title: Treatment options for rheumatoid arthritis beyond TNF-α inhibitors.
abstract: The treatment of rheumatoid arthritis has changed over the last 15 years. Early and aggressive treatment, use of methotrexate as the anchor drug and combination treatment, with older disease-modifying drugs or biologics, have become the norm. TNF inhibitors were the first biologic agents available to rheumatologists and are still currently used as first-line biologics, in addition to other newer biologic agents. Abatacept, rituximab and tocilizumab are available biologics that use a different mode of action to TNF inhibitors, and can be used after a TNF inhibitor is tried. Abatacept is also currently used as a first-line biologic and others can also be used once data are available.
authors: 1New York University School of Medicine, Seligman Center for Advanced Therapeutics, NYU Hospital for Joint Diseases, 246 East 20th Street, New York, NY 10003, USA. yusuf.yazici@nyumc.org
authors: Yusuf
authors: Y
authors: Yazici
authors: Ismail
authors: I
authors: Simsek