Table 2.

Predictors of clinical response to MTX: patients and disease characteristics.

FactorsPredictor of Response?Multivariate Analysis ORUnivariate AnalysisStudiesType of Study
AgeNoNSNSAll studiesAll
Renal functionNoNSFelson2Metaanalysis
NSNSWessels3Early RA
OR 0.99OR 0.99Hoekstra4Established RA
EthnicityNo data
SexYes; men respond better vs womenOR 0.3 premenopausalYesWessels3Early RA
OR 0.5 postmenopausal trend
OR 1.75 (men)OR 1.79Hoekstra4, Lie7Established RA
OR 0.69 (women)
RF + combined with smokingYes; respond lessOR 0.1NSWessels3Early RA
RF+Trend in early RA; no in established RAOR 0.5 (0.2–1.2), trendTrendWessels3,Recent-onset RA
NSNSHoekstra4, Lie7Established RA
Anti-CCP +No (1 study only)NSNSWessels3Early RA
SmokingNoNSTrendWessels3Early RA
Prior DMARDRespond lessOR 0.81Lie7Established RA
Disease durationUncertainNSNSWessels3Early RA
NSHoekstra4, Lie7Established RA
OR 0.88 (5 yr duration), trend p = 0.07
  • NS: not statistically significant; DMARD: disease modifying antirheumatic drugs; CCP: cyclic citrullinated peptide.