Treat-to-target strategy for asian patients with early rheumatoid arthritis: Result of a multicenter trial in Korea

Jason Jungsik Song, Yeong Wook Song, Sang Cheol Bae, Hoon Suk Cha, Jung Yoon Choe, Sung Jae Choi, Hyun Ah Kim, Jinseok Kim, Sung Soo Kim, Choong Ki Lee, Jisoo Lee, Sang Heon Lee, Shin Seok Lee, Soo Kon Lee, Sung Won Lee, Sung Hwan Park, Won Park, Seung Cheol Shim, Chang Hee Suh, Bin YooDae Hyun Yoo, Wan Hee Yoo

    Research output: Contribution to journalArticlepeer-review

    5 Citations (Scopus)


    Background: To evaluate the therapeutic benefits of the treat-to-target (T2T) strategy for Asian patients with early rheumatoid arthritis (RA) in Korea. Methods: In a 1-year, multicenter, open-label strategy trial, 346 patients with early RA were recruited from 20 institutions across Korea and stratified into 2 groups, depending on whether they were recruited by rheumatologists who have adopted the T2T strategy (T2T group) or by rheumatologists who provided usual care (non-T2T group). Data regarding demographics, rheumatoid factor titer, anti-cyclic citrullinated peptide antibody titer, disease activity score of 28 joints (DAS28), and Korean Health Assessment Questionnaire (KHAQ) score were obtained at baseline and after 1 year of treatment. In the T2T group, the prescription for disease-modifying antirheumatic drugs was tailored to the predefined treatment target in each patient, namely remission (DAS28 < 2.6) or low disease activity (LDA) (2.6 ≤ DAS28 < 3.2). Results: Data were available for 163 T2T patients and 162 non-T2T patients. At the end of the study period, clinical outcomes were better in the T2T group than in the non-T2T group (LDA or remission, 59.5% vs. 35.8%; P < 0.001; remission, 43.6% vs. 19.8%; P < 0.001). Compared with non-T2T, T2T was also associated with higher rate of good European League Against Rheumatism response (63.0% vs. 39.8%; P < 0.001), improved KHAQ scores (-0.38 vs. -0.13; P = 0.008), and higher frequency of follow-up visits (5.0 vs. 2.0 visits/year; P < 0.001). Conclusion: In Asian patients with early RA, T2T improves disease activity and physical function. Setting a pre-defined treatment target in terms of DAS28 is recommended.

    Original languageEnglish
    Article numbere346
    JournalJournal of Korean medical science
    Issue number52
    Publication statusPublished - 2018 Dec 24

    Bibliographical note

    Publisher Copyright:
    © 2018 The Korean Academy of Medical Sciences.


    • Rheumatoid arthritis
    • Treat-to-target
    • Treatment outcome

    ASJC Scopus subject areas

    • Medicine(all)


    Dive into the research topics of 'Treat-to-target strategy for asian patients with early rheumatoid arthritis: Result of a multicenter trial in Korea'. Together they form a unique fingerprint.

    Cite this