Evidence map›Paper›PMID 38416140›Full record

Trial reportJournal of the American Heart Association2024

Biomarkers of Cardiovascular Risk in Patients With Rheumatoid Arthritis: Results From the TARGET Trial.

Daniel H Solomon, Olga Demler, Pamela M Rist, Leah Santacroce, Ahmed Tawakol, Jon T Giles, Katherine P Liao, Joan M Bathon

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07772466 (Atherogenic Index of Plasma and Carotid Intima-media Thickness as Predictors of Preclinical Atherosclerosis in Early Rheumatoid Arthritis Patients Younger Than 50 Years of Age), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07772466 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Atherogenic Index of Plasma and Carotid Intima-media Thickness as Predictors of Preclinical Atherosclerosis in Early Rheumatoid Arthritis Patients Younger Than 50 Years of Age

TypeobservationalSponsorAssiut UniversityRan2026 to 2028Enrolled70ConditionsAtheroscleroses, Rheumatoid Arthritis (RA
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Daniel H SolomonDivision of Rheumatology Brigham and Women's Hospital Boston MA.ORCID 0000-0001-8202-5428
Olga DemlerHarvard Medical School Brigham and Women's Hospital Boston MA.ORCID 0000-0003-3355-3210
Pamela M RistHarvard Medical School Brigham and Women's Hospital Boston MA.ORCID 0000-0003-3543-045X
Leah SantacroceDivision of Rheumatology Brigham and Women's Hospital Boston MA.ORCID 0000-0001-8951-2296
Ahmed TawakolDepartment of Medicine (Cardiac Unit) Massachusetts General Hospital, Harvard Medical School Boston MA.ORCID 0000-0002-9211-5483
Jon T GilesColumbia University Medical Center New York NY.ORCID 0000-0002-8792-0402
Katherine P LiaoDivision of Rheumatology Brigham and Women's Hospital Boston MA.ORCID 0000-0002-4797-3200
Joan M BathonColumbia University Medical Center New York NY.
Brigham and Women's Hospital · USColumbia University Irving Medical Center · USHarvard University · US

Funding

Rheumatoid Arthritis and the Risk of Cardiovascular Disease: Biomarkers Risk Prediction and Underlying MechanismsR01HL163580 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI SOLOMON, DANIEL HAL · 2022 to 2025
$2.8M
CHD Risk and Metabolomic Profiles of Discordant LipidsK01HL135342 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI DEMLER, OLGA · 2017 to 2021
$857k
Consensus Framework for Cardiovascular Risk Prediction in a Clinical SettingR21HL167173 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI DEMLER, OLGA · 2023 to 2024
$269k
NHLBI NIH HHS K01 HL135342NHLBI NIH HHS R01 HL163580NHLBI NIH HHS R21 HL167173
6 · The paper itself

Abstract

Cardiovascular disease remains an important comorbidity in patients with rheumatoid arthritis (RA), but traditional models do not accurately predict cardiovascular risk in patients with RA. The addition of biomarkers could improve prediction. METHODS AND

resultsThe TARGET (Treatments Against RA and Effect on FDG PET/CT) trial assessed whether different treatment strategies in RA differentially impact cardiovascular risk as measured by the change in arterial inflammation on arterial target to background ratio on fluorodeoxyglucose positron emission tomography/computed tomography scans conducted 24 weeks apart. A group of 24 candidate biomarkers supported by prior literature was assessed at baseline and 24 weeks later. Longitudinal analyses examined the association between baseline biomarker values, measured in plasma EDTA, and the change in arterial inflammation target to background ratio. Model fit was assessed for the candidate biomarkers only, clinical variables only, and models combining both. One hundred nine patients with median (interquartile range) age 58 years (53-65 years), RA duration 1.4 years (0.5-6.6 years), and 82% women had biomarkers assessed at baseline and follow-up. Because the main trial analyses demonstrated significant target to background ratio decreases with both treatment strategies but no difference across treatment groups, we analyzed all patients together. Baseline values of serum amyloid A, C-reactive protein, soluble tumor necrosis factor receptor 1, adiponectin, YKL-40, and osteoprotegerin were associated with significant change in target to background ratio. When selected candidate biomarkers were added to the clinical variables, the adjusted

conclusionsA candidate biomarker approach identified several promising biomarkers that associate with baseline and treatment-associated changes in arterial inflammation in patients with RA. These will now be tested in an external validation cohort.

Indexed as

ArteritisArthritis, RheumatoidCardiovascular DiseasesAgedBiomarkersFemaleHeart Disease Risk FactorsHumansMaleMiddle AgedPositron Emission Tomography Computed TomographyRisk FactorsBiomarkersbiomarkerscardiovascular diseaserheumatoid arthritis

Identifiers

PMID38416140
PMCPMC10944054
OpenAlexW4392242398

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.