Good in that it seems to be efficacious, at least a bit more than methotrexate and appears to have some DMARD effects in some patients.
Bad in that it does cause side effects, some are serious AND the FDA has slapped a boxed warning on it. It can tend to weaken some patient's immune systems. Some 0.2% in clinical studies developed TB. (Known to increase chances of TB when immune systems are compromised for example). 0.2% may not sound like much but multiply it out by the numbers that may one day use this drug.
Just my views
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