Biomarker & Intervention Discovery

Rheumatoid Arthritis

This page lists 13 druggable gene targets, 51 approved or trial-tested drug candidates and 15 recent clinical trials for Rheumatoid Arthritis, with each agent ranked by the strength of its evidence (clinical, mechanistic or correlative). Candidates include existing drugs that could be repurposed. Sources are linked so you can check every claim.

US DALYs220.4KWHO GHE 2021 · all ages
Global DALYs3.08MWHO GHE 2021 · worldwide
US mortality1,866 deaths/yrWHO GHE 2021
Global mortality37.4K deaths/yrWHO GHE 2021 · worldwide
NIH funding$66MFY2025 · RCDC estimate
Funding levelModerate
Spontaneous remission11% achieve drug-free remission (DFR) at median 74 months; most cohorts show 10-15% DFR ceiling
Best-intervention remissionEarly aggressive treat-to-target improves DFR rates modestly; some biologic-era cohorts reach 20-25% DFR; on-drug…
Gap sizeSmall for drug-free remission (biological ceiling is genuinely low); large gap between on-drug remission and drug-free…
Primary barrierbiological (DFR); practice (on-drug remission underachieved due to treatment inertia)
Full remission profile →

Remission & chronicity

Spontaneous remission
11% achieve drug-free remission (DFR) at median 74 months; most cohorts show 10-15% DFR ceiling
Best-intervention remission
Early aggressive treat-to-target improves DFR rates modestly; some biologic-era cohorts reach 20-25% DFR; on-drug remission rates (DAS28 <2.6) reach 40-60% with modern biologics and JAK inhibitors
Gap size
Small for drug-free remission (biological ceiling is genuinely low); large gap between on-drug remission and drug-free remission
Primary barrier
biological (DFR); practice (on-drug remission underachieved due to treatment inertia)
Treat-to-target strategy is guideline-recommended but poorly implemented in routine care; many patients remain on inadequate therapy without escalation

Biomarker Targets & Therapeutic Agents

Gene targets queried against DGIdb, Open Targets, ChEMBL, PubMed, and Europe PMC. Agents ranked: Clinical > Mechanistic > Correlative.

CD80 12IL17A 72IL1B 218IL6 48IL6R 12JAK1 30JAK2 256JAK3 230MMP3 208MS4A1 26PTPN22 10TNF 91TNFSF11 46
Therapeutic Agent Effect Direction Evidence Tier Potency Source
ABATACEPT ↓ inhibits Mechanistic
METHYLPREDNISOLONE ? unclear Mechanistic
ANTINEOPLASTIC VACCINE ? unclear Mechanistic
BELATACEPT ↓ inhibits Mechanistic
DNA VACCINE ? unclear Mechanistic
CLOPIDOGREL ? unclear Mechanistic
ROXITHROMYCIN ? unclear Mechanistic
CYCLOSPORINE ? unclear Mechanistic
PICIBANIL ? unclear Mechanistic
TOREMIFENE ? unclear Mechanistic
GALIXIMAB ↓ inhibits Mechanistic
VIAGENPUMATUCEL-L ? unclear Mechanistic
Therapeutic Agent Effect Direction Evidence Tier Potency Source
SIMVASTATIN ? unclear Mechanistic
IL-12 ? unclear Mechanistic
SECUKINUMAB ↓ inhibits Mechanistic
TIBULIZUMAB ↓ inhibits Mechanistic
BIMEKIZUMAB ↓ inhibits Mechanistic
ANTI-IL17A MONOCLONAL ANTIBODY CJM112 ? unclear Mechanistic
VUNAKIZUMAB ↓ inhibits Mechanistic
M-1095 ↓ inhibits Mechanistic
AFASEVIKUMAB ↓ inhibits Mechanistic
PERAKIZUMAB ↓ inhibits Mechanistic
SIROLIMUS ? unclear Mechanistic
GENTAMICIN ? unclear Mechanistic
AZATHIOPRINE ? unclear Mechanistic
VIDOFLUDIMUS ? unclear Mechanistic
COVA322 ? unclear Mechanistic
BRODALUMAB ? unclear Mechanistic
IXEKIZUMAB ↓ inhibits Mechanistic
IZOKIBEP ↓ inhibits Mechanistic
REMTOLUMAB ? unclear Mechanistic
TETRACYCLINE ? unclear Mechanistic
ERYTHROMYCIN ? unclear Mechanistic
MANNITOL ? unclear Mechanistic
ABBV-257 ? unclear Mechanistic
CJM-112 ~ modulates Mechanistic
CHEMBL4872876 ↓ inhibits Mechanistic 110.0 nM (Kd)
CHEMBL4858175 ↓ inhibits Mechanistic 12.3 nM (Kd)
CHEMBL4854787 ↓ inhibits Mechanistic 89.0 nM (Kd)
CHEMBL4878993 ↓ inhibits Mechanistic 12.9 nM (Kd)
CHEMBL4869568 ↓ inhibits Mechanistic 6.2 nM (Kd)
CHEMBL4876088 ↓ inhibits Mechanistic 10.1 nM (IC50)
CHEMBL4860250 ↓ inhibits Mechanistic 14.3 nM (IC50)
CHEMBL4866932 ↓ inhibits Mechanistic 10.1 nM (IC50)
CHEMBL4874078 ↓ inhibits Mechanistic 7.0 nM (IC50)
CHEMBL4845695 ↓ inhibits Mechanistic 2.8 nM (IC50)
CHEMBL4855085 ↓ inhibits Mechanistic 4.6 nM (IC50)
CHEMBL4860574 ↓ inhibits Mechanistic 2.0 nM (IC50)
CHEMBL4865978 ↓ inhibits Mechanistic 2.0 nM (IC50)
CHEMBL4870813 ↓ inhibits Mechanistic 1.0 nM (IC50)
CHEMBL4850368 ↓ inhibits Mechanistic 3.0 nM (IC50)
CHEMBL4851738 ↓ inhibits Mechanistic 3.0 nM (IC50)

Showing top 40 of 72 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
ASPIRIN ? unclear Mechanistic
MAFOSFAMIDE ? unclear Mechanistic
DIACETYLRHEIN ? unclear Mechanistic
INFLIXIMAB ? unclear Mechanistic
LANSOPRAZOLE ? unclear Mechanistic
TILUDRONIC ACID ? unclear Mechanistic
GEVOKIZUMAB ~ modulates Mechanistic
LUTIKIZUMAB ↓ inhibits Mechanistic
CELASTROL ? unclear Mechanistic
CYTARABINE ? unclear Mechanistic
RILONACEPT ↓ inhibits Mechanistic
TT-301 ? unclear Mechanistic
METFORMIN ? unclear Mechanistic
ANTICONVULSANT AGENT ? unclear Mechanistic
ANTIDEPRESSANT AGENT ? unclear Mechanistic
ACITRETIN ? unclear Mechanistic
ERYTHROMYCIN ? unclear Mechanistic
ALTEPLASE ? unclear Mechanistic
OFLOXACIN ? unclear Mechanistic
PENTOXIFYLLINE ? unclear Mechanistic
USTEKINUMAB ? unclear Mechanistic
LITHIUM ? unclear Mechanistic
RALOXIFENE HYDROCHLORIDE ? unclear Mechanistic
MITOGEN-ACTIVATED PROTEIN KINASE INHIBITOR ? unclear Mechanistic
DRUGSATFDA.NDA:008378 ? unclear Mechanistic
NICARDIPINE ? unclear Mechanistic
GLUCOSAMINE ? unclear Mechanistic
BECLOMETHASONE DIPROPIONATE ? unclear Mechanistic
PAREGORIC ? unclear Mechanistic
CEFACLOR ANHYDROUS ? unclear Mechanistic
IBUDILAST ? unclear Mechanistic
MELATONIN ? unclear Mechanistic
PENTAMIDINE ? unclear Mechanistic
PRAVASTATIN SODIUM ? unclear Mechanistic
VERAPAMIL ? unclear Mechanistic
THYROGLOBULIN ? unclear Mechanistic
RISEDRONIC ACID ? unclear Mechanistic
AUTOANTIGEN ? unclear Mechanistic
CDP-484 ↓ inhibits Mechanistic
ETIDRONIC ACID ? unclear Mechanistic

Showing top 40 of 218 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
CISPLATIN ? unclear Mechanistic
ZILTIVEKIMAB ~ modulates Mechanistic
CHINESE HERBS ? unclear Mechanistic
PF-04236921 ↓ inhibits Mechanistic
MRA 003 US ↓ inhibits Mechanistic
SIGNAL TRANSDUCTION INHIBITOR ? unclear Mechanistic
BINETRAKIN ? unclear Mechanistic
IBUDILAST ? unclear Mechanistic
INSULIN, REGULAR, HUMAN ? unclear Mechanistic
SILTUXIMAB ↓ inhibits Mechanistic
METRONIDAZOLE ? unclear Mechanistic
CLAZAKIZUMAB ↓ inhibits Mechanistic
GALLIUM NITRATE ? unclear Mechanistic
INTERFERON ALFA-2B ? unclear Mechanistic
DULOXETINE HYDROCHLORIDE ? unclear Mechanistic
MEDI-5117 ↓ inhibits Mechanistic
GEMFIBROZIL ? unclear Mechanistic
BIAFINE CREAM ? unclear Mechanistic
ETANERCEPT ? unclear Mechanistic
ELSILIMOMAB ↓ inhibits Mechanistic
SAQUINAVIR ? unclear Mechanistic
INFLIXIMAB ? unclear Mechanistic
LINEZOLID ? unclear Mechanistic
IFOSFAMIDE ? unclear Mechanistic
OLOKIZUMAB ↓ inhibits Mechanistic
HMG-COA REDUCTASE INHIBITOR ? unclear Mechanistic
MIDOSTAURIN ? unclear Mechanistic
SELENIUM ? unclear Mechanistic
SIRUKUMAB ↓ inhibits Mechanistic
PEGINTERFERON ALFA-2B ? unclear Mechanistic
ECHINACEA PREPARATION ? unclear Mechanistic
ENZYME INHIBITOR ? unclear Mechanistic
FENOFIBRATE MICRONIZED ? unclear Mechanistic
VITAMIN K ? unclear Mechanistic
PEGINTERFERON ALFA-2A ? unclear Mechanistic
RIBAVIRIN ? unclear Mechanistic
VITAMIN A PALMITATE ? unclear Mechanistic
ARSENIC TRIOXIDE ? unclear Mechanistic
DIHYDROSPHINGOSINE ? unclear Mechanistic
LEVOFLOXACIN ANHYDROUS ? unclear Mechanistic

Showing top 40 of 48 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
SARILUMAB ↓ inhibits Mechanistic
SATRALIZUMAB ↓ inhibits Mechanistic
LEVILIMAB ↓ inhibits Mechanistic
VOBARILIZUMAB ? unclear Mechanistic
RALOXIFENE HYDROCHLORIDE ? unclear Mechanistic
IL-6 ↑ activates Mechanistic
THALIDOMIDE ? unclear Mechanistic
PROTEASOME INHIBITOR ? unclear Mechanistic
BAZEDOXIFENE ? unclear Mechanistic
SIRUKUMAB ? unclear Mechanistic
FLUOROURACIL ? unclear Mechanistic
TOCILIZUMAB ↓ inhibits Mechanistic
Therapeutic Agent Effect Direction Evidence Tier Potency Source
RUXOLITINIB ↓ inhibits Mechanistic
IZENCITINIB ↓ inhibits Mechanistic
PEMBROLIZUMAB ? unclear Mechanistic
RUXOLITINIB PHOSPHATE ↓ inhibits Mechanistic
GOLIDOCITINIB ↓ inhibits Mechanistic
FILGOTINIB MALEATE ↓ inhibits Mechanistic
MOMELOTINIB ↓ inhibits Mechanistic
AZD1480 ↓ inhibits Mechanistic
DELGOCITINIB ↓ inhibits Mechanistic
TRICETAMIDE ↓ inhibits Mechanistic
TOFACITINIB ↓ inhibits Mechanistic
PEFICITINIB ↓ inhibits Mechanistic
BREPOCITINIB ↓ inhibits Mechanistic
UPADACITINIB HEMIHYDRATE ↓ inhibits Mechanistic
CYCLOSPORINE ? unclear Mechanistic
INCB-047986 ↓ inhibits Mechanistic
ABROCITINIB ↓ inhibits Mechanistic
ENZASTAURIN ? unclear Mechanistic
CERDULATINIB ↓ inhibits Mechanistic
NEZULCITINIB ↓ inhibits Mechanistic
FILGOTINIB ↓ inhibits Mechanistic
GLPG-0555 ↓ inhibits Mechanistic
SOLCITINIB ↓ inhibits Mechanistic
GUSACITINIB ↓ inhibits Mechanistic
ITACITINIB ↓ inhibits Mechanistic
BARICITINIB ↓ inhibits Mechanistic
MOMELOTINIB DIHYDROCHLORIDE MONOHYDRATE ? unclear Mechanistic
DEURUXOLITINIB PHOSPHATE ? unclear Mechanistic
TOFACITINIB CITRATE ? unclear Mechanistic
UPADACITINIB ? unclear Mechanistic
Therapeutic Agent Effect Direction Evidence Tier Potency Source
TYRPHOSTIN 23 ? unclear Mechanistic
AZD1480 ↓ inhibits Mechanistic
PF-562271 ? unclear Mechanistic
JAK2V617F INHIBITOR INCB160058 ? unclear Mechanistic
PEMBROLIZUMAB ? unclear Mechanistic
TOFACITINIB ↓ inhibits Mechanistic 11.0 nM (IC50)
RUXOLITINIB ↓ inhibits Mechanistic
FEDRATINIB ↓ inhibits Mechanistic
TENALISIB ? unclear Mechanistic
FILGOTINIB ↓ inhibits Mechanistic
PACRITINIB ↓ inhibits Mechanistic
BARICITINIB ↓ inhibits Mechanistic
NS-018 ↓ inhibits Mechanistic
TANESPIMYCIN ? unclear Mechanistic
AZD1208 ? unclear Mechanistic
PICTILISIB ? unclear Mechanistic
DOVITINIB ? unclear Mechanistic 7000.0 nM (Kd)
AZ960 ? unclear Mechanistic
GANDOTINIB ↓ inhibits Mechanistic
PEGINTERFERON ALFA-2B ? unclear Mechanistic
LUMINESPIB ? unclear Mechanistic
ROPEGINTERFERON ALFA-2B ? unclear Mechanistic
MOMELOTINIB ↓ inhibits Mechanistic
AZD-1480 ↓ inhibits Mechanistic
NEZULCITINIB ↓ inhibits Mechanistic
TYRPHOSTIN AG 555 ? unclear Mechanistic
GELDANAMYCIN ? unclear Mechanistic
CHEMBL:CHEMBL546797 ? unclear Mechanistic
ERLOTINIB ? unclear Mechanistic 4000.0 nM (IC50)
BINIMETINIB ? unclear Mechanistic
PD-0166285 ? unclear Mechanistic
SGI-1776 ? unclear Mechanistic
XL-019 ↓ inhibits Mechanistic
THIRAM ? unclear Mechanistic
RIBOCICLIB ? unclear Mechanistic
ALFENTANIL HYDROCHLORIDE ? unclear Mechanistic
CHEMBL:CHEMBL29197 ? unclear Mechanistic
CEP-11981 ? unclear Mechanistic
DACTOLISIB ? unclear Mechanistic
AT-9283 ↓ inhibits Mechanistic 1.2 nM (IC50)

Showing top 40 of 256 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
JNJ-7706621 ? unclear Mechanistic 180.0 nM (Kd)
GUSACITINIB ↓ inhibits Mechanistic
PEFICITINIB ↓ inhibits Mechanistic
TOFACITINIB ↓ inhibits Mechanistic 13.0 nM (IC50)
DELGOCITINIB ↓ inhibits Mechanistic
UPADACITINIB ? unclear Mechanistic
R-348 ↓ inhibits Mechanistic
TRICETAMIDE ↓ inhibits Mechanistic
CYC-116 ? unclear Mechanistic
PHA-767491 ? unclear Mechanistic
UPADACITINIB HEMIHYDRATE ↓ inhibits Mechanistic
RUXOLITINIB ? unclear Mechanistic
QUIZARTINIB ? unclear Mechanistic
ADAVOSERTIB ? unclear Mechanistic
SOTRASTAURIN ? unclear Mechanistic
GO-6976 ? unclear Mechanistic
WHI-P131 ↓ inhibits Mechanistic
SORAFENIB ? unclear Mechanistic
CHEMBL:CHEMBL379975 ? unclear Mechanistic
LAUROGUADINE ? unclear Mechanistic
NVP-TAE684 ? unclear Mechanistic
DEXAMETHASONE ? unclear Mechanistic
ENTRECTINIB ? unclear Mechanistic
FILGOTINIB ↓ inhibits Mechanistic
ATEZOLIZUMAB ? unclear Mechanistic
SELUMETINIB ? unclear Mechanistic
TAMATINIB ? unclear Mechanistic
GW843682X ? unclear Mechanistic
RITLECITINIB TOSYLATE ↓ inhibits Mechanistic
CENISERTIB ? unclear Mechanistic
NEZULCITINIB ↓ inhibits Mechanistic
MIDOSTAURIN ? unclear Mechanistic 12.0 nM (Kd)
BARICITINIB ? unclear Mechanistic
PACRITINIB ? unclear Mechanistic
FILGOTINIB MALEATE ↓ inhibits Mechanistic
AT9283 ↓ inhibits Mechanistic
RITLECITINIB ? unclear Mechanistic
PD-0166285 ? unclear Mechanistic
AT-9283 ↓ inhibits Mechanistic 1.1 nM (IC50)
IZENCITINIB ↓ inhibits Mechanistic

Showing top 40 of 230 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
PRINOMASTAT ? unclear Mechanistic 1.1 nM (IC50)
CTS-1027 ↓ inhibits Mechanistic
BERKELEYTRIONE ? unclear Mechanistic
MARIMASTAT ↓ inhibits Mechanistic 25.0 nM (IC50)
PRAVASTATIN SODIUM ? unclear Mechanistic
BERKELEYACETAL B ? unclear Mechanistic
BERKELEYAMIDE B ? unclear Mechanistic
LISINOPRIL ANHYDROUS ? unclear Mechanistic
ILOMASTAT ? unclear Mechanistic
BERKELEYDIONE ? unclear Mechanistic
CHLORTHALIDONE ? unclear Mechanistic
BERKELEYAMIDE C ? unclear Mechanistic
BERKELEYACETAL C ? unclear Mechanistic
BERKELEYACETAL A ? unclear Mechanistic
CHEMBL169084 ↓ inhibits Mechanistic 13.0 nM (Ki)
CHEMBL313483 ↓ inhibits Mechanistic 43.0 nM (Ki)
CHEMBL87113 ↓ inhibits Mechanistic 6.0 nM (Ki)
CHEMBL338077 ↓ inhibits Mechanistic 9.499 nM (IC50)
CHEMBL339219 ↓ inhibits Mechanistic 54.0 nM (IC50)
CHEMBL151539 ↓ inhibits Mechanistic 2.0 nM (IC50)
CHEMBL435271 ↓ inhibits Mechanistic 526.0 nM (Ki)
CHEMBL85806 ↓ inhibits Mechanistic 19.0 nM (Ki)
CHEMBL332134 ↓ inhibits Mechanistic 18.0 nM (IC50)
CHEMBL338007 ↓ inhibits Mechanistic 8.892 nM (IC50)
CHEMBL125598 ↓ inhibits Mechanistic 23.0 nM (IC50)
CHEMBL127093 ↓ inhibits Mechanistic 16.98 nM (IC50)
CHEMBL151718 ↓ inhibits Mechanistic 9.0 nM (IC50)
CHEMBL357728 ↓ inhibits Mechanistic 5.0 nM (IC50)
CHEMBL348210 ↓ inhibits Mechanistic 20.0 nM (IC50)
CHEMBL86797 ↓ inhibits Mechanistic 6.0 nM (Ki)
CHEMBL87229 ↓ inhibits Mechanistic 15.0 nM (Ki)
CHEMBL85987 ↓ inhibits Mechanistic 54.0 nM (Ki)
CHEMBL346624 ↓ inhibits Mechanistic 16.0 nM (IC50)
CHEMBL353382 ↓ inhibits Mechanistic 13.0 nM (Ki)
CHEMBL167278 ↓ inhibits Mechanistic 25.0 nM (Ki)
CHEMBL169996 ↓ inhibits Mechanistic 100.0 nM (Ki)
CHEMBL86468 ↓ inhibits Mechanistic 2200.0 nM (Ki)
CHEMBL314251 ↓ inhibits Mechanistic 17.0 nM (Ki)
CHEMBL431601 ↓ inhibits Mechanistic 112.0 nM (Ki)
CHEMBL125281 ↓ inhibits Mechanistic 184.08 nM (IC50)

Showing top 40 of 208 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
RITUXIMAB ~ modulates Mechanistic
PLAMOTAMAB ? unclear Mechanistic
TOSITUMOMAB ~ modulates Mechanistic
VELTUZUMAB ~ modulates Mechanistic
IBRITUMOMAB TIUXETAN ~ modulates Mechanistic
OBINUTUZUMAB ~ modulates Mechanistic
OFATUMUMAB ~ modulates Mechanistic
ANTI-CD20 CAR T CELLS PREPARATION ? unclear Mechanistic
YTTRIUM Y 90 IBRITUMOMAB TIUXETAN ~ modulates Mechanistic
LFB-R603 ~ modulates Mechanistic
OCRELIZUMAB ~ modulates Mechanistic
FBT-A05 ~ modulates Mechanistic
DI-LEU16-IL2 ? unclear Mechanistic
OCARATUZUMAB ~ modulates Mechanistic
EPCORITAMAB ~ modulates Mechanistic
GLOFITAMAB ~ modulates Mechanistic
UBLITUXIMAB ~ modulates Mechanistic
TOSITUMOMAB 131I ~ modulates Mechanistic
TISAGENLECLEUCEL ? unclear Mechanistic
IODINE-131-TOSITUMOMAB ? unclear Mechanistic
MT-3724 ~ modulates Mechanistic
ODRONEXTAMAB ~ modulates Mechanistic
AUTOLOGOUS ANTI-CD20 CAR TRANSDUCED CD4/CD8 ENRICHED T-CELLS MB-CART20.1 ? unclear Mechanistic
MONOCLONAL ANTIBODY 1F5 ? unclear Mechanistic
MOSUNETUZUMAB ~ modulates Mechanistic
TRU-015 ~ modulates Mechanistic
Therapeutic Agent Effect Direction Evidence Tier Potency Source
CLAVULANIC ACID ? unclear Mechanistic
CHEMBL:CHEMBL598477 ? unclear Mechanistic
SUCCIMER ? unclear Mechanistic
CHEMBL:CHEMBL599924 ? unclear Mechanistic
CLOXYQUIN ? unclear Mechanistic
CHEMBL:CHEMBL578512 ? unclear Mechanistic
DIPICOLINIC ACID ? unclear Mechanistic
CHEMBL:CHEMBL601167 ? unclear Mechanistic
CHEMBL:CHEMBL601757 ? unclear Mechanistic
AMOXICILLIN ANHYDROUS ? unclear Mechanistic
Therapeutic Agent Effect Direction Evidence Tier Potency Source
NERELIMOMAB ↓ inhibits Mechanistic
CROMOLYN SODIUM ? unclear Mechanistic
PLACULUMAB ↓ inhibits Mechanistic
METHYLENE BLUE ? unclear Mechanistic
ALTEPLASE ? unclear Mechanistic
CARBOPLATIN ? unclear Mechanistic
GENTAMICIN ? unclear Mechanistic
GOLIMUMAB ↓ inhibits Mechanistic
BUPIVACAINE ? unclear Mechanistic
PENTOXIFYLLINE ? unclear Mechanistic
BENZO[E]PYRENE ? unclear Mechanistic
THALIDOMIDE ? unclear Mechanistic
PYRAZINAMIDE ? unclear Mechanistic
GLIMEPIRIDE ? unclear Mechanistic
OMEPRAZOLE ? unclear Mechanistic
LENERCEPT ↓ inhibits Mechanistic
ADALIMUMAB ↓ inhibits Mechanistic
PRAZOSIN HYDROCHLORIDE ? unclear Mechanistic
REMTOLUMAB ? unclear Mechanistic
MIDOSTAURIN ? unclear Mechanistic
LENABASUM ? unclear Mechanistic
MAGNESIUM SULFATE ANHYDROUS ? unclear Mechanistic
PICIBANIL ? unclear Mechanistic
FLUOCINOLONE ACETONIDE ? unclear Mechanistic
MILTEFOSINE ? unclear Mechanistic
HOMIDIUM BROMIDE ? unclear Mechanistic
OZORALIZUMAB ↓ inhibits Mechanistic
PEGSUNERCEPT ↓ inhibits Mechanistic
CERTOLIZUMAB PEGOL ↓ inhibits Mechanistic
THERAPEUTIC HORMONE ? unclear Mechanistic
NAFAMOSTAT ? unclear Mechanistic
FOLIC ACID ? unclear Mechanistic
ABBV-257 ? unclear Mechanistic
RISPERIDONE ? unclear Mechanistic
COVA322 ? unclear Mechanistic
HYDROXYCHLOROQUINE ? unclear Mechanistic
CERTOLIZUMAB ? unclear Mechanistic
AN0128 ? unclear Mechanistic
5,7-DIHYDROXY-4-METHYLCOUMARIN ? unclear Mechanistic
SORAFENIB ? unclear Mechanistic

Showing top 40 of 91 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
DENOSUMAB ↓ inhibits Mechanistic
LENALIDOMIDE ? unclear Mechanistic
CHEMBL4165601 ↓ inhibits Mechanistic 2750.0 nM (Kd)
CHEMBL4161101 ↓ inhibits Mechanistic 4540.0 nM (Kd)
CHEMBL4172400 ↓ inhibits Mechanistic 30910.0 nM (Kd)
CHEMBL4462272 ↓ inhibits Mechanistic 17300.0 nM (Kd)
CHEMBL4457006 ↓ inhibits Mechanistic 614.0 nM (Kd)
CHEMBL4454307 ↓ inhibits Mechanistic 3500.0 nM (Kd)
CHEMBL4554653 ↓ inhibits Mechanistic 3100.0 nM (Kd)
CHEMBL4560856 ↓ inhibits Mechanistic 2700.0 nM (Kd)
CHEMBL1978769 ↓ inhibits Mechanistic 9800.0 nM (Kd)
CHEMBL4436581 ↓ inhibits Mechanistic 13800.0 nM (Kd)
CHEMBL4514088 ↓ inhibits Mechanistic 6300.0 nM (Kd)
CHEMBL4470163 ↓ inhibits Mechanistic 7300.0 nM (Kd)
CHEMBL255489 ↓ inhibits Mechanistic 1000.0 nM (IC50)
CHEMBL4756975 ↓ inhibits Mechanistic 2500.0 nM (IC50)
CHEMBL3742191 ↓ inhibits Mechanistic 1880.0 nM (IC50)
CHEMBL3741720 ↓ inhibits Mechanistic 2860.0 nM (IC50)
CHEMBL3741275 ↓ inhibits Mechanistic 5070.0 nM (IC50)
CHEMBL4745590 ↓ inhibits Mechanistic 2700.0 nM (IC50)
CHEMBL4750116 ↓ inhibits Mechanistic 2000.0 nM (IC50)
CHEMBL4797434 ↓ inhibits Mechanistic 1900.0 nM (IC50)
CHEMBL4760595 ↓ inhibits Mechanistic 1400.0 nM (IC50)
CHEMBL4752672 ↓ inhibits Mechanistic 5100.0 nM (IC50)
CHEMBL4745373 ↓ inhibits Mechanistic 6400.0 nM (IC50)
CHEMBL4794699 ↓ inhibits Mechanistic 8710.0 nM (Kd)
CHEMBL4787527 ↓ inhibits Mechanistic 4900.0 nM (Kd)
CHEMBL4783826 ↓ inhibits Mechanistic 6620.0 nM (Kd)
CHEMBL3741778 ↓ inhibits Mechanistic 4600.0 nM (Kd)
CHEMBL3740423 ↓ inhibits Mechanistic 17610.0 nM (Kd)
CHEMBL3740948 ↓ inhibits Mechanistic 19060.0 nM (Kd)
CHEMBL3740702 ↓ inhibits Mechanistic 11040.0 nM (Kd)
CHEMBL3740051 ↓ inhibits Mechanistic 22300.0 nM (Kd)
CHEMBL3741922 ↓ inhibits Mechanistic 3550.0 nM (Kd)
CHEMBL3740630 ↓ inhibits Mechanistic 12500.0 nM (Kd)
CHEMBL3742150 ↓ inhibits Mechanistic 2820.0 nM (Kd)
CHEMBL3741278 ↓ inhibits Mechanistic 9310.0 nM (Kd)
CHEMBL3741437 ↓ inhibits Mechanistic 5340.0 nM (Kd)
CHEMBL3741883 ↓ inhibits Mechanistic 8490.0 nM (Kd)
CHEMBL3741027 ↓ inhibits Mechanistic 18640.0 nM (Kd)

Showing top 40 of 46 agents ranked by evidence tier.


Clinical Trials

Drug, biologic and supplement trials (treatment or prevention) from ClinicalTrials.gov whose main condition is Rheumatoid Arthritis: recruiting, active or completed, most recently updated first. Data retrieved 2026-10-28.

NCT07201558 Phase: 1 Started: 2025-12-02

This open-label, Phase I study will assess the safety and tolerability of surovatamig and characterise its PK and PD following subcutaneous administration to participants with RA or SLE.

NCT05788705 Phase: N/A Started: 2025-04-05

There is no treatment that could utterly cure Rheumatoid arthritis (RA), but the disease is mainly improved by conventional disease-modifying anti rheumatic drugs. Methotrexate and biological DMARDs as JAK-STAT inhibitors may be used to control and delay the progression of the disease and improve th...

NCT07409103 Phase: 2 Started: 2026-02-18

This is a Phase 2 randomized, double-blind, placebo-controlled study with a total duration of 32 weeks from Screening to End-of-Study (EOS) Visit. Approximately 180 participants are planned to be enrolled. The number of participants can be extended to maximally 220 to account for dropouts during the...

NCT05003934 Phase: 1 Started: 2021-11-07

This trial will study the safety and efficacy of intravenous infusion and intra-articular injection of cultured allogeneic adult umbilical cord or placental derived mesenchymal stem cells for the treatment of Rheumatoid Arthritis

NCT06994143 Phase: 1 Started: 2025-05-19

A Phase I, open-label study of CLN-978 in patients with treatment-refractory rheumatoid arthritis.

NCT06567470 Phase: 2 Started: 2025-07-29

The goal of this clinical trial is to learn if CIT-013 works to treat rheumatoid arthritis in adults. It will also learn about the safety of CIT-013. The main questions it aims to answer are: Does CIT-013 lower the disease activity of RA patients? What medical problems do participants have when rece...

NCT07620392 Phase: 2 Started: 2026-06-03

The study will evaluate the long-term safety and efficacy of Afimkibart (also known as RO7790121) in participants with moderate to severe Rheumatoid Arthritis (RA) who have an inadequate response or intolerance to tumor necrosis factor (TNF) and/or Janus kinase (JAK) inhibitors, and who were previou...

NCT07137598 Phase: 2 Started: 2025-12-05

This study will assess the efficacy and safety of Afimkibart (also known as RO7790121) compared with placebo in participants with moderate to severe rheumatoid arthritis (RA) who have an inadequate response or intolerance to TNF and/or JAK inhibitors.

NCT07245992 Phase: 1 Started: 2026-03-04

The aim of this study is to evaluate the safety of F8IL10 when administered by intra-articular injection and to determine the maximum tolerated dose (MTD) in order to establish the recommended dose (RD) in patients with Reumatoid Arthritis.

NCT07704580 Phase: 1/2 Started: 2026-07-02

This is a Phase 1/Phase 2 study with: * 5-arms design for Part A; * and a single arm for Part B. The purpose of this study is to measure PK parameters and safety with sarilumab intravenous (IV) with or without concomitant oral conventional synthetic Disease-Modifying Antirheumatic Drugs (csDMARDs) i...

NCT07649265 Phase: 1 Started: 2026-09-24

This first-in-human study evaluates the safety, tolerability, pharmacokinetics, pharmacodynamics, and immunogenicity of HBM7020. The study will enroll healthy participants at low doses, followed by participants with moderate to severe autoimmune diseases with predominant B-cell involvement. Eligible...

NCT07276581 Phase: 2 Started: 2025-12-15

Phase II study in participants with moderately-to-severely active rheumatoid Arthritis (RA) to evaluate efficacy and safety of AZD1163.

NCT06596772 Phase: 3 Started: 2024-10-03

A study to compare efficacy, pharmacokinetics, safety and immunogenicity of MB04 \[proposed etanercept biosimilar\] to Enbrel® \[EU-sourced\] in rheumatoid arthritis

NCT06972446 Phase: 2 Started: 2025-06-20

Rheumatoid Arthritis (RA) is a chronic inflammatory disease causing pain, stiffness, swelling and loss of joint function. This study will evaluate the efficacy and safety of targeted therapies through a series of substudies for the treatment of moderately to severely active Rheumatoid Arthritis (RA)...

NCT06649136 Phase: 4 Started: 2024-08-12

The MethMax trial is a prospective, international, multicentre, randomised, assessor-blinded, parallel-group, low intervention study. Patients with active rheumatoid arthritis treated with oral methotrexate up to 25 mg weekly will be randomised in 50:50 fashion to receive 25 mg oral vs subcutaneous ...


Agents Found By Disease-Level Search

Searched directly from “Rheumatoid Arthritis” via ClinicalTrials.gov interventions and Open Targets' disease→drug data — independent of the 13-gene target panel above. This surfaces agents whose mechanism doesn't route through a curated gene (combination therapies, standard-of-care drugs, targets outside the panel).

51 agents shown (approved or with trial evidence) — 43 not found by the gene-target search above.

adalimumab

Approved · 4 trials · source: ClinicalTrials.gov, Open Targets
NCT01185301 NCT00690573 NCT01592292

PF-04629991NOT in gene-target list

· 3 trials · source: ClinicalTrials.gov
NCT00797342 NCT00797342 NCT00797342

Etanercept

Approved · 3 trials · source: ClinicalTrials.gov, Open Targets
NCT01623752 NCT01623752 NCT01592292

Sirukumab

Phase 3 · 3 trials · source: ClinicalTrials.gov, Open Targets
NCT01606761 NCT01606761 NCT01606761

methotrexateNOT in gene-target list

Approved · 2 trials · source: ClinicalTrials.gov, Open Targets
NCT01185301 NCT04909801

Treatment ANOT in gene-target list

· 2 trials · source: ClinicalTrials.gov
NCT01184001 NCT01184001

Treatment BNOT in gene-target list

· 2 trials · source: ClinicalTrials.gov
NCT01184001 NCT01184001

ianalumab (VAY736)NOT in gene-target list

· 2 trials · source: ClinicalTrials.gov
NCT05349214 NCT05350072

Rituximab

Approved · 2 trials · source: ClinicalTrials.gov, Open Targets
NCT00664521 NCT01592292

abatacept

Approved · 2 trials · source: ClinicalTrials.gov, Open Targets
NCT00547521 NCT04909801

Baricitinib 4 MGNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT05955066

JNJ-40346527NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01597739

Low dose of BIIL 284 BS tabletsNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02247375

High dose of BIIL 284 BS tabletsNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02247375

etanercept (CHS-0214)NOT in gene-target list

Approved · 1 trial · source: ClinicalTrials.gov
NCT02486939

adalimumab 40 mgNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02019472

sirukumab 100 mgNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02019472

sirukumab 50 mgNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02019472

EnbrelNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00245934

NURSING FOLLOW-UP BY PHONENOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT05863338

Total knee replacement with the ROCC® knee prosthesisNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02127619

GMK Sphere cementless Knee ReplacementNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT05003414

Dengue 1,2,3,4 (attenuated) vaccineNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT07087912

AtaciceptNOT in gene-target list

Phase 2 · 1 trial · source: ClinicalTrials.gov, Open Targets
NCT00664521

Placebo matched to ataciceptNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00664521

SAR441566NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT06073093

Methotrexate (MTX)NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00547521

clazakizumab (ALD518)NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00867516

Filgotinib

Approved · 1 trial · source: ClinicalTrials.gov, Open Targets
NCT04985435

Anti-Tumor Necrosis Factor Alpha Drug (Product)NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04985435

50 patients will have a Free Choice between Filgotinib and anti TNFNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04985435

AZD9567 MonohydratNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02512575

PrednisoloneNOT in gene-target list

Approved · 1 trial · source: ClinicalTrials.gov, Open Targets
NCT02512575

Mavrilimumab 10 mgNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01050998

Mavrilimumab 30 mgNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01050998

Mavrilimumab 50 mgNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01050998

Mavrilimumab 100 mgNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01050998

Hydroxychloroquine

Phase 3 · 1 trial · source: ClinicalTrials.gov, Open Targets
NCT01601028

MighTeaFlowNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01647737

XylitolNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01647737

Administration of LotemaxNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02322528

BR9001NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03718611

BR900ANOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03718611

Infliximab

Approved · 1 trial · source: ClinicalTrials.gov, Open Targets
NCT01592292

losmapimod (GW856553)NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00256919

genicular nerve blockNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04687930

intra-articular steroid injectionNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04687930

DIMAC02NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02789800

KYV101NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT06475495

Rituximab (active comparator)NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT06475495

Tofacitinib XRNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04876781

Generated by the Open Source Medicine Foundation Biomarker Pipeline — 2026-10-08. Data sources: DGIdb, Open Targets, ChEMBL, PubMed, ClinicalTrials.gov. Not medical advice.