rheumatoid arthritis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Meet the 2010 ACR and EULAR RA classification criteria; 2) Meet the Chinese medicine diagnostic criteria for cold-dampness obstruction syndrome; 3) Diagnosis of difficult-to-treat rheumatoid arthritis (? history of drug treatment failure: a. treatment failure after 3-6 months of two csDMARDs combined with one bDMARD or tsDMARD; b. inability to reduce glucocorticoids (GC) therapy (GCs = 10mg of prednisone or equivalent); ? assessment of disease activity : DAS28-ESR > 3.2; ? Simultaneous consideration of fatigue, foot arthritis, imaging progression, extra-articular manifestations and co-morbidities) ; 4) Treatment for at least one year according to current treatment criteria; 5) 3.2 < DAS28-ESR = 5.1; 6) Age 18-70 years; 7) Those who volunteered to participate in this study and signed informed consent.
Exclusion criteria
Exclusion criteria: 1) Patients with severe lesions of brain, kidney and other major organs,cancer and mental illness. 2) Comorbidities with other rheumatic diseases such as systemic lupus erythematosus and Sjogren syndrome; 3) Pregnant or lactating women; 4) Those with suspected or confirmed history of alcohol and drug abuse; 5) Allergy, and those who are allergic to the known components of the study drug, any excipients.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| DAS28 rating;visual analogue scale; | — |
Secondary
| Measure | Time frame |
|---|---|
| Effective rate of TCM syndromes;Clinical disease activity index;Simplified disease activity index;Patient global assessment;Physician (MD) global assessment of disease activity;Medical Outcomes Study Short-Form 36;Health Assessment Questionnaire;The Functional Assessment of Chronic Illness Therapy – Fatigue Scale; | — |
Countries
China
Contacts
Department of Rheumatology, Dongfang Hospital, Beijing University of Chinese Medicine,Beijing, China