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This combination therapy consists of adalimumab, a fully human monoclonal antibody, and prednisone, a synthetic corticosteroid. Adalimumab functions by specifically binding to tumor necrosis factor-alpha (TNF-α) and neutralizing its biological function, thereby reducing the inflammatory cascade characteristic of autoimmune diseases. Prednisone acts as a glucocorticoid receptor agonist, exerting broad anti-inflammatory and immunosuppressive effects. This specific regimen is being evaluated by the Fondazione IRCCS Policlinico San Matteo di Pavia in the Phase IV CURE (Adalimumab in Early Rheumatoid Arthritis) clinical trial. The study investigates the efficacy of intensive early treatment using adalimumab combined with methotrexate and high-dose prednisone to induce and maintain remission in patients with early-stage rheumatoid arthritis.
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