Original Investigation

Temporary Cessation of DMARD Therapy and COVID-19 Supplemental Dose Vaccine Immunogenicity in Patients With Inflammatory Arthritis

JAMA Internal Medicine 10.1001/jamainternmed.2026.4894

October 05, 2026 at 11:00 AM EDT

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This randomized clinical trial found that, among patients with inflammatory arthritis, holding select biologic or JAKi therapies for 2 weeks at the time of supplemental COVID-19 vaccine dose did not significantly enhance humoral immunogenicity and was associated with transient but clinically meaningful disease flare. Routine interruption of these therapies at the time of COVID-19 dose administration is likely not warranted.

Corresponding Author: Jeffrey R. Curtis, MD, MS, MPH, University of Alabama at Birmingham, 1825 University Blvd, Shelby 172E, Birmingham, AL 35233 (jrcurtis@uabmc.edu).

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