Would you add a DMARD such as methotrexate for a patient with GCA and partial response to tocilizumab but inability to taper prednisone below 10mg daily?

In a patient with giant cell arteritis (GCA) on tocilizumab who has had a partial response but cannot taper prednisone below 10 mg/day, would you add a DMARD such as methotrexate?

• Yes, I would add methotrexate to aid further steroid tapering
• No, I would continue tocilizumab and manage prednisone without adding methotrexate
• I would consider switching to another agent such as upadacitinib
• Other