biosimilar biosimilar NNP cord-016476-78r0rsio 483 49 infliximab infliximab NNP cord-016476-78r0rsio 483 50 ) ) -RRB- cord-016476-78r0rsio 484 1 in in IN cord-016476-78r0rsio 484 2 patients patient NNS cord-016476-78r0rsio 484 3 with with IN cord-016476-78r0rsio 484 4 rheumatoid rheumatoid NN cord-016476-78r0rsio 484 5 arthritis arthritis NN cord-016476-78r0rsio 484 6 : : : cord-016476-78r0rsio 484 7 comparison comparison NN cord-016476-78r0rsio 484 8 between between IN cord-016476-78r0rsio 484 9 switching switch VBG cord-016476-78r0rsio 484 10 from from IN cord-016476-78r0rsio 484 11 reference reference NN cord-016476-78r0rsio 484 12 infliximab infliximab VBN cord-016476-78r0rsio 484 13 to to IN cord-016476-78r0rsio 484 14 CT CT NNP cord-016476-78r0rsio 484 15 - - HYPH cord-016476-78r0rsio 484 16 P13 P13 NNP cord-016476-78r0rsio 484 17 and and CC cord-016476-78r0rsio 484 18 continuing continue VBG cord-016476-78r0rsio 484 19 CT CT NNP cord-016476-78r0rsio 484 20 - - HYPH cord-016476-78r0rsio 484 21 P13 P13 NNP cord-016476-78r0rsio 484 22 in in IN cord-016476-78r0rsio 484 23 the the DT cord-016476-78r0rsio 484 24 PLANETRA PLANETRA NNP cord-016476-78r0rsio 484 25 extension extension NN cord-016476-78r0rsio 484 26 study study NN cord-016476-78r0rsio 484 27 Efficacy Efficacy NNP cord-016476-78r0rsio 484 28 and and CC cord-016476-78r0rsio 484 29 safety safety NN cord-016476-78r0rsio 484 30 of of IN cord-016476-78r0rsio 484 31 switching switch VBG cord-016476-78r0rsio 484 32 from from IN cord-016476-78r0rsio 484 33 reference reference NN cord-016476-78r0rsio 484 34 infliximab infliximab VBN cord-016476-78r0rsio 484 35 to to IN cord-016476-78r0rsio 484 36 CT CT NNP cord-016476-78r0rsio 484 37 - - HYPH cord-016476-78r0rsio 484 38 P13 P13 NNP cord-016476-78r0rsio 484 39 compared compare VBN cord-016476-78r0rsio 484 40 with with IN cord-016476-78r0rsio 484 41 maintenance maintenance NN cord-016476-78r0rsio 484 42 of of IN cord-016476-78r0rsio 484 43 CT CT NNP cord-016476-78r0rsio 484 44 - - HYPH cord-016476-78r0rsio 484 45 P13 P13 NNP cord-016476-78r0rsio 484 46 in in IN cord-016476-78r0rsio 484 47 ankylosing ankylosing NNP cord-016476-78r0rsio 484 48 spondylitis spondylitis NN cord-016476-78r0rsio 484 49 : : : cord-016476-78r0rsio 484 50 102-week 102-week CD cord-016476-78r0rsio 484 51 data datum NNS cord-016476-78r0rsio 484 52 from from IN cord-016476-78r0rsio 484 53 the the DT cord-016476-78r0rsio 484 54 PLANETAS PLANETAS NNP cord-016476-78r0rsio 484 55 extension extension NN cord-016476-78r0rsio 484 56 study study NN cord-016476-78r0rsio 484 57 A a DT cord-016476-78r0rsio 484 58 phase phase NN cord-016476-78r0rsio 484 59 III iii CD cord-016476-78r0rsio 484 60 randomised randomised JJ cord-016476-78r0rsio 484 61 , , , cord-016476-78r0rsio 484 62 double double JJ cord-016476-78r0rsio 484 63 - - HYPH cord-016476-78r0rsio 484 64 blind blind JJ cord-016476-78r0rsio 484 65 , , , cord-016476-78r0rsio 484 66 parallelgroup parallelgroup NNP cord-016476-78r0rsio 484 67 study study NN cord-016476-78r0rsio 484 68 comparing compare VBG cord-016476-78r0rsio 484 69 SB4 SB4 NNP cord-016476-78r0rsio 484 70 with with IN cord-016476-78r0rsio 484 71 etanercept etanercept NNP cord-016476-78r0rsio 484 72 reference reference NN cord-016476-78r0rsio 484 73 product product NN cord-016476-78r0rsio 484 74 in in IN cord-016476-78r0rsio 484 75 patients patient NNS cord-016476-78r0rsio 484 76 with with IN cord-016476-78r0rsio 484 77 active active JJ cord-016476-78r0rsio 484 78 rheumatoid rheumatoid NN cord-016476-78r0rsio 484 79 arthritis arthritis NN cord-016476-78r0rsio 484 80 despite despite IN cord-016476-78r0rsio 484 81 methotrexate methotrexate NNP cord-016476-78r0rsio 484 82 therapy therapy NN cord-016476-78r0rsio 484 83 Rituximab Rituximab NNP cord-016476-78r0rsio 484 84 - - HYPH cord-016476-78r0rsio 484 85 induced induce VBN cord-016476-78r0rsio 484 86 lung lung NN cord-016476-78r0rsio 484 87 disease disease NN cord-016476-78r0rsio 484 88 : : : cord-016476-78r0rsio 484 89 a a DT cord-016476-78r0rsio 484 90 systematic systematic JJ cord-016476-78r0rsio 484 91 literature literature NN cord-016476-78r0rsio 484 92 review review NN cord-016476-78r0rsio 484 93 Rituximab Rituximab NNP cord-016476-78r0rsio 484 94 - - HYPH cord-016476-78r0rsio 484 95 induced induce VBN cord-016476-78r0rsio 484 96 interstitial interstitial JJ cord-016476-78r0rsio 484 97 lung lung NN cord-016476-78r0rsio 484 98 disease disease NN cord-016476-78r0rsio 484 99 Rituximab Rituximab NNP cord-016476-78r0rsio 484 100 - - HYPH cord-016476-78r0rsio 484 101 induced induce VBN cord-016476-78r0rsio 484 102 interstitial interstitial JJ cord-016476-78r0rsio 484 103 lung lung NN cord-016476-78r0rsio 484 104 disease disease NN cord-016476-78r0rsio 484 105 : : : cord-016476-78r0rsio 484 106 five five CD cord-016476-78r0rsio 484 107 case case NN cord-016476-78r0rsio 484 108 reports report VBZ cord-016476-78r0rsio 484 109 Lung Lung NNP cord-016476-78r0rsio 484 110 involvement involvement NN cord-016476-78r0rsio 484 111 and and CC cord-016476-78r0rsio 484 112 drug drug NN cord-016476-78r0rsio 484 113 - - HYPH cord-016476-78r0rsio 484 114 induced induce VBN cord-016476-78r0rsio 484 115 lung lung NN cord-016476-78r0rsio 484 116 disease disease NN cord-016476-78r0rsio 484 117 in in IN cord-016476-78r0rsio 484 118 patients patient NNS cord-016476-78r0rsio 484 119 with with IN cord-016476-78r0rsio 484 120 rheumatoid rheumatoid NN cord-016476-78r0rsio 484 121 arthritis arthritis NN cord-016476-78r0rsio 484 122 Safety Safety NNP cord-016476-78r0rsio 484 123 and and CC cord-016476-78r0rsio 484 124 effectiveness effectiveness NN cord-016476-78r0rsio 484 125 of of IN cord-016476-78r0rsio 484 126 rituximab rituximab NN cord-016476-78r0rsio 484 127 in in IN cord-016476-78r0rsio 484 128 patients patient NNS cord-016476-78r0rsio 484 129 with with IN cord-016476-78r0rsio 484 130 rheumatoid rheumatoid NN cord-016476-78r0rsio 484 131 arthritis arthritis NN cord-016476-78r0rsio 484 132 following follow VBG cord-016476-78r0rsio 484 133 an an DT cord-016476-78r0rsio 484 134 inadequate inadequate JJ cord-016476-78r0rsio 484 135 response response NN cord-016476-78r0rsio 484 136 to to IN cord-016476-78r0rsio 484 137 1 1 CD cord-016476-78r0rsio 484 138 prior prior JJ cord-016476-78r0rsio 484 139 tumor tumor NN cord-016476-78r0rsio 484 140 necrosis necrosis NN cord-016476-78r0rsio 484 141 factor factor NN cord-016476-78r0rsio 484 142 inhibitor inhibitor NN cord-016476-78r0rsio 484 143 : : : cord-016476-78r0rsio 484 144 the the DT cord-016476-78r0rsio 484 145 RESET reset NN cord-016476-78r0rsio 484 146 trial trial NN cord-016476-78r0rsio 484 147 The the DT cord-016476-78r0rsio 484 148 efficacy efficacy NN cord-016476-78r0rsio 484 149 and and CC cord-016476-78r0rsio 484 150 safety safety NN cord-016476-78r0rsio 484 151 of of IN cord-016476-78r0rsio 484 152 rituximab rituximab NN cord-016476-78r0rsio 484 153 in in IN cord-016476-78r0rsio 484 154 patients patient NNS cord-016476-78r0rsio 484 155 with with IN cord-016476-78r0rsio 484 156 active active JJ cord-016476-78r0rsio 484 157 rheumatoid rheumatoid NN cord-016476-78r0rsio 484 158 arthritis arthritis NN cord-016476-78r0rsio 484 159 despite despite IN cord-016476-78r0rsio 484 160 methotrexate methotrexate NNP cord-016476-78r0rsio 484 161 treatment treatment NN cord-016476-78r0rsio 484 162 : : : cord-016476-78r0rsio 484 163 results result NNS cord-016476-78r0rsio 484 164 of of IN cord-016476-78r0rsio 484 165 a a DT cord-016476-78r0rsio 484 166 phase phase NN cord-016476-78r0rsio 484 167 IIB IIB NNP cord-016476-78r0rsio 484 168 randomized randomize VBN cord-016476-78r0rsio 484 169 , , , cord-016476-78r0rsio 484 170 double double JJ cord-016476-78r0rsio 484 171 - - HYPH cord-016476-78r0rsio 484 172 blind blind JJ cord-016476-78r0rsio 484 173 , , , cord-016476-78r0rsio 484 174 placebo placebo NN cord-016476-78r0rsio 484 175 - - HYPH cord-016476-78r0rsio 484 176 controlled control VBN cord-016476-78r0rsio 484 177 , , , cord-016476-78r0rsio 484 178 dose dose RB cord-016476-78r0rsio 484 179 - - HYPH cord-016476-78r0rsio 484 180 ranging range VBG cord-016476-78r0rsio 484 181 trial trial NN cord-016476-78r0rsio 484 182 Efficacy Efficacy NNP cord-016476-78r0rsio 484 183 and and CC cord-016476-78r0rsio 484 184 safety safety NN cord-016476-78r0rsio 484 185 of of IN cord-016476-78r0rsio 484 186 different different JJ cord-016476-78r0rsio 484 187 doses dose NNS cord-016476-78r0rsio 484 188 and and CC cord-016476-78r0rsio 484 189 retreatment retreatment NN cord-016476-78r0rsio 484 190 of of IN cord-016476-78r0rsio 484 191 rituximab rituximab NN cord-016476-78r0rsio 484 192 : : : cord-016476-78r0rsio 484 193 a a DT cord-016476-78r0rsio 484 194 randomised randomised JJ cord-016476-78r0rsio 484 195 , , , cord-016476-78r0rsio 484 196 placebo placebo NN cord-016476-78r0rsio 484 197 - - HYPH cord-016476-78r0rsio 484 198 controlled control VBN cord-016476-78r0rsio 484 199 trial trial NN cord-016476-78r0rsio 484 200 in in IN cord-016476-78r0rsio 484 201 patients patient NNS cord-016476-78r0rsio 484 202 who who WP cord-016476-78r0rsio 484 203 are be VBP cord-016476-78r0rsio 484 204 biological biological JJ cord-016476-78r0rsio 484 205 naive naive JJ cord-016476-78r0rsio 484 206 with with IN cord-016476-78r0rsio 484 207 active active JJ cord-016476-78r0rsio 484 208 rheumatoid rheumatoid NN cord-016476-78r0rsio 484 209 arthritis arthritis NN cord-016476-78r0rsio 484 210 and and CC cord-016476-78r0rsio 484 211 an an DT cord-016476-78r0rsio 484 212 inadequate inadequate JJ cord-016476-78r0rsio 484 213 response response NN cord-016476-78r0rsio 484 214 to to IN cord-016476-78r0rsio 484 215 methotrexate methotrexate NNP cord-016476-78r0rsio 484 216 Efficacy Efficacy NNP cord-016476-78r0rsio 484 217 and and CC cord-016476-78r0rsio 484 218 safety safety NN cord-016476-78r0rsio 484 219 of of IN cord-016476-78r0rsio 484 220 retreatment retreatment NN cord-016476-78r0rsio 484 221 in in IN cord-016476-78r0rsio 484 222 patients patient NNS cord-016476-78r0rsio 484 223 with with IN cord-016476-78r0rsio 484 224 rheumatoid rheumatoid NN cord-016476-78r0rsio 484 225 arthritis arthritis NN cord-016476-78r0rsio 484 226 with with IN cord-016476-78r0rsio 484 227 previous previous JJ cord-016476-78r0rsio 484 228 inadequate inadequate JJ cord-016476-78r0rsio 484 229 response response NN cord-016476-78r0rsio 484 230 to to IN cord-016476-78r0rsio 484 231 tumor tumor NN cord-016476-78r0rsio 484 232 necrosis necrosis NN cord-016476-78r0rsio 484 233 factor factor NN cord-016476-78r0rsio 484 234 inhibitors inhibitor NNS cord-016476-78r0rsio 484 235 : : : cord-016476-78r0rsio 484 236 results result NNS cord-016476-78r0rsio 484 237 from from IN cord-016476-78r0rsio 484 238 the the DT cord-016476-78r0rsio 484 239 SUNRISE SUNRISE NNP cord-016476-78r0rsio 484 240 trial trial NN cord-016476-78r0rsio 484 241 Efficacy Efficacy NNP cord-016476-78r0rsio 484 242 of of IN cord-016476-78r0rsio 484 243 B b NN cord-016476-78r0rsio 484 244 - - HYPH cord-016476-78r0rsio 484 245 cell cell NN cord-016476-78r0rsio 484 246 - - HYPH cord-016476-78r0rsio 484 247 targeted target VBN cord-016476-78r0rsio 484 248 therapy therapy NN cord-016476-78r0rsio 484 249 with with IN cord-016476-78r0rsio 484 250 rituximab rituximab NN cord-016476-78r0rsio 484 251 in in IN cord-016476-78r0rsio 484 252 patients patient NNS cord-016476-78r0rsio 484 253 with with IN cord-016476-78r0rsio 484 254 rheumatoid rheumatoid NN cord-016476-78r0rsio 484 255 arthritis arthritis NN cord-016476-78r0rsio 484 256 Non non JJ cord-016476-78r0rsio 484 257 - - JJ cord-016476-78r0rsio 484 258 infectious infectious JJ cord-016476-78r0rsio 484 259 pulmonary pulmonary JJ cord-016476-78r0rsio 484 260 toxicity toxicity NN cord-016476-78r0rsio 484 261 of of IN cord-016476-78r0rsio 484 262 rituximab rituximab NN cord-016476-78r0rsio 484 263 : : : cord-016476-78r0rsio 484 264 a a DT cord-016476-78r0rsio 484 265 systematic systematic JJ cord-016476-78r0rsio 484 266 review review NN cord-016476-78r0rsio 484 267 Safety Safety NNP cord-016476-78r0rsio 484 268 of of IN cord-016476-78r0rsio 484 269 abatacept abatacept NNP cord-016476-78r0rsio 484 270 administered administer VBD cord-016476-78r0rsio 484 271 intravenously intravenously RB cord-016476-78r0rsio 484 272 in in IN cord-016476-78r0rsio 484 273 treatment treatment NN cord-016476-78r0rsio 484 274 of of IN cord-016476-78r0rsio 484 275 rheumatoid rheumatoid NNP cord-016476-78r0rsio 484 276 arthritis arthritis NN cord-016476-78r0rsio 484 277 : : : cord-016476-78r0rsio 484 278 integrated integrate VBN cord-016476-78r0rsio 484 279 analyses analysis NNS cord-016476-78r0rsio 484 280 of of IN cord-016476-78r0rsio 484 281 up up IN cord-016476-78r0rsio 484 282 to to TO cord-016476-78r0rsio 484 283 8 8 CD cord-016476-78r0rsio 484 284 years year NNS cord-016476-78r0rsio 484 285 of of IN cord-016476-78r0rsio 484 286 treatment treatment NN cord-016476-78r0rsio 484 287 from from IN cord-016476-78r0rsio 484 288 the the DT cord-016476-78r0rsio 484 289 abatacept abatacept NNP cord-016476-78r0rsio 484 290 clinical clinical JJ cord-016476-78r0rsio 484 291 trial trial NN cord-016476-78r0rsio 484 292 program program NN cord-016476-78r0rsio 484 293 A a DT cord-016476-78r0rsio 484 294 case case NN cord-016476-78r0rsio 484 295 of of IN cord-016476-78r0rsio 484 296 acute acute JJ cord-016476-78r0rsio 484 297 respiratory respiratory JJ cord-016476-78r0rsio 484 298 failure failure NN cord-016476-78r0rsio 484 299 in in IN cord-016476-78r0rsio 484 300 a a DT cord-016476-78r0rsio 484 301 rheumatoid rheumatoid NN cord-016476-78r0rsio 484 302 arthritis arthritis NN cord-016476-78r0rsio 484 303 patient patient NN cord-016476-78r0rsio 484 304 after after IN cord-016476-78r0rsio 484 305 the the DT cord-016476-78r0rsio 484 306 administration administration NN cord-016476-78r0rsio 484 307 of of IN cord-016476-78r0rsio 484 308 abatacept abatacept NNP cord-016476-78r0rsio 484 309 A a DT cord-016476-78r0rsio 484 310 case case NN cord-016476-78r0rsio 484 311 of of IN cord-016476-78r0rsio 484 312 rheumatoid rheumatoid JJ cord-016476-78r0rsio 484 313 arthritis arthritis NN cord-016476-78r0rsio 484 314 complicated complicate VBN cord-016476-78r0rsio 484 315 with with IN cord-016476-78r0rsio 484 316 deteriorated deteriorate VBN cord-016476-78r0rsio 484 317 interstitial interstitial JJ cord-016476-78r0rsio 484 318 pneumonia pneumonia NN cord-016476-78r0rsio 484 319 after after IN cord-016476-78r0rsio 484 320 the the DT cord-016476-78r0rsio 484 321 administration administration NN cord-016476-78r0rsio 484 322 of of IN cord-016476-78r0rsio 484 323 abatacept abatacept NNP cord-016476-78r0rsio 484 324 Refractory refractory JJ cord-016476-78r0rsio 484 325 rheumatoid rheumatoid JJ cord-016476-78r0rsio 484 326 arthritis arthritis NN cord-016476-78r0rsio 484 327 with with IN cord-016476-78r0rsio 484 328 interstitial interstitial JJ cord-016476-78r0rsio 484 329 lung lung NN cord-016476-78r0rsio 484 330 disease disease NN cord-016476-78r0rsio 484 331 : : : cord-016476-78r0rsio 484 332 could could MD cord-016476-78r0rsio 484 333 abatacept abatacept TO cord-016476-78r0rsio 484 334 be be VB cord-016476-78r0rsio 484 335 the the DT cord-016476-78r0rsio 484 336 answer answer NN cord-016476-78r0rsio 484 337 ? ? . cord-016476-78r0rsio 485 1 Abatacept Abatacept NNP cord-016476-78r0rsio 485 2 can can MD cord-016476-78r0rsio 485 3 be be VB cord-016476-78r0rsio 485 4 used use VBN cord-016476-78r0rsio 485 5 safely safely RB cord-016476-78r0rsio 485 6 for for IN cord-016476-78r0rsio 485 7 RA RA NNP cord-016476-78r0rsio 485 8 patients patient NNS cord-016476-78r0rsio 485 9 with with IN cord-016476-78r0rsio 485 10 interstitial interstitial JJ cord-016476-78r0rsio 485 11 lung lung NN cord-016476-78r0rsio 485 12 disease disease NN cord-016476-78r0rsio 485 13 Risk Risk NNP cord-016476-78r0rsio 485 14 of of IN cord-016476-78r0rsio 485 15 hospitalised hospitalise VBN cord-016476-78r0rsio 485 16 infection infection NN cord-016476-78r0rsio 485 17 in in IN cord-016476-78r0rsio 485 18 rheumatoid rheumatoid NN cord-016476-78r0rsio 485 19 arthritis arthritis NN cord-016476-78r0rsio 485 20 patients patient NNS cord-016476-78r0rsio 485 21 receiving receive VBG cord-016476-78r0rsio 485 22 biologics biologic NNS cord-016476-78r0rsio 485 23 following follow VBG cord-016476-78r0rsio 485 24 a a DT cord-016476-78r0rsio 485 25 previous previous JJ cord-016476-78r0rsio 485 26 infection infection NN cord-016476-78r0rsio 485 27 while while IN cord-016476-78r0rsio 485 28 on on IN cord-016476-78r0rsio 485 29 treatment treatment NN cord-016476-78r0rsio 485 30 with with IN cord-016476-78r0rsio 485 31 anti anti JJ cord-016476-78r0rsio 485 32 - - JJ cord-016476-78r0rsio 485 33 TNF tnf NN cord-016476-78r0rsio 485 34 therapy therapy NN cord-016476-78r0rsio 485 35 American American NNP cord-016476-78r0rsio 485 36 College College NNP cord-016476-78r0rsio 485 37 of of IN cord-016476-78r0rsio 485 38 Rheumatology Rheumatology NNP cord-016476-78r0rsio 485 39 guideline guideline NN cord-016476-78r0rsio 485 40 for for IN cord-016476-78r0rsio 485 41 the the DT cord-016476-78r0rsio 485 42 treatment treatment NN cord-016476-78r0rsio 485 43 of of IN cord-016476-78r0rsio 485 44 rheumatoid rheumatoid NNP cord-016476-78r0rsio 485 45 arthritis arthritis NN cord-016476-78r0rsio 486 1 Adding add VBG cord-016476-78r0rsio 486 2 tocilizumab tocilizumab NNS cord-016476-78r0rsio 486 3 or or CC cord-016476-78r0rsio 486 4 switching switch VBG cord-016476-78r0rsio 486 5 to to IN cord-016476-78r0rsio 486 6 tocilizumab tocilizumab NNP cord-016476-78r0rsio 486 7 monotherapy monotherapy IN cord-016476-78r0rsio 486 8 in in IN cord-016476-78r0rsio 486 9 methotrexate methotrexate NNP cord-016476-78r0rsio 486 10 inadequate inadequate JJ cord-016476-78r0rsio 486 11 responders responder NNS cord-016476-78r0rsio 486 12 : : : cord-016476-78r0rsio 486 13 24-week 24-week JJ cord-016476-78r0rsio 486 14 symptomatic symptomatic JJ cord-016476-78r0rsio 486 15 and and CC cord-016476-78r0rsio 486 16 structural structural JJ cord-016476-78r0rsio 486 17 results result NNS cord-016476-78r0rsio 486 18 of of IN cord-016476-78r0rsio 486 19 a a DT cord-016476-78r0rsio 486 20 2-year 2-year CD cord-016476-78r0rsio 486 21 randomised randomised JJ cord-016476-78r0rsio 486 22 controlled control VBN cord-016476-78r0rsio 486 23 strategy strategy NN cord-016476-78r0rsio 486 24 trial trial NN cord-016476-78r0rsio 486 25 Comparison comparison NN cord-016476-78r0rsio 486 26 of of IN cord-016476-78r0rsio 486 27 adding add VBG cord-016476-78r0rsio 486 28 tocilizumab tocilizumab NNP cord-016476-78r0rsio 486 29 to to IN cord-016476-78r0rsio 486 30 methotrexate methotrexate NNP cord-016476-78r0rsio 486 31 with with IN cord-016476-78r0rsio 486 32 switching switch VBG cord-016476-78r0rsio 486 33 to to IN cord-016476-78r0rsio 486 34 tocilizumab tocilizumab NNP cord-016476-78r0rsio 486 35 in in IN cord-016476-78r0rsio 486 36 patients patient NNS cord-016476-78r0rsio 486 37 with with IN cord-016476-78r0rsio 486 38 rheumatoid rheumatoid NN cord-016476-78r0rsio 486 39 arthritis arthritis NN cord-016476-78r0rsio 486 40 with with IN cord-016476-78r0rsio 486 41 inadequate inadequate JJ cord-016476-78r0rsio 486 42 response response NN cord-016476-78r0rsio 486 43 to to IN cord-016476-78r0rsio 486 44 methotrexate methotrexate NNP cord-016476-78r0rsio 486 45 : : : cord-016476-78r0rsio 486 46 52-week 52-week CD cord-016476-78r0rsio 486 47 results result NNS cord-016476-78r0rsio 486 48 from from IN cord-016476-78r0rsio 486 49 a a DT cord-016476-78r0rsio 486 50 prospective prospective JJ cord-016476-78r0rsio 486 51 , , , cord-016476-78r0rsio 486 52 randomised randomised JJ cord-016476-78r0rsio 486 53 , , , cord-016476-78r0rsio 486 54 controlled controlled JJ cord-016476-78r0rsio 486 55 study study NN cord-016476-78r0rsio 486 56 ( ( -LRB- cord-016476-78r0rsio 486 57 SURPRISE SURPRISE NNP cord-016476-78r0rsio 486 58 study study NN cord-016476-78r0rsio 486 59 ) ) -RRB- cord-016476-78r0rsio 487 1 Inverse inverse JJ cord-016476-78r0rsio 487 2 effects effect NNS cord-016476-78r0rsio 487 3 of of IN cord-016476-78r0rsio 487 4 interleukin-6 interleukin-6 NNP cord-016476-78r0rsio 487 5 on on IN cord-016476-78r0rsio 487 6 apoptosis apoptosis NN cord-016476-78r0rsio 487 7 of of IN cord-016476-78r0rsio 487 8 fibroblasts fibroblast NNS cord-016476-78r0rsio 487 9 from from IN cord-016476-78r0rsio 487 10 pulmonary pulmonary JJ cord-016476-78r0rsio 487 11 fibrosis fibrosis NN cord-016476-78r0rsio 487 12 and and CC cord-016476-78r0rsio 488 1 normal normal JJ cord-016476-78r0rsio 488 2 lungs lung NNS cord-016476-78r0rsio 488 3 Treatment treatment NN cord-016476-78r0rsio 488 4 of of IN cord-016476-78r0rsio 488 5 rheumatoid rheumatoid JJ cord-016476-78r0rsio 488 6 arthritis arthritis NN cord-016476-78r0rsio 488 7 with with IN cord-016476-78r0rsio 488 8 humanized humanized JJ cord-016476-78r0rsio 488 9 anti anti NNP cord-016476-78r0rsio 488 10 - - JJ cord-016476-78r0rsio 488 11 interleukin-6 interleukin-6 JJ cord-016476-78r0rsio 488 12 receptor receptor NN cord-016476-78r0rsio 488 13 antibody antibody NN cord-016476-78r0rsio 488 14 : : : cord-016476-78r0rsio 488 15 a a DT cord-016476-78r0rsio 488 16 multicenter multicenter JJ cord-016476-78r0rsio 488 17 , , , cord-016476-78r0rsio 488 18 double double JJ cord-016476-78r0rsio 488 19 - - HYPH cord-016476-78r0rsio 488 20 blind blind JJ cord-016476-78r0rsio 488 21 , , , cord-016476-78r0rsio 488 22 placebo placebo NN cord-016476-78r0rsio 488 23 - - HYPH cord-016476-78r0rsio 488 24 controlled control VBN cord-016476-78r0rsio 488 25 trial trial NN cord-016476-78r0rsio 488 26 Effect effect NN cord-016476-78r0rsio 488 27 of of IN cord-016476-78r0rsio 488 28 interleukin-6 interleukin-6 NNP cord-016476-78r0rsio 488 29 receptor receptor NN cord-016476-78r0rsio 488 30 inhibition inhibition NN cord-016476-78r0rsio 488 31 with with IN cord-016476-78r0rsio 488 32 tocilizumab tocilizumab NNP cord-016476-78r0rsio 488 33 in in IN cord-016476-78r0rsio 488 34 patients patient NNS cord-016476-78r0rsio 488 35 with with IN cord-016476-78r0rsio 488 36 rheumatoid rheumatoid NN cord-016476-78r0rsio 488 37 arthritis arthritis NN cord-016476-78r0rsio 488 38 ( ( -LRB- cord-016476-78r0rsio 488 39 OPTION option NN cord-016476-78r0rsio 488 40 study study NN cord-016476-78r0rsio 488 41 ) ) -RRB- cord-016476-78r0rsio 488 42 : : : cord-016476-78r0rsio 488 43 a a DT cord-016476-78r0rsio 488 44 double double JJ cord-016476-78r0rsio 488 45 - - HYPH cord-016476-78r0rsio 488 46 blind blind JJ cord-016476-78r0rsio 488 47 , , , cord-016476-78r0rsio 488 48 placebocontrolled placebocontrolled JJ cord-016476-78r0rsio 488 49 , , , cord-016476-78r0rsio 488 50 randomised randomised JJ cord-016476-78r0rsio 488 51 trial trial NN cord-016476-78r0rsio 488 52 Study Study NNP cord-016476-78r0rsio 488 53 of of IN cord-016476-78r0rsio 488 54 active active JJ cord-016476-78r0rsio 488 55 controlled control VBN cord-016476-78r0rsio 488 56 tocilizumab tocilizumab NN cord-016476-78r0rsio 488 57 monotherapy monotherapy IN cord-016476-78r0rsio 488 58 for for IN cord-016476-78r0rsio 488 59 rheumatoid rheumatoid NN cord-016476-78r0rsio 488 60 arthritis arthritis NN cord-016476-78r0rsio 488 61 patients patient NNS cord-016476-78r0rsio 488 62 with with IN cord-016476-78r0rsio 488 63 an an DT cord-016476-78r0rsio 488 64 inadequate inadequate JJ cord-016476-78r0rsio 488 65 response response NN cord-016476-78r0rsio 488 66 to to IN cord-016476-78r0rsio 488 67 methotrexate methotrexate NNP cord-016476-78r0rsio 488 68 ( ( -LRB- cord-016476-78r0rsio 488 69 SATORI SATORI NNP cord-016476-78r0rsio 488 70 ) ) -RRB- cord-016476-78r0rsio 488 71 : : : cord-016476-78r0rsio 488 72 significant significant JJ cord-016476-78r0rsio 488 73 reduction reduction NN cord-016476-78r0rsio 488 74 in in IN cord-016476-78r0rsio 488 75 disease disease NN cord-016476-78r0rsio 488 76 activity activity NN cord-016476-78r0rsio 488 77 and and CC cord-016476-78r0rsio 488 78 serum serum NN cord-016476-78r0rsio 488 79 vascular vascular JJ cord-016476-78r0rsio 488 80 endothelial endothelial JJ cord-016476-78r0rsio 488 81 growth growth NN cord-016476-78r0rsio 488 82 factor factor NN cord-016476-78r0rsio 488 83 by by IN cord-016476-78r0rsio 489 1 IL-6 IL-6 NNP cord-016476-78r0rsio 489 2 receptor receptor NN cord-016476-78r0rsio 489 3 inhibition inhibition NN cord-016476-78r0rsio 489 4 Tocilizumab Tocilizumab NNP cord-016476-78r0rsio 489 5 monotherapy monotherapy VBD cord-016476-78r0rsio 489 6 versus versus IN cord-016476-78r0rsio 489 7 adalimumab adalimumab NNS cord-016476-78r0rsio 490 1 monotherapy monotherapy NN cord-016476-78r0rsio 490 2 for for IN cord-016476-78r0rsio 490 3 treatment treatment NN cord-016476-78r0rsio 490 4 of of IN cord-016476-78r0rsio 490 5 rheumatoid rheumatoid NN cord-016476-78r0rsio 490 6 arthritis arthritis NN cord-016476-78r0rsio 490 7 ( ( -LRB- cord-016476-78r0rsio 490 8 ADACTA ADACTA NNP cord-016476-78r0rsio 490 9 ) ) -RRB- cord-016476-78r0rsio 490 10 : : : cord-016476-78r0rsio 490 11 a a DT cord-016476-78r0rsio 490 12 randomised randomised JJ cord-016476-78r0rsio 490 13 , , , cord-016476-78r0rsio 490 14 double double JJ cord-016476-78r0rsio 490 15 - - HYPH cord-016476-78r0rsio 490 16 blind blind JJ cord-016476-78r0rsio 490 17 , , , cord-016476-78r0rsio 490 18 controlled control VBN cord-016476-78r0rsio 490 19 phase phase NN cord-016476-78r0rsio 490 20 4 4 CD cord-016476-78r0rsio 490 21 trial trial NN cord-016476-78r0rsio 490 22 Efficacy Efficacy NNP cord-016476-78r0rsio 490 23 and and CC cord-016476-78r0rsio 490 24 safety safety NN cord-016476-78r0rsio 490 25 of of IN cord-016476-78r0rsio 490 26 subcutaneous subcutaneous JJ cord-016476-78r0rsio 490 27 tocilizumab tocilizumab NNP cord-016476-78r0rsio 490 28 versus versus IN cord-016476-78r0rsio 490 29 intravenous intravenous JJ cord-016476-78r0rsio 490 30 tocilizumab tocilizumab NN cord-016476-78r0rsio 490 31 in in IN cord-016476-78r0rsio 490 32 combination combination NN cord-016476-78r0rsio 490 33 with with IN cord-016476-78r0rsio 490 34 traditional traditional JJ cord-016476-78r0rsio 490 35 DMARDs dmard NNS cord-016476-78r0rsio 490 36 in in IN cord-016476-78r0rsio 490 37 patients patient NNS cord-016476-78r0rsio 490 38 with with IN cord-016476-78r0rsio 490 39 RA RA NNP cord-016476-78r0rsio 490 40 at at IN cord-016476-78r0rsio 490 41 week week NN cord-016476-78r0rsio 490 42 97 97 CD cord-016476-78r0rsio 490 43 ( ( -LRB- cord-016476-78r0rsio 490 44 SUMMACTA SUMMACTA NNP cord-016476-78r0rsio 490 45 ) ) -RRB- cord-016476-78r0rsio 491 1 Sarilumab Sarilumab NNP cord-016476-78r0rsio 491 2 , , , cord-016476-78r0rsio 491 3 a a DT cord-016476-78r0rsio 491 4 fully fully RB cord-016476-78r0rsio 491 5 human human JJ cord-016476-78r0rsio 491 6 monoclonal monoclonal JJ cord-016476-78r0rsio 491 7 antibody antibody NN cord-016476-78r0rsio 491 8 against against IN cord-016476-78r0rsio 491 9 IL-6Rα il-6rα CD cord-016476-78r0rsio 491 10 in in IN cord-016476-78r0rsio 491 11 patients patient NNS cord-016476-78r0rsio 491 12 with with IN cord-016476-78r0rsio 491 13 rheumatoid rheumatoid NN cord-016476-78r0rsio 491 14 arthritis arthritis NN cord-016476-78r0rsio 491 15 and and CC cord-016476-78r0rsio 491 16 an an DT cord-016476-78r0rsio 491 17 inadequate inadequate JJ cord-016476-78r0rsio 491 18 response response NN cord-016476-78r0rsio 491 19 to to IN cord-016476-78r0rsio 491 20 methotrexate methotrexate NNP cord-016476-78r0rsio 491 21 : : : cord-016476-78r0rsio 491 22 efficacy efficacy NN cord-016476-78r0rsio 491 23 and and CC cord-016476-78r0rsio 491 24 safety safety NN cord-016476-78r0rsio 491 25 results result NNS cord-016476-78r0rsio 491 26 from from IN cord-016476-78r0rsio 491 27 the the DT cord-016476-78r0rsio 491 28 randomised randomised JJ cord-016476-78r0rsio 491 29 SARIL SARIL NNP cord-016476-78r0rsio 491 30 - - HYPH cord-016476-78r0rsio 491 31 RA RA NNP cord-016476-78r0rsio 491 32 - - HYPH cord-016476-78r0rsio 491 33 MOBILITY MOBILITY NNP cord-016476-78r0rsio 491 34 part part NN cord-016476-78r0rsio 491 35 a a DT cord-016476-78r0rsio 491 36 trial trial NN cord-016476-78r0rsio 491 37 Sarilumab Sarilumab NNP cord-016476-78r0rsio 491 38 plus plus CC cord-016476-78r0rsio 491 39 methotrexate methotrexate NNP cord-016476-78r0rsio 491 40 in in IN cord-016476-78r0rsio 491 41 patients patient NNS cord-016476-78r0rsio 491 42 with with IN cord-016476-78r0rsio 491 43 active active JJ cord-016476-78r0rsio 491 44 rheumatoid rheumatoid NN cord-016476-78r0rsio 491 45 arthritis arthritis NN cord-016476-78r0rsio 491 46 and and CC cord-016476-78r0rsio 491 47 inadequate inadequate JJ cord-016476-78r0rsio 491 48 response response NN cord-016476-78r0rsio 491 49 to to IN cord-016476-78r0rsio 491 50 methotrexate methotrexate NNP cord-016476-78r0rsio 491 51 : : : cord-016476-78r0rsio 491 52 results result NNS cord-016476-78r0rsio 491 53 of of IN cord-016476-78r0rsio 491 54 a a DT cord-016476-78r0rsio 491 55 phase phase NN cord-016476-78r0rsio 491 56 III iii CD cord-016476-78r0rsio 491 57 study study NN cord-016476-78r0rsio 491 58 A a DT cord-016476-78r0rsio 491 59 case case NN cord-016476-78r0rsio 491 60 of of IN cord-016476-78r0rsio 491 61 organizing organize VBG cord-016476-78r0rsio 491 62 pneumonia pneumonia NN cord-016476-78r0rsio 491 63 induced induce VBN cord-016476-78r0rsio 491 64 by by IN cord-016476-78r0rsio 491 65 tocilizumab tocilizumab NNP cord-016476-78r0rsio 491 66 A a DT cord-016476-78r0rsio 491 67 fatal fatal JJ cord-016476-78r0rsio 491 68 case case NN cord-016476-78r0rsio 491 69 of of IN cord-016476-78r0rsio 491 70 acute acute JJ cord-016476-78r0rsio 491 71 exacerbation exacerbation NN cord-016476-78r0rsio 491 72 of of IN cord-016476-78r0rsio 491 73 interstitial interstitial JJ cord-016476-78r0rsio 491 74 lung lung NN cord-016476-78r0rsio 491 75 disease disease NN cord-016476-78r0rsio 491 76 in in IN cord-016476-78r0rsio 491 77 a a DT cord-016476-78r0rsio 491 78 patient patient NN cord-016476-78r0rsio 491 79 with with IN cord-016476-78r0rsio 491 80 rheumatoid rheumatoid JJ cord-016476-78r0rsio 491 81 arthritis arthritis NN cord-016476-78r0rsio 491 82 during during IN cord-016476-78r0rsio 491 83 treatment treatment NN cord-016476-78r0rsio 491 84 with with IN cord-016476-78r0rsio 491 85 tocilizumab tocilizumab NNP cord-016476-78r0rsio 491 86 Exacerbation Exacerbation NNP cord-016476-78r0rsio 491 87 of of IN cord-016476-78r0rsio 491 88 combined combine VBN cord-016476-78r0rsio 491 89 pulmonary pulmonary JJ cord-016476-78r0rsio 491 90 fibrosis fibrosis NN cord-016476-78r0rsio 491 91 and and CC cord-016476-78r0rsio 491 92 emphysema emphysema NNP cord-016476-78r0rsio 491 93 syndrome syndrome NN cord-016476-78r0rsio 491 94 during during IN cord-016476-78r0rsio 491 95 tocilizumab tocilizumab NNP cord-016476-78r0rsio 491 96 therapy therapy NN cord-016476-78r0rsio 491 97 for for IN cord-016476-78r0rsio 491 98 rheumatoid rheumatoid NNP cord-016476-78r0rsio 491 99 arthritis arthritis NN cord-016476-78r0rsio 491 100 Acute Acute NNP cord-016476-78r0rsio 491 101 pneumonitis pneumonitis NN cord-016476-78r0rsio 491 102 in in IN cord-016476-78r0rsio 491 103 a a DT cord-016476-78r0rsio 491 104 patient patient NN cord-016476-78r0rsio 491 105 with with IN cord-016476-78r0rsio 491 106 adult adult NN cord-016476-78r0rsio 491 107 - - HYPH cord-016476-78r0rsio 491 108 onset onset NN cord-016476-78r0rsio 491 109 disease disease NN cord-016476-78r0rsio 491 110 after after IN cord-016476-78r0rsio 491 111 toclizumab toclizumab VBD cord-016476-78r0rsio 491 112 treatment treatment NN cord-016476-78r0rsio 491 113 with with IN cord-016476-78r0rsio 491 114 good good JJ cord-016476-78r0rsio 491 115 response response NN cord-016476-78r0rsio 491 116 to to IN cord-016476-78r0rsio 491 117 anakinra anakinra NNP cord-016476-78r0rsio 491 118 Interstitial interstitial JJ cord-016476-78r0rsio 491 119 lung lung NN cord-016476-78r0rsio 491 120 disease disease NN cord-016476-78r0rsio 491 121 in in IN cord-016476-78r0rsio 491 122 rheumatoid rheumatoid NNP cord-016476-78r0rsio 491 123 arthritis arthritis NN cord-016476-78r0rsio 491 124 : : : cord-016476-78r0rsio 491 125 response response NN cord-016476-78r0rsio 491 126 to to IN cord-016476-78r0rsio 491 127 IL-6R IL-6R NNP cord-016476-78r0rsio 491 128 blockade blockade NN cord-016476-78r0rsio 491 129 Postmarketing Postmarketing NNP cord-016476-78r0rsio 491 130 surveillance surveillance NN cord-016476-78r0rsio 491 131 of of IN cord-016476-78r0rsio 491 132 tocilizumab tocilizumab NNP cord-016476-78r0rsio 491 133 for for IN cord-016476-78r0rsio 491 134 rheumatoid rheumatoid NN cord-016476-78r0rsio 491 135 arthritis arthritis NN cord-016476-78r0rsio 491 136 in in IN cord-016476-78r0rsio 491 137 Japan Japan NNP cord-016476-78r0rsio 491 138 : : : cord-016476-78r0rsio 491 139 interim interim JJ cord-016476-78r0rsio 491 140 analysis analysis NN cord-016476-78r0rsio 491 141 of of IN cord-016476-78r0rsio 491 142 3881 3881 CD cord-016476-78r0rsio 491 143 patients patient NNS cord-016476-78r0rsio 491 144 Association Association NNP cord-016476-78r0rsio 491 145 of of IN cord-016476-78r0rsio 491 146 disease disease NN cord-016476-78r0rsio 491 147 activity activity NN cord-016476-78r0rsio 491 148 with with IN cord-016476-78r0rsio 491 149 acute acute JJ cord-016476-78r0rsio 491 150 exacerbation exacerbation NN cord-016476-78r0rsio 491 151 of of IN cord-016476-78r0rsio 491 152 interstitial interstitial JJ cord-016476-78r0rsio 491 153 lung lung NN cord-016476-78r0rsio 491 154 disease disease NN cord-016476-78r0rsio 491 155 during during IN cord-016476-78r0rsio 491 156 tocilizumab tocilizumab JJ cord-016476-78r0rsio 491 157 treatment treatment NN cord-016476-78r0rsio 491 158 in in IN cord-016476-78r0rsio 491 159 patients patient NNS cord-016476-78r0rsio 491 160 with with IN cord-016476-78r0rsio 491 161 rheumatoid rheumatoid NN cord-016476-78r0rsio 491 162 arthritis arthritis NN cord-016476-78r0rsio 491 163 : : : cord-016476-78r0rsio 491 164 a a DT cord-016476-78r0rsio 491 165 retrospective retrospective JJ cord-016476-78r0rsio 491 166 , , , cord-016476-78r0rsio 491 167 case case NN cord-016476-78r0rsio 491 168 - - HYPH cord-016476-78r0rsio 491 169 control control NN cord-016476-78r0rsio 491 170 study study NN cord-016476-78r0rsio 491 171 Recombinant recombinant JJ cord-016476-78r0rsio 491 172 human human JJ cord-016476-78r0rsio 491 173 interleukin-1 interleukin-1 NNP cord-016476-78r0rsio 491 174 receptor receptor NN cord-016476-78r0rsio 491 175 type type NN cord-016476-78r0rsio 491 176 I -PRON- PRP cord-016476-78r0rsio 491 177 in in IN cord-016476-78r0rsio 491 178 the the DT cord-016476-78r0rsio 491 179 treatment treatment NN cord-016476-78r0rsio 491 180 of of IN cord-016476-78r0rsio 491 181 patients patient NNS cord-016476-78r0rsio 491 182 with with IN cord-016476-78r0rsio 491 183 active active JJ cord-016476-78r0rsio 491 184 rheumatoid rheumatoid NN cord-016476-78r0rsio 491 185 arthritis arthritis NN cord-016476-78r0rsio 491 186 Dose dose NN cord-016476-78r0rsio 491 187 - - HYPH cord-016476-78r0rsio 491 188 range range NN cord-016476-78r0rsio 491 189 and and CC cord-016476-78r0rsio 491 190 dose dose NN cord-016476-78r0rsio 491 191 - - HYPH cord-016476-78r0rsio 491 192 frequency frequency NN cord-016476-78r0rsio 491 193 study study NN cord-016476-78r0rsio 491 194 of of IN cord-016476-78r0rsio 491 195 recombinant recombinant JJ cord-016476-78r0rsio 491 196 human human JJ cord-016476-78r0rsio 491 197 interleukin-1 interleukin-1 NNP cord-016476-78r0rsio 491 198 receptor receptor NN cord-016476-78r0rsio 491 199 antagonist antagonist NN cord-016476-78r0rsio 491 200 in in IN cord-016476-78r0rsio 491 201 patients patient NNS cord-016476-78r0rsio 491 202 with with IN cord-016476-78r0rsio 491 203 rheumatoid rheumatoid NN cord-016476-78r0rsio 491 204 arthritis arthritis NN cord-016476-78r0rsio 491 205 . . . cord-016476-78r0rsio 492 1 The the DT cord-016476-78r0rsio 492 2 IL-1Ra IL-1Ra NNP cord-016476-78r0rsio 492 3 arthritis arthritis NN cord-016476-78r0rsio 492 4 study study NN cord-016476-78r0rsio 492 5 group group NN cord-016476-78r0rsio 492 6 Treatment Treatment NNP cord-016476-78r0rsio 492 7 of of IN cord-016476-78r0rsio 492 8 rheumatoid rheumatoid JJ cord-016476-78r0rsio 492 9 arthritis arthritis NN cord-016476-78r0rsio 492 10 with with IN cord-016476-78r0rsio 492 11 recombinant recombinant JJ cord-016476-78r0rsio 492 12 human human JJ cord-016476-78r0rsio 492 13 interleukin-1 interleukin-1 NNP cord-016476-78r0rsio 492 14 receptor receptor NN cord-016476-78r0rsio 492 15 antagonist antagonist NN cord-016476-78r0rsio 492 16 Treatment Treatment NNP cord-016476-78r0rsio 492 17 of of IN cord-016476-78r0rsio 492 18 rheumatoid rheumatoid JJ cord-016476-78r0rsio 492 19 arthritis arthritis NN cord-016476-78r0rsio 492 20 with with IN cord-016476-78r0rsio 492 21 anakinra anakinra NNP cord-016476-78r0rsio 492 22 , , , cord-016476-78r0rsio 492 23 a a DT cord-016476-78r0rsio 492 24 recombinant recombinant JJ cord-016476-78r0rsio 492 25 human human NN cord-016476-78r0rsio 492 26 interleukin-1 interleukin-1 NNP cord-016476-78r0rsio 492 27 receptor receptor NN cord-016476-78r0rsio 492 28 antagonist antagonist NN cord-016476-78r0rsio 492 29 , , , cord-016476-78r0rsio 492 30 in in IN cord-016476-78r0rsio 492 31 combination combination NN cord-016476-78r0rsio 492 32 with with IN cord-016476-78r0rsio 492 33 methotrexate methotrexate NNP cord-016476-78r0rsio 492 34 : : : cord-016476-78r0rsio 492 35 results result NNS cord-016476-78r0rsio 492 36 of of IN cord-016476-78r0rsio 492 37 a a DT cord-016476-78r0rsio 492 38 twenty twenty CD cord-016476-78r0rsio 492 39 - - HYPH cord-016476-78r0rsio 492 40 four four CD cord-016476-78r0rsio 492 41 - - HYPH cord-016476-78r0rsio 492 42 week week NN cord-016476-78r0rsio 492 43 , , , cord-016476-78r0rsio 492 44 multicenter multicenter JJ cord-016476-78r0rsio 492 45 , , , cord-016476-78r0rsio 492 46 randomized randomized JJ cord-016476-78r0rsio 492 47 , , , cord-016476-78r0rsio 492 48 double double JJ cord-016476-78r0rsio 492 49 - - HYPH cord-016476-78r0rsio 492 50 blind blind JJ cord-016476-78r0rsio 492 51 , , , cord-016476-78r0rsio 492 52 placebo placebo NN cord-016476-78r0rsio 492 53 - - HYPH cord-016476-78r0rsio 492 54 controlled control VBN cord-016476-78r0rsio 492 55 trial trial NN cord-016476-78r0rsio 493 1 A a DT cord-016476-78r0rsio 493 2 randomised randomised JJ cord-016476-78r0rsio 493 3 trial trial NN cord-016476-78r0rsio 493 4 evaluating evaluate VBG cord-016476-78r0rsio 493 5 anakinra anakinra NNP cord-016476-78r0rsio 493 6 in in IN cord-016476-78r0rsio 493 7 early early JJ cord-016476-78r0rsio 493 8 active active JJ cord-016476-78r0rsio 493 9 rheumatoid rheumatoid NN cord-016476-78r0rsio 493 10 arthritis arthritis NN cord-016476-78r0rsio 493 11 Combination combination NN cord-016476-78r0rsio 493 12 therapy therapy NN cord-016476-78r0rsio 493 13 with with IN cord-016476-78r0rsio 493 14 Etanercept Etanercept NNP cord-016476-78r0rsio 493 15 and and CC cord-016476-78r0rsio 493 16 Anakinra Anakinra NNP cord-016476-78r0rsio 493 17 in in IN cord-016476-78r0rsio 493 18 the the DT cord-016476-78r0rsio 493 19 treatment treatment NN cord-016476-78r0rsio 493 20 of of IN cord-016476-78r0rsio 493 21 patients patient NNS cord-016476-78r0rsio 493 22 with with IN cord-016476-78r0rsio 493 23 rheumatoid rheumatoid NN cord-016476-78r0rsio 493 24 arthritis arthritis NN cord-016476-78r0rsio 493 25 who who WP cord-016476-78r0rsio 493 26 have have VBP cord-016476-78r0rsio 493 27 been be VBN cord-016476-78r0rsio 493 28 treated treat VBN cord-016476-78r0rsio 493 29 unsuccessfully unsuccessfully RB cord-016476-78r0rsio 493 30 with with IN cord-016476-78r0rsio 493 31 methotrexate methotrexate NNP cord-016476-78r0rsio 493 32 Proposal Proposal NNP cord-016476-78r0rsio 493 33 for for IN cord-016476-78r0rsio 493 34 a a DT cord-016476-78r0rsio 493 35 new new JJ cord-016476-78r0rsio 493 36 nomenclature nomenclature NN cord-016476-78r0rsio 493 37 of of IN cord-016476-78r0rsio 493 38 diseasemodifying diseasemodifye VBG cord-016476-78r0rsio 493 39 antirheumatic antirheumatic JJ cord-016476-78r0rsio 493 40 drugs drug NNS cord-016476-78r0rsio 493 41 Baricitinib Baricitinib NNP cord-016476-78r0rsio 493 42 versus versus IN cord-016476-78r0rsio 493 43 placebo placebo NN cord-016476-78r0rsio 493 44 or or CC cord-016476-78r0rsio 493 45 adalimumab adalimumab NNS cord-016476-78r0rsio 493 46 in in IN cord-016476-78r0rsio 493 47 patients patient NNS cord-016476-78r0rsio 493 48 with with IN cord-016476-78r0rsio 493 49 active active JJ cord-016476-78r0rsio 493 50 rheumatoid rheumatoid NN cord-016476-78r0rsio 493 51 arthritis arthritis NN cord-016476-78r0rsio 493 52 ( ( -LRB- cord-016476-78r0rsio 493 53 RA RA NNP cord-016476-78r0rsio 493 54 ) ) -RRB- cord-016476-78r0rsio 493 55 and and CC cord-016476-78r0rsio 493 56 an an DT cord-016476-78r0rsio 493 57 inadequate inadequate JJ cord-016476-78r0rsio 493 58 response response NN cord-016476-78r0rsio 493 59 to to TO cord-016476-78r0rsio 493 60 background background VB cord-016476-78r0rsio 493 61 methotrexate methotrexate NNP cord-016476-78r0rsio 493 62 therapy therapy NN cord-016476-78r0rsio 493 63 : : : cord-016476-78r0rsio 493 64 results result NNS cord-016476-78r0rsio 493 65 of of IN cord-016476-78r0rsio 493 66 a a DT cord-016476-78r0rsio 493 67 phase phase NN cord-016476-78r0rsio 493 68 3 3 CD cord-016476-78r0rsio 493 69 study study NN cord-016476-78r0rsio 493 70 Tofacitinib Tofacitinib NNP cord-016476-78r0rsio 493 71 or or CC cord-016476-78r0rsio 493 72 adalimumab adalimumab NNS cord-016476-78r0rsio 493 73 versus versus IN cord-016476-78r0rsio 493 74 placebo placebo NN cord-016476-78r0rsio 493 75 in in IN cord-016476-78r0rsio 493 76 rheumatoid rheumatoid NNP cord-016476-78r0rsio 493 77 arthritis arthritis NN cord-016476-78r0rsio 493 78 CP-690,550 CP-690,550 NNP cord-016476-78r0rsio 493 79 ) ) -RRB- cord-016476-78r0rsio 493 80 in in IN cord-016476-78r0rsio 493 81 combination combination NN cord-016476-78r0rsio 493 82 with with IN cord-016476-78r0rsio 493 83 methotrexate methotrexate NNP cord-016476-78r0rsio 493 84 in in IN cord-016476-78r0rsio 493 85 patients patient NNS cord-016476-78r0rsio 493 86 with with IN cord-016476-78r0rsio 493 87 active active JJ cord-016476-78r0rsio 493 88 rheumatoid rheumatoid NN cord-016476-78r0rsio 493 89 arthritis arthritis NN cord-016476-78r0rsio 493 90 with with IN cord-016476-78r0rsio 493 91 an an DT cord-016476-78r0rsio 493 92 inadequate inadequate JJ cord-016476-78r0rsio 493 93 response response NN cord-016476-78r0rsio 493 94 to to IN cord-016476-78r0rsio 493 95 tumour tumour NN cord-016476-78r0rsio 493 96 necrosis necrosis NN cord-016476-78r0rsio 493 97 factor factor NN cord-016476-78r0rsio 493 98 inhibitors inhibitor NNS cord-016476-78r0rsio 493 99 : : : cord-016476-78r0rsio 493 100 a a DT cord-016476-78r0rsio 493 101 randomised randomised JJ cord-016476-78r0rsio 493 102 phase phase NN cord-016476-78r0rsio 493 103 3 3 CD cord-016476-78r0rsio 493 104 trial trial NN cord-016476-78r0rsio 493 105 CP-690,550 cp-690,550 NN cord-016476-78r0rsio 493 106 ) ) -RRB- cord-016476-78r0rsio 493 107 in in IN cord-016476-78r0rsio 493 108 patients patient NNS cord-016476-78r0rsio 493 109 with with IN cord-016476-78r0rsio 493 110 rheumatoid rheumatoid NN cord-016476-78r0rsio 493 111 arthritis arthritis NN cord-016476-78r0rsio 493 112 receiving receive VBG cord-016476-78r0rsio 493 113 methotrexate methotrexate NNP cord-016476-78r0rsio 493 114 : : : cord-016476-78r0rsio 493 115 twelve twelve CD cord-016476-78r0rsio 493 116 - - HYPH cord-016476-78r0rsio 493 117 month month NN cord-016476-78r0rsio 493 118 data datum NNS cord-016476-78r0rsio 493 119 from from IN cord-016476-78r0rsio 493 120 a a DT cord-016476-78r0rsio 493 121 twenty twenty CD cord-016476-78r0rsio 493 122 - - HYPH cord-016476-78r0rsio 493 123 four four CD cord-016476-78r0rsio 493 124 - - HYPH cord-016476-78r0rsio 493 125 month month NN cord-016476-78r0rsio 493 126 phase phase NN cord-016476-78r0rsio 493 127 III iii CD cord-016476-78r0rsio 493 128 randomized randomized JJ cord-016476-78r0rsio 493 129 radiographic radiographic JJ cord-016476-78r0rsio 493 130 study study NN cord-016476-78r0rsio 493 131 Placebo Placebo NNP cord-016476-78r0rsio 493 132 - - HYPH cord-016476-78r0rsio 493 133 controlled control VBN cord-016476-78r0rsio 493 134 trial trial NN cord-016476-78r0rsio 493 135 of of IN cord-016476-78r0rsio 493 136 tofacitinib tofacitinib NNP cord-016476-78r0rsio 493 137 monotherapy monotherapy IN cord-016476-78r0rsio 493 138 in in IN cord-016476-78r0rsio 493 139 rheumatoid rheumatoid NN cord-016476-78r0rsio 493 140 arthritis arthritis NN cord-016476-78r0rsio 493 141 Safety Safety NNP cord-016476-78r0rsio 493 142 and and CC cord-016476-78r0rsio 493 143 efficacy efficacy NN cord-016476-78r0rsio 493 144 of of IN cord-016476-78r0rsio 493 145 tofacitinib tofacitinib NNP cord-016476-78r0rsio 493 146 , , , cord-016476-78r0rsio 493 147 an an DT cord-016476-78r0rsio 493 148 oral oral JJ cord-016476-78r0rsio 493 149 janus janus NNP cord-016476-78r0rsio 493 150 kinase kinase NNP cord-016476-78r0rsio 493 151 inhibitor inhibitor NN cord-016476-78r0rsio 493 152 , , , cord-016476-78r0rsio 493 153 for for IN cord-016476-78r0rsio 493 154 the the DT cord-016476-78r0rsio 493 155 treatment treatment NN cord-016476-78r0rsio 493 156 of of IN cord-016476-78r0rsio 493 157 rheumatoid rheumatoid JJ cord-016476-78r0rsio 493 158 arthritis arthritis NN cord-016476-78r0rsio 493 159 in in IN cord-016476-78r0rsio 493 160 open open JJ cord-016476-78r0rsio 493 161 - - HYPH cord-016476-78r0rsio 493 162 label label NN cord-016476-78r0rsio 493 163 , , , cord-016476-78r0rsio 493 164 longterm longterm JJ cord-016476-78r0rsio 493 165 extension extension NN cord-016476-78r0rsio 493 166 studies study NNS cord-016476-78r0rsio 493 167 Efficacy Efficacy NNP cord-016476-78r0rsio 493 168 and and CC cord-016476-78r0rsio 493 169 safety safety NN cord-016476-78r0rsio 493 170 of of IN cord-016476-78r0rsio 493 171 tofacitinib tofacitinib NNP cord-016476-78r0rsio 493 172 in in IN cord-016476-78r0rsio 493 173 the the DT cord-016476-78r0rsio 493 174 treatment treatment NN cord-016476-78r0rsio 493 175 of of IN cord-016476-78r0rsio 493 176 rheumatoid rheumatoid NNP cord-016476-78r0rsio 493 177 arthritis arthritis NN cord-016476-78r0rsio 493 178 : : : cord-016476-78r0rsio 493 179 a a DT cord-016476-78r0rsio 493 180 systematic systematic JJ cord-016476-78r0rsio 493 181 review review NN cord-016476-78r0rsio 493 182 and and CC cord-016476-78r0rsio 493 183 meta meta NNP cord-016476-78r0rsio 493 184 - - HYPH cord-016476-78r0rsio 493 185 analysis analysis NN cord-016476-78r0rsio 493 186 Safety safety NN cord-016476-78r0rsio 493 187 and and CC cord-016476-78r0rsio 493 188 efficacy efficacy NN cord-016476-78r0rsio 493 189 of of IN cord-016476-78r0rsio 493 190 baricitinib baricitinib NN cord-016476-78r0rsio 493 191 at at IN cord-016476-78r0rsio 493 192 24 24 CD cord-016476-78r0rsio 493 193 weeks week NNS cord-016476-78r0rsio 493 194 in in IN cord-016476-78r0rsio 493 195 patients patient NNS cord-016476-78r0rsio 493 196 with with IN cord-016476-78r0rsio 493 197 rheumatoid rheumatoid NN cord-016476-78r0rsio 493 198 arthritis arthritis NN cord-016476-78r0rsio 493 199 who who WP cord-016476-78r0rsio 493 200 have have VBP cord-016476-78r0rsio 493 201 had have VBN cord-016476-78r0rsio 493 202 an an DT cord-016476-78r0rsio 493 203 inadequate inadequate JJ cord-016476-78r0rsio 493 204 response response NN cord-016476-78r0rsio 493 205 to to IN cord-016476-78r0rsio 493 206 methotrexate methotrexate NNP cord-016476-78r0rsio 493 207 Baricitinib Baricitinib NNP cord-016476-78r0rsio 493 208 in in IN cord-016476-78r0rsio 493 209 patients patient NNS cord-016476-78r0rsio 493 210 with with IN cord-016476-78r0rsio 493 211 refractory refractory JJ cord-016476-78r0rsio 493 212 rheumatoid rheumatoid NN cord-016476-78r0rsio 493 213 arthritis arthritis NN cord-016476-78r0rsio 493 214 Risk Risk NNP cord-016476-78r0rsio 493 215 evaluation evaluation NN cord-016476-78r0rsio 493 216 and and CC cord-016476-78r0rsio 493 217 mitigation mitigation NN cord-016476-78r0rsio 493 218 strategy strategy NN cord-016476-78r0rsio 493 219 ( ( -LRB- cord-016476-78r0rsio 493 220 REMS REMS NNP cord-016476-78r0rsio 493 221 ) ) -RRB- cord-016476-78r0rsio 493 222 NDA NDA NNP cord-016476-78r0rsio 493 223 203 203 CD cord-016476-78r0rsio 493 224 Usual usual JJ cord-016476-78r0rsio 493 225 interstitial interstitial JJ cord-016476-78r0rsio 493 226 pneumonia pneumonia NN cord-016476-78r0rsio 493 227 in in IN cord-016476-78r0rsio 493 228 rheumatoid rheumatoid NNP cord-016476-78r0rsio 493 229 arthritisassociated arthritisassociate VBN cord-016476-78r0rsio 493 230 interstitial interstitial JJ cord-016476-78r0rsio 493 231 lung lung NN cord-016476-78r0rsio 493 232 disease disease NN cord-016476-78r0rsio 493 233 Rheumatoid Rheumatoid NNP cord-016476-78r0rsio 493 234 arthritis arthritis NN cord-016476-78r0rsio 493 235 and and CC cord-016476-78r0rsio 493 236 lung lung NN cord-016476-78r0rsio 493 237 disease disease NN cord-016476-78r0rsio 493 238 : : : cord-016476-78r0rsio 493 239 from from IN cord-016476-78r0rsio 493 240 mechanisms mechanism NNS cord-016476-78r0rsio 493 241 to to IN cord-016476-78r0rsio 493 242 a a DT cord-016476-78r0rsio 493 243 practical practical JJ cord-016476-78r0rsio 493 244 approach approach NN cord-016476-78r0rsio 494 1 An an DT cord-016476-78r0rsio 494 2 official official JJ cord-016476-78r0rsio 494 3 ATS ATS NNP cord-016476-78r0rsio 494 4 / / SYM cord-016476-78r0rsio 494 5 ERS ERS NNP cord-016476-78r0rsio 494 6 / / SYM cord-016476-78r0rsio 494 7 JRS JRS NNP cord-016476-78r0rsio 494 8 / / SYM cord-016476-78r0rsio 494 9 ALAT ALAT NNP cord-016476-78r0rsio 494 10 clinical clinical JJ cord-016476-78r0rsio 494 11 practice practice NN cord-016476-78r0rsio 494 12 guideline guideline NN cord-016476-78r0rsio 494 13 : : : cord-016476-78r0rsio 494 14 treatment treatment NN cord-016476-78r0rsio 494 15 of of IN cord-016476-78r0rsio 494 16 idiopathic idiopathic JJ cord-016476-78r0rsio 494 17 pulmonary pulmonary JJ cord-016476-78r0rsio 494 18 fibrosis fibrosis NN cord-016476-78r0rsio 494 19 : : : cord-016476-78r0rsio 494 20 an an DT cord-016476-78r0rsio 494 21 update update NN cord-016476-78r0rsio 494 22 of of IN cord-016476-78r0rsio 494 23 the the DT cord-016476-78r0rsio 494 24 2011 2011 CD cord-016476-78r0rsio 494 25 clinical clinical JJ cord-016476-78r0rsio 494 26 practice practice NN cord-016476-78r0rsio 494 27 guideline guideline NN cord-016476-78r0rsio 494 28 The the DT cord-016476-78r0rsio 494 29 lung lung NN cord-016476-78r0rsio 494 30 disease disease NN cord-016476-78r0rsio 494 31 of of IN cord-016476-78r0rsio 494 32 rheumatoid rheumatoid NNP cord-016476-78r0rsio 494 33 arthritis arthritis NN cord-016476-78r0rsio 494 34 Azathioprine Azathioprine NNP cord-016476-78r0rsio 494 35 combined combine VBN cord-016476-78r0rsio 494 36 with with IN cord-016476-78r0rsio 494 37 prednisone prednisone NN cord-016476-78r0rsio 494 38 in in IN cord-016476-78r0rsio 494 39 the the DT cord-016476-78r0rsio 494 40 treatment treatment NN cord-016476-78r0rsio 494 41 of of IN cord-016476-78r0rsio 494 42 idiopathic idiopathic JJ cord-016476-78r0rsio 494 43 pulmonary pulmonary JJ cord-016476-78r0rsio 494 44 fibrosis fibrosis NN cord-016476-78r0rsio 494 45 : : : cord-016476-78r0rsio 494 46 a a DT cord-016476-78r0rsio 494 47 prospective prospective JJ cord-016476-78r0rsio 494 48 double double JJ cord-016476-78r0rsio 494 49 - - HYPH cord-016476-78r0rsio 494 50 blind blind JJ cord-016476-78r0rsio 494 51 , , , cord-016476-78r0rsio 494 52 randomized randomized JJ cord-016476-78r0rsio 494 53 , , , cord-016476-78r0rsio 494 54 placebo placebo NN cord-016476-78r0rsio 494 55 - - HYPH cord-016476-78r0rsio 494 56 controlled control VBN cord-016476-78r0rsio 494 57 clinical clinical JJ cord-016476-78r0rsio 494 58 trial trial NN cord-016476-78r0rsio 494 59 Prednisone Prednisone NNP cord-016476-78r0rsio 494 60 , , , cord-016476-78r0rsio 494 61 azathioprine azathioprine NN cord-016476-78r0rsio 494 62 , , , cord-016476-78r0rsio 494 63 and and CC cord-016476-78r0rsio 494 64 N n NN cord-016476-78r0rsio 494 65 - - HYPH cord-016476-78r0rsio 494 66 acetylcysteine acetylcysteine NN cord-016476-78r0rsio 494 67 for for IN cord-016476-78r0rsio 494 68 pulmonary pulmonary JJ cord-016476-78r0rsio 494 69 fibrosis fibrosis NN cord-016476-78r0rsio 494 70 Risk Risk NNP cord-016476-78r0rsio 494 71 of of IN cord-016476-78r0rsio 494 72 serious serious JJ cord-016476-78r0rsio 494 73 infection infection NN cord-016476-78r0rsio 494 74 in in IN cord-016476-78r0rsio 494 75 patients patient NNS cord-016476-78r0rsio 494 76 with with IN cord-016476-78r0rsio 494 77 rheumatoid rheumatoid NN cord-016476-78r0rsio 494 78 arthritis arthritis NN cord-016476-78r0rsio 494 79 - - HYPH cord-016476-78r0rsio 494 80 associated associate VBN cord-016476-78r0rsio 494 81 interstitial interstitial JJ cord-016476-78r0rsio 494 82 lung lung NN cord-016476-78r0rsio 494 83 disease disease NN cord-016476-78r0rsio 494 84 Immediate Immediate NNP cord-016476-78r0rsio 494 85 and and CC cord-016476-78r0rsio 494 86 delayed delayed JJ cord-016476-78r0rsio 494 87 impact impact NN cord-016476-78r0rsio 494 88 of of IN cord-016476-78r0rsio 494 89 oral oral JJ cord-016476-78r0rsio 494 90 glucocorticoid glucocorticoid NN cord-016476-78r0rsio 494 91 therapy therapy NN cord-016476-78r0rsio 494 92 on on IN cord-016476-78r0rsio 494 93 risk risk NN cord-016476-78r0rsio 494 94 of of IN cord-016476-78r0rsio 494 95 serious serious JJ cord-016476-78r0rsio 494 96 infection infection NN cord-016476-78r0rsio 494 97 in in IN cord-016476-78r0rsio 494 98 older old JJR cord-016476-78r0rsio 494 99 patients patient NNS cord-016476-78r0rsio 494 100 with with IN cord-016476-78r0rsio 494 101 rheumatoid rheumatoid NN cord-016476-78r0rsio 494 102 arthritis arthritis NN cord-016476-78r0rsio 494 103 : : : cord-016476-78r0rsio 494 104 a a DT cord-016476-78r0rsio 494 105 nested nest VBN cord-016476-78r0rsio 494 106 case case NN cord-016476-78r0rsio 494 107 - - HYPH cord-016476-78r0rsio 494 108 control control NN cord-016476-78r0rsio 494 109 analysis analysis NN cord-016476-78r0rsio 495 1 Pirfenidone Pirfenidone NNP cord-016476-78r0rsio 495 2 in in IN cord-016476-78r0rsio 495 3 patients patient NNS cord-016476-78r0rsio 495 4 with with IN cord-016476-78r0rsio 495 5 idiopathic idiopathic JJ cord-016476-78r0rsio 495 6 pulmonary pulmonary JJ cord-016476-78r0rsio 495 7 fibrosis fibrosis NN cord-016476-78r0rsio 495 8 ( ( -LRB- cord-016476-78r0rsio 495 9 CAPACITY capacity NN cord-016476-78r0rsio 495 10 ) ) -RRB- cord-016476-78r0rsio 496 1 : : : cord-016476-78r0rsio 496 2 two two CD cord-016476-78r0rsio 496 3 randomised randomised JJ cord-016476-78r0rsio 496 4 trials trial NNS cord-016476-78r0rsio 497 1 Pirfenidone pirfenidone NN cord-016476-78r0rsio 497 2 in in IN cord-016476-78r0rsio 497 3 idiopathic idiopathic JJ cord-016476-78r0rsio 497 4 pulmonary pulmonary JJ cord-016476-78r0rsio 497 5 fibrosis fibrosis NN cord-016476-78r0rsio 497 6 Pirfenidone Pirfenidone NNP cord-016476-78r0rsio 497 7 for for IN cord-016476-78r0rsio 497 8 idiopathic idiopathic JJ cord-016476-78r0rsio 497 9 pulmonary pulmonary JJ cord-016476-78r0rsio 497 10 fibrosis fibrosis NN cord-016476-78r0rsio 497 11 : : : cord-016476-78r0rsio 498 1 analysis analysis NN cord-016476-78r0rsio 498 2 of of IN cord-016476-78r0rsio 498 3 pooled pool VBN cord-016476-78r0rsio 498 4 data datum NNS cord-016476-78r0rsio 498 5 from from IN cord-016476-78r0rsio 498 6 three three CD cord-016476-78r0rsio 498 7 multinational multinational JJ cord-016476-78r0rsio 498 8 phase phase NN cord-016476-78r0rsio 498 9 3 3 CD cord-016476-78r0rsio 498 10 trials trial NNS cord-016476-78r0rsio 498 11 Open open VB cord-016476-78r0rsio 498 12 - - HYPH cord-016476-78r0rsio 498 13 label label NN cord-016476-78r0rsio 498 14 compassionate compassionate JJ cord-016476-78r0rsio 498 15 use use NN cord-016476-78r0rsio 498 16 one one CD cord-016476-78r0rsio 498 17 year year NN cord-016476-78r0rsio 498 18 - - HYPH cord-016476-78r0rsio 498 19 treatment treatment NN cord-016476-78r0rsio 498 20 with with IN cord-016476-78r0rsio 498 21 pirfenidone pirfenidone NN cord-016476-78r0rsio 498 22 to to IN cord-016476-78r0rsio 498 23 patients patient NNS cord-016476-78r0rsio 498 24 with with IN cord-016476-78r0rsio 498 25 chronic chronic JJ cord-016476-78r0rsio 498 26 pulmonary pulmonary JJ cord-016476-78r0rsio 498 27 fibrosis fibrosis NN cord-016476-78r0rsio 498 28 Clinical clinical JJ cord-016476-78r0rsio 498 29 experience experience NN cord-016476-78r0rsio 498 30 with with IN cord-016476-78r0rsio 498 31 pirfenidone pirfenidone NN cord-016476-78r0rsio 498 32 in in IN cord-016476-78r0rsio 498 33 five five CD cord-016476-78r0rsio 498 34 patients patient NNS cord-016476-78r0rsio 498 35 with with IN cord-016476-78r0rsio 498 36 scleroderma scleroderma NN cord-016476-78r0rsio 498 37 - - HYPH cord-016476-78r0rsio 498 38 related relate VBN cord-016476-78r0rsio 498 39 interstitial interstitial JJ cord-016476-78r0rsio 498 40 lung lung NN cord-016476-78r0rsio 498 41 disease disease NN cord-016476-78r0rsio 499 1 Improved improve VBN cord-016476-78r0rsio 499 2 pulmonary pulmonary JJ cord-016476-78r0rsio 499 3 function function NN cord-016476-78r0rsio 499 4 following follow VBG cord-016476-78r0rsio 499 5 pirfenidone pirfenidone NN cord-016476-78r0rsio 499 6 treatment treatment NN cord-016476-78r0rsio 499 7 in in IN cord-016476-78r0rsio 499 8 a a DT cord-016476-78r0rsio 499 9 patient patient NN cord-016476-78r0rsio 499 10 with with IN cord-016476-78r0rsio 499 11 progressive progressive JJ cord-016476-78r0rsio 499 12 interstitial interstitial JJ cord-016476-78r0rsio 499 13 lung lung NN cord-016476-78r0rsio 499 14 disease disease NN cord-016476-78r0rsio 499 15 associated associate VBN cord-016476-78r0rsio 499 16 with with IN cord-016476-78r0rsio 499 17 systemic systemic JJ cord-016476-78r0rsio 499 18 sclerosis sclerosis NN cord-016476-78r0rsio 499 19 A a DT cord-016476-78r0rsio 499 20 case case NN cord-016476-78r0rsio 499 21 report report NN cord-016476-78r0rsio 499 22 : : : cord-016476-78r0rsio 499 23 the the DT cord-016476-78r0rsio 499 24 efficacy efficacy NN cord-016476-78r0rsio 499 25 of of IN cord-016476-78r0rsio 499 26 pirfenidone pirfenidone NN cord-016476-78r0rsio 499 27 in in IN cord-016476-78r0rsio 499 28 a a DT cord-016476-78r0rsio 499 29 Chinese chinese JJ cord-016476-78r0rsio 499 30 patient patient NN cord-016476-78r0rsio 499 31 with with IN cord-016476-78r0rsio 499 32 progressive progressive JJ cord-016476-78r0rsio 499 33 systemic systemic JJ cord-016476-78r0rsio 499 34 sclerosis sclerosis NN cord-016476-78r0rsio 499 35 - - HYPH cord-016476-78r0rsio 499 36 associated associate VBN cord-016476-78r0rsio 499 37 interstitial interstitial JJ cord-016476-78r0rsio 499 38 lung lung NN cord-016476-78r0rsio 499 39 disease disease NN cord-016476-78r0rsio 499 40 : : : cord-016476-78r0rsio 499 41 a a DT cord-016476-78r0rsio 499 42 CARE care NN cord-016476-78r0rsio 499 43 - - HYPH cord-016476-78r0rsio 499 44 compliant compliant JJ cord-016476-78r0rsio 499 45 article article NN cord-016476-78r0rsio 500 1 An an DT cord-016476-78r0rsio 500 2 open open JJ cord-016476-78r0rsio 500 3 - - HYPH cord-016476-78r0rsio 500 4 label label NN cord-016476-78r0rsio 500 5 , , , cord-016476-78r0rsio 500 6 phase phase NN cord-016476-78r0rsio 500 7 II ii CD cord-016476-78r0rsio 500 8 study study NN cord-016476-78r0rsio 500 9 of of IN cord-016476-78r0rsio 500 10 the the DT cord-016476-78r0rsio 500 11 safety safety NN cord-016476-78r0rsio 500 12 and and CC cord-016476-78r0rsio 500 13 tolerability tolerability NN cord-016476-78r0rsio 500 14 of of IN cord-016476-78r0rsio 500 15 pirfenidone pirfenidone NN cord-016476-78r0rsio 500 16 in in IN cord-016476-78r0rsio 500 17 patients patient NNS cord-016476-78r0rsio 500 18 with with IN cord-016476-78r0rsio 500 19 scleroderma scleroderma NN cord-016476-78r0rsio 500 20 - - HYPH cord-016476-78r0rsio 500 21 associated associate VBN cord-016476-78r0rsio 500 22 interstitial interstitial JJ cord-016476-78r0rsio 500 23 lung lung NN cord-016476-78r0rsio 500 24 disease disease NN cord-016476-78r0rsio 500 25 : : : cord-016476-78r0rsio 501 1 the the DT cord-016476-78r0rsio 501 2 LOTUSS LOTUSS NNP cord-016476-78r0rsio 501 3 trial trial NN cord-016476-78r0rsio 501 4 Is be VBZ cord-016476-78r0rsio 501 5 pirfenidone pirfenidone JJ cord-016476-78r0rsio 501 6 ready ready JJ cord-016476-78r0rsio 501 7 for for IN cord-016476-78r0rsio 501 8 use use NN cord-016476-78r0rsio 501 9 in in IN cord-016476-78r0rsio 501 10 non non JJ cord-016476-78r0rsio 501 11 - - JJ cord-016476-78r0rsio 501 12 idiopathic idiopathic JJ cord-016476-78r0rsio 501 13 pulmonary pulmonary JJ cord-016476-78r0rsio 501 14 fibrosis fibrosis NN cord-016476-78r0rsio 501 15 interstitial interstitial JJ cord-016476-78r0rsio 501 16 lung lung NN cord-016476-78r0rsio 501 17 diseases disease NNS cord-016476-78r0rsio 501 18 ? ? . cord-016476-78r0rsio 502 1 Treatment treatment NN cord-016476-78r0rsio 502 2 of of IN cord-016476-78r0rsio 502 3 rheumatoid rheumatoid JJ cord-016476-78r0rsio 502 4 arthritis arthritis NN cord-016476-78r0rsio 502 5 - - HYPH cord-016476-78r0rsio 502 6 associated associate VBN cord-016476-78r0rsio 502 7 interstitial interstitial JJ cord-016476-78r0rsio 502 8 lung lung NN cord-016476-78r0rsio 502 9 disease disease NN cord-016476-78r0rsio 502 10 : : : cord-016476-78r0rsio 503 1 a a DT cord-016476-78r0rsio 503 2 perspective perspective NN cord-016476-78r0rsio 503 3 review review NN cord-016476-78r0rsio 503 4 Phase phase NN cord-016476-78r0rsio 503 5 ll will MD cord-016476-78r0rsio 503 6 Study Study NNP cord-016476-78r0rsio 503 7 of of IN cord-016476-78r0rsio 503 8 Pirfenidone Pirfenidone NNP cord-016476-78r0rsio 503 9 in in IN cord-016476-78r0rsio 503 10 patients patient NNS cord-016476-78r0rsio 503 11 with with IN cord-016476-78r0rsio 503 12 RA RA NNP cord-016476-78r0rsio 503 13 - - HYPH cord-016476-78r0rsio 503 14 ILD ILD NNP cord-016476-78r0rsio 503 15 . . . cord-016476-78r0rsio 504 1 ClinicalTrials.gov ClinicalTrials.gov NNP cord-016476-78r0rsio 504 2 Identifier Identifier NNP cord-016476-78r0rsio 504 3 : : : cord-016476-78r0rsio 504 4 NCT02808871 NCT02808871 NNP cord-016476-78r0rsio 505 1 Nintedanib Nintedanib NNP cord-016476-78r0rsio 505 2 inhibits inhibit VBZ cord-016476-78r0rsio 505 3 fibroblast fibroblast NN cord-016476-78r0rsio 505 4 activation activation NN cord-016476-78r0rsio 505 5 and and CC cord-016476-78r0rsio 505 6 ameliorates ameliorate VBZ cord-016476-78r0rsio 505 7 fibrosis fibrosis NN cord-016476-78r0rsio 505 8 in in IN cord-016476-78r0rsio 505 9 preclinical preclinical JJ cord-016476-78r0rsio 505 10 models model NNS cord-016476-78r0rsio 505 11 of of IN cord-016476-78r0rsio 505 12 systemic systemic JJ cord-016476-78r0rsio 505 13 sclerosis sclerosis NN cord-016476-78r0rsio 505 14 Combined combine VBN cord-016476-78r0rsio 505 15 corticosteroid corticosteroid NN cord-016476-78r0rsio 505 16 and and CC cord-016476-78r0rsio 505 17 cyclophosphamide cyclophosphamide JJ cord-016476-78r0rsio 505 18 therapy therapy NN cord-016476-78r0rsio 505 19 does do VBZ cord-016476-78r0rsio 505 20 not not RB cord-016476-78r0rsio 505 21 alter alter VB cord-016476-78r0rsio 505 22 survival survival NN cord-016476-78r0rsio 505 23 in in IN cord-016476-78r0rsio 505 24 idiopathic idiopathic JJ cord-016476-78r0rsio 505 25 pulmonary pulmonary JJ cord-016476-78r0rsio 505 26 fibrosis fibrosis NN cord-016476-78r0rsio 505 27 Cyclophosphamide Cyclophosphamide NNP cord-016476-78r0rsio 505 28 for for IN cord-016476-78r0rsio 505 29 scleroderma scleroderma NN cord-016476-78r0rsio 505 30 lung lung NN cord-016476-78r0rsio 505 31 disease disease NN cord-016476-78r0rsio 505 32 Cyclophosphamide Cyclophosphamide NNP cord-016476-78r0rsio 505 33 versus versus IN cord-016476-78r0rsio 505 34 placebo placebo NN cord-016476-78r0rsio 505 35 in in IN cord-016476-78r0rsio 505 36 scleroderma scleroderma NN cord-016476-78r0rsio 505 37 lung lung NN cord-016476-78r0rsio 505 38 disease disease NN cord-016476-78r0rsio 506 1 A a DT cord-016476-78r0rsio 506 2 multicenter multicenter JJ cord-016476-78r0rsio 506 3 , , , cord-016476-78r0rsio 506 4 prospective prospective JJ cord-016476-78r0rsio 506 5 , , , cord-016476-78r0rsio 506 6 randomized randomized JJ cord-016476-78r0rsio 506 7 , , , cord-016476-78r0rsio 506 8 doubleblind doubleblind NN cord-016476-78r0rsio 506 9 , , , cord-016476-78r0rsio 506 10 placebo placebo NN cord-016476-78r0rsio 506 11 - - HYPH cord-016476-78r0rsio 506 12 controlled control VBN cord-016476-78r0rsio 506 13 trial trial NN cord-016476-78r0rsio 506 14 of of IN cord-016476-78r0rsio 506 15 corticosteroids corticosteroid NNS cord-016476-78r0rsio 506 16 and and CC cord-016476-78r0rsio 506 17 intravenous intravenous JJ cord-016476-78r0rsio 506 18 cyclophosphamide cyclophosphamide NN cord-016476-78r0rsio 506 19 followed follow VBN cord-016476-78r0rsio 506 20 by by IN cord-016476-78r0rsio 506 21 oral oral JJ cord-016476-78r0rsio 506 22 azathioprine azathioprine NN cord-016476-78r0rsio 506 23 for for IN cord-016476-78r0rsio 506 24 the the DT cord-016476-78r0rsio 506 25 treatment treatment NN cord-016476-78r0rsio 506 26 of of IN cord-016476-78r0rsio 506 27 pulmonary pulmonary JJ cord-016476-78r0rsio 506 28 fibrosis fibrosis NN cord-016476-78r0rsio 506 29 in in IN cord-016476-78r0rsio 506 30 scleroderma scleroderma NN cord-016476-78r0rsio 506 31 Predicting predict VBG cord-016476-78r0rsio 506 32 treatment treatment NN cord-016476-78r0rsio 506 33 outcomes outcome NNS cord-016476-78r0rsio 506 34 and and CC cord-016476-78r0rsio 506 35 responder responder NN cord-016476-78r0rsio 506 36 subsets subset NNS cord-016476-78r0rsio 506 37 in in IN cord-016476-78r0rsio 506 38 scleroderma scleroderma NN cord-016476-78r0rsio 506 39 - - HYPH cord-016476-78r0rsio 506 40 related relate VBN cord-016476-78r0rsio 506 41 interstitial interstitial JJ cord-016476-78r0rsio 506 42 lung lung NN cord-016476-78r0rsio 506 43 disease disease NN cord-016476-78r0rsio 506 44 Effects effect NNS cord-016476-78r0rsio 506 45 of of IN cord-016476-78r0rsio 506 46 cyclophosphamide cyclophosphamide NN cord-016476-78r0rsio 506 47 on on IN cord-016476-78r0rsio 506 48 pulmonary pulmonary JJ cord-016476-78r0rsio 506 49 function function NN cord-016476-78r0rsio 506 50 in in IN cord-016476-78r0rsio 506 51 patients patient NNS cord-016476-78r0rsio 506 52 with with IN cord-016476-78r0rsio 506 53 scleroderma scleroderma NNS cord-016476-78r0rsio 506 54 and and CC cord-016476-78r0rsio 506 55 interstitial interstitial JJ cord-016476-78r0rsio 506 56 lung lung NN cord-016476-78r0rsio 506 57 disease disease NN cord-016476-78r0rsio 506 58 : : : cord-016476-78r0rsio 507 1 a a DT cord-016476-78r0rsio 507 2 systematic systematic JJ cord-016476-78r0rsio 507 3 review review NN cord-016476-78r0rsio 507 4 and and CC cord-016476-78r0rsio 507 5 meta meta NNP cord-016476-78r0rsio 507 6 - - HYPH cord-016476-78r0rsio 507 7 analysis analysis NN cord-016476-78r0rsio 507 8 of of IN cord-016476-78r0rsio 507 9 randomized randomized JJ cord-016476-78r0rsio 507 10 controlled control VBN cord-016476-78r0rsio 507 11 trials trial NNS cord-016476-78r0rsio 507 12 and and CC cord-016476-78r0rsio 507 13 observational observational JJ cord-016476-78r0rsio 507 14 prospective prospective JJ cord-016476-78r0rsio 507 15 cohort cohort NN cord-016476-78r0rsio 507 16 studies study NNS cord-016476-78r0rsio 507 17 Efficacy Efficacy NNP cord-016476-78r0rsio 507 18 of of IN cord-016476-78r0rsio 507 19 intensive intensive JJ cord-016476-78r0rsio 507 20 immunosuppression immunosuppression NN cord-016476-78r0rsio 507 21 in in IN cord-016476-78r0rsio 507 22 exacerbated exacerbate VBN cord-016476-78r0rsio 507 23 rheumatoid rheumatoid JJ cord-016476-78r0rsio 507 24 arthritis arthritis NN cord-016476-78r0rsio 507 25 - - HYPH cord-016476-78r0rsio 507 26 associated associate VBN cord-016476-78r0rsio 507 27 interstitial interstitial JJ cord-016476-78r0rsio 507 28 lung lung NN cord-016476-78r0rsio 507 29 disease disease NN cord-016476-78r0rsio 507 30 Rheumatoid Rheumatoid NNP cord-016476-78r0rsio 507 31 arthritis arthritis NN cord-016476-78r0rsio 507 32 associated associate VBN cord-016476-78r0rsio 507 33 with with IN cord-016476-78r0rsio 507 34 methotrexateinduced methotrexateinduced JJ cord-016476-78r0rsio 507 35 pneumonitis pneumonitis NN cord-016476-78r0rsio 507 36 : : : cord-016476-78r0rsio 507 37 improvement improvement NN cord-016476-78r0rsio 507 38 with with IN cord-016476-78r0rsio 507 39 i.v i.v NNP cord-016476-78r0rsio 507 40 . . . cord-016476-78r0rsio 508 1 cyclophosphamide cyclophosphamide NN cord-016476-78r0rsio 508 2 therapy therapy NN cord-016476-78r0rsio 508 3 Cyclosporin Cyclosporin NNP cord-016476-78r0rsio 508 4 as as IN cord-016476-78r0rsio 508 5 a a DT cord-016476-78r0rsio 508 6 treatment treatment NN cord-016476-78r0rsio 508 7 for for IN cord-016476-78r0rsio 508 8 interstitial interstitial JJ cord-016476-78r0rsio 508 9 lung lung NN cord-016476-78r0rsio 508 10 disease disease NN cord-016476-78r0rsio 508 11 of of IN cord-016476-78r0rsio 508 12 unknown unknown JJ cord-016476-78r0rsio 508 13 aetiology aetiology NN cord-016476-78r0rsio 508 14 Progression progression NN cord-016476-78r0rsio 508 15 of of IN cord-016476-78r0rsio 508 16 fibrosis fibrosis NN cord-016476-78r0rsio 508 17 in in IN cord-016476-78r0rsio 508 18 usual usual JJ cord-016476-78r0rsio 508 19 interstitial interstitial JJ cord-016476-78r0rsio 508 20 pneumonia pneumonia NN cord-016476-78r0rsio 508 21 : : : cord-016476-78r0rsio 508 22 serial serial JJ cord-016476-78r0rsio 508 23 evaluation evaluation NN cord-016476-78r0rsio 508 24 of of IN cord-016476-78r0rsio 508 25 the the DT cord-016476-78r0rsio 508 26 native native JJ cord-016476-78r0rsio 508 27 lung lung NN cord-016476-78r0rsio 508 28 after after IN cord-016476-78r0rsio 508 29 single single JJ cord-016476-78r0rsio 508 30 lung lung NN cord-016476-78r0rsio 508 31 transplantation transplantation NN cord-016476-78r0rsio 508 32 Cyclosporine Cyclosporine NNP cord-016476-78r0rsio 508 33 in in IN cord-016476-78r0rsio 508 34 anti anti JJ cord-016476-78r0rsio 508 35 - - JJ cord-016476-78r0rsio 508 36 Jo1-positive jo1-positive JJ cord-016476-78r0rsio 508 37 patients patient NNS cord-016476-78r0rsio 508 38 with with IN cord-016476-78r0rsio 508 39 corticosteroid corticosteroid JJ cord-016476-78r0rsio 508 40 - - HYPH cord-016476-78r0rsio 508 41 refractory refractory JJ cord-016476-78r0rsio 508 42 interstitial interstitial JJ cord-016476-78r0rsio 508 43 lung lung NN cord-016476-78r0rsio 508 44 disease disease NN cord-016476-78r0rsio 509 1 The the DT cord-016476-78r0rsio 509 2 efficacy efficacy NN cord-016476-78r0rsio 509 3 of of IN cord-016476-78r0rsio 509 4 calcineurin calcineurin NNP cord-016476-78r0rsio 509 5 inhibitors inhibitor NNS cord-016476-78r0rsio 509 6 for for IN cord-016476-78r0rsio 509 7 the the DT cord-016476-78r0rsio 509 8 treatment treatment NN cord-016476-78r0rsio 509 9 of of IN cord-016476-78r0rsio 509 10 interstitial interstitial JJ cord-016476-78r0rsio 509 11 lung lung NN cord-016476-78r0rsio 509 12 disease disease NN cord-016476-78r0rsio 509 13 associated associate VBN cord-016476-78r0rsio 509 14 with with IN cord-016476-78r0rsio 509 15 polymyositis polymyositis NN cord-016476-78r0rsio 509 16 / / SYM cord-016476-78r0rsio 509 17 dermatomyositis dermatomyositis NNP cord-016476-78r0rsio 509 18 Survival Survival NNP cord-016476-78r0rsio 509 19 benefit benefit NN cord-016476-78r0rsio 509 20 associated associate VBN cord-016476-78r0rsio 509 21 with with IN cord-016476-78r0rsio 509 22 early early JJ cord-016476-78r0rsio 509 23 cyclosporine cyclosporine JJ cord-016476-78r0rsio 509 24 treatment treatment NN cord-016476-78r0rsio 509 25 for for IN cord-016476-78r0rsio 509 26 dermatomyositis dermatomyositis NN cord-016476-78r0rsio 509 27 - - HYPH cord-016476-78r0rsio 509 28 associated associate VBN cord-016476-78r0rsio 509 29 interstitial interstitial JJ cord-016476-78r0rsio 509 30 lung lung NN cord-016476-78r0rsio 509 31 disease disease NN cord-016476-78r0rsio 509 32 Experience Experience NNP cord-016476-78r0rsio 509 33 of of IN cord-016476-78r0rsio 509 34 mycophenolate mycophenolate NNP cord-016476-78r0rsio 509 35 mofetil mofetil NNP cord-016476-78r0rsio 509 36 in in IN cord-016476-78r0rsio 509 37 10 10 CD cord-016476-78r0rsio 509 38 patients patient NNS cord-016476-78r0rsio 509 39 with with IN cord-016476-78r0rsio 509 40 autoimmune autoimmune NN cord-016476-78r0rsio 509 41 - - HYPH cord-016476-78r0rsio 509 42 related relate VBN cord-016476-78r0rsio 509 43 interstitial interstitial JJ cord-016476-78r0rsio 509 44 lung lung NN cord-016476-78r0rsio 509 45 disease disease NN cord-016476-78r0rsio 509 46 demonstrates demonstrate VBZ cord-016476-78r0rsio 509 47 promising promising JJ cord-016476-78r0rsio 509 48 effects effect NNS cord-016476-78r0rsio 509 49 A a DT cord-016476-78r0rsio 509 50 prospective prospective JJ cord-016476-78r0rsio 509 51 observational observational JJ cord-016476-78r0rsio 509 52 study study NN cord-016476-78r0rsio 509 53 of of IN cord-016476-78r0rsio 509 54 mycophenolate mycophenolate NNP cord-016476-78r0rsio 509 55 mofetil mofetil NNP cord-016476-78r0rsio 509 56 treatment treatment NN cord-016476-78r0rsio 509 57 in in IN cord-016476-78r0rsio 509 58 progressive progressive JJ cord-016476-78r0rsio 509 59 diffuse diffuse JJ cord-016476-78r0rsio 509 60 cutaneous cutaneous JJ cord-016476-78r0rsio 509 61 systemic systemic JJ cord-016476-78r0rsio 509 62 sclerosis sclerosis NN cord-016476-78r0rsio 509 63 of of IN cord-016476-78r0rsio 509 64 recent recent JJ cord-016476-78r0rsio 509 65 onset onset NN cord-016476-78r0rsio 509 66 Cyclophosphamide Cyclophosphamide NNP cord-016476-78r0rsio 509 67 versus versus IN cord-016476-78r0rsio 509 68 mycophenolate mycophenolate NNP cord-016476-78r0rsio 509 69 mofetil mofetil NNP cord-016476-78r0rsio 509 70 in in IN cord-016476-78r0rsio 509 71 scleroderma scleroderma NNP cord-016476-78r0rsio 510 1 interstitial interstitial JJ cord-016476-78r0rsio 510 2 lung lung NN cord-016476-78r0rsio 510 3 disease disease NN cord-016476-78r0rsio 510 4 ( ( -LRB- cord-016476-78r0rsio 510 5 SSc SSc NNP cord-016476-78r0rsio 510 6 - - HYPH cord-016476-78r0rsio 510 7 ILD ILD NNP cord-016476-78r0rsio 510 8 ) ) -RRB- cord-016476-78r0rsio 510 9 as as IN cord-016476-78r0rsio 510 10 induction induction NN cord-016476-78r0rsio 510 11 therapy therapy NN cord-016476-78r0rsio 510 12 : : : cord-016476-78r0rsio 510 13 a a DT cord-016476-78r0rsio 510 14 singlecentre singlecentre NN cord-016476-78r0rsio 510 15 , , , cord-016476-78r0rsio 511 1 retrospective retrospective JJ cord-016476-78r0rsio 511 2 analysis analysis NNP cord-016476-78r0rsio 512 1 Mycophenolate Mycophenolate NNP cord-016476-78r0rsio 512 2 mofetil mofetil NNP cord-016476-78r0rsio 512 3 improves improve VBZ cord-016476-78r0rsio 512 4 lung lung NN cord-016476-78r0rsio 512 5 function function NN cord-016476-78r0rsio 512 6 in in IN cord-016476-78r0rsio 512 7 connective connective JJ cord-016476-78r0rsio 512 8 tissue tissue NN cord-016476-78r0rsio 512 9 disease disease NN cord-016476-78r0rsio 512 10 - - HYPH cord-016476-78r0rsio 512 11 associated associate VBN cord-016476-78r0rsio 512 12 interstitial interstitial JJ cord-016476-78r0rsio 512 13 lung lung NN cord-016476-78r0rsio 512 14 disease disease NN cord-016476-78r0rsio 512 15 Mycophenolate Mycophenolate NNP cord-016476-78r0rsio 512 16 mofetil mofetil NNP cord-016476-78r0rsio 512 17 versus versus IN cord-016476-78r0rsio 512 18 oral oral JJ cord-016476-78r0rsio 512 19 cyclophosphamide cyclophosphamide NN cord-016476-78r0rsio 512 20 in in IN cord-016476-78r0rsio 512 21 scleroderma scleroderma NN cord-016476-78r0rsio 512 22 - - HYPH cord-016476-78r0rsio 512 23 related relate VBN cord-016476-78r0rsio 512 24 interstitial interstitial JJ cord-016476-78r0rsio 512 25 lung lung NN cord-016476-78r0rsio 512 26 disease disease NN cord-016476-78r0rsio 512 27 ( ( -LRB- cord-016476-78r0rsio 512 28 SLS SLS NNP cord-016476-78r0rsio 512 29 II II NNP cord-016476-78r0rsio 512 30 ) ) -RRB- cord-016476-78r0rsio 512 31 : : : cord-016476-78r0rsio 512 32 a a DT cord-016476-78r0rsio 512 33 randomised randomised JJ cord-016476-78r0rsio 512 34 controlled control VBN cord-016476-78r0rsio 512 35 , , , cord-016476-78r0rsio 512 36 double double JJ cord-016476-78r0rsio 512 37 - - HYPH cord-016476-78r0rsio 512 38 blind blind JJ cord-016476-78r0rsio 512 39 , , , cord-016476-78r0rsio 512 40 parallel parallel JJ cord-016476-78r0rsio 512 41 group group NN cord-016476-78r0rsio 512 42 trial trial NN cord-016476-78r0rsio 512 43 Mycophenolate Mycophenolate NNP cord-016476-78r0rsio 512 44 mofetil mofetil NNP cord-016476-78r0rsio 512 45 is be VBZ cord-016476-78r0rsio 512 46 safe safe JJ cord-016476-78r0rsio 512 47 , , , cord-016476-78r0rsio 512 48 well well RB cord-016476-78r0rsio 512 49 tolerated tolerate VBN cord-016476-78r0rsio 512 50 , , , cord-016476-78r0rsio 512 51 and and CC cord-016476-78r0rsio 512 52 preserves preserve VBZ cord-016476-78r0rsio 512 53 lung lung NN cord-016476-78r0rsio 512 54 function function NN cord-016476-78r0rsio 512 55 in in IN cord-016476-78r0rsio 512 56 patients patient NNS cord-016476-78r0rsio 512 57 with with IN cord-016476-78r0rsio 512 58 connective connective JJ cord-016476-78r0rsio 512 59 tissue tissue NN cord-016476-78r0rsio 512 60 disease disease NN cord-016476-78r0rsio 512 61 - - HYPH cord-016476-78r0rsio 512 62 related relate VBN cord-016476-78r0rsio 512 63 interstitial interstitial JJ cord-016476-78r0rsio 512 64 lung lung NN cord-016476-78r0rsio 512 65 disease disease NN cord-016476-78r0rsio 512 66 B b NN cord-016476-78r0rsio 512 67 - - HYPH cord-016476-78r0rsio 512 68 cell cell NN cord-016476-78r0rsio 512 69 depletion depletion NN cord-016476-78r0rsio 512 70 salvage salvage NN cord-016476-78r0rsio 512 71 therapy therapy NN cord-016476-78r0rsio 512 72 in in IN cord-016476-78r0rsio 512 73 rapidly rapidly RB cord-016476-78r0rsio 512 74 progressive progressive JJ cord-016476-78r0rsio 512 75 dermatomyositis dermatomyositis NN cord-016476-78r0rsio 512 76 related relate VBN cord-016476-78r0rsio 512 77 interstitial interstitial JJ cord-016476-78r0rsio 512 78 lung lung NN cord-016476-78r0rsio 512 79 disease disease NN cord-016476-78r0rsio 512 80 Successful successful JJ cord-016476-78r0rsio 512 81 experience experience NN cord-016476-78r0rsio 512 82 of of IN cord-016476-78r0rsio 512 83 rituximab rituximab NN cord-016476-78r0rsio 512 84 therapy therapy NN cord-016476-78r0rsio 512 85 for for IN cord-016476-78r0rsio 512 86 systemic systemic JJ cord-016476-78r0rsio 512 87 sclerosis sclerosis NN cord-016476-78r0rsio 512 88 - - HYPH cord-016476-78r0rsio 512 89 associated associate VBN cord-016476-78r0rsio 512 90 interstitial interstitial JJ cord-016476-78r0rsio 512 91 lung lung NN cord-016476-78r0rsio 512 92 disease disease NN cord-016476-78r0rsio 512 93 with with IN cord-016476-78r0rsio 512 94 concomitant concomitant JJ cord-016476-78r0rsio 512 95 systemic systemic JJ cord-016476-78r0rsio 512 96 lupus lupus NN cord-016476-78r0rsio 512 97 erythematosus erythematosus NN cord-016476-78r0rsio 512 98 Severe severe JJ cord-016476-78r0rsio 512 99 interstitial interstitial JJ cord-016476-78r0rsio 512 100 lung lung NN cord-016476-78r0rsio 512 101 disease disease NN cord-016476-78r0rsio 512 102 in in IN cord-016476-78r0rsio 512 103 connective connective JJ cord-016476-78r0rsio 512 104 tissue tissue NN cord-016476-78r0rsio 512 105 disease disease NN cord-016476-78r0rsio 512 106 : : : cord-016476-78r0rsio 512 107 rituximab rituximab VBN cord-016476-78r0rsio 512 108 as as IN cord-016476-78r0rsio 512 109 rescue rescue NN cord-016476-78r0rsio 512 110 therapy therapy NN cord-016476-78r0rsio 512 111 Long long JJ cord-016476-78r0rsio 512 112 - - HYPH cord-016476-78r0rsio 512 113 term term NN cord-016476-78r0rsio 512 114 efficacy efficacy NN cord-016476-78r0rsio 512 115 of of IN cord-016476-78r0rsio 512 116 B b NN cord-016476-78r0rsio 512 117 cell cell NN cord-016476-78r0rsio 512 118 depletion depletion NN cord-016476-78r0rsio 512 119 therapy therapy NN cord-016476-78r0rsio 512 120 on on IN cord-016476-78r0rsio 512 121 lung lung NN cord-016476-78r0rsio 512 122 and and CC cord-016476-78r0rsio 512 123 skin skin NN cord-016476-78r0rsio 512 124 involvement involvement NN cord-016476-78r0rsio 512 125 in in IN cord-016476-78r0rsio 512 126 diffuse diffuse JJ cord-016476-78r0rsio 512 127 systemic systemic JJ cord-016476-78r0rsio 512 128 sclerosis sclerosis NN cord-016476-78r0rsio 512 129 Open open JJ cord-016476-78r0rsio 512 130 - - HYPH cord-016476-78r0rsio 512 131 label label NN cord-016476-78r0rsio 513 1 , , , cord-016476-78r0rsio 513 2 pilot pilot NN cord-016476-78r0rsio 513 3 study study NN cord-016476-78r0rsio 513 4 of of IN cord-016476-78r0rsio 513 5 the the DT cord-016476-78r0rsio 513 6 safety safety NN cord-016476-78r0rsio 513 7 and and CC cord-016476-78r0rsio 513 8 clinical clinical JJ cord-016476-78r0rsio 513 9 effects effect NNS cord-016476-78r0rsio 513 10 of of IN cord-016476-78r0rsio 513 11 rituximab rituximab NN cord-016476-78r0rsio 513 12 in in IN cord-016476-78r0rsio 513 13 patients patient NNS cord-016476-78r0rsio 513 14 with with IN cord-016476-78r0rsio 513 15 rheumatoid rheumatoid NN cord-016476-78r0rsio 513 16 arthritis arthritis NN cord-016476-78r0rsio 513 17 associated associate VBN cord-016476-78r0rsio 513 18 interstitial interstitial JJ cord-016476-78r0rsio 513 19 pneumonia pneumonia NN cord-016476-78r0rsio 513 20 Safety Safety NNP cord-016476-78r0rsio 513 21 of of IN cord-016476-78r0rsio 513 22 rituximab rituximab NN cord-016476-78r0rsio 513 23 in in IN cord-016476-78r0rsio 513 24 patients patient NNS cord-016476-78r0rsio 513 25 with with IN cord-016476-78r0rsio 513 26 rheumatoid rheumatoid NN cord-016476-78r0rsio 513 27 arthritis arthritis NN cord-016476-78r0rsio 513 28 and and CC cord-016476-78r0rsio 513 29 concomitant concomitant JJ cord-016476-78r0rsio 513 30 lung lung NN cord-016476-78r0rsio 513 31 disease disease NN cord-016476-78r0rsio 513 32 Efficacy Efficacy NNP cord-016476-78r0rsio 513 33 and and CC cord-016476-78r0rsio 513 34 safety safety NN cord-016476-78r0rsio 513 35 of of IN cord-016476-78r0rsio 513 36 rituximab rituximab NN cord-016476-78r0rsio 513 37 in in IN cord-016476-78r0rsio 513 38 rheumatoid rheumatoid JJ cord-016476-78r0rsio 513 39 arthritis arthritis NN cord-016476-78r0rsio 513 40 patients patient NNS cord-016476-78r0rsio 513 41 with with IN cord-016476-78r0rsio 513 42 concomitant concomitant JJ cord-016476-78r0rsio 513 43 interstitial interstitial JJ cord-016476-78r0rsio 513 44 lung lung NN cord-016476-78r0rsio 513 45 disease disease NN cord-016476-78r0rsio 513 46 : : : cord-016476-78r0rsio 514 1 10-year 10-year CD cord-016476-78r0rsio 514 2 experience experience NN cord-016476-78r0rsio 514 3 at at IN cord-016476-78r0rsio 514 4 single single JJ cord-016476-78r0rsio 514 5 centre centre NN cord-016476-78r0rsio 514 6 Safety safety NN cord-016476-78r0rsio 514 7 and and CC cord-016476-78r0rsio 514 8 efficacy efficacy NN cord-016476-78r0rsio 514 9 of of IN cord-016476-78r0rsio 514 10 rituximab rituximab NN cord-016476-78r0rsio 514 11 in in IN cord-016476-78r0rsio 514 12 patients patient NNS cord-016476-78r0rsio 514 13 with with IN cord-016476-78r0rsio 514 14 rheumatoid rheumatoid NN cord-016476-78r0rsio 514 15 arthritis arthritis NN cord-016476-78r0rsio 514 16 and and CC cord-016476-78r0rsio 514 17 lung lung NN cord-016476-78r0rsio 514 18 involvement involvement NN cord-016476-78r0rsio 514 19 Mortality mortality NN cord-016476-78r0rsio 514 20 in in IN cord-016476-78r0rsio 514 21 patients patient NNS cord-016476-78r0rsio 514 22 with with IN cord-016476-78r0rsio 514 23 rheumatoid rheumatoid NN cord-016476-78r0rsio 514 24 arthritis arthritis NN cord-016476-78r0rsio 514 25 and and CC cord-016476-78r0rsio 514 26 interstitial interstitial JJ cord-016476-78r0rsio 514 27 lung lung NN cord-016476-78r0rsio 514 28 disease disease NN cord-016476-78r0rsio 514 29 treated treat VBN cord-016476-78r0rsio 514 30 with with IN cord-016476-78r0rsio 514 31 first first JJ cord-016476-78r0rsio 514 32 line line NN cord-016476-78r0rsio 514 33 TNFi TNFi NNS cord-016476-78r0rsio 514 34 or or CC cord-016476-78r0rsio 514 35 rituximab rituximab JJ cord-016476-78r0rsio 514 36 therapies therapy NNS cord-016476-78r0rsio 514 37 : : : cord-016476-78r0rsio 514 38 results result NNS cord-016476-78r0rsio 514 39 from from IN cord-016476-78r0rsio 514 40 the the DT cord-016476-78r0rsio 514 41 BSRBR BSRBR NNP cord-016476-78r0rsio 514 42 - - HYPH cord-016476-78r0rsio 514 43 RA RA NNP cord-016476-78r0rsio 514 44 Updated update VBN cord-016476-78r0rsio 514 45 consensus consensus NN cord-016476-78r0rsio 514 46 statement statement NN cord-016476-78r0rsio 514 47 on on IN cord-016476-78r0rsio 514 48 the the DT cord-016476-78r0rsio 514 49 use use NN cord-016476-78r0rsio 514 50 of of IN cord-016476-78r0rsio 514 51 rituximab rituximab NN cord-016476-78r0rsio 514 52 in in IN cord-016476-78r0rsio 514 53 patients patient NNS cord-016476-78r0rsio 514 54 with with IN cord-016476-78r0rsio 514 55 rheumatoid rheumatoid NN cord-016476-78r0rsio 514 56 arthritis arthritis NN cord-016476-78r0rsio 514 57 Survival Survival NNP cord-016476-78r0rsio 514 58 and and CC cord-016476-78r0rsio 514 59 quality quality NN cord-016476-78r0rsio 514 60 of of IN cord-016476-78r0rsio 514 61 life life NN cord-016476-78r0rsio 514 62 in in IN cord-016476-78r0rsio 514 63 rheumatoid rheumatoid NNP cord-016476-78r0rsio 514 64 arthritisassociated arthritisassociate VBN cord-016476-78r0rsio 514 65 interstitial interstitial JJ cord-016476-78r0rsio 514 66 lung lung NN cord-016476-78r0rsio 514 67 disease disease NN cord-016476-78r0rsio 514 68 after after IN cord-016476-78r0rsio 514 69 lung lung NN cord-016476-78r0rsio 514 70 transplantation transplantation NN cord-016476-78r0rsio 514 71 Pragmatic pragmatic JJ cord-016476-78r0rsio 514 72 prognostic prognostic JJ cord-016476-78r0rsio 514 73 approach approach NN cord-016476-78r0rsio 514 74 of of IN cord-016476-78r0rsio 514 75 rheumatoid rheumatoid JJ cord-016476-78r0rsio 514 76 arthritis arthritis NN cord-016476-78r0rsio 514 77 - - HYPH cord-016476-78r0rsio 514 78 associated associate VBN cord-016476-78r0rsio 514 79 interstitial interstitial JJ cord-016476-78r0rsio 514 80 lung lung NN cord-016476-78r0rsio 514 81 disease disease NN cord-016476-78r0rsio 515 1 An an DT cord-016476-78r0rsio 515 2 official official JJ cord-016476-78r0rsio 515 3 American American NNP cord-016476-78r0rsio 515 4 Thoracic Thoracic NNP cord-016476-78r0rsio 515 5 Society Society NNP cord-016476-78r0rsio 515 6 / / SYM cord-016476-78r0rsio 515 7 European European NNP cord-016476-78r0rsio 515 8 Respiratory Respiratory NNP cord-016476-78r0rsio 515 9 Society Society NNP cord-016476-78r0rsio 515 10 statement statement NN cord-016476-78r0rsio 515 11 : : : cord-016476-78r0rsio 515 12 update update NN cord-016476-78r0rsio 515 13 of of IN cord-016476-78r0rsio 515 14 the the DT cord-016476-78r0rsio 515 15 international international JJ cord-016476-78r0rsio 515 16 multidisciplinary multidisciplinary JJ cord-016476-78r0rsio 515 17 classification classification NN cord-016476-78r0rsio 515 18 of of IN cord-016476-78r0rsio 515 19 the the DT cord-016476-78r0rsio 515 20 idiopathic idiopathic JJ cord-016476-78r0rsio 515 21 interstitial interstitial JJ cord-016476-78r0rsio 515 22 pneumonias pneumonia NNS cord-016476-78r0rsio 515 23 Prevalence prevalence NN cord-016476-78r0rsio 515 24 and and CC cord-016476-78r0rsio 515 25 prognosis prognosis NN cord-016476-78r0rsio 515 26 of of IN cord-016476-78r0rsio 515 27 unclassifiable unclassifiable JJ cord-016476-78r0rsio 515 28 interstitial interstitial JJ cord-016476-78r0rsio 515 29 lung lung NN cord-016476-78r0rsio 515 30 disease disease NN cord-016476-78r0rsio 515 31 Lung Lung NNP cord-016476-78r0rsio 515 32 function function NN cord-016476-78r0rsio 515 33 estimates estimate NNS cord-016476-78r0rsio 515 34 in in IN cord-016476-78r0rsio 515 35 idiopathic idiopathic JJ cord-016476-78r0rsio 515 36 pulmonary pulmonary JJ cord-016476-78r0rsio 515 37 fibrosis fibrosis NN cord-016476-78r0rsio 515 38 : : : cord-016476-78r0rsio 515 39 the the DT cord-016476-78r0rsio 515 40 potential potential NN cord-016476-78r0rsio 515 41 for for IN cord-016476-78r0rsio 515 42 a a DT cord-016476-78r0rsio 515 43 simple simple JJ cord-016476-78r0rsio 515 44 classification classification NN cord-016476-78r0rsio 515 45 A a DT cord-016476-78r0rsio 515 46 multidimensional multidimensional JJ cord-016476-78r0rsio 515 47 index index NN cord-016476-78r0rsio 515 48 and and CC cord-016476-78r0rsio 515 49 staging stage VBG cord-016476-78r0rsio 515 50 system system NN cord-016476-78r0rsio 515 51 for for IN cord-016476-78r0rsio 515 52 idiopathic idiopathic JJ cord-016476-78r0rsio 515 53 pulmonary pulmonary JJ cord-016476-78r0rsio 515 54 fibrosis fibrosis NN cord-016476-78r0rsio 516 1 The the DT cord-016476-78r0rsio 516 2 MRC MRC NNP cord-016476-78r0rsio 516 3 breathlessness breathlessness NN cord-016476-78r0rsio 516 4 scale scale NN cord-016476-78r0rsio 517 1 An an DT cord-016476-78r0rsio 517 2 official official JJ cord-016476-78r0rsio 517 3 ATS ATS NNP cord-016476-78r0rsio 517 4 / / SYM cord-016476-78r0rsio 517 5 ERS ERS NNP cord-016476-78r0rsio 517 6 / / SYM cord-016476-78r0rsio 517 7 JRS JRS NNP cord-016476-78r0rsio 517 8 / / SYM cord-016476-78r0rsio 517 9 ALAT ALAT NNP cord-016476-78r0rsio 517 10 statement statement NN cord-016476-78r0rsio 517 11 : : : cord-016476-78r0rsio 517 12 idiopathic idiopathic JJ cord-016476-78r0rsio 517 13 pulmonary pulmonary JJ cord-016476-78r0rsio 517 14 fibrosis fibrosis NN cord-016476-78r0rsio 517 15 : : : cord-016476-78r0rsio 517 16 evidence evidence NN cord-016476-78r0rsio 517 17 - - HYPH cord-016476-78r0rsio 517 18 based base VBN cord-016476-78r0rsio 517 19 guidelines guideline NNS cord-016476-78r0rsio 517 20 for for IN cord-016476-78r0rsio 517 21 diagnosis diagnosis NN cord-016476-78r0rsio 517 22 and and CC cord-016476-78r0rsio 517 23 management management NN cord-016476-78r0rsio 517 24 A a DT cord-016476-78r0rsio 517 25 clinician clinician NN cord-016476-78r0rsio 517 26 's 's POS cord-016476-78r0rsio 517 27 guide guide NN cord-016476-78r0rsio 517 28 to to IN cord-016476-78r0rsio 517 29 the the DT cord-016476-78r0rsio 517 30 diagnosis diagnosis NN cord-016476-78r0rsio 517 31 and and CC cord-016476-78r0rsio 517 32 treatment treatment NN cord-016476-78r0rsio 517 33 of of IN cord-016476-78r0rsio 517 34 interstitial interstitial JJ cord-016476-78r0rsio 517 35 lung lung NN cord-016476-78r0rsio 517 36 diseases disease NNS cord-016476-78r0rsio 518 1 Fibrotic fibrotic JJ cord-016476-78r0rsio 518 2 idiopathic idiopathic JJ cord-016476-78r0rsio 518 3 interstitial interstitial JJ cord-016476-78r0rsio 518 4 pneumonia pneumonia NN cord-016476-78r0rsio 518 5 : : : cord-016476-78r0rsio 518 6 the the DT cord-016476-78r0rsio 518 7 prognostic prognostic JJ cord-016476-78r0rsio 518 8 value value NN cord-016476-78r0rsio 518 9 of of IN cord-016476-78r0rsio 518 10 longitudinal longitudinal JJ cord-016476-78r0rsio 518 11 functional functional JJ cord-016476-78r0rsio 518 12 trends trend NNS cord-016476-78r0rsio 518 13 Rheumatoid rheumatoid JJ cord-016476-78r0rsio 518 14 arthritis arthritis NN cord-016476-78r0rsio 518 15 - - HYPH cord-016476-78r0rsio 518 16 associated associate VBN cord-016476-78r0rsio 518 17 interstitial interstitial JJ cord-016476-78r0rsio 518 18 lung lung NN cord-016476-78r0rsio 518 19 disease disease NN cord-016476-78r0rsio 518 20 : : : cord-016476-78r0rsio 518 21 diagnostic diagnostic JJ cord-016476-78r0rsio 518 22 dilemma dilemma NN cord-016476-78r0rsio 518 23 Radiological radiological JJ cord-016476-78r0rsio 518 24 versus versus IN cord-016476-78r0rsio 518 25 histological histological JJ cord-016476-78r0rsio 518 26 diagnosis diagnosis NN cord-016476-78r0rsio 518 27 in in IN cord-016476-78r0rsio 518 28 UIP UIP NNP cord-016476-78r0rsio 518 29 and and CC cord-016476-78r0rsio 518 30 NSIP NSIP NNP cord-016476-78r0rsio 518 31 : : : cord-016476-78r0rsio 519 1 survival survival NN cord-016476-78r0rsio 519 2 implications implication NNS cord-016476-78r0rsio 520 1 Interstitial interstitial JJ cord-016476-78r0rsio 520 2 lung lung NN cord-016476-78r0rsio 520 3 disease disease NN cord-016476-78r0rsio 520 4 in in IN cord-016476-78r0rsio 520 5 systemic systemic JJ cord-016476-78r0rsio 520 6 sclerosis sclerosis NN cord-016476-78r0rsio 520 7 : : : cord-016476-78r0rsio 520 8 a a DT cord-016476-78r0rsio 520 9 simple simple JJ cord-016476-78r0rsio 520 10 staging staging NN cord-016476-78r0rsio 520 11 system system NN cord-016476-78r0rsio 520 12 Update update NN cord-016476-78r0rsio 520 13 in in IN cord-016476-78r0rsio 520 14 diffuse diffuse JJ cord-016476-78r0rsio 520 15 parenchymal parenchymal NN cord-016476-78r0rsio 520 16 lung lung NN cord-016476-78r0rsio 520 17 disease disease NN cord-016476-78r0rsio 520 18 Patients patient NNS cord-016476-78r0rsio 520 19 with with IN cord-016476-78r0rsio 520 20 limited limited JJ cord-016476-78r0rsio 520 21 rheumatoid rheumatoid NN cord-016476-78r0rsio 520 22 arthritis arthritis NN cord-016476-78r0rsio 520 23 - - HYPH cord-016476-78r0rsio 520 24 related relate VBN cord-016476-78r0rsio 520 25 interstitial interstitial JJ cord-016476-78r0rsio 520 26 lung lung NN cord-016476-78r0rsio 520 27 disease disease NN cord-016476-78r0rsio 520 28 have have VBP cord-016476-78r0rsio 520 29 a a DT cord-016476-78r0rsio 520 30 better well JJR cord-016476-78r0rsio 520 31 prognosis prognosis NN cord-016476-78r0rsio 520 32 than than IN cord-016476-78r0rsio 520 33 those those DT cord-016476-78r0rsio 520 34 with with IN cord-016476-78r0rsio 520 35 extensive extensive JJ cord-016476-78r0rsio 520 36 disease disease NN cord-016476-78r0rsio 521 1 The the DT cord-016476-78r0rsio 521 2 safety safety NN cord-016476-78r0rsio 521 3 of of IN cord-016476-78r0rsio 521 4 biologic biologic JJ cord-016476-78r0rsio 521 5 therapies therapy NNS cord-016476-78r0rsio 521 6 in in IN cord-016476-78r0rsio 521 7 RA RA NNP cord-016476-78r0rsio 521 8 - - HYPH cord-016476-78r0rsio 521 9 associated associate VBN cord-016476-78r0rsio 521 10 interstitial interstitial JJ cord-016476-78r0rsio 521 11 lung lung NN cord-016476-78r0rsio 521 12 disease disease NN cord-016476-78r0rsio 521 13 Patients patient NNS cord-016476-78r0rsio 521 14 with with IN cord-016476-78r0rsio 521 15 early early JJ cord-016476-78r0rsio 521 16 rheumatoid rheumatoid JJ cord-016476-78r0rsio 521 17 arthritis arthritis NN cord-016476-78r0rsio 521 18 who who WP cord-016476-78r0rsio 521 19 smoke smoke VBP cord-016476-78r0rsio 521 20 are be VBP cord-016476-78r0rsio 521 21 less less RBR cord-016476-78r0rsio 521 22 likely likely JJ cord-016476-78r0rsio 521 23 to to TO cord-016476-78r0rsio 521 24 respond respond VB cord-016476-78r0rsio 521 25 to to IN cord-016476-78r0rsio 521 26 treatment treatment NN cord-016476-78r0rsio 521 27 with with IN cord-016476-78r0rsio 521 28 methotrexate methotrexate NNP cord-016476-78r0rsio 521 29 and and CC cord-016476-78r0rsio 521 30 tumor tumor NN cord-016476-78r0rsio 521 31 necrosis necrosis NN cord-016476-78r0rsio 521 32 factor factor NN cord-016476-78r0rsio 521 33 inhibitors inhibitor NNS cord-016476-78r0rsio 521 34 : : : cord-016476-78r0rsio 521 35 observations observation NNS cord-016476-78r0rsio 521 36 from from IN cord-016476-78r0rsio 521 37 the the DT cord-016476-78r0rsio 521 38 epidemiological epidemiological JJ cord-016476-78r0rsio 521 39 investigation investigation NN cord-016476-78r0rsio 521 40 of of IN cord-016476-78r0rsio 521 41 rheumatoid rheumatoid NNP cord-016476-78r0rsio 521 42 arthritis arthritis NN cord-016476-78r0rsio 521 43 and and CC cord-016476-78r0rsio 521 44 the the DT cord-016476-78r0rsio 521 45 Swedish swedish JJ cord-016476-78r0rsio 521 46 rheumatology rheumatology NN cord-016476-78r0rsio 521 47 register register VBP cord-016476-78r0rsio 521 48 cohorts cohort NNS cord-016476-78r0rsio 521 49 Rheumatoid rheumatoid JJ cord-016476-78r0rsio 521 50 arthritis arthritis NN cord-016476-78r0rsio 521 51 ( ( -LRB- cord-016476-78r0rsio 521 52 RA RA NNP cord-016476-78r0rsio 521 53 ) ) -RRB- cord-016476-78r0rsio 522 1 associated associate VBN cord-016476-78r0rsio 522 2 interstitial interstitial JJ cord-016476-78r0rsio 522 3 lung lung NN cord-016476-78r0rsio 522 4 disease disease NN cord-016476-78r0rsio 522 5 ( ( -LRB- cord-016476-78r0rsio 522 6 ILD ILD NNP cord-016476-78r0rsio 522 7 ) ) -RRB- cord-016476-78r0rsio 523 1 Opportunistic opportunistic JJ cord-016476-78r0rsio 523 2 infections infection NNS cord-016476-78r0rsio 523 3 and and CC cord-016476-78r0rsio 523 4 biologic biologic JJ cord-016476-78r0rsio 523 5 therapies therapy NNS cord-016476-78r0rsio 523 6 in in IN cord-016476-78r0rsio 523 7 immune immune NN cord-016476-78r0rsio 523 8 - - HYPH cord-016476-78r0rsio 523 9 mediated mediate VBN cord-016476-78r0rsio 523 10 inflammatory inflammatory JJ cord-016476-78r0rsio 523 11 diseases disease NNS cord-016476-78r0rsio 523 12 : : : cord-016476-78r0rsio 524 1 consensus consensus NN cord-016476-78r0rsio 524 2 recommendations recommendation NNS cord-016476-78r0rsio 524 3 for for IN cord-016476-78r0rsio 524 4 infection infection NN cord-016476-78r0rsio 524 5 reporting report VBG cord-016476-78r0rsio 524 6 during during IN cord-016476-78r0rsio 524 7 clinical clinical JJ cord-016476-78r0rsio 524 8 trials trial NNS cord-016476-78r0rsio 524 9 and and CC cord-016476-78r0rsio 524 10 postmarketing postmarkete VBG cord-016476-78r0rsio 524 11 surveillance surveillance NN cord-016476-78r0rsio 524 12 Risk risk NN cord-016476-78r0rsio 524 13 of of IN cord-016476-78r0rsio 524 14 infection infection NN cord-016476-78r0rsio 524 15 with with IN cord-016476-78r0rsio 524 16 biologic biologic JJ cord-016476-78r0rsio 524 17 antirheumatic antirheumatic JJ cord-016476-78r0rsio 524 18 therapies therapy NNS cord-016476-78r0rsio 524 19 in in IN cord-016476-78r0rsio 524 20 patients patient NNS cord-016476-78r0rsio 524 21 with with IN cord-016476-78r0rsio 524 22 rheumatoid rheumatoid NN cord-016476-78r0rsio 524 23 arthritis arthritis NN cord-016476-78r0rsio 524 24 Lymphoproliferative lymphoproliferative JJ cord-016476-78r0rsio 524 25 disorders disorder NNS cord-016476-78r0rsio 524 26 in in IN cord-016476-78r0rsio 524 27 rheumatoid rheumatoid NN cord-016476-78r0rsio 524 28 arthritis arthritis NN cord-016476-78r0rsio 524 29 : : : cord-016476-78r0rsio 524 30 clinicopathological clinicopathological NNP cord-016476-78r0rsio 524 31 analysis analysis NN cord-016476-78r0rsio 524 32 of of IN cord-016476-78r0rsio 524 33 76 76 CD cord-016476-78r0rsio 524 34 cases case NNS cord-016476-78r0rsio 524 35 in in IN cord-016476-78r0rsio 524 36 relation relation NN cord-016476-78r0rsio 524 37 to to IN cord-016476-78r0rsio 524 38 methotrexate methotrexate NNP cord-016476-78r0rsio 524 39 medication medication NN cord-016476-78r0rsio 524 40 Spontaneous spontaneous JJ cord-016476-78r0rsio 524 41 remission remission NN cord-016476-78r0rsio 524 42 of of IN cord-016476-78r0rsio 524 43 ' ' `` cord-016476-78r0rsio 524 44 methotrexate methotrexate NN cord-016476-78r0rsio 524 45 - - HYPH cord-016476-78r0rsio 524 46 associated associate VBN cord-016476-78r0rsio 524 47 lymphoproliferative lymphoproliferative JJ cord-016476-78r0rsio 524 48 disorders disorder NNS cord-016476-78r0rsio 524 49 ' ' '' cord-016476-78r0rsio 525 1 after after IN cord-016476-78r0rsio 525 2 discontinuation discontinuation NN cord-016476-78r0rsio 525 3 of of IN cord-016476-78r0rsio 525 4 immunosuppressive immunosuppressive JJ cord-016476-78r0rsio 525 5 treatment treatment NN cord-016476-78r0rsio 525 6 for for IN cord-016476-78r0rsio 525 7 autoimmune autoimmune JJ cord-016476-78r0rsio 525 8 disease disease NN cord-016476-78r0rsio 525 9 . . . cord-016476-78r0rsio 526 1 Review Review NNP cord-016476-78r0rsio 526 2 of of IN cord-016476-78r0rsio 526 3 the the DT cord-016476-78r0rsio 526 4 literature literature NN