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ASP1707 + methotrexate is a combination therapy investigated for treatment of moderate to severe active rheumatoid arthritis (RA) in postmenopausal female patients. ASP1707 (also known as opigolix) is an oral gonadotropin-releasing hormone (GnRH) antagonist, which rapidly and potently suppresses circulating luteinizing hormone. Methotrexate is a disease-modifying antirheumatic drug (DMARD) that inhibits folate pathway enzymes crucial for cell nucleotide synthesis, leading to suppression of inflammation and immune modulation. Studies found that the combination was safe and well tolerated but did not show clinical efficacy in RA[1][5][3][7].
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