Document Detail


Combination therapies in spondyloarthropathies.
MedLine Citation:
PMID:  15659875     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To compare the efficacy and tolerability of single-agent sulfasalazine (SSZ) with combination therapies composed of SSZ and methotrexate (MTX) and SSZ, MTX and hydroxychloroquine (HCQ) in active spondyloarthropathy (SpA) patients with peripheral arthritis. METHODS: One hundred and fifty SpA patients with peripheral arthritis (male/ female: 92/58) who were treated in our clinic between 1994 and 1998 were enrolled in this trial. Patients treated with SSZ alone (1-3 gr/day) were included in Group I, patients treated with combination of SSZ (1-3 gr/day) and MTX (7.5-15 mg/week) in Group II, and patients treated with combination of SSZ (1-3 gr/day), MTX (7.5-15 mg/week) and HCQ (200 mg/day) in Group III. Forty-eight patients in Group I, 45 patients in Group II and III were eligible for statistical analysis at the end of study. RESULTS: The combination of MTX, SSZ, and HCQ, and the combination of MTX and SSZ were more effective regarding the clinical and laboratory parameters than SSZ alone (p<0.05). Moreover, the combination of MTX, SSZ, and HCQ was more effective than the combination of MTX and SSZ (p<0.05). CONCLUSION: Combination therapies seem to be more effective and no more toxic than monotherapy in SpA patients with peripheral arthritis.
Authors:
Meral Calgüneri; Veli Cobankara; M Akif Oztürk; Ihsan Ertenli; Sedat Kiraz; Sule Apraş
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article    
Journal Detail:
Title:  The Kobe journal of medical sciences     Volume:  50     ISSN:  0023-2513     ISO Abbreviation:  Kobe J Med Sci     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2005-01-20     Completed Date:  2005-03-21     Revised Date:  2008-04-08    
Medline Journal Info:
Nlm Unique ID:  0413531     Medline TA:  Kobe J Med Sci     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  31-7     Citation Subset:  IM    
Affiliation:
Department of Rheumatology, Hacettepe University School of Medicine, Ankara, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Adult
Arthritis / drug therapy,  radiography
Drug Therapy, Combination*
Female
Humans
Hydroxychloroquine / administration & dosage
Male
Methotrexate / administration & dosage
Spondylarthropathies / drug therapy*,  radiography
Sulfasalazine / administration & dosage
Treatment Outcome
Chemical
Reg. No./Substance:
118-42-3/Hydroxychloroquine; 59-05-2/Methotrexate; 599-79-1/Sulfasalazine

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