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Pausing methotrexate improves immunogenicity of COVID-19 vaccination in elderly patients with rheumatic diseases.

Amanthi Nadira Arumahandi de SilvaLeonie Maria FrommertFredrik Nils AlbachJens KlotscheVeronika ScholzLara Maria JeworowskiTatjana SchwarzAlexander Ten HagenJan ZernickeVictor Max CormanChristian DrostenGerd-Rüdiger R BurmesterRobert Biesen
Published in: Annals of the rheumatic diseases (2022)
MTX reduces the immunogenicity of SARS-CoV-2 vaccination in an age-dependent manner. Our data further suggest that holding MTX for at least 10 days after vaccination significantly improves the antibody response in patients over 60 years of age.
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