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Effects of addition of low-dose oral daily corticosteroids to the initial anti-rheumatic therapy on radiographic damage and disease activity in patients with early rheumatoid arthritis

Completed
Conditions
Rheumatoid Arthritis
Musculoskeletal Diseases
Rheumatoid arthritis, unspecified
Registration Number
ISRCTN20612367
Lead Sponsor
Karolinska Institute (Karolinska Institutet) (Sweden)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
250
Inclusion Criteria

1. Diagnosis of RA according to the 1987 revised criteria of the American College of Rheumatology (ACR)
2. Age 18-80 years
3. Disease duration of = 1 year
4. Active disease defined as a Disease Activity Score in 28 joints (DAS28) of >3.0
5. Started by the treating rheumatologist on the first DMARD

Exclusion Criteria

1. Earlier treatment with glucocorticoids for RA or other diseases
2. Previous treatment with DMARDs
3. Contraindication for glucocorticoid therapy
4. Previous fragility fractures
5. Patients aged < 65 years with a T-score lower than -2.5 on bone densitometry; and patients aged = 65 years with a Z-score of less than -1

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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