Early undifferentiated arthritis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Eligible to the trial are newly referred patients with - arthritis of at least one joint (out of 66 possible joints), - a duration of symptoms of inflammatory arthritis of 16 weeks at most, - no pre-treatment with steroids for this indication - no pre-treatment with a coxib for this indication Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Excluded will be: - Patients under 18 yrs. - Patients with joint swelling due to trauma. - Patients with only DIP arthritis. - Patients with suspected or proven septic arthritis or gout. - Patients requiring oral anticoagulant therapy precluding i. m. injections - Patients who are pregnant. - Patients with a contraindication for Paracetamol o severe liver function failure (Child-Pugh >9) o significantly impaired kidney function (creatinine >1,8 mg/dl) o Gilbert-Meulengracht's syndrome - Patients with a contraindication for NSAIDs and/or coxibs: o a history of sulfonamide allergy o active gastric- or duodenal ulcer or gastrointestinal bleeding o a history of exacerbation of asthma, uticaria, or angioedema following NSAID- or aspirin intake. o severe liver function failure (Child-Pugh >9) o significantly impaired kidney function (creatinine >1,8 mg/dl) o severe heart failure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To investigate whether patients with recent onset arthritis have a higher chance to be in remission both at 12 weeks and after one year of follow-up, if treated with 120mg Methyl-Prednisolone as compared to a placebo-injection.;Secondary Objective: ;Primary end point(s): The primary outcome will be the presence of clinical remission both at week 12 and at 1year | — |
Countries
Lithuania