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Mavrilimumab + methotrexate is a combination therapy used in clinical studies for autoimmune diseases, primarily rheumatoid arthritis. Mavrilimumab is a human monoclonal antibody that acts as a competitive antagonist of granulocyte-macrophage colony-stimulating factor receptor alpha (GM-CSFRα), blocking GM-CSF signaling and thereby reducing inflammatory pathways that drive autoimmune disease[5][6]. Methotrexate is a disease-modifying antirheumatic drug (DMARD) that inhibits dihydrofolate reductase, interfering with DNA synthesis and cell replication, and thus has immunosuppressive and anti-inflammatory effects. The combination of mavrilimumab administered subcutaneously every 2 weeks alongside a stable dose of methotrexate (oral or parenteral) has shown rapid, clinically significant improvement in rheumatoid arthritis disease activity in multiple phase II trials, with a favorable safety profile and most adverse events mild to moderate in severity[1][3][5][6].
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