PT - JOURNAL ARTICLE AU - KYUNG JIN CHOI AU - YU-YON KIM AU - SUN YOUNG JANG AU - YOUNG GIL AHN AU - KWEE HYUN SUH AU - YOUNG HOON KIM AU - HYUNG SIK KIM TI - Synergistic Effects of BTK Inhibitor HM71224 and Methotrexate in a Collagen-induced Arthritis Rat Model AID - 10.21873/invivo.12619 DP - 2021 Nov 01 TA - In Vivo PG - 3245--3251 VI - 35 IP - 6 4099 - http://iv.iiarjournals.org/content/35/6/3245.short 4100 - http://iv.iiarjournals.org/content/35/6/3245.full SO - In Vivo2021 Nov 01; 35 AB - Background/Aim: Using a rat model of collagen-induced arthritis (CIA), we evaluated the therapeutic effects of HM71224 (BTKi), as well as the drug-drug interactions in combined therapy with methotrexate (MTX) based on both drugs’ pharmacological role in immune regulation and antiinflammation. Materials and Methods: Arthritis in rats was induced using type II collagen and incomplete Freund’s adjuvant. The therapeutic effects of HM71224 (alone or in combination with MTX) were evaluated by arthritis score, paw volume, body weight, and histopathological examination (H&E and Safranin-O staining). The drug-drug interactions between HM71224 and MTX were investigated by measuring plasma, liver enzyme and creatinine levels and blood cell counts. Results: HM71224 reduced the clinical signs of arthritis, paw volume, and body weight loss in CIA rats. ED50 and ED90 were 1.0 and 2.5 mg/kg, respectively. HM71224 combined with MTX decreased the arthritis score, bone erosion, synovitis, and cartilage degradation without apparent interaction. Conclusion: The combination of HM71224 and MTX improved the therapeutic effect with no drug-drug interactions in RA.