MedPath

Longterm Followup of Patients With Rheumatoid Arthritis Treated With Methotrexate

Completed
Conditions
External Causes of Morbidity and Mortality
Registration Number
NCT02641977
Lead Sponsor
Ruhr University of Bochum
Brief Summary

Longterm followup of patients with rheumatoid arthritis 30 years after starting a baseline treatment with Methotrexate.

Detailed Description

Objective. 30-year follow-up of rheumatoid arthritis (RA) patients treated with methotrexate (MTX) in the 1980s to analyze the association of the degree of response to MTX with long-term mortality.

Methods. In this observational cohort study, 271 RA patients who had started treatment with MTX between 1980 and 1987 were included (mean age 58 years, mean disease duration 8.5 years). One year after baseline, the treatment response to MTX was evaluated. Responders were defined as patients with at least 20% improvement. Thereafter, assessments were performed at 10 and 18 years after baseline. This re-evaluation was done to provide the data after 30 years of follow-up. Standardized mortality ratios (SMR) are calculated, Cox regression and logistic regression are performed.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
271
Inclusion Criteria
  • rheumatoid arthritis
  • treatment with methotrexate
  • active disease
Exclusion Criteria
  • low disease activity
  • previous treatment with methotrexate

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
mortality30 years
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Internistische und rheumatologische Praxis Gladbeck

🇩🇪

Gladbeck, Germany

© Copyright 2025. All Rights Reserved by MedPath