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BeSt, BehandelStrategieën in Reumatoïde Artritis.

Completed
Registration Number
NL-OMON24149
Lead Sponsor
Dutch College of Health Insurance Companies
Brief Summary

1. Arthritis Rheum. 2005 Nov;52(11):3381-90. <br> 2. Clin Exp Rheumatol. 2006 Nov-Dec;24(6 Suppl 43):S-77-82. <br> 3. Ann Intern Med. 2007 Mar 20;146(6):406-15. <br> 4. Ann Rheum Dis. 2007 Sep;66(9):1227-32. Epub 2007 Apr 3. <br> 5. J Rheumatol Suppl. 2007 Nov;80:25-33. <br> 6. Arthritis Rheum. 2008 Feb;58(2 Suppl):S126-35. <br> 7. Arthritis Rheum. 2008 May;58(5):1293-8.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
508
Inclusion Criteria

Patients (18 years or older) with rheumatoid arthritis (ACR 1987 criteria), diagnosis since less than 2 years, previously untreated with DMARDs, with active disease (at least 6/66 swollen and at least 6/68 painfull joints, and either ESR 28 mm or more or VAS general wellbeing (by patient) of 20 mm or more).

Exclusion Criteria

1. Previous therapy with DMARDs except for hydroxychloroquine;

2. Pregnancy or wish to become pregnant during the study, or childbearing potential without adequate contraception;

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
After 2 years of follow-up: functional ability as measured by HAQ (collected by blinded research nurse) and joint damage on X-rays of hands and feet (Sharp/van der Heijde method, random in time, by 2 independent physicians, X-rays masked for center and patient identity).
Secondary Outcome Measures
NameTimeMethod
1. Side effects;<br /><br>2. Quality of life;<br /><br>3. Utilities; <br /><br>4. Costs.
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