Document Detail


Combination therapy in rheumatoid arthritis--no benefit of addition of hydroxychloroquine to patients with a suboptimal response to intramuscular gold therapy.
MedLine Citation:
PMID:  8496858     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine if there is any advantage in adding hydroxychloroquine to intramuscular gold therapy in patients with rheumatoid arthritis (RA) with a suboptimal response to gold after 6 months of treatment. METHODS: Prospective double blind placebo controlled study at the Centre for Rheumatic Diseases, Glasgow Royal Infirmary and Gartnavel General Hospital, Glasgow. Patients--440 patients with RA began intramuscular gold therapy. One hundred forty-two patients with a suboptimal response at 6 months were randomized to receive additional treatment with hydroxychloroquine (400 mg/day) or placebo, and followed for a further 6 months. Outcome measures were erythrocyte sedimentation rate, C-reactive protein, Ritchie articular index, grip strength, visual analog pain score, duration of morning stiffness, health assessment questionnaire, and rate of side effects. RESULTS: There was no difference in outcome in terms of efficacy or toxicity. CONCLUSION: There is no justification for using a combination of intramuscular gold and hydroxychloroquine in patients with RA with a partial response to gold.
Authors:
D R Porter; H A Capell; J Hunter
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The Journal of rheumatology     Volume:  20     ISSN:  0315-162X     ISO Abbreviation:  J. Rheumatol.     Publication Date:  1993 Apr 
Date Detail:
Created Date:  1993-06-18     Completed Date:  1993-06-18     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  7501984     Medline TA:  J Rheumatol     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  645-9     Citation Subset:  IM    
Affiliation:
Centre for Rheumatic Diseases, Glasgow Royal Infirmary, Scotland.
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MeSH Terms
Descriptor/Qualifier:
Arthritis, Rheumatoid / blood,  drug therapy*
Blood Sedimentation
C-Reactive Protein / analysis
Double-Blind Method
Drug Therapy, Combination
Gold / therapeutic use*
Humans
Hydroxychloroquine / therapeutic use*
Injections, Intramuscular
Middle Aged
Chemical
Reg. No./Substance:
118-42-3/Hydroxychloroquine; 7440-57-5/Gold; 9007-41-4/C-Reactive Protein

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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