adalimumab,Etanercept
Abbvie,Amgen
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in ra after first-line tnfi, improvements in disease activity &amp; pros were seen with 2nd line etn and jaki. some measures had greater improvement in jaki group. some patients can benefit from tnf cycling. pappas d corevitas abs1588 #acr22 
MD PhD Consultant Rheumatologist &Physician,Assoc Medical Director,Digital Leader,NASS Trustee &Best Rheum Care,Visiting Fellow Henley Business School,ExecCoach