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Computer Assisted Management of Early Rheumatoid Arthritis-II: Does prednisone inhibit progression of joint damage if early RA is treated very intensively with DMARDs?

Completed
Conditions
Rheumatoid Arthritis
Registration Number
NL-OMON24306
Lead Sponsor
niversity Medical Center Utrecht (The Netherlands) and Abbott
Brief Summary

Research based on:<br> Everdingen AA van, Jacobs JWG, Reesema DR van, Bijlsma JWJ. Low-dose prednisone therapy for patients with early active rheumatoid arthritis: clinical efficacy, disease-modifying properties, and side effects. A randomized, double-blind placebo-controlled clinical trial. Ann Intern Med 2002: 136: 1-12.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
220
Inclusion Criteria

1. Rheumatoid Arthritis, defined according to the revised American College of Rheumatology (ACR) criteria for Rheumatoid Arthritis;

2. A disease duration of less than 1 year, estimated by the rheumatologist;

Exclusion Criteria

1. Abnormal renal function (Cockroft < 75 ml/min);

2. Abnormal liver function (ASAT/ALAT > 2* normal), active or recent hepatitis, cirrhosis;

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Radiologic joint damage of hands and feet according to the van der Heijde modification of the Sharp scoring method.
Secondary Outcome Measures
NameTimeMethod
umber of patients in remission, in which remission is defined as:<br /><br>1. Number of swollen joints = 0;<br /><br>2. Plus at least two out of three following criteria:<br /><br>2.a Number of swollen joints <3;<br /><br>2.b ESR< 20 mm/hr1st;<br /><br>2.c VAS general well being < 20 mm.
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