With the Orencia not giving me a sufficient response after almost 8 months, my doctor would like me to try Actemra. Unfortunately it hasn't been approved yet by the FDA and there is no word on when it will become available (it was supposed to be approved in September, but was delayed for labelling and manufacturing paperwork, nothing related to safety or efficacy according to the reports). However at my last RD visit, I learned that there's a clinical trial, with one of my local hospitals participating, so I just got the consent form and I'm going to see if I qualify.
According to what the nurse wrote (e-mail), being on Orencia at any point has precluded me, but I didn't have a long discussion about it. Seems odd to me since they operate on different mechanisms and it is likely that anyone willing to use a trial drug would have already tried most biologics available on the market.
Strangely enough, the Cimzia is a TNF drug and I asked her if my having taken Enbrel would be an issue and she said no. Go figure.
Suzanne - there is no figuring this out. I am so sorry. I hope you make a special appointment to see your doctors and get a new plan going. That kinda sums up RA, always a new plan. Take care and thinking of you - Cathy